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Doctor Q&A for Dr. Brynn Ewen

A 30-year-old female asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Should resolve soon: Since your leg has been immobilized and likely not being elevated that much anymore, all fluids go down with gravity = swelling. Now that you cast has been removed and you will likely begin physical therapy and exercises, the swelling should go down. Sometimes, swelling after an ankle sprain or fracture can remain for an extended period of time. At the 1-year mark, that's how it will be longterm.
A 20-year-old male asked:
Dr. Brynn Ewen
Podiatry 19 years experience
See a rheumatologist: In my opinion, symmetrical pain in multiple joints without any specific injury leads me to suggest that you see a rheumatologist.
A 42-year-old female asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Compression bandage: Yes, i think a compression bandage would be a good idea. Unless you have a pneumatic camwalker (ie one that you can pump air into) they tend to be too loose to provide enough immobilization and compression. Since you still have swelling, i think that a compression bandage that you wrap around your foot and ankle every morning and remove every night would be very helpful.
A 45-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Stay warm and dry: Chilblains can be prevented by keeping your feet warm and dry. Sometimes Hydrocortisone 1% cream can be used if the skin is itchy and irratated. It is important to find a brand of socks that do not make your feet sweat because the moisture is problematic. A brand that i highly recommend is smartwool.
A 46-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Custom orthotics: As with many things in life, there is good, better, best. This is true for orthotics too. Custom orthotics are by far the best. Make sure that your podiatrist uses plaster to cast your feet in the "subtalar joint neutral position" so you will receive orthotics that correct abnormal biomechanics. Over-the-counter arch supports are made for the "average" foot and the arch will be too low for you.
A 36-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Use your muscles: The contraction of calf muscles helps to push the blood back up to the heart. So doing calf raises, going for a walk are helpful. Compression socks (like jobst) are also very useful in preventing swelling especially if you have a job where you are standing still for many hours.
A 47-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Arthritis: Actually it could be a number of different things but if it has all of a sudden become red, hot, swollen, and painful it may be gout. If it has been developing over many years then it is likely something called "hallux limitus" or "hallux rigidus" which is basically an arthritic process of the big toe joint that over time causes limitation of motion. I would recommend seeing a podiatrist.
A 47-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Up to a year: After injury or surgery, it can take up to one full year for the body to finish healing and remodeling.
A 53-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Immobilize: Buddy taping a toe to the adjacent toe can help to immobilize it. Also wearing a stiff-soled shoe will decrease the forces going through the foot which also helps. It is important to know however if the bones are in proper alignment because if there is a gap between the fractured ends of the bone then.
A 36-year-old member asked:
Dr. Brynn Ewen
Podiatry 19 years experience
Approx 6-8 weeks.: In healthy people, most bones take 6-8 weeks to heal. However, the body continues the healing process for a full year after injury or surgery. So for example if you had an MRI it will still show activity even after the 6-8 weeks.
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