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Why you shouldn't step on a cast on your leg. Is it possible and how to apply a cast on an arm or leg at home? The main priority tasks in the process of leg rehabilitation

A fifth of all leg injuries are ankle fractures. Dry statistical figures, behind which thousands of people are forced to spend weeks, or even months, with a leg immobilized by a cast. When the acute period passes, severe pain remains a thing of the past, you want to quickly return the ability to move independently. Whether you can step on your leg in a cast if you have a broken ankle depends on the severity of the injury and the progress of your recovery.

Types of ankle fractures and immobilization periods

The ankle joint is very complex in structure. This joint is made up of several bones. A fracture can be divided according to the principle of damage to one of them, the severity and nature of the injury.

The types and their descriptions are given in the table below:

Variety Characteristics and symptoms
Lateral The lateral bone of the ankle (fibula) is damaged.
Medial The medial (tibia) bone of the ankle is damaged.
Double There are cracks and breaks in both bones that form the ankle (tibia and tibia)
Interior Characteristic are various injuries to the bone (sometimes to the ligaments) without breaking the skin. The skin at the site of injury acquires a reddish-bluish tint, hematoma and swelling develop.
Open When bones are injured, their fragments violate the integrity of the skin, their edges are visible
With offset As a result of injury, the fragments are displaced relative to each other.
No offset There was a break, but the bones remained in the same place.

A fracture usually contains several characteristics. For example, internal lateral without displacement.

The characteristics of each type determine the timing of application of the fixing bandage. Plaster is applied to immobilize the limbs and provide rest to the leg until the damaged structures heal. Therefore, step on the leg if the ankle is fractured without displacement or with displacement or with another type of injury highly not recommended.

Fractures without displacement

An undisplaced fracture heals faster than a displaced fracture.

For internal injuries without displacement, an immobilizing bandage is applied for up to 1.5 months. You can walk after an ankle fracture after removing such a bandage, when the doctor allows, after the bone has fused, but relying on special devices (crutches).

If the leg stops hurting in a cast, this does not mean that it is healthy and you can stand on it, transferring weight. This can only be resolved by a doctor after conducting a control x-ray examination.

Standing on your leg in a cast can cause displacement, and if the fracture has already been displaced, its secondary manifestation in the cast is possible.

Plaster should be applied for a certain period of time:

  • If you have a fracture of the lateral or medial ankle without displacement, you should walk in a cast for 3.5 - 4 weeks.
  • If two ankles are broken without displacement, the period of application of an immobilizing bandage is 6–8 weeks.

Thus, after suffering a fracture of the internal malleolus without displacement, you can step on the leg only after complete healing and removal of the bandage. Already on the day of liberation from shackles, you can move, stepping on the injured leg, but for now with support.

Displaced fractures

Stepping on a leg after a displaced fracture is strictly prohibited. Sometimes surgery is required before applying a bandage. After the operation, a cast is applied for up to three months or more. Until complete fusion of the fragments in the correct direction is confirmed, it is prohibited to step on the cast with such an ankle fracture.

For proper fusion of displaced areas, it is extremely important to seek medical help in the first days after the injury occurs, undergo an examination and receive the necessary treatment.
To realign the bones, the doctor performs certain manipulations with mandatory anesthesia, sometimes on the spot, sometimes it is necessary to hospitalize the patient and perform an operation. This is especially true in cases with open injuries. After the operation is completed, the victim is given an immobilizing bandage or the skeletal traction method is used, and after a month a plaster cast is applied.

This tactic is suitable for particularly severe cases.

The timing of limb immobilization is strictly defined:

  • If the bones have shifted relative to each other, a bandage is applied for a period of 4 to 5 weeks.
  • When two ankles are broken with displacement, the period increases to 8 - 10 weeks.
  • Particularly severe injuries require wearing a plaster cast for up to 12–15 weeks.

It happens that after realignment of the bones and a period of immobilization, the displacement occurs again, so the doctor may refer the patient for a control x-ray several times during the treatment period. To prevent recurrent displacement, it is very important to follow all doctor’s recommendations and not expose the leg to dangerous loads.

Permissible load

During the rehabilitation period you need to walk with support

It is very important during the rehabilitation period (and it begins while the leg is still in plaster) to maintain normal blood circulation in the injured leg. To do this, two weeks after the start of therapy, it is recommended:

  • Massage of non-plastered areas of the leg.
  • Performing acceptable physical therapy exercises.
  • Hardware therapy: magnet, UHF, laser.
  • After some time (as determined by the doctor), you can begin to walk with support.

After the leg is freed from the plaster shackles, you need to engage in physical therapy in a more intensive mode to restore all functions of the ankle.

It is important to eat properly during this period for tissue restoration. The diet must contain sufficient amounts of protein, calcium, phosphorus and other minerals and vitamins necessary for the regeneration of damaged leg structures.

What to do with swelling

Swelling of the leg in a cast or after removing the bandage is quite common. This is not a reason to develop your leg with titanic efforts and try to walk in a cast. This condition is due to a number of reasons:

  • changes in the outflow and inflow of blood in the injured leg;
  • slow lymph circulation;
  • violation of the integrity of ligaments, muscles of the lymphatic ducts,
  • a fairly tightly applied plaster cast.

Swelling can occur both while wearing an immobilizing bandage and after its removal. To eliminate it, you need to establish blood circulation and muscle activity.

This is fully possible only after removing the plaster using:

  • salt baths;
  • massage;
  • magnetic therapy.

