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broken foot swelling

Discussion in 'Ask your questions here' started by Unregistered, Jan 28, 2010.

  1. Unregistered

    Unregistered Guest


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    3 weeks ago my daughter (22yo) broke a bone in the middle of her foot. I took her to a walk-in clinic and they put on a half-cast from under her knee, down the back and up to her toes and wrapped the whole thing in stretch bandages. They said the bone was not separated but suggested going to an ortho to get a walking cast. Unfortunately, we can not afford this (we barely could afford the walk-in clinic) She has faithfully worn the half cast, even at night, and not tried to walk on the foot. She has only unwrapped it and rewrapped it once before when it absolutely necessary. Today she unwrapped it and became concerned that her foot is swollen. It was not before. It is not any more bruised or discolored than when it first happened. Is swelling at this stage normal? Can this be caused by insufficient elevation? Is soaking or ice a good idea?
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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    One would generally expect maximum swelling after an injury to peak quickly and with proper treatment, elevation and compression, if warranted, recede over time. I am in no position to rule in or rule out complications which might cause delayed or increased swelling. That is a job for a hands-on evaluator. Any further instructions needs to be offered by someone intimately familiar with her case and after an appropriate evaluation.
     
  3. Unregistered

    Unregistered Guest

    After breaking my foot 6 months ago my foot is still a little swollen. However it was VERY swollen up to about 3 months after the injury. When I asked my consultant about this he said it is very normal and it could remain swollen for 6 months. But if you are worried maybe get it checked out :)
     
  4. FootDoc

    FootDoc New Member

    Chronic and persistent swelling is not unusual after trauma, but I think the poster was troubled because there was MORE swelling 3 weeks after the injury and while under treatment than there was immediately after the injury, and yes . . it should be professionally assessed.
     
  5. Unregistered

    Unregistered Guest

    Unfortunately we can not find a doctor who will take payments over time and I have called them all, believe me, even the hospital emergency room said they will not put a cast on and to try to find a doctor. After I posted this last night she had a very fitful night. The swelling continued and woke her at least three times. She was so exhausted in the morning she could not go to class. She packed her whole lower leg in ice and elevated it very high and finally got some sleep. When she woke up the swelling had gone down a lot and she was very relieved. I, however, am not so relieved and worry if it happens again what we can do.
     
  6. FootDoc

    FootDoc New Member

    Packing one's leg in ice could be very risky and I wouldn't advise it. It potentially could have done more damage than good. I can understand a doctor's not wishing to get involved with what might be a long term problem with complications without assurance of being paid. It has been my unfortunate experience that too many of those who start out promising payment over time rarely live up to their promises and wind up being abusive when payment is finally demanded, so I now either offer my services free of charge from the get- go to those with acute short-term problems and whom I believe to be in real financial need or simply not accept them as patients at all. Once accepted, the doctor is more or less legally stuck with the patient until the case is concluded whether they pay or not. You would be surprised how ugly many to whom I have extended such courtesy can be when it comes time to make promised payment and they poison the waters for those who do and will live up to their promises.
     
    Last edited: Jan 28, 2010
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