Foot Fractures: Recovery Tips and Pain Management

The bones in my foot are fractured and there seems to be some displacement issue. I have already seen a doctor and received a cast?

On November 20, I accidentally broke the side panel (glass) of my computer.
I went to clean it up, but some areas were difficult to reach, so I used many exhausting methods to sweep (including a lot of squatting).
Since I don't usually exercise, it seems I also injured my leg muscles.
After cleaning, my thighs were extremely sore, and when I lifted my legs to a certain angle, my muscles felt weak, causing my legs to give way.
At that moment, I fell and injured my left foot, twisting my toes.
It was immediately very painful, but I could still walk and didn't think much of it.
Until the next morning, my foot became swollen and quite painful.
However, the pain didn't significantly affect my ability to walk.
Since it was Saturday and there were no clinics open, I thought I would wait until Monday to see a doctor.
On Monday, I went to the clinic and had an X-ray taken.
The doctor said there was a slight fracture in the bone and some displacement, but surgery was not necessary.
I was instructed to get a cast and return in a week to check the condition.

After returning home, with the cast on, my foot felt very warm as long as I didn't elevate it.
Although it was still quite warm when elevated, it wasn't as hot as when it was on the ground, and elevating it didn't cause numbness.
However, when I placed it on the ground, it did feel numb.
I checked my toes and didn't see any bruising or discoloration.
The doctor mentioned that if my toes turned purple or white, I should return immediately.
I wondered if the warmth was due to the cast, but isn't the new type of cast supposed to be more breathable? Why is it still so warm? Since I wasn't feeling extremely uncomfortable, I didn't go back for a follow-up.
The doctor also prescribed anti-inflammatory pain medication, but I only noticed at home that there was a significant risk of allergic reactions to the medication.
After taking just one pill, I developed a sore throat (the side effects indicated it could cause allergic reactions), so I was hesitant to continue taking it (I have a history of drug allergies that caused rashes).
Therefore, I'm currently only taking the hemostatic medication and a drug to improve blood circulation, thinking that I would rely on elevating my foot to aid recovery and let it heal gradually.
I haven't taken any anti-inflammatory medication, and I hope that won't have any negative effects.

Mr. Chen, 30~39 year old female. Ask Date: 2020/11/26

Dr. Chen Bochen reply Orthopedics

1.
If your toes turn purple or white, you should return for a follow-up appointment immediately.

2.
Apply ice packs and elevate your feet to help reduce swelling; keep your feet elevated while sleeping as well.

3.
Symptoms will gradually improve after the acute phase, which lasts for two weeks.

Reply Date: 2020/11/26

More Info

Understanding foot fractures and managing recovery can be a complex process, especially when dealing with pain and discomfort. Based on your description, it seems you have sustained a foot injury that involves a fracture, which can lead to swelling, pain, and limited mobility. Here are some insights and recommendations to help you navigate your recovery.

Understanding Your Injury
From your account, it appears that you have a fracture in your foot, specifically a crack in the bone with some displacement. This type of injury can occur from trauma, such as a fall or excessive stress on the foot, as you described while cleaning. The immediate symptoms of pain and swelling are common following such injuries. The fact that your doctor recommended a cast indicates that they want to immobilize the area to promote healing.

Pain Management
Pain management is crucial during the recovery process. Since you experienced a reaction to the prescribed anti-inflammatory medication, it’s essential to communicate this with your healthcare provider. They can suggest alternative medications that may not trigger your allergies. Over-the-counter pain relievers like acetaminophen or ibuprofen (if you are not allergic) can be effective in managing pain and reducing inflammation.

Importance of Elevation and Rest
You mentioned that elevating your foot helps with discomfort. This is an important practice. Keeping the foot elevated reduces swelling by allowing fluids to drain away from the injury site. It’s advisable to rest as much as possible and avoid putting weight on the injured foot until your doctor gives you the go-ahead.

Monitoring Symptoms
You are correct to monitor your foot for any changes, such as discoloration or increased swelling. If your toes become purple or excessively cold, it could indicate compromised circulation, and you should seek medical attention immediately. The warmth you feel in your foot while in the cast is not uncommon, as casts can trap heat. However, if the heat is accompanied by severe pain or swelling, it’s essential to consult your doctor.

Rehabilitation and Recovery
Once the initial healing phase is over, rehabilitation will be crucial for restoring strength and mobility. Here are some general steps to consider:
1. Physical Therapy: After your cast is removed, working with a physical therapist can help you regain strength and flexibility in your foot. They will guide you through exercises tailored to your recovery needs.

2. Gentle Range of Motion Exercises: Start with gentle movements to improve flexibility. This can include moving your toes and ankle in a pain-free range.

3. Gradual Weight Bearing: As advised by your doctor, gradually start putting weight on your foot. This process should be slow and monitored to avoid re-injury.

4. Strengthening Exercises: Once you have regained some mobility, your therapist will introduce strengthening exercises to help rebuild muscle around the injured area.

5. Pain Management Techniques: Continue to use ice and elevation as needed, and consider using heat therapy once the swelling has subsided to promote blood flow and healing.

Conclusion
Recovery from a foot fracture can take time, and it’s essential to be patient with yourself. Follow your doctor's advice closely, and don’t hesitate to reach out for help if you experience any concerning symptoms. Engaging in rehabilitation exercises as recommended will be vital for a full recovery. Remember, your body needs time to heal, and taking care of your mental well-being during this process is equally important. If anxiety about your injury is affecting your sleep or daily life, consider discussing this with a healthcare professional who can provide support and coping strategies.

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