During the period of immobilization of the leg, you can use massage on its open areas and physiotherapy prescribed by a doctor.

How long the leg will spend in a cast and the period of complete rehabilitation depend on individual parameters. These include:

  • patient's age. If the victim is an elderly person, the fusion will last longer than in young people;
  • complexity of the fracture (how many bones were damaged, whether there was subluxation, displacement, perforation of the skin, and so on);
  • concomitant diseases of the musculoskeletal system.

Rushing and the desire to quickly get up and start walking after such a complex injury can lead to irreversible consequences, the fracture will take longer to heal, and the rehabilitation period will be delayed.

If it is not possible to see a doctor for medical help for a fracture, plaster casting is performed at home. A correctly applied cast will ease the pain of a loved one, protect the wound from possible complications and allow you to postpone a visit to the doctor without harming your health. To avoid mistakes when applying a plaster cast, it is enough to choose the right materials and follow certain rules.

How to apply a cast without the help of a doctor?

To apply plaster at home, you need the following materials:

  • medical gypsum in powder form,
  • scissors,
  • bandages, gauze of various sizes, cotton wool,
  • warm water in a small basin.

It is better to learn in advance how to apply plaster correctly.

Gypsum powder is added to water in a 1:1 ratio. After stirring, check the rate of hardening of the mass. The quality of the gypsum will be optimal when it forms a solid mass within 6 minutes without the formation of crumbs.

A wide bandage or gauze is rolled out into one layer and the plaster solution is rubbed into it. Then the dressing material is rolled up in several layers and placed in a ready-made solution with a temperature just above the human body.

When the fabric is completely saturated, wring it out lightly. The bandage is now completely ready for use.

How to put a cast on your arm?

For fractures of the upper limbs, the victim must take a stable position. The bandage does not compress the skin, but at the same time it should fit snugly over the entire surface.

Rules for applying plaster to the arm:

1) a plaster cast is applied so that one edge is covered by each subsequent one;

2) the resulting folds are straightened out in a timely manner;

3) bone protrusions are leveled using a layer of cotton wool;

4) not only the fracture area is bandaged, but also the surrounding areas;

5) drying takes about 25 minutes, during which the limb is completely immobilized;

6) it is not allowed for the hand or fingers to become bluish; you must not squeeze them.

After application, the plaster should not cause discomfort. After drying, the edges of the plaster cast can be trimmed so as not to create inconvenience to the victim.

Fracture of the bones of the foot is less common than other types of injuries to the human body. The danger of this type of injury is that it deprives a person of the ability to move normally for a long period of time, and maybe even forever.

This article will talk about fractures of the foot bones, Types of fractures, symptoms, rehabilitation periods will be given, as well as how long to walk in a cast if you have a foot fracture.

Types of fractures

A fracture of the bones of the foot is damage to the bones that form it due to external pressure forces. This force is greater than what the bones of the foot could withstand without damage.

Situations that provoke a foot fracture can be different: an unsuccessful jump from a height, the fall of heavy objects, sudden movements, etc.

The human foot consists of 26 large and a large number of small bones. Damage to any of them is characterized by various manifestations and recovery time.

In medicine, foot fractures are divided into several types:

    Displaced fractures. Occurs with strong lateral loads on the leg. The result of this load is a change in the position of the bones. It takes a long time to treat these types of fractures.

    Traumatic fractures without displacement. Such an injury can occur from jumping from a great height and landing on the heels. A fracture can also occur from a heavy, oversized load falling on the foot. Despite the obvious high pressure on the foot, only a few bones are affected by this excessive force. In this case, the damaged bones remain anatomically correct in the correct position.

    Open foot fractures. This injury is characterized by damage to internal soft tissues and skin, severe bleeding, and the presence of visible bone fragments. With such injuries, there is a high risk of wound infection, the development of gangrene, tetanus, osteomyelitis and sepsis.

    Closed fractures. The fracture occurs without affecting the soft tissues. The damage can also affect nearby bones in the foot.

According to the typical classification, foot fractures are:

  • splintered;

    transverse;

    fragmentary.

Particularly dangerous and painful foot injuries:

    cuboid and scaphoid bones;

    calcaneus and talus bones;

    sphenoid bone;

    tarsal and metatarsal bones;

    phalanges of the lower extremities.

The bones of the foot are thin, so any damage can be destructive to them.

Damage to the scaphoid bone is a complex injury due to the fact that it is accompanied by damage to neighboring bones. This occurs due to long, strong pressure on the middle part of the foot. A fracture can cause an unsuccessful jump from a height onto the heels - the heel bone takes the impact of the landing, while the talus puts pressure on the scaphoid bone. As a result of strong pressure, the scaphoid bone crushes.

The cuboid bone of the foot is the least likely to be damaged. Her injury occurs from a falling load or when running over a car wheel. Diagnosing such a fracture is difficult. Partial motor activity is maintained even when pressing on the heel.

The metatarsal bones are damaged by blows from heavy objects or compression. Several metatarsal bones can be injured at the same time.

Strong impacts mainly fall on the toes. Damage to the phalanges may not even be noticed at first and you may continue to move or work.

Main symptoms

Symptoms of foot fractures include:

    uncharacteristic location of the bone, unusual appearance of the foot;

    swelling of the tissues of the foot and ankle joint;

    painful sensations in the damaged area that occur when exerting weight or trying to step on the leg;

    reduction in the appearance of the size of the big toe;

    redness in the ankle area and hemorrhage;

    low foot mobility;

    numbness and decreased temperature of the leg.

