Fracture of the left calcaneus with a 2.5 cm laceration on the left foot?
Hello, doctor! I have a fracture of the left calcaneus and a 2.5 cm laceration on the left foot.
I was casted on April 22, 2006, and on April 25, I noticed that my toes started to turn black and purple.
Is this due to pressure on the blood vessels? How long will it take before the cast can be removed? Thank you!
Mr. Chen, 10~19 year old female. Ask Date: 2006/04/26
Dr. Shi Guozheng reply Orthopedics
A calcaneal fracture typically requires immobilization for about six to eight weeks, so the cast may need to remain in place until that time.
The black and purple discoloration of the toes may be due to bleeding following the fracture; the bruising can settle or extend to the toes and is not necessarily caused by compression of the blood vessels.
Reply Date: 2006/04/26
More Info
Hello! Thank you for your question regarding your left heel fracture and foot injuries. It sounds like you have experienced a significant injury, and I understand your concerns about recovery and the changes you are noticing in your foot.
First, let's address the discoloration you are seeing in your toes. The black and purple color can indeed be a sign of bruising, which occurs when blood vessels are damaged and blood leaks into the surrounding tissues. This can happen due to swelling or pressure on the blood vessels from the injury or from the cast itself. It's essential to monitor this closely, as excessive swelling or discoloration could indicate complications such as compromised circulation or increased pressure within the cast.
Regarding the timeline for recovery and when you might be able to have the cast removed, it generally depends on several factors, including the severity of the fracture, your overall health, and how well you are following your doctor's recommendations. For heel fractures, the typical healing time can range from 6 to 12 weeks, but this can vary. Your doctor will likely want to assess the healing progress through follow-up appointments, which may include X-rays to ensure that the bone is healing correctly.
In terms of when to remove the cast, this decision is usually made based on the healing status of the fracture. If the fracture is stable and there is no longer a need for immobilization, your doctor may decide to remove the cast. However, if there is still significant swelling or if the fracture has not healed adequately, they may recommend keeping the cast on for a longer period.
During the recovery process, it is crucial to follow your doctor's advice regarding weight-bearing activities. Initially, you may be advised to keep weight off the injured foot entirely. As healing progresses, your doctor may allow for partial weight-bearing, which means you can gradually start to put some weight on the foot while using crutches or a walker for support.
Physical therapy may also be an essential part of your recovery once the cast is removed. Therapy can help restore strength, flexibility, and function to your foot and ankle. Your therapist will guide you through exercises tailored to your specific needs and recovery stage.
In summary, while the discoloration of your toes is likely due to bruising, it is essential to keep an eye on it and communicate any concerns to your healthcare provider. The timeline for cast removal will depend on the healing progress of your heel fracture, typically ranging from 6 to 12 weeks. Follow-up appointments with your doctor will be crucial in determining the appropriate time to remove the cast and begin rehabilitation. Remember to adhere to your doctor's recommendations regarding weight-bearing and activity levels to ensure a smooth recovery.
If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and support. Wishing you a speedy recovery!
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