Page 2 of 3
Re: Recovery from fractures
Posted: 18 Jan 2024, 10:55am
by Jdsk
cycleruk wrote: ↑18 Jan 2024, 10:46am
...
I saw on TV recommending vitamin D tablets.
...
I wouldn't take any advice on supplements from any commercial marketing.
Jonathan
Re: Recovery from fractures
Posted: 18 Jan 2024, 11:08am
by gbnz
cycleruk wrote: ↑18 Jan 2024, 10:46am
Currently having to put up with an "oblique" fractured collar bone - black ice.
Ouch
. Did a collar bone summer '20, for some reason collar bones seem to be particularly painful during recovery. But on a positive note? Once recovered, have never had an issue with it, whether bent over the handlebars, lifting weights, or whatever
Re: Recovery from fractures
Posted: 18 Jan 2024, 11:50am
by cycleruk
Jdsk wrote: ↑18 Jan 2024, 10:55am
cycleruk wrote: ↑18 Jan 2024, 10:46am
...
I saw on TV recommending vitamin D tablets.
...
I wouldn't take any advice on supplements from any commercial marketing.
It wasn't a commercial. It was one of the TV doctors in a morning programme when discussing health and supplements.
( Always very sceptical about TV commercials anyway. But that could be for another subject. )
Re: Recovery from fractures
Posted: 18 Jan 2024, 1:54pm
by briansnail
I wouldn't take any advice on supplements from any commercial marketing.
jdsk is right .Unless a GP prescribes supplements are a waste of money inc probiotics. A healthy diet should include all nutrition.However I trust the BBC and Dr Moseley.He explained on a radio show that due to low UV in winter we all do not get enough Vitamin D .So this is an exception. Cycling in summer sunlight for 15 mins every day in shorts and T shirt will do it.Not in winter.He added it may help re dementia in later life.
*********************
I ride Brompton,Hetchins531
Re: Recovery from fractures
Posted: 18 Jan 2024, 2:02pm
by cycleruk
Jdsk wrote: ↑18 Jan 2024, 10:54am
cycleruk wrote: ↑18 Jan 2024, 10:46am
briansnail wrote: ↑17 Jan 2024, 11:42am
Recommended daily supplement is 10µg.
Tesco 's current price is £3.50 for 120 off 12.5 µg. (£0.03 per tablet.) Jonathan
Asda £7.00 for 180 off 100µg.
(1/day divided by 2 = 3 months supply )
%NRV = 2000%
P.S. Currently taking Ibuprofen as a pain killer and does seem to help.
I have used Paracetamol but I find I have problems with sleeping. (wide awake in the middle of the night.)
Re: Recovery from fractures
Posted: 19 Jan 2024, 3:31pm
by briansnail
P.S. Currently taking Ibuprofen as a pain killer and does seem to help.
I have used Paracetamol but I find I have problems with sleeping. (wide awake in the middle of the night.)
Consider a post on its own as it probably will get many suggestions back.
*******************
I ride Brompton and Hetchins 531.
Re: Recovery from fractures
Posted: 20 Jan 2024, 11:28am
by Cowsham
briansnail wrote: ↑18 Jan 2024, 1:54pm
I wouldn't take any advice on supplements from any commercial marketing.
jdsk is right .Unless a GP prescribes supplements are a waste of money inc probiotics. A healthy diet should include all nutrition.However I trust the BBC and Dr Moseley.He explained on a radio show that due to low UV in winter we all do not get enough Vitamin D .So this is an exception. Cycling in summer sunlight for 15 mins every day in shorts and T shirt will do it.Not in winter.He added it may help re dementia in later life.
*********************
I ride Brompton,Hetchins531
I heard that too but wonder if that's from Tim Spector -- I referenced him in a post on here a while ago.
"Reading "The Diet Myth " by Tim Spector which talks about gut health balance.
His argument is that each individual has a slightly different balance of foods that is ideal. The only supplementary vitamin he says makes any difference is vitamin D -- all the rest aren't making a bean of difference to your health unless there's something like v b12 efficiency syndrome going on or the like.
Don't know how serious to take him though -- still evaluating."
Re: Recovery from fractures
Posted: 20 Jan 2024, 1:45pm
by cycleruk
Started taking "D" tablets 3 days ago. How do you know if you need them or if they are working.? Or even can you overdose on them.
(Instructions say to take with food.)
14 days since my off and still experiencing pain around the collar bone area. Also still using Ibuprofen at 200mG twice a day and as I say seems to help. Always been told to take Ibuprofen with food but no idea on what constitutes as to the right amount of food ?
Re: Recovery from fractures
Posted: 20 Jan 2024, 1:54pm
by Jdsk
cycleruk wrote: ↑20 Jan 2024, 1:45pm
Started taking "D" tablets 3 days ago. How do you know if you need them or if they are working.? Or even can you overdose on them.
Roughly speaking, you don't know. The general advice on supplementation is for prevention in the population.