There are times when the symptoms of a fracture are not expressive enough. It simply hurts for a person to lean on his leg, he limps slightly and therefore considers visiting a doctor an optional procedure. However, this is the main misconception. If such symptoms appear, you should contact a specialist immediately.

Signs of foot fractures

    A fracture of the navicular bone of the foot causes severe pain when putting weight on the foot. Swelling appears on the back of the foot and hemorrhages form. Any attempt to move the foot and palpation of the area of ​​the scaphoid bone causes acute pain.

    A fracture of the cuboid and wedge-shaped bones of the foot is accompanied by painful ptosis with pressure, palpation and natural movements of the foot. The damaged area begins to swell.

    A fracture of the metatarsal bones of the foot in one place is accompanied by the presence of severe swelling on the back of the foot and sole. When palpated, pain is felt. If the metatarsal bones are broken in several places, the swelling will spread throughout the foot. Hemorrhages will occur, and pain will occur when palpating the injury site. Such an injury will not allow a person to rest on his foot.

    With fractures of the phalanges of the toes, sharp pain will be observed when trying to move the foot. A broken finger swells, turns blue, and a hematoma forms under the nail.

    A fracture of the calcaneus of the foot manifests itself in severe pain in the heel area. The base of the heel widens. Swelling appears and spreads to the Achilles tendon.

Sometimes the damage can be of such an appearance that it is quite difficult to determine for sure the presence of injury and the location of the damage. Only a specialist, using certain examination methods, can do this.

First aid for fractures of the foot bones

    Limit movement of the injured limb. This can be done using a pillow.

    Apply a cold compress. Place several pieces of ice in a bag or wrap in a scarf and apply to the damaged area. You need to keep the compress for 10...15 minutes, then take a break for 5 minutes. The compress should be replaced with a new one.

    Applying an elastic bandage. The bandage should not be too tight.

    After providing first aid to the patient, it is necessary transported to the emergency room of a medical institution, where he will receive further assistance and be diagnosed. In such cases, you cannot do without applying plaster.

When can a plaster cast be removed?

Any patient who has suffered a foot fracture is interested in the question of how long he will have to walk in a cast and whether he can immediately step on his foot after it is removed. Methods for recovery are purely individual in nature, so it is impossible to name an exact period of time. All a patient can do for a speedy recovery is to listen to all the doctor’s advice.

During treatment and rehabilitation procedures, an x-ray of the injured limb is often taken. The pictures help the doctor determine the degree and correctness of fusion, the speed of recovery of tendons and muscles around the injured area.

Once the doctor is sure that the bones of the foot have completely fused, he remove the cast and check the general condition of the foot .

Duration of stay in plaster largely depends on the degree of damage to the foot and can vary within 3...12 weeks.

    In case of an isolated fracture of the hind process of the foot, recovery will take about one month;

    It will take 1.5 months for the bones of the metatarsus to heal;

    The tarsal bones can heal in one month; if there is a strong displacement of the bones - six months;

    It will take up to 3 months to restore the neck and body of the talus;

    The phalanges of the fingers are healing about 6 weeks.

If qualified assistance was provided on time, and all doctor’s instructions were followed during recovery, the foot bones will heal faster.

This is followed by a period of rehabilitation necessary for the development of the foot and a speedy recovery.

Rehabilitation period


The rehabilitation period depends on many factors:

    type and nature of foot injury;

    general condition of the patient and his age;

    complexity of the fracture.

With a favorable course of the rehabilitation process the foot bones will heal quickly - it will take 3...4 weeks and, of course, compliance with all doctor’s instructions. For more complex fractures, the rehabilitation period can take up to 2…3 months.

Four months after treatment, a person can begin to lead a more active lifestyle and resume sports activities.

And in conclusion…

With a fracture of the foot bones You cannot treat yourself. Is it dangerous. All procedures should be carried out only by a specialist, based on the results of the obtained x-rays.

For a speedy recovery, you should not try to develop your foot prematurely. It is also prohibited to massage her yourself. All this is very fraught!

Leg in plaster

A leg fracture is a violation of the integrity of one or more bones of the lower limb. This injury most often occurs as a result of careless movement on the street or at home, an accident, or a fall from a height. It can also occur due to a very small load if a person suffers from osteoporosis. After a fracture, a cast (regular or plastic) is placed on the leg in almost 100% of cases.

How long should I wear a cast?

How long to walk in a cast after a broken leg is determined by the doctor, based on how severe the injury is and where exactly it is located. If your ankle is broken but not displaced, you will need to wear a cast for 4 to 7 weeks. Those whose bone has shifted will have to spend up to 3 months in a cast. When the tibia is included in the fracture, the limb is immobilized for 4 months.

Was the tibia broken without displacement? The leg should be in a cast for approximately 3 months. If the foot is fractured, it needs to be fixed immobile for only 1.5 months, but if there is displacement, this period can increase to 3 months. The phalanges of the fingers heal much faster than other bones of the lower limb. If there is a fracture, they will be cast for 2 weeks.

If the fracture is open or the bones have been displaced, you cannot step on your leg in a cast, but can this be done when there are no such complications? In case of any violation of the integrity of the bones of the lower limb, stress should be avoided. At first, the patient is advised not to step on his foot at all, but after a few weeks he can move around, leaning a little on the limb, and even engage in physical therapy.

