Periostitis After a Fall: Symptoms, Treatment, and Recovery - Orthopedics

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Periostitis, or inflammation of the periosteum (the connective tissue surrounding bones), can occur after trauma such as a fall. Your symptoms, including discomfort in your left wrist and left foot, bruising, and reduced mobility, suggest that you may be experiencing this condition. It’s important to understand the nature of periostitis, its symptoms, treatment options, and recovery strategies.


Symptoms of Periostitis
Common symptoms of periostitis include:
- Pain and tenderness along the affected bone, which may worsen with activity or pressure.

- Swelling and bruising in the area.

- Reduced range of motion in the affected limb.

- Discomfort when touching or applying pressure to the area.

In your case, the pain in your wrist when it comes into contact with objects and the discomfort in your foot when moving or touching it align with these symptoms.


Treatment Options
1. Rest: The most crucial step in managing periostitis is to allow the affected area to rest. Avoid activities that exacerbate the pain, particularly running or high-impact exercises.

2. Ice and Heat Therapy: The recommendation for ice or heat can depend on the stage of your injury. In the acute phase (first 48 hours), ice is typically recommended to reduce swelling and numb the pain. After this period, heat can be beneficial to promote blood flow and healing. Since your doctor suggested heat therapy, it may be appropriate for your current condition, especially if the swelling has subsided.

3. Elevation: Elevating the affected limb can help reduce swelling and promote healing. This is particularly important for your foot, which has bruising.

4. Medication: Over-the-counter anti-inflammatory medications (like ibuprofen or naproxen) can help reduce pain and inflammation. Always consult with your healthcare provider before starting any medication.

5. Physical Therapy: Once the acute pain subsides, physical therapy may be beneficial to restore strength and flexibility to the affected area. A physical therapist can provide tailored exercises to help you recover safely.

6. Avoiding Manipulative Therapies: While some practitioners may suggest manipulation or massage, it’s essential to be cautious. If there is significant inflammation or if you suspect a more severe injury (like a fracture or severe ligament damage), manipulation could exacerbate the issue. Always consult with a healthcare professional before undergoing any form of manual therapy.


Recovery
Recovery from periostitis can take time, and it’s essential to listen to your body. Gradually reintroducing activities and monitoring for any return of pain is crucial. If symptoms persist or worsen, follow up with your healthcare provider for further evaluation.


When to Seek Further Help
If you experience:
- Increased pain or swelling.

- Inability to bear weight on the affected limb.

- Signs of infection (such as redness, warmth, or fever).

- Persistent symptoms despite rest and conservative treatment.

In summary, it seems that your best course of action is to rest, apply heat as advised, and monitor your symptoms. If you have any concerns about the treatments suggested by different practitioners, it may be beneficial to seek a second opinion from a qualified orthopedic specialist. They can provide a comprehensive assessment and guide you on the best treatment plan tailored to your specific needs.