When do you prescribe a cast vs a walking boot after foot and ankle injury?

They are similar. A cast and a walking boot are similar and accomplish many of the same goals. The main difference is that you can remove a walking boot but cannot remove a cast. Walking boots are great when the condition that you are treating is safe to remove from the immobilization temporarily, eg to take a shower. In instances where it is not appropriate to remove the immobilization, a cast is better.
Depends. It mainly depends on the type of injury and its location and age. We also take into consideration the patient; tolerance to which device we are choosing, reliability and compliance with instructions, and activity level.
Depends. The choice between a boot and cast application varies on several factors: nature of the injury, compliance by the patient, insurance coverage for the immobilization device chosen, mobility of the patient.

Related Questions

7 day ankle injury! 1 dr said broke other said no. Severe swelling, pain, & bruising. Pain same more bruising Still doing "rice" and walking boot?

What type of injury. Did you twist your ankle or where you in fall or accident? Need more information to help you out. But 7 days for any injury to the ankle is too soon to worry about it not healing. As far as the difference in opinion from the doctors, have the doctor who told you there is a fracture to go over the x-rays with you and show you exactly where the bone is broken. Then ask the 2nd guy to debunk it. Read more...

4 aligned foot fractures (so no surgery). Doctor removed the fiberglass cast for the 3rd-week Xray, then prescribed the walking boot. Is it TOO EARLY?

Boots are great. In my experience, such fractures seem to have a good bond at 3 wks. Walking boots actually immobilize quite sufficiently. Just don't over do it, as healing is still occurring. Read more...
Several factors. Yes or no depending on the bone fractured, the alignment of the bone(displaced or not), the radiographic signs of healing, how much and how long weight bearing. Read more...
No. Treating Ortho checked follow up XR and examined you hence is in better position to give sound advice. Read more...

10yr old fractured tibia and fibia and cast just removed. X-ray still shows fracture in fibia and it's not aligned. Doc said it will correct itself. Now in walking boot. Can I use the boot for 2weeks then put her into a stabilizing ankle brace until the f

Fractured fibula. should be cared for as directed by your physician such as using the walking boot for the full recommended length of time. Based on information you provided can't give additional advice because I don't know when the fracture took place, where in the tibia/fibula it is and how displaced the fracture is. This type of injury really needs to be seen and followed in an office setting. Read more...

Does the orthopedic doctor typically let one choose between a cast for a broken foot and a walking boot?

Not exactly. It depends on the nature, location, and age of your break(s). If you should not be bearing any weight, you will get a regular cast. If partial weight bearing will not cause bone movement and interfere with healing, then a walking cast will be provided. The velcro type splints usually come after a few weeks' immobilization. Read more...
Sometimes. You may be given a choice under some circumstances, but you are not always going to be given the option to chose which you would prefer. Read more...

Broke big toe on 8/12. Detached toenail. Skin is falling off in sheets from ALL toes on the foot. No cast. Walking boot, now surgical shoe. Why?

Quit Sloughing off. Skin sloughing, particularly after a period of immobilization and departure from one's daily bathing routine, is almost a given when the immobilization and swelling end. Layers of dead skin cells that are normally sloughed during one's daily routine have piled up and are revealed as these skin "sheets". One can only imagine how much skin is shedded daily by your body daily. Read more...