Swelling of the leg in a cast

Very often the leg in a cast swells. Swelling occurs when:

  • disruption of the inflow or outflow of fluid;
  • slowing down lymph circulation;
  • damage to the lymphatic duct;
  • violation of the integrity of ligaments or muscles.

Swelling also appears in cases where the plaster cast is applied too tightly. It may be accompanied by severe pain at the fracture site. To relieve swelling, you need to restore muscle activity and activate blood circulation. To do this you need:

  • regularly rub and massage your feet;
  • make baths with sea salt;
  • carry out magnetic therapy.

There are cases when swelling occurs immediately after the cast is removed from the leg. To protect yourself from such a complication, the patient should remove the plaster cast only as prescribed by a doctor and after undergoing an x-ray examination.

How to relieve swelling of a leg in a cast

Causes of swelling of the leg under a cast

Why is my leg blue under the cast?

igor kertsman Igor Kertsman

Urgently see the doctor! It should not be.

consult a doctor. The plaster was probably applied too tightly. This makes my leg go numb. If the pain goes away, then it was a bruise from a fracture. It happens that it takes a long time to dissolve. Deepest sympathy for mom

The plaster was placed incorrectly, apparently the doctor is bad, in general, take this one off and put on another one

If a circular plaster cast (which in principle should not be) is carefully cut longitudinally! URGENTLY! Otherwise there will be gangrene of the limb and the leg will be amputated!
If it is a plaster splint, then unwind the bandage and bandage it not so tightly. You can massage your leg a little until blood circulation is restored.
If the cyanosis does not go away after the plaster is loosened and the limb is cold to the touch, then the situation is extremely serious! URGENTLY to the Doctors!

One of the insanities of modern medicine, when a surface that begins to swell is applied
stone fortress plaster. The swelling simply has nowhere to go, and it tears the vessels, pouring into the tissues and
under the skin - don’t be surprised at the blisters black with blood. But, alas, in someone else's monastery, with my own lips
no one follows you. No one will remove the plaster, but in 5 days the swelling will go away and the pain will go away, though
Ha will start to dangle in it, but at least it won’t hurt. Would a piece of cardboard or light forestry rope be enough?
tires.

Yes! to the doctor! The plaster was most likely applied incorrectly. And then the bones may grow incorrectly.

You need to trim the plaster around the edges a little, using scissors, most likely the plaster is pinching, the blood flow is disrupted. It's OK. You can go to the doctor, but he will do the same thing, cut it with scissors. and still need to be patient. You can’t scratch it, otherwise it will swell even more. and then you will definitely have to go. It will be hard to cut. You need to soak it a little. wet towel. Well, good luck, if you write anything. suddenly what else?

broken ankle, put in a plaster cast. leg is very swollen, fingers turn blue

The plaster was applied incorrectly.

Natural state. If the plaster feels tight, see a doctor quickly. And now you’re right, your foot is on the pillow. But no one will drive you away from the computer.

The plaster was not applied correctly.

Quickly see a doctor, otherwise you'll start bleeding in your head.
The plaster was not applied correctly. If you don't fix it, your brain will boil.

broke my leg. I feel very numb in the cast, and this makes it hurt even more. what to do.

then the swelling will go down and it will become easier, hold your leg higher.

SCRATCH the other leg so that the psychological one can calm himself down. -).

if it goes numb, somewhere the blood supply is blocked

If your leg is tight in the cast, it needs to be loosened.

I've been in a cast for 2 months now :-)) My leg probably doesn't go numb, but swells? This is fine. When you sit, put your foot on an ottoman or somewhere else, don’t hold it down for a long time. For the first month, my whole leg hurt, both joints and muscles, the whole thing was just cramped. A month after applying the plaster, it became much better. It doesn't hurt now. But there are muscle spasms in the evenings when I go to bed. If you have pain in some place and then it stops, then this is normal. If it hurts in some place constantly and for a long time, as well as at the site of a fracture, go to the doctor. The doctor prescribed me a painkiller called Xefocam. If you haven't been prescribed anything, buy yourself one. Just don’t get carried away, take it less often. And take care of your leg.

After a fracture of the outer ankle, the leg becomes red and blue

It will pass. It's not just a fracture. Naturally, there are ruptures of blood vessels and hematomas. And then the plaster probably compresses, there is an inflow, but the outflow is poor. The plaster will also be removed and it will hurt depending on the weather.

I had exactly the same situation on March 7th of this year, they also put a plaster cast on, it was removed after 21 days, I can walk, but my leg still hurts, it turns blue because the capillaries burst, when when the leg lies down there is no rapid flow of living blood , so the redness is not noticeable, and when you lower your leg, the red overlaps with the blue, there’s nothing wrong with it, the main thing is to tell yourself that everything is fine, nothing hurts, self-hypnosis and faith are the best medicine) it will pass faster) I’ll be running soon)

and how can you see my leg? My daughter broke both ankles on March 25, only her fingers, and you can see everything is rewound. the bruise appeared a week after the fracture, the hospital said that it was very good that the swelling subsided and the bruise appeared

The plaster fits tightly and blood flow is obstructed, but in general there is nothing dangerous about it.

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If you fall unsuccessfully or hit hard, you can injure your leg, even breaking it. This is a complex disorder that entails a long period of treatment and recovery. Quite often, such damage is accompanied by swelling; it can appear immediately after the injury, while wearing a plaster cast or after it is removed. Almost all patients with a fracture complain that the leg in a cast swells.

