Hello Dimitri,
Thank you for your query at DoctorSpring.com
I have read your question with diligence.It will be my pleasure to help you.First of all i will tell you that please do not worry.
Your answers are following-
-You should wear the cast for about 4-6 weeks.This will eliminate any chances of non union of bones.
-You should start partial supported weight bearing on your limb after 4 weeks with help of crutches.
-You should neither smopke nor drink excessively.
-The weight bearing of partial nature will be helpful in stimulasting bone healing.
-You should take dairy products like milk ,cheese,curd to enhance bone recovery.
This fracture does not looks to be a major one & has good chances of healing.
After complete recovery you may be able to move & work as normal person.
With best wishes.
Patient replied :
Dear Dr. Mukesh Tiwari,
Thanks for your prompt answer.
I will follow your advice and keep the cast for 4 weeks then, while not putting any pressure on the foot for the next few weeks. I will start weight bearing progressively in 3 or 4 weeks.
I just had one last question for now:
I was told to take Advil ibuprofen tablets to reduce the inflamation (400-800mg a day) but I wasn't told when I should stop taking those. I started taking Advil on Monday 18 May; so when should I stop?
Also, should I apply Voltaren cream, or hot or cold compress on my foot every day?
I will follow up with you in 2-3 weeks after I get another X-Ray done and send you the picture so you can track my recovery process.
Thanks again for your help.
Best,
Dimitri Tran
Hello,
I won't recommend any Voltaren or hot or cold compresses.
Continue the Advil till your next x-ray and let me review.
Regards.
Patient replied :
Dear Dr. Mukesh Tiwari,
I returned to the hospital to get an X-Ray done and meet with an orthopedic surgeon (see attachment).
The specialist says that my fracture is healing well, although it won't show in the X-Ray until 3 months after the incident. The bone is still in a good position. I feel less pain each day and, when the doctor pressed on my foot, I only felt a slight discomfort but no real pain.
He prescribed me some ossein hydroxyapatite to promote bone strenghtening (800mg/day for 10 days) and recommended me to start putting some weight on my foot next week (3 weeks after I put on the cast and 23 days after the incident). He added that I should stop if I feel some pain. Do you think it would be ok for me to start walking a little bit each day starting next week?
Also, do you think I could try snorkeling (using fins/flippers attached to my feet) in 5 weeks time? It will have been 7.5 weeks after the fracture happened. Of course, I would only try if I feel no pain and I will not push myself too hard.
Best,
Dimitri Tran
Hello Dimitri,
Yes you may have partial weight bearing from next week.You should also avoid weight bearing if you feel pain.
You may wear non slippery sandals .
Hope this will help you.