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Doctor Q&A for Dr. Robert Lim

A 35-year-old male asked:
Dr. Robert Lim
Podiatry 30 years experience
Athletes's foot: Athletes's foot is a fungus that can appear in many different forms on the foot from dry scaly itchy skin to small blisters or rashy appearance. A good otc treatment is Lamisil (terbinafine) cream, and epsom salt soaks for 5-10 min. You can also see a podiatrist to get an rx.
A 27-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Break or sprain: Yes it is possible to break a bone, ligament or cartilage. If you cannot put weight on it then you should at least get an x-ray to check the bones. If the x-ray is negative for a bone fracture then you probably damaged ligaments and/or possibly cartilage. An MRI would show these areas. See an ankle specialist to get the best evaluation and treatment options.
A 39-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
See a specialist: There are different types of growth plate fractures. If the fracture involved the ankle joint then there may be damage in the joint cartilage causing the pain. Any misalignment of a bone in the joint can also cause pain. You need to see a specialist who will evaluate and possibly take an MRI to see if there is any damage in the joint.
A 43-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Pain: Pain may be intermittent or constant and progressively worse with weightbearing. You may also see swelling in the area and definitely pain on palpation of the site.
A 46-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
X-ray or MRI: A stress fracture in the foot may not initially show up on x-ray. If the area still hurts 1-2 months later then a second x-ray may show some signs of new bone growth indicative of a stress fracture. Or you can get an MRI scan that is more detailed and may show the stress fracture site via swelling internally or on the surface of the bone.
A 39-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Depends on fracture: Without knowing the specific fracture area or type of fracture, generally speaking a fractured bone will take 2-3 months to fully heal. There are a lot of external factors that may add to this time as well.
A 45-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Healthy: Be as healthy as possible. That means nutritionally you should be eating fruits and vegetables and lots of protein. Take multi vitamins if you think your diet is not well balanced. Also stop any nsaids such as Ibuprofen or aleve, (naproxen) they may cause more bleeding during surgery. If you're a diabetic make sure your sugar is well under contol. Your surgeon should be able to prepare you for surgery.
A 47-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
5-8 months: Depending on the actual procedure that is done, most people are nonweightbearing in a cast for 4-6 weeks then weightbearing cast for 4-6 weeks, then pt. Most are not running for 5 months or longer. I have developed a new procedure that the recovery is 1 wk in a orthoboot nwb, 2nd week is weightbearing, 3rd week pt, running by 5-6 weeks.
A 41-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Repair ligament: The most common procedure is the modified brostrum, which sews the ends of the ligaments back together. Other procedures use a section of tendon from a muscle or cadaver graft. Recovery can be from 5-8 months including casting for 2-3 months. I actually have developed a new procedure that creates a new ligament. With a recovery time of 2 months with no casting.
A 44-year-old member asked:
Dr. Robert Lim
Podiatry 30 years experience
Internal fixation: A trimalleolar fracture involves the medial and lateral malleoli and the third is the posterior aspect of the tibia. Usually the fractures are reduced and stabilized with screws and maybe a plate along the fibula followed with a cast and crutches.
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