Causes of swelling of the leg under a cast

The swelling is accompanied by severe aching pain at the fracture site, and when the bandage is removed, a change in the color of the skin is discovered, that is, a huge bruise. With an open fracture, comminuted, intra-articular or displaced, the leg may swell completely.

Swelling of the leg under a cast occurs due to the fact that the inflow and outflow of fluid in the intercellular space is disrupted. Among the reasons for this phenomenon may be damage to the lymphatic duct, slower lymph circulation, interruptions in blood circulation, damage or disruption of the integrity of muscles and ligaments. This also happens when the joints are not developed enough. It happens that the plaster cast is applied too tightly, which causes even more fluid to accumulate. In this case, you need to contact your doctor; after a preliminary examination, he will be able to bandage your leg.

This problem can be either the body’s reaction to injury or a consequence of thrombosis or other problems with the veins. Then, on the direction of the surgeon, you need to undergo an ultrasound examination or duplex scanning of the veins to identify venous diseases.

Methods for relieving leg swelling under a cast

When a leg is swollen under a cast, actions are aimed at making the walls of blood vessels stronger, normalizing blood flow and eliminating congestion.

In order to minimize swelling and activate blood circulation, it is necessary to restore muscle activity. To do this, the legs are rubbed and massaged, baths are made with infusions of medicinal herbs and sea salt, as well as heating using wax or ozokerite, magnetic therapy is also effective.

Doctors prescribe medications to speed up the growth of callus, as well as analgesics for pain relief. However, you can speed up the process of bone fusion by reviewing your diet. It is worth paying attention to calcium- and phosphorus-containing foods: milk, cottage cheese, cheese, fermented milk products, grapes, currants, beets, carrots, cherries, bran, almonds, liver, shrimp, spinach, seaweed, beans, green peas, parsley and others.

To avoid having to deal with such a problem, it is better to prevent its formation. You should keep your leg in a horizontal position, slightly elevated; a small pillow or bolster is ideal for this; you should not stand on your leg or lean on it when walking.

In order to protect yourself from swelling after removing the cast, you need to remove it only after undergoing an x-ray examination and only as prescribed by a doctor, you cannot do this earlier and on your own, then for prevention you should wear an elastic bandage or a special orthosis. At first, it is necessary to avoid heavy loads, but at the same time, engage in physical therapy until pain appears, and it is good to use hydromassage and gymnastics in a hot bath.

Consultation with an orthopedist to relieve leg swelling under a cast

When a leg in a cast swells, many patients come to the doctor with the question: “what to do?” In most cases, the reason is clear, and the doctor will immediately tell you about measures to combat the swelling; if there is a suspicion of thrombosis, an ultrasound is prescribed; if the concerns are confirmed, conservative treatment is carried out.

Sometimes the patient is faced with large swelling, which not only causes discomfort, but also interferes with movement to the point of complete limitation of movements. In most cases, this is caused by an artery being pinched by a bone. With such manifestations, you must immediately consult a doctor, since the leg may completely atrophy.

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Typically, a bone fracture occurs due to an unsuccessful fall or bruises, after which tissue swelling begins. This pathology can be corrected by ointment for swelling after a fracture, since the outflow and inflow of interstitial fluid is disrupted.

Typically, tissue swelling after fractures does not cause pain, but a certain muscle stiffness occurs, and with leg fractures, fairly rapid fatigue can develop.

It should be noted that edema can cause quite a lot of complications: fibrosis, ulcers of various etiologies, cystosis, and elephantiasis.

Basic ointments for eliminating swelling

To prevent complications that cause swelling, you can use ointment for swelling after a fracture. Various creams and gels are also used that help improve blood flow and biocurrent.

Often, for edema, an ointment that contains heparin and ketoprofen-containing and anti-inflammatory substances is used. This ointment quite quickly normalizes metabolic processes, enhances lymph exchange and blood flow, which helps reduce swelling.

Ichthyol ointment is also used, it improves lymph outflow and blood flow, warms up the tissues. This ointment is applied to problem areas more than three times a day and rubbed in until it is completely absorbed.
You can use warming ointments after a fracture, such as Nicoflex and Finalgon, and cooling ointments (Lioton-1000 and Troxevasin). These ointments can be used to lubricate swelling at least twice a day.

The main causes of swelling after a fracture

Edema occurs when fluid accumulates in the tissues, and this can be considered normal, due to the fact that during fractures the natural circulation of lymph and general blood flow are disrupted, which leads to the accumulation of lymph in the intercellular space.

Such pathologies lead to disruption of the exchange of blood and lymphatic fluid through the capillaries, as a result of which it enters through the walls of blood vessels into the surrounding tissue, causing extravasation, since reabsorption is impaired.

All swelling after fractures begins to develop gradually, especially in those places where the fractures are located, but then the swelling spreads to the entire limb. It can develop either in one or two days or after several years, so an X-ray must be taken before applying a cast.
The place where the tumor is located significantly loses sensitivity, changes the color of the skin, swelling limits movement, and causes pain. If it is not possible to get rid of the swelling in time, this leads to the development of cosmetic defects.

When a person's cast is removed, swelling or lymphostasis may remain because the outflow and inflow of lymph is disrupted. This phenomenon can be observed especially often after a broken leg. This damages ligaments, blood vessels and lymph nodes.

