i went to a doctor; x-rays confirmed a big toe avulsion fracture. how long should i wear the small boot i was given? what if it feels better sooner?

Question

I have an actue avulsion fracture of the fibular tip. My doctor gave me a boot, said i didn't have to wear it at home. Should i ice and elevate it?

Answer 1

The boot protects: If it is tender protect it. When it can be moved w/o pain, leave it off.

Answer 2

Fractures: Generally take about 6-8 weeks to heal. You pro pulse off your big toe so best to use that full time. Having said that you should follow up with your treating doc who can base decision on your X-ray findings which we know nothing about,

Answer 3

No: The recommendations for treatment of low back pain involve identifying a trigger and conservative treatment. Things like anti-inflammatories, muscle relaxants, heating pads or ice packs, and stretching are first line therapy. If your pain fails to improve then an xray would be considered. Of course, if you have numbness or loss of bladder/bowel control you will most definitely need imaging.

Answer 4

No: Generally an x-ray is not necessary for your first visit for back pain. The exception might be if you had trauma to your back (car accident, fall from a ladder, etc.) the great majority of the time only conservative measures are needed for back pain, such as anti-inflammatory medications, rest, stretching, and physical therapy. Consult your doctor if your symptoms worsen.

Answer 5

No: If your doctor determines that you need imaging to better understand your back pain, i strongly recommend getting an MRI rather than xray. Mri is much better at finding the cause.

Answer 6

Depends: Every person with back pain presents differently. if needed the Dr. will order them.

Answer 7

Depends on Bloodflow: If the skin around necrotic area is still healthy only a small portion is necrotic then you can start locally the first week with antibiotic cream to reduce bioburden and keep using local debridement - removedead tissue off the wound site and try to heal the area. Diabetic ulcers respond to oral vitamin k2 - you can read http://vitamink2.Org. I use 10% Phenytoin cream locally http://drbrown.Us.

Answer 8

Diabetic foot: You need to seek care from wound center or podiatrist as soon as possible. The evaluation of a diabetic foot ulcer requires a careful history, investigation of your neurological status of your feet, an assessment of the blood flow, and a comprehensive treatment plan that may include debridement, cultures, offloading (which is the most important issue most of the time), and testing. Do not delay!

Answer 9

Wound Care Center: If you suffer from any diabetic foot wound you need to see help with a certified wound care specialist and podiatric surgeon. Wound care centers specialize in treating all kinds of complicated diabertic and non diabetic wounds. If you are suffering with a necrotic wound seek medical attention, dont delay becuase a wound untreated can lead to limb loss.

Answer 10

Team approach: Depends on what is meant by necrotic. Is there blood flow to the extremity or wound? If not, a vascular or interventional cardiologist need to increase the blood flow to the extremity. A podiatrist is needed to get any bony prominence resected and to offlaod the wound. An endocrinologist is needed to get the diabetes under control if out of control.

Answer 11

Medical care: Best care would imply you are seeing the appropriate people to best deal with this condition. A team approach responsible for keeping your sugar under control, making sure your bloodflow is adequate, offloading the foot if the ulcer is on the bottom of the foot and taking care of all other comornidities. This is not something to do without proper medical attention.

Answer 12

Multiple factors: It’s changing every day. Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing using evidence based medicine.

Answer 13

See a professional: Successful treatment of diabetic foot ulcers consists of addressing these three basic issues: debridement, offloading, and infection control. Seek professional assistance.

Answer 14

Maggot therapy: If the wound is necrotic this needs to be removed. Apply maggots to debride the wound. Must make sure the blood supply is adequate for healing. Need to off load the wound. See a wound care specialist.

Answer 15

See Your Doctor: Before any tests, you should see your doctor and determine what needs done.

Answer 16

Barium swallow: Is a radiologic test that may be used to evaluate throat symptoms including difficulty swallowing. In addtion to liquid barium, a 12.5 mm barium tablet is given to determine whether a blockage in the esophagus is present.

Answer 17

No, you need to C MD: First things first, get examined. May need an ENT doc for deeper look, or not. Lab tests and any radiology tests (if any), determined after history and physical.

Answer 18

Depends on direction: This depends on the direction of fracture. If the fracture is horizontal, the knee has to be immobilized to prevent possible displacement of the fracture and disruption of the knee extensor mechanism. If the fracture is vertical, you don't have to do much. Just don't do anything that causes pain in the knee and try to prevent any further trauma for about 2-3 months.

Answer 19

Not Surgery!: The treatment is conservative. I would suggest a hinged knee brace with or without crutches. This should get better without any surgery though. Sometimes a short course of therapy is helpful as well.

Answer 20

??signs??: Kids capable of waking off an injury will, they are more interested in playing & seldom stop unless something really hurts. If no obvious deformity or discoloration of the skin, you might watch it for a while & place a cool compress to help the pain & reduce the swelling. Do this only if the kid can make a fist & extend it & roll the hand back & forth. If not, get it checked now.

i went to a doctor; x-rays confirmed a big toe avulsion fracture. how long should i wear the small boot i was given? what if it feels better sooner?

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