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A 45-year-old member asked:

i broke my 1st metacarpal. will i need a cast?

2 doctor answers4 doctors weighed in
Dr. Raymond Raven
Hand Surgery 24 years experience
It depends...: Some metacarpal fractures are very stable and, if they are in a good position, can be treated in a removable brace or with buddy strapping. Some fractures require more rigid immobilization such as a cast. Occasionally, fractures need to be set and if so, it is best to immobilize them in a cast for 3-4 weeks. Surgery is needed for fractures that can not be set or stabilized in the office.
Dr. Barry Press
Plastic Surgery 44 years experience
Depends: If the fracture does not involve the joint at the base of the thumb metacarpal (i hope you are talking about the thumb!) you probably just need a cast or splint. If it does involve the joint, you may need an operation, as misalignment of this joint surface will predispose you to early arthritis there.

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A 39-year-old member asked:

Are there exercises I can do with my cast on?

2 doctor answers3 doctors weighed in
Dr. Thomas Deberardino
Orthopedic Surgery 32 years experience
Ask your treating MD: Not all casts are the same, and not all injuries for which casting is indicated are the same. You can usually exercise your uninjured limbs that are not casted safely once cleared by your treating physician. Check with your physician to make sure this is the case for your particular situation.
A 37-year-old member asked:

Do I wear a cast if I break a rib?

2 doctor answers3 doctors weighed in
Dr. Leto Quarles
Family Medicine 23 years experience
No cast: Broken ribs don't require a cast, and are usually treated just with pain medicine. Rib-belts or ace wraps around the chest are controversial, because they stabilize the area, but can constrict breathing. It's probably still worth getting an xray to know how long to expect it will take to heal, and make sure there is no damage to the underlying lung, etc.
A 42-year-old member asked:

What is the length of the cast you get for your scaphoid?

1 doctor answer4 doctors weighed in
Dr. Kenneth Tepper
Orthopedic Surgery 25 years experience
Varies: The scaphoid is a slow bone to heal and orthopaedic surgeons having different opinions on what type of cast and for how long to cast. Some will cast above your elbow, and all the way to the tip of your thumb. Others, below the elbow and just below the joint in your thumb. A cast may be required for a minimum of 6 weeks, and possibly as long as 3 or more months.
A 46-year-old member asked:

What can cause bronchial casts?

1 doctor answer1 doctor weighed in
Dr. James Sidman
Pediatric ENT and Head and Neck Surgery 40 years experience
A number of things: Cystic fibrosis, serious heart disease, chronic lung disease and lymphatic leaks are the most common causes of bronchial casts, at least in children.
A 41-year-old member asked:

How do cast out demons of suicidal tendency?

1 doctor answer2 doctors weighed in
Dr. Lawrence Smith
Clinical Psychology 30 years experience
Talk to your doctor: If you are suicidal or think about it a lot please get professional help right away. If the situation is urgent please call 911 or a suicide hotline. But, discuss your suicidal thoughts with your doctor and get a mental health evaluation. This will allow you to begin treatment and start feeling and functioning better. Best wishes!

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Last updated Feb 25, 2017

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