The causes of swelling after a cast are insufficient development of the joints when the limb is in a cast, which leads to muscle atrophy, poor circulation and decreased lymph circulation.
Quite often, edema develops due to injury to the lymphatic duct, due to improper application of a plaster or bandage. If swelling is not treated promptly, bone death may occur. This phenomenon occurs due to a violation of the outflow of lymph and blood, so the bone tissue does not receive enough nutrients and oxygen, which leads to such severe pathologies.

When the leg is in a cast, it is necessary to carry out certain preventive actions that are aimed at preventing the development of edema or its increase. Therefore, in case of a fracture, the part of the body that has been cast in a cast, in this case the leg, should be kept in a horizontal position or on a slight elevation, but in no case should you lean on it, not only when walking, but also when the person is standing still.

After the plaster is removed, there is no need to lean on the leg until complete recovery; it is necessary to disperse the fluid and, with the help of massage, not allow it to stagnate, which leads to the rapid enrichment of the muscles with the necessary nutrients, but one should not give loads and avoid sudden movements.

When a person receives a fracture, he should immediately think about prevention, which consists of quickly and correctly applying a plaster or fixing bandage. Therefore, an elastic bandage that can be wrapped over the plaster helps a lot; it improves fixation, but this must be done carefully so as not to disturb the blood flow and quickly relieve swelling.

Reducing swelling after a fracture

After a fracture and removal of the cast, a person is left with swelling. Although this swelling is normal after the cast is removed, it must be removed. Quite often they resort to electrical stimulation of muscles, massage, physiotherapy, water procedures, ointments, and physical therapy.

Edema should be treated with caution.

Removing edema using electrical stimulation involves restoring blood flow using special pulse currents; in this case, sensitive tissue is quickly restored and muscle contraction is enhanced after a fracture. This leads to an increase in their tone, the neuromuscular system is normalized, which leads to an increase in blood flow due to an increase in the venous bloodstream, which nourishes the muscles and nerves. Vasodilation also occurs due to the temperature from the electrodes. This leads to an increase in the permeability of the vascular walls, and all reserve capillaries begin to open.

During electrical stimulation, a reflex effect occurs on the walls of blood vessels, which leads to the release of biologically active substances such as adrenaline, acetylcholine, histamine and others, which increase the removal of edema, remove metabolic products, and regenerate damaged tissues by activating the process of nucleic acid synthesis.

Typically, paraffin masks are performed before electrophoresis, electrical stimulation after massage, and ultrasound after paraffin.

To increase the protective properties of the body and increase the level of vitamin D in the patient’s body in winter, ultraviolet irradiation should be carried out.

Every person who has swelling after a fracture and removal of the cast should undergo physiotherapy or massage. Hydromassage, sauna and baths help a lot, but don’t forget about elastic bandages or compression stockings.

To relieve swelling, sea salt baths, magnetic therapy sessions, and warm compresses with wax are used.

Traditional methods of treating edema after fractures

To quickly and efficiently eliminate swelling after fractures, you can use a decoction of fir branches and use this decoction to make baths, after which you take a small amount of fir and rub it on all the swollen areas.

An infusion of comfrey root can be used as a compress. Infusion of arnica herb and homeopathic ointment “Arnica” eliminate swelling quite well.

To relieve swelling, use raw grated potatoes, which are squeezed well, and then applied to the swelling, and wrapped on top with cellophane and a warm scarf.
You can also use diuretic herbs, such as bearberry leaf and lingonberry, which increase urination, which leads to a decrease in swelling.

In folk medicine, incense is used to relieve swelling after a fracture. It is kneaded with rye flour with the addition of egg whites and an infusion of larkspur root. This mushy mass can be applied to the problem area, which leads to a reduction in swelling.

An infusion of comfrey herb, which should be taken orally, helps eliminate all congestion during swelling.

All these traditional medicine recipes can be combined with a doctor’s prescription, and a person will quickly get rid of edema without any consequences.

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You broke your leg, are walking in a cast and suddenly noticed that your leg began to swell, aching pain, swelling appeared... Well, then it would be useful for you to read this article, written based on studying this issue on the forums.

Yes, such troubles occur quite often among those who have managed to break a limb. Trauma is trauma, nothing can be done about it. But after reading different opinions, we can draw some conclusions.

First of all, there are a few things to consider here.

Causes of leg swelling in a cast

If a cast was applied to an already swollen leg, and it began to swell and hurt even more, then you should contact your attending surgeon again to have you re-cast. Apparently, the plaster was too tight on the swollen limb, the bandage pinched the veins, which is why negative consequences arose. In such cases, the doctor prescribes medications to accelerate the growth of callus, and analgesics - just for such painful cases.

It's another matter if leg swelling arose after. Here you will need to figure out what this swelling is connected with: is it only the injury that is to blame here (the so-called post-traumatic edema) or is it already venous edema, problems with the veins, thrombosis? In this case, you should immediately contact your doctor: the surgeon should prescribe an ultrasound of the veins or duplex scanning of the veins to exclude the diagnosis of thrombosis. Sometimes it is enough just to look at the leg for the doctor to determine the cause of swelling of the leg in the cast. There is no need to remove the plaster.

It is interesting that many users noted the following oddity: if, after intense walking, you sit down and massage your leg in the place where there is no plaster, right through the bandages, then the swelling subsides, the redness goes away and leg in plaster becomes normal size, and if you continue to sit, the swelling appears again. In addition, in a lying position and with the leg elevated, the swelling also subsides quite quickly. These signs are signs of both edema of thrombotic origin. That is why it is important to consult a doctor to clarify the diagnosis and further correct treatment.

