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Conference vmszoo::medical

Title:MEDICAL questions and answers
Notice:Please read notes 1.11, 1.27 and 624.*
Moderator:IJSAPL::ANDERSON
Created:Mon Jan 26 1987
Last Modified:Wed May 28 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:2054
Total number of notes:15270

401.0. "Broken Ankle with Cast Questions" by BUSY::KLEINBERGER (Disic Vita Lux Hominum) Sun Apr 09 1989 08:54

T.RTitleUserPersonal
Name
DateLines
401.1Call the doctorTELALL::ICSGita DeviMon Apr 10 1989 09:5211
401.2GLINKA::GREENECat LadyMon Apr 10 1989 15:438
401.3ShrinkageATPS::GREENHALGEMouseWed Apr 12 1989 10:0811
401.4twist, pull or break?ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Wed Aug 30 1995 14:0812
401.5CSC32::BROOKWed Aug 30 1995 14:237
401.6maybe broken. Bad spaains need attention, tooUNIFIX::FRENCHBill French 381-1859Thu Aug 31 1995 11:5721
401.7ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Thu Aug 31 1995 17:338
401.8question about crutchesADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Mon Sep 11 1995 18:2014
401.9Use your hands and wrists with crutchesUNIFIX::FRENCHBill French 381-1859Tue Sep 12 1995 09:1825
401.10how high will the cast be, I wonder?ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Tue Sep 12 1995 09:3618
401.11BIGQ::MARCHANDTue Sep 12 1995 10:0535
401.12tibia or fibula?UNIFIX::FRENCHBill French 381-1859Tue Sep 12 1995 10:2722
401.13ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Tue Sep 12 1995 15:139
401.14I'm betting it's below the knee...UNIFIX::FRENCHBill French 381-1859Tue Sep 12 1995 15:2516
401.15ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Tue Sep 12 1995 20:226
401.16ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Wed Sep 13 1995 18:332
401.17there is freedom of movement after a castADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Fri Nov 03 1995 12:2511
401.18ignore the x-ray??ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Wed Nov 22 1995 13:4410
401.19CSC32::M_EVANSruns with scissorsWed Nov 22 1995 17:0511
401.20How does it feel? Don't worry about X-rayUNIFIX::FRENCHBill French 381-1859Mon Nov 27 1995 20:2510
401.21ADISSW::HAECKMea culpa, mea culpa, mea maxima culpa!Tue Nov 28 1995 10:4413
401.22Sounds good to meUNIFIX::FRENCHBill French 381-1859Wed Nov 29 1995 10:5919
401.23CHEFS::UKSTATIONERYcaw blimey, it's Merry Poppuns!Tue Jan 28 1997 09:1017
    About 8 1/2 weeks ago I was involved in an accident that left my 3/4/5
    metatarsals broken and the soft tissue in my foot severely damaged. X
    rays were taken of my ankle and no fractures were apparent. I was in a
    half leg cast for 5 weeks and have just begun to fully weight bear on
    my foot. My ankle is still swollen, although this reduces with ice, but
    it has started to ache a little when I've walked about a lot, including
    after physio, the ache doesn't last and the ankle has felt noticable better
    when I've rested and iced it. The thing, is whilst non or slight weight
    bearing, ther was no pain of this type at all. Am I worrying
    needlessly about the possibilty that a break did occur and that the
    doctors just didn't notice it? Should five weeks totally non weight
    bearing in a cast have fixed it any way? Is it just aching because I
    haven't used it for so long?
    
    Thanks
    
    Richard
401.24CSC32::BROOKTue Jan 28 1997 10:4628
>    About 8 1/2 weeks ago I was involved in an accident that left my 3/4/5
>    metatarsals broken and the soft tissue in my foot severely damaged. X
>    rays were taken of my ankle and no fractures were apparent. I was in a
>    half leg cast for 5 weeks and have just begun to fully weight bear on
>    my foot. My ankle is still swollen, although this reduces with ice, but
>    it has started to ache a little when I've walked about a lot, including
>    after physio, the ache doesn't last and the ankle has felt noticable better
>    when I've rested and iced it. The thing, is whilst non or slight weight
>    bearing, ther was no pain of this type at all. Am I worrying
>    needlessly about the possibilty that a break did occur and that the
>    doctors just didn't notice it? Should five weeks totally non weight
>    bearing in a cast have fixed it any way? Is it just aching because I
>    haven't used it for so long?

The only way to know for sure is to talk to the Doctors and the physio.

Muscles that have not been used in 5 weeks are going to be flabby.  With broken
bones and tissue damage, there have been significant internal bruising, and the
surrounding muscle and tissue attempts to protect that.  While we cannot tell
you "You're right", my suspicions would be that you answered your own
question.  Some muscle and tissue damage can take months to recover.  My
M-I-L was hit by a motorcycle a year ago, and still has soreness in places
at times attributible to that accident.

Bottom line, if you have questions, talk to the Dr. or Physio.  If the pain
persists and doesn't ease, talk to your Dr.  You may be overdoing the walking
etc.  (Pain means you've gone too far ... No pain no gain is for macho fools!)

401.25BIGQ::GARDNERjustme....jacquiTue Jan 28 1997 12:293
    Ask for a complete X-ray of the site in question...  go from there

401.26CHEFS::UKSTATIONERYcaw blimey, it's Merry Poppuns!Fri Jan 31 1997 07:274
    The physio had a fiddle about with it this morning, and the pain looks
    like it is due to inflamed nerves in the ankle area.
    
    Richard