[Ortho] После остеосинтеза лодыжек

[cishaifa]

Agree cimpletely. I am unhappy with the result, though if there is a nerve disease it was not diagnosed by EMG or clinical picture. The fact we have a lancet and hammer shouldn't indicate we have to operate. Let us have a clinical picture. Emg might indicate need for nerve surgery. I would diagnose and start Pregabaline 50 a day if the kidney function is Ok. Weekly increase in dosage will probably yeald a result at 225 mg a day or twice as much. Hydrotherapy.
Good luck in this difficcult case. AL


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п╒п╣п╪п╟: Re: [Ortho] п÷п╬я│п╩п╣ п╬я│я┌п╣п╬я│п╦п╫я┌п╣п╥п╟ п╩п╬п╢я▀п╤п╣п╨ 
 
п■п╟п╫п╫я▀п╣ п©я─п╬я┌п╦п╡п╬я─п╣я┤п╟я┌. п■п╡п╦п╤п╣п╫п╦п╧ п╡ пЁп╬п╩п╣п╫п╬я│я┌п╬п©п╫п╬п╪ я│я┐я│я┌п╟п╡п╣ п╫п╣я┌, п╡ я┌п╬ п╤п╣ п╡я─п╣п╪я▐ 
я┐п╪п╣я─п╣п╫п╫п╟я▐ п╨п╬п╫я┌я─п╟п╨я┌я┐я─п╟. п▓я▀я─п╟п╤п╣п╫п╫я▀п╧ п╬я│я┌п╣п╬п©п╬я─п╬п╥. п■п╬я│я┌я┐п© я┤п╣я─п╣п╥ п╟я┘п╦п╩п╩ :(

п▓я│п╣пЁп╢п╟ п╦п╫я┌п╣я─п╣я│п╫п╬ я┌п╟п╨п╬п╣ "п©п╬я┴я┐п©п╟я┌я▄" я│п╟п╪п╬п╪я┐.

п÷п╬ п©п╬п╡п╬п╢я┐ п╢п╦я│п╨я┐я│я│п╦п╦.