Another user notes that there is no need to sit or walk for a long time; it is better to lie down with your leg raised or massage your limb.

Valuable advice on the forum is given by a male user about nutrition a. He believes, based on his experience, that you must consume at least 100 grams of animal protein per day - milk, cheese, cottage cheese, fermented milk products. In addition, vitamins D and A, usually recommended in such cases, are fat-soluble, so vegetable oil must also be consumed daily. Just like fish, which contains phosphorus and calcium necessary for bone tissue.

He is echoed by another user: for those who permanently use “general anesthesia” in the form of alcohol, they will have to refuse, since when drinking alcohol, the bone grows together much more slowly.

Well, and finally: be prepared for the fact that after removing the plaster, swelling, pulling and aching will continue for a long time, and possibly for the rest of your life, for example, during weather changes.

Edema is the concentration of fluid in the intercellular space of organs. Very often, swelling occurs after an injury (including a fracture) to the leg. When a limb is in a cast, deviations occur in the normal course of processes: disturbances in blood flow, damage to muscle tissue, disruption of lymph function.

Associated tissue damage

When a limb is fractured, not only the bones are damaged, but also other components: blood vessels, muscles, nerves, ligaments, lymphatic filters, and so on. Problems associated with impaired lymph outflow are called lymphostasis. In this case, the process of removing toxins slows down, the content of acidic products in the skin increases, this reduces the protective qualities of the skin and leads to damage by microorganisms. Complications of advanced lymphostasis are:

. cystosis,

Elephantiasis,

Erysipelas.

Streptococcus erysipelas continues to worsen the condition of the lymphatic vessels. But even before the above-mentioned pathologies arise, rapid fatigue and muscle stiffness occur. If there is swelling of the leg in a cast, after removing the cast, physical therapy is immediately prescribed, which prevents deformation of the fingers and feet.

Prevention of edema

To reduce the likelihood of complications, it is necessary to follow certain rules for wearing a cast:

. During the first seven days, the leg should be elevated and be under constant supervision in order to change its position in time.

To make the cast fit more tightly to the leg, you can tighten it with elastic bandages. This is done not only to ensure proper fusion of bones, but also to prevent pinching of arteries and vessels.

While the cast is on the leg, the limb should not be subjected to stress.

Swelling can begin if the plaster is applied incorrectly:

. application too tight

Insufficiently thorough modeling

No padding to protect ridges, etc.

If the patient feels a burning sensation, pain in one specific place, the plaster cast may become hotter in one place, if the bandage has changed its color, purulent discharge and other manifestations of obvious discomfort appear from under it, he should immediately tell the doctor about this. To prevent tissue necrosis, the plaster can be removed for a while, and then applied again, this time correctly. In case of a fracture, it is best to go to a reliable specialized clinic. If an ankle fracture occurs, then post-traumatic tissue swelling is inevitable, but it goes away within 1-2 days, and especially quickly when the leg is correctly elevated. Reappearing swelling of the fingers that appears some time after the post-traumatic swelling has subsided should alert you.

Recurrent edema

If swelling of the leg in a cast- a fairly common pathology, swelling of the leg a few months after removing the cast is an even bigger nuisance. Therefore, prescribed rehabilitation physical therapy should not be neglected. In addition to physical exercises that restore atrophied muscles and eliminate congestive processes, the following may be recommended:

. massage,

Salt and herbal baths,

Special ointments. A physical therapy specialist must create a set of exercises taking into account the general condition of the patient and his individual needs.

Swelling due to lymphedema

If lymphedema has begun, your doctor may recommend measures such as manual lymphatic drainage, hydromassage, wearing a special limb bandage, or wearing compression stockings in combination with drug therapy. To improve blood circulation, it is better to follow a special diet, the main rules: no fried foods, eating non-yeast bread. You can eat fresh veal, horse meat or lamb - only boiled and moderately salted. The same goes for fish. You should eat more vegetables, both in salads and stews.

Our specialized medical center provides guaranteed successful treatment, thanks to the presence of highly qualified specialists, well-equipped operating rooms and dressing rooms, modern equipment, high-quality materials and, most importantly, an attentive individual approach to each patient!

​Good luck to you! Get well! _Roman_​

​I had a fractured ankle, they put me in a normal position and my leg didn’t hurt.​

​Yura Baranovsky​

​Luda Vysotskaya​

​consult your doctors!​

​If you can walk, then going to school won’t make you fall apart

​You can't do this! If you walk in a cast, the callus, which is still very fragile, will shift and the leg will change its shape, and then, in order to put everything in place, you will have to break the leg again and heal it again! Mom is wrong!​

​under pressure, bone fragments may shift, they may heal incorrectly - in the end you will have to break the bone and re-align it. Have you tried an elbow crutch? they say it’s more comfortable.​​Joselyn​​You definitely can’t put all the weight on this leg, it can get “sharply” so to speak and it will be even worse.​

​Konstantin Vylegzhanin​

​If you step on your foot and hope that you can step in a cast, you are very mistaken and interfere with regeneration, displacing bone fragments.​

​It depends on what you mean by walking. If this means visiting, then it is at your discretion (as I understand it, below-the-knee plaster boots), but keep in mind that you will most likely need outside help there, because... here the second concept of the word walk is included - stepping on a leg in a cast.

Ordinary plaster is not capable of long-term loads; it begins to crumble and lose its shape, but loading the leg is actually useful. For this purpose, special semi-rigid immobilizing bandages Softcast and Elastcast were invented.

