Managing Pain and Swelling After a Fibula Fracture: Expert Advice - Orthopedics

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Closed fracture of the left fibula?


Hello Dr.
Chen, I would like to ask about my condition.
On November 10, I had a motorcycle accident and sustained a fracture of the left fibula, for which I received a cast at the hospital.
On November 24, during my follow-up appointment, the doctor suggested that I could try to slowly put weight on my leg and walk.
Recently, when I went out to a convenience store, I encountered a steep slope that caused some cramping pain in the back of my calf.
I have been wearing a plastic brace and non-slip shoes.
In the past few days, I have experienced noticeable cramping pain in my calf, and my foot has swollen, with extensive redness and swelling extending to my calf.
Could this lead to bone displacement or vascular rupture? I also occasionally feel tingling in my foot; could this be a sign of poor circulation? What can I do to reduce the swelling in my foot and alleviate the cramping pain in the back of my calf? Thank you.

Shuǐdiàn, 30~39 year old female. Ask Date: 2017/12/06

Dr. Chen Yongxue reply Orthopedics


Hello: A fibula fracture, although most do not require surgery, is still a fracture that needs time to heal.
Generally, you can put weight on it, but do not rush the process.
Swelling can cause numbness and pain, so please elevate the affected limb to reduce swelling.
Thank you.

Reply Date: 2017/12/06

More Info


Hello! Thank you for reaching out with your concerns regarding your fibula fracture recovery. Based on your description, it sounds like you are experiencing a combination of pain, swelling, and possibly some circulation issues in your left leg after your injury. Let's break down your symptoms and discuss some management strategies.

Firstly, it’s important to understand that after a fracture, especially in the lower leg, it is common to experience pain and swelling as part of the healing process. However, the symptoms you are describing, such as significant swelling, redness, and a feeling of numbness or tingling, could indicate a few different issues that may need further evaluation.

1. Pain and Swelling Management:
- Rest: It’s crucial to give your leg adequate rest, especially after activities that may exacerbate your symptoms, like walking on inclines. Avoid putting too much weight on the injured leg until you receive clearance from your doctor.

- Elevation: Keeping your leg elevated can help reduce swelling. Try to elevate your leg above the level of your heart when resting.

- Ice Therapy: Applying ice to the swollen area for 15-20 minutes several times a day can help reduce inflammation and numb the pain. Make sure to wrap the ice pack in a cloth to protect your skin.

- Compression: If advised by your healthcare provider, using a compression bandage can help manage swelling. However, be cautious not to wrap it too tightly, as this could impede circulation.

2. Monitoring Symptoms:
- The redness and swelling you mentioned could be signs of inflammation or, in some cases, complications such as deep vein thrombosis (DVT) or infection. It’s essential to monitor these symptoms closely. If the swelling worsens, if you develop a fever, or if the pain becomes unbearable, you should seek medical attention immediately.

- The sensation of numbness or tingling could indicate nerve involvement or circulation issues. If these symptoms persist, it is advisable to consult your doctor to rule out any serious complications.

3. Gradual Rehabilitation:
- As you begin to bear weight and walk, it’s important to do so gradually. Start with short distances and increase as tolerated. If you experience significant pain or swelling after activity, it may be a sign that you are pushing too hard.

- Physical therapy can be beneficial in your recovery. A physical therapist can provide you with exercises tailored to your condition that promote healing while minimizing pain.

4. Follow-Up Care:
- Regular follow-ups with your orthopedic doctor are crucial. They can assess the healing process through physical examinations and imaging studies if necessary. If you have concerns about the alignment of the bone or the integrity of the surrounding soft tissues, your doctor may recommend additional imaging to ensure everything is healing properly.

5. When to Seek Emergency Care:
- If you experience severe pain that is not relieved by rest or over-the-counter pain medications, if there is significant swelling that does not improve with elevation and ice, or if you notice any changes in skin color or temperature in your leg, you should seek immediate medical attention.

In summary, while some pain and swelling are expected after a fibula fracture, the symptoms you are experiencing warrant careful monitoring and possibly further evaluation by your healthcare provider. It’s essential to follow their recommendations closely and not hesitate to reach out if your symptoms worsen or if you have any concerns about your recovery. Wishing you a smooth and speedy recovery!

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