Numbness After Ankle Fracture: When to Seek Help

Numbness in the fractured leg?

Hello, I would like to ask about my ankle fracture.
I have had a cast for three weeks.
Previously, I experienced numbness in my little toe, which led me to return to the hospital to have the cast removed.
After that, the numbness seemed to resolve, but recently I have started to feel a slight tingling sensation, which occurs only when I touch my toes.
Otherwise, I feel fine, and the color of my toes looks normal.
Should I return to the hospital? I have three weeks left until the cast is scheduled to be removed.

Niming, 20~29 year old female. Ask Date: 2017/12/03

Dr. Li Yongheng reply Orthopedics

Hello, it has been three weeks since you had a cast for your ankle fracture.
Your toes are slightly numb, but the color is normal.
These are all normal occurrences, so there is no need to worry.
The cast will be removed in three weeks, and typically the numbness will resolve by then.
Wishing you a speedy recovery.

Reply Date: 2017/12/03

More Info

After an ankle fracture, it is not uncommon to experience some numbness or tingling sensations, especially if you have been in a cast for an extended period. The symptoms you describe, such as the tingling in your little toe and the recent return of a slight numbness, can be concerning, but they may also be part of the normal healing process. However, it is essential to monitor these symptoms closely.

Understanding Numbness After Ankle Fracture
1. Causes of Numbness: Numbness or tingling in the toes can occur for several reasons after an ankle fracture. One common cause is compression of nerves due to swelling or tightness of the cast. The cast is designed to immobilize the ankle and promote healing, but if it is too tight, it can restrict blood flow and compress nerves, leading to sensations of numbness or tingling.

2. Signs of Complications: While some numbness can be expected, certain signs should prompt you to seek medical attention:
- Increased Numbness: If the numbness worsens or spreads to other areas of your foot or leg.

- Color Changes: If your toes or foot begin to change color (e.g., turning blue or pale), this could indicate poor circulation.

- Severe Pain: If you experience significant pain that is not relieved by over-the-counter pain medications.

- Swelling: If there is excessive swelling that does not improve with elevation or rest.

3. When to Seek Help: Given that you have experienced numbness before and had your cast adjusted, it would be wise to consult your healthcare provider if:
- The numbness persists or worsens.

- You notice any new symptoms, such as increased pain, swelling, or color changes in your toes.

- You have concerns about the fit of your cast or the healing process.

Recommendations
- Monitor Symptoms: Keep track of your symptoms, noting any changes in numbness, pain, or swelling. This information will be helpful for your healthcare provider.

- Elevate and Rest: Elevating your foot can help reduce swelling and improve circulation, which may alleviate some of the numbness.

- Gentle Movement: If your doctor approves, gently moving your toes and foot within the limits of your cast may help stimulate blood flow and reduce numbness.

- Follow-Up Appointment: Since you mentioned that you will have your cast removed in three weeks, it is essential to keep that appointment. Your doctor will assess your healing progress and address any concerns you may have about numbness or other symptoms.

Conclusion
In summary, while some numbness can be a normal part of the healing process after an ankle fracture, it is crucial to remain vigilant for any signs of complications. If you experience worsening symptoms or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide guidance tailored to your specific situation and ensure that your recovery proceeds smoothly. Remember, your health and comfort are paramount, and it is always better to err on the side of caution when it comes to your well-being.

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