In previous discussions of prevention the idea has come up that you haven't had a fracture yet so that you don't need supplementation, but the problem with that is obvious.
As has the idea that it would be better to measure the concentration within an individual before supplementation for prevention. That would be much more expensive and difficult, and what threshold would you use for which metabolite?
Overdosage with vitamin D is well described. But it won't happen with the doses recommended for prevention. It needs much higher doses and even then is rare unless you are also supplementing calcium intake.
Jonathan
Re: Recovery from fractures
Posted: 20 Jan 2024, 1:58pm
by Jdsk
cycleruk wrote: ↑20 Jan 2024, 1:45pm
...
Also still using Ibuprofen at 200mG twice a day and as I say seems to help. Always been told to take Ibuprofen with food but no idea on what constitutes as to the right amount of food ?
With an ordinary meal would be fine. If you're taking it regularly check with your GP whether protection with a proton pump inhibitor (such as omeprazole) would be wise.
NHS advice:
https://www.nhs.uk/conditions/nsaids/
Jonathan
Re: Recovery from fractures
Posted: 20 Jan 2024, 2:20pm
by cycleruk
Jdsk wrote: ↑20 Jan 2024, 1:58pm
cycleruk wrote: ↑20 Jan 2024, 1:45pm
...
Also still using Ibuprofen at 200mG twice a day and as I say seems to help. Always been told to take Ibuprofen with food but no idea on what constitutes as to the right amount of food ?
With an ordinary meal would be fine. If you're taking it regularly check with your GP whether protection with a proton pump inhibitor (such as omeprazole) would be wise.
NHS advice:
https://www.nhs.uk/conditions/nsaids/
Thanks' for the info' and NHS link. Some interesting and helpful information.
Cheers.
Re: Recovery from fractures
Posted: 20 Jan 2024, 3:15pm
by Cowsham
Jdsk wrote: ↑20 Jan 2024, 1:58pm
cycleruk wrote: ↑20 Jan 2024, 1:45pm
...
Also still using Ibuprofen at 200mG twice a day and as I say seems to help. Always been told to take Ibuprofen with food but no idea on what constitutes as to the right amount of food ?
With an ordinary meal would be fine. If you're taking it regularly check with your GP whether protection with a proton pump inhibitor (such as omeprazole) would be wise.
NHS advice:
https://www.nhs.uk/conditions/nsaids/
Jonathan
I heard that PPi's can cause bone density to decrease more rapidly and that vitamin D was recommended to prevent that.
Re: Recovery from fractures
Posted: 21 Jan 2024, 11:51am
by Jdsk
Cowsham wrote: ↑20 Jan 2024, 3:15pm
Jdsk wrote: ↑20 Jan 2024, 1:58pm
cycleruk wrote: ↑20 Jan 2024, 1:45pm
...
Also still using Ibuprofen at 200mG twice a day and as I say seems to help. Always been told to take Ibuprofen with food but no idea on what constitutes as to the right amount of food ?
With an ordinary meal would be fine. If you're taking it regularly check with your GP whether protection with a proton pump inhibitor (such as omeprazole) would be wise.
NHS advice:
https://www.nhs.uk/conditions/nsaids/
I heard that PPi's can cause bone density to decrease more rapidly and that vitamin D was recommended to prevent that.
NHS advice "Common questions about omeprazole", and go to "Are there any long term side effects?":
https://www.nhs.uk/medicines/omeprazole ... meprazole/
In the particular context of a PPI with an NSAID in a healing fracture I refer to my previous advice to discuss it with your GP. That conversation is likely to include expected duration of consumption of the NSAID and other risk fractures for gastrointestinal bleeding and for decreased bone strength.
As always write down the questions in advance so that you don't forget any.
Jonathan
Re: Recovery from fractures
Posted: 29 Apr 2024, 8:51pm
by gbnz
Are broken bones just as strong as previously, once fully healed (Nb. I.e. + 12 months), or should they be treated a bit more lightly, when cycling ? Particularly with reference to a thigh/pelvis bone, which have been nailed together/ had a 12" metal rod knocked in
Have had 18 months since original break, have a tendency to keep extreme pressure off that leg (Nb. Leg now being a bit shorter, even walking put's too much pressure on the knee). But quite noticeable that leg muscles on that leg are shrinking - could even see it in a mirror,
Re: Recovery from fractures
Posted: 29 Apr 2024, 9:05pm
by Jdsk
gbnz wrote: ↑29 Apr 2024, 8:51pm
Are broken bones just as strong as previously, once fully healed (Nb. I.e. + 12 months), or should they be treated a bit more lightly, when cycling ? Particularly with reference to a thigh/pelvis bone, which have been nailed together/ had a 12" metal rod knocked in
...
As a very crude summary they're about as good as new once they've healed. But there's a lot of factors that can affect that.
On internal fixation... leaving it in avoids another procedure, but there can be problems which are resolved by removing it.
Once you've got good healing there's usually no need to take it easy on the bone, but for energetic exercise I recommend discussing it explicitly with your practitioner.
Jonathan