After the cast was removed for a fractured lateral malleolus, I accidentally bumped the affected area again?
Hello, Doctor.
I suffered a non-displaced fracture of the outer ankle on February 6 while abroad.
The emergency physician said it didn't need to be immobilized, but the orthopedic doctor before returning to Taiwan insisted that it should be.
Therefore, I started wearing a light cast around February 20.
On March 25, a doctor in Taiwan said that the X-ray showed the healing was not as expected, but it was still healing, so the cast could be removed, and I could start practicing walking.
I have been walking smoothly these past few days, and my muscle strength has been maintained quite well.
However, last night while sleeping, I accidentally pressed on the fracture site; my foot extended beyond the bed, and the edge pressed on the injured area.
To be honest, I’m not sure if it was a knock or a press, but now, four hours later, I am still experiencing sharp pain, and the frequency is quite high.
It’s a bit scary, so I wrapped the cast back on to see if it would feel better...
I have a few questions:
1.
Should I schedule a follow-up appointment for an examination as soon as possible?
2.
What symptoms should I be aware of?
3.
Since I was injured abroad, I saw four different doctors (the last one will be at a fixed hospital).
The first three doctors said bone healing takes three months, but the fourth said it should heal in a month and a half.
Is my recovery slower than average? If so, how can I improve it? (I am currently supplementing with vitamins, high protein, and calcium.)
4.
I usually exercise (https://youtu.be/bsMrL_U7Hsk?si=3xpUTVgkbK1i4ErH).
Should I pause my workouts? I also have other systemic myofascial issues, so I do some exercises that do not use the ankle joint, but they do involve the legs.
Should I also pause these?
5.
Are there any other important considerations I should be aware of? Thank you, Doctor.
Ke lian ren 🥺, 30~39 year old female. Ask Date: 2024/04/02
Dr. Shi Guozheng reply Orthopedics
1.
It is best to schedule a follow-up appointment as soon as possible.
2.
If the pain does not alleviate, there is a possibility of dislocation.
3.
It takes three months to heal; the recovery speed is not necessarily slower.
4.
Please refrain from exercising.
Reply Date: 2024/04/02
More Info
Managing recovery from an ankle fracture can be a challenging process, especially after experiencing pain or discomfort following an injury. Based on your situation, here are some insights and recommendations to help you navigate your recovery effectively.
1. Follow-Up Appointment: Given that you experienced pain after accidentally pressing on the fractured area, it is advisable to schedule a follow-up appointment with your orthopedic doctor. This is particularly important if the pain persists or worsens. An X-ray may be necessary to ensure that there are no complications, such as a new fracture or delayed healing.
2. Symptoms to Monitor: After an ankle fracture, it’s crucial to be vigilant about any symptoms that may indicate complications. These include:
- Increased pain or swelling in the ankle
- Changes in skin color or temperature around the injury site
- Numbness or tingling in the foot or toes
- Inability to bear weight on the affected ankle
If you notice any of these symptoms, seek medical attention promptly.
3. Healing Timeline: The healing time for fractures can vary significantly among individuals. While some doctors may estimate a healing time of around six weeks, others may suggest a longer period, especially if the fracture was more severe or if there are underlying health issues affecting bone healing. Factors such as age, nutrition, and overall health can influence recovery. Since you are supplementing with vitamins, protein, and calcium, you are taking positive steps to support your healing. However, if you feel that your recovery is slower than expected, consider discussing this with your healthcare provider. They may recommend additional imaging or adjustments to your rehabilitation plan.
4. Exercise and Activity: It’s great that you are staying active, but it’s essential to be cautious with exercises that may involve the ankle. If you are experiencing pain, it may be wise to temporarily pause any activities that put stress on the ankle joint. Focus on low-impact exercises that do not involve the ankle, and consult with a physical therapist for tailored rehabilitation exercises that promote healing without risking further injury. They can guide you on safe movements and help you gradually regain strength and mobility.
5. Additional Considerations:
- Rest and Elevation: Ensure you are giving your ankle adequate rest and elevating it when possible to reduce swelling.
- Ice Therapy: Applying ice to the injured area can help manage pain and inflammation, especially after any activity that may aggravate the injury.
- Gradual Weight Bearing: As you start walking again, do so gradually. Use crutches or a walking aid if necessary to avoid putting too much weight on the ankle too soon.
- Physical Therapy: Once your doctor gives the green light, consider engaging in physical therapy. A therapist can provide exercises to improve range of motion, strength, and stability in the ankle.
In summary, while it’s encouraging that you are making progress in your recovery, it’s essential to remain cautious, especially after experiencing pain. Regular follow-ups with your healthcare provider, monitoring symptoms, and adjusting your activity level as needed will be key to a successful recovery. Always prioritize your safety and well-being as you navigate this healing process.
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