Managing Left Foot Fracture: Wheelchair vs. Crutches and Recovery Tips - Orthopedics

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Left foot fracture?


Hello, doctor.
I recently suffered a left leg fracture due to a car accident and had it casted, with the entire left leg in a cast except for my toes.
I would like to ask whether you would recommend using a wheelchair or crutches for getting around at school, considering that my cast extends from the sole of my foot to above my knee.
When sitting in a chair, should I place another chair underneath to keep my left leg straight? Additionally, I found online that moving my toes can help prevent muscle atrophy; is this true? Also, why is it necessary to elevate my foot with a pillow while sleeping, and what could happen if I don't? Lastly, if I can use crutches to walk, can I wear high heels on my right foot?

Dìfēnnī, 20~29 year old female. Ask Date: 2017/05/23

Dr. Shi Guozheng reply Orthopedics


1.
If possible, try to walk as much as you can.

2.
When your feet are swollen, elevate them.

3.
Having active muscles in your toes can help prevent atrophy.

4.
Poor circulation from not elevating your feet can lead to swelling.

5.
Try to avoid wearing high heels, as they can increase the risk of falls and injuries.

Reply Date: 2017/05/23

More Info


Managing a left foot fracture, especially after a significant injury like a car accident, requires careful consideration of mobility aids and recovery strategies. Given your situation, where your left foot is immobilized in a cast from the toes to above the knee, let's discuss the best options for getting around, as well as some recovery tips.


Wheelchair vs. Crutches
When deciding between using a wheelchair or crutches, it largely depends on your comfort level and the extent of your injury. Here are some factors to consider:
1. Mobility and Stability: If you feel stable and confident using crutches, they can be a good option for short distances. However, if you find it difficult to balance or navigate, especially in crowded or uneven areas, a wheelchair might be safer and more comfortable.

2. Fatigue: Crutches can be tiring to use, especially if you are not accustomed to them. If you have to travel long distances at school, a wheelchair may reduce fatigue and allow you to conserve energy for your classes.

3. Classroom Environment: Consider the layout of your school. If your classrooms are accessible and you can manage with crutches, they might be suitable. However, if navigating through hallways and entering classrooms is challenging, a wheelchair could be more practical.


Positioning Your Foot
When sitting in class, it’s advisable to keep your left foot elevated. Placing a chair or a footrest under your foot can help reduce swelling and improve circulation. This position can also alleviate discomfort and promote healing by minimizing pressure on the injured area.


Toe Movement and Muscle Atrophy
You mentioned that you read about moving your toes to prevent muscle atrophy. This is indeed beneficial! While your foot is immobilized, gentle movements of the toes can help maintain some level of circulation and prevent stiffness. However, be cautious not to overexert yourself or cause pain. Always follow your doctor’s advice regarding any movements.


Elevating Your Foot at Night
Elevating your foot while sleeping is crucial for several reasons:
- Swelling Reduction: Keeping your foot elevated helps reduce swelling by promoting venous return, which can prevent complications like increased pain and discomfort.

- Pain Management: Elevation can help minimize pain levels, allowing for a more restful sleep.

- Healing: Proper positioning can facilitate better healing by ensuring that blood flow is optimal to the injured area.

If you do not elevate your foot, you may experience increased swelling, discomfort, and potentially delayed healing.


Wearing High Heels on Your Right Foot
While you may be tempted to wear high heels on your right foot, it is generally not advisable during your recovery period. Wearing high heels can alter your balance and gait, which could lead to further injury, especially since you are relying on your right foot for support while your left foot is immobilized. It’s best to stick to supportive, flat shoes that provide stability until you have fully recovered.


Conclusion
In summary, whether you choose a wheelchair or crutches depends on your comfort and the specific circumstances of your school environment. Elevating your foot, moving your toes, and avoiding high heels are all important aspects of your recovery. Always consult with your healthcare provider for personalized advice tailored to your specific injury and recovery progress. They can provide you with the best recommendations based on your healing status and overall health.

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