Steve Gershman, DPM
280 Minot Ave.
Auburn, ME 04210 United States
15 Year Old Male Hockey Player with Fractured Clavical
A 15 year old male hockey player was checked heavily into the boards during a hockey game and suffered a complete, distracted mid-clavicular fracture. The distraction or separation between the fragments was about a half inch which is quite significant.
The initial ER physician recommended surgical repair due to the distance between the fragments. However a subsequent orthopedist recommended an attempt at conservative treatment via rest and partial immobilization via sling and harness. The orthopedist advised the family it would most likely be 6 to 8 weeks at a minimum before he could play hockey again assuming it healed without surgery which was by no means assured.
I advised the family to utilize herbal patches in addition to the orthopedist treatment to attempt to speed up the process and possibly return him to hockey games sooner to salvage the end of the season. They agreed. They utilized a total of 6 herbal patches in the manner recommended. Basically, 2 days on and 1 day off per patch.
The patient was doing so well with the treatment that he removed the harness at about 3 weeks and returned to fairly normal activities at under 4 weeks. He returned to full contact hockey practice at 5 weeks and games a few days after that. This was a remarkable recovery and return to sports considering the severity of the fracture and the possibility of requiring surgical intervention.
He has continued with all normal activities and is pain free. This was a very impressive response to herbal patches. It should be considered for all athletic teams in an effort to return injured athletes to the sport much faster then with just standard therapy alone.
Case study of Wei fast patches on ankle fractures
This is the tale of 2 women who inadvertently broke their left ankle at the same time , providing me with an opportunity to test whether herbal patches can speed up healing and return to function. As these are two women with similar ages and medical history and fracture type, it provided a perfect laboratory for a clinical trial of the patches against a control.
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To sum up the results, the woman who had the patches added to the standard immobilization treatment was the ‘lucky’ one. She healed and returned to her normal activities 2 weeks or 33% earlier. In sports terms it was a 4 to 6 win.
Patient 1 is 69 year old female in good health who fractured left fibula when she twisted her ankle and inverted her foot/ankle suddenly at home . The fracture was a stable non-displaced oblique type with good alignment. She was treated with simple 6 weeks of a walking cast. She was checked every two weeks and x-rayed at the visits. She was having pain walking without the cast until near 6 weeks and the x-rays showed slow healing consistant with clinical healing at 6 weeks. This is standard for this type fracture. She is now discharged from treatment and doing well.
The orthopedic text book “Surgery of the Foot” by Roger Mann, MD. (fifth edition), states, “undisplaced stable fractures of the lateral malleolus can begin immediate weight bearing in a short leg walking cast , which should be left in place for 6 weeks.” This has also been my experience with these fractures. They can require up to 8 weeks or longer in some cases.
Patient 2 sustained a vertical compression fracture of her distal left malleolus at the same time period. She fell down stairs at home jamming the foot into ground with a high impact causing a comminuted fracture that was more complicated then patient 1. It was however stable and non-displaced. She is a 58 year old post menopausal female in fairly good health also.
She was treated with a similar program of walking cast immobilization, recheck visits and x-rays at every 2 weeks. IN ADDITION SHE WAS GIVEN HERBAL PATCHES TO PLACE OVER THE FRCTURE SITE STARTING AT DAY 1. She used a total of 9 patches over 4 weeks. She followed the protocol of 2 days on, 1 day off with each patch. At 2 weeks the x-ray showed bone callus formation way ahead of the expected and ahead of patient 1. At 4 weeks the x-ray showed a clinically healed fracture and complete resolution of pain to palpation of the fracture site and no pain walking barefoot and in shoes. She was discharged with no further care other than instructions on strengthening the muscles and slowly returning to normal activities.
In comparison of the 2 patients, the only difference in treatment was the herbal patches. The patch treated patient healed clinically and on x-ray, 2 full weeks earlier. This is 33% faster. This was despite a more complicated fracture and more intense initial trauma. This is profound.
In the future, I will be testing other patients and will be re-checking weekly to evaluate if the healing may be sooner than 4 weeks with the herbal patches. Perhaps 3 weeks? I will also add another herbal product, an oral liquid formula which increases micro-circulation.
Returning fracture patients in less time to their normal activities has a major effect on their lives and economically to them and society. This study indicates there is a method to do this and should be considered for further study and testing.