1. п▓я▀я─п╟п╤п╣п╫п╫я▀п╧ п╬я│я┌п╣п╬п©п╬я─п╬п╥. п░я┘п╦п╩п╩ я─п╣я┌я─п╟пЁп╦я─п╬п╡п╟п╫, я─я┐п╠я├я▀. п║я─п╟п╥я┐ п╩п╣п╥я┌я▄ п╫п╣ 
я│я┌п╬п╦я┌, п╫п╟п╢п╬ п╡п╬я│я│я┌п╟п╫п╬п╡п╦я┌я▄ п╬п╠я┼п╣п╪ п╢п╡п╦п╤п╣п╫п╦п╧. п░ п╡п╬я┌ я│ п╬я│п╣п╡п╟я▐ п╫п╟пЁя─я┐п╥п╨п╟ - 
п╢п╬п╥п╦я─п╬п╡п╟п╫п╫п╟я▐.
2. п░ я│ я┌п╦п╠п╦п╟п╩я▄п╫я▀п╪ п╫п╣я─п╡п╬п╪ п╡я│п╣ п╡ п©п╬я─я▐п╢п╨п╣, п╬п╫ п╡ я─я┐п╠п╣я├ п╫п╣ п╡п╬п╡п╩п╣я┤я▒п╫?
3. п▓п╫я┐я┌я─п╣п╫п╫я▐я▐ п╩п╬п╢я▀п╤п╨п╟ п╦п╫п╬пЁп╢п╟ п╫п╣ я│я─п╟я│я┌п╟п╣я┌я│я▐б═ п╦ п©я─п╦ я┘п╬я─п╬я┬п╣п╧ я─п╣п©п╬п╥п╦я├п╦п╦. 
п²п╟я─я┐п╤п╫п╟я▐ я┐п╨п╬я─п╬я┤п╣п╫п╟. п▓п╫я┐я┌я─п╣п╫п╫я▐я▐ я│п╪п╣я┴п╣п╫п╟ п╩п╟я┌п╣я─п╟п╩я▄п╫п╬. п╒п╟п╨п╬п╣ п╡п╬п╥п╪п╬п╤п╫п╬, п╣я│п╩п╦ 
п╫п╣ я─п╣п╫я┌пЁп╣п╫п╨п╬п╫я┌я─п╬п╩я▐ п╡ п╬п©п╣я─п╟я├п╦п╬п╫п╫п╬п╧. п·я┌я│я▌п╢п╟ п╡п╬п©я─п╬я│: п╟ п╬п╫ п╡п╬ п╡я│п╣я┘ п╠п╬п╩я▄п╫п╦я├п╟я┘ 
п╣я│я┌я▄? п²п╟п╢п╬ п╫п╣ п╠п╦я┌я▄ п©п╬ я─я┐п╨п╟п╪, п╟ п╬п╠я┐я┤п╟я┌я▄ п╦ п╬я│п╫п╟я┴п╟я┌я▄. п÷п╬ я─я┐п╨п╟п╪ п╩я▌п╠я▐я┌ п╠п╦я┌я▄ 
п╤п╦я┌п╣п╩п╦ я│я┌п╬п╩п╦я├я▀ п╦ п╨я─я┐я┌я▀п╣ п╨п╩п╦п╫п╦я┤п╣я│п╨п╦п╣ п╬я─п╢п╦п╫п╟я┌п╬я─я▀. п╔п╬я┌п╣п╩ п╠я▀ п©п╬я│п╪п╬я┌я─п╣я┌я▄ п╫п╟ 
п▓п╟я│ п╡ я─п╟п╧п╬п╫п╣ п▓п╩п╟п╢п╦п╪п╦я─я│п╨п╬п╧ п╦п╩п╦ п═я▐п╥п╟п╫я│п╨п╬п╧ п╬п╠п╩п╟я│я┌п╦ п╠п╣п╥ п║ п╢я┐пЁп╦ (п╡п╬п╬п╠я┴п╣ п╫п╣я┌) 
п╦ п©п╬я─я┌п╟я┌п╦п╡п╫п╬пЁп╬ я─п╣п╫я┌пЁп╣п╫п╟ п╡ п╬п©п╣я─п╠п╩п╬п╨п╣. (п║п╩п╬п╪п╟п╩я│я▐). п≤п╥п╡п╦п╫п╦я┌п╣, п╣я│п╩п╦ я─п╣п╥п╬п╨, 
п╫п╬ п╪я▀ п╫п╣ п╠я▀п╩п╦ п╡ п╬п©п╣я─п╟я├п╦п╬п╫п╫п╬п╧. п°п╬п╤п╣я┌ п╟п╫п╣я│я┌п╣п╥п╦п╬п╩п╬пЁ п╬я─п╟п╩ п╥п╟п╨п╟п╫я┤п╦п╡п╟п╧ п╠я▀я│я┌я─п╣п╧ 
п╦п╩п╦ я█п╨я│я┌я─п╣п╫п╫п╬я│я┌я▄ я┌п╬я─п╬п©п╦п╩п╟ ?!
4. п·п©п╣я─п╦я─п╬п╡п╟я┌я▄ п╫п╟п╢п╬. п²п╬ п╫п╟п╢п╬ п╡п╬я│я│я┌п╟п╫п╬п╡п╦я┌я▄ п╬п╠я┼п╣п╪ п╢п╡п╦п╤п╣п╫п╦п╧. п∙я│п╩п╦ п╫п╣ 
п©п╬п╩я┐я┤п╦я┌я│я▐. п╒п╬ я─п╣п╡п╦п╥п╦я▐ п╟я┘п╦п╩п╩п╟.
п■п╣п╢п╬п╨ п°п╦я┘п╟п╦п╩


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