They are more expensive, but you can shower in them and step on your feet (without fanaticism). So, decide for yourself.

I had such a case when a workaholic went to work with a cast, climbed the stairs, the crutches came apart, he fell and broke his arm. ​

Is it possible to go to school with a cast on my leg?

​For a broken limb, movement on crutches is indicated.​

​Danila Antonenko​

​Button​​Type on the Internet, look. An acquaintance went with this. says it’s much more convenient.​

​No, don't step on it. Very delicate cartilage tissue is formed there; it costs nothing to break it again.

And it will be much worse and more painful and wearing the cast will be extended. Moreover, only 1 has passed.

5 weeks is very little. The doctor will allow you to step on the fracture after a thorough examination of the condition of the fracture and removal of the plaster.

And after the cast is removed, exercise, running, and jumping are usually prohibited for another month. ​

​And in the future, your leg may ache at the site of the fracture.​

​What, is it embarrassing to be on crutches? My wife has a dislocation - a cast for a month.

​It’s better not to strain your leg, it may come back to haunt you in the future.​

​You MUST NOT step on your feet.​

​Lilac Fairy​​I believe that you need to go to school!​

​It’s better not to, you can just study at home and write tests in class at the end of the month.​

You'll be so cute. There you need more of a head.​

​you can if you want… .​

​***SKARLETT***​

​LADY with a dog​

​Work_sergei​​Helena​

​Roman Filippov​

​This is not normal.​

​They lifted me up on the 2nd day after knee surgery.​

​Sali-Mali​

​=Evo4ka=​​but better rest​​It’s better not! God forbid there is some kind of displacement, then you won’t forgive yourself... if you don’t step on your foot too much

No need. one careless movement and surgery and a cast and three months. sit still.​

​In general, if it doesn’t hurt, it’s okay (at least that’s what we were told), although the first 3-4 weeks are not advisable, as the process of healing and fusion is underway...

​Just because you can move doesn’t mean everything is fine! If it heals incorrectly there will be an operation and bones will be broken again, do you need it??​

​It depends _how_ it hurts and how long ago the cast was applied. The first time after the fracture, naturally, there will be pain.

🙁 But if the cast has been applied for quite a long time, the pain was there at first, then almost went away and suddenly started again for the wrong reason, then I advise you to urgently consult a doctor. At least call him.

​​This means that it was installed incorrectly and regeneration cannot occur. ​​I walked along the long corridors of the regional hospital.

​​You try going to school. If the leg swells or hurts very much, then the mother will see it herself and feel sorry for her daughter :-)​​Well, of course, straining the sore leg at least is not very good, although if you have crutches with you.

but to be honest.

I don't understand this need.

There are certificates.

(sick leave).

with a broken leg you need rest so that the healing is correct.

​Sergey Vasilievich​

​Irina Sobol​​Alexandra Yankovskaya​

Rule two - use help!

Thoroughly washing hard-to-reach places is much more difficult for a person with a cast than in a normal state. Therefore, there must be someone nearby who can come to your aid if necessary.

If you can somehow manage with a plastered arm while taking a bath without the support of others, then a broken leg is a more difficult case. Don’t risk your health, use the help of your family or friends, because a bathtub or shower is not the best place to fall, especially if you already have an injury.

Rule three - seal the plaster tightly!

To avoid balancing on one leg, preventing water from getting on the cast, and to avoid getting into unstable positions with the cast arm extended away from the shower, you should reliably protect the cast from moisture. This will allow you to focus on your own safety, and not on protecting the bandage from getting wet.

The means at hand can be ordinary plastic bags and tape, which are used to tightly wrap them to the plaster. A simpler and more effective way of protection is special waterproof covers that can be used repeatedly, completely prevent water from getting on the plaster cast and allow you not only to wash, but also to swim in the pool.

​Good luck to you! Get well! _Roman_​

​I had a fractured ankle, they put me in a normal position and my leg didn’t hurt.​

​Yura Baranovsky​

​Luda Vysotskaya​

​consult your doctors!​

​If you can walk, then going to school won’t make you fall apart

​You can't do this! If you walk in a cast, the callus, which is still very fragile, will shift and the leg will change its shape, and then, in order to put everything in place, you will have to break the leg again and heal it again! Mom is wrong!​

​under pressure, bone fragments may shift, they may heal incorrectly - in the end you will have to break the bone and re-align it. Have you tried an elbow crutch? they say it’s more convenient.​
​Joselyn​
​You definitely can’t put all the weight on this leg, it can get sore “sharply,” so to speak, and it will be even worse.​

​Konstantin Vylegzhanin​

​If you step on your foot and hope that you can step in a cast, you are very mistaken and interfere with regeneration, displacing bone fragments.​

​It depends on what you mean by walking. If this means visiting, then it is at your discretion (as I understand it, plaster boots below the knee), but keep in mind that you will most likely need outside help there, because this includes the second concept of the word walk - stepping on a leg in a cast. Ordinary plaster is not capable of long-term loads; it begins to crumble and lose its shape, but loading the leg is actually useful. For this purpose, special semi-rigid immobilizing bandages Softcast and Elastcast were invented. They are more expensive, but you can shower in them and step on your feet (without fanaticism). So, decide for yourself. I had such a case when a workaholic went to work with a cast, climbed the stairs, the crutches came apart, he fell and broke his arm.​

Is it possible to walk in a cast?

​For a broken limb, movement on crutches is indicated.​

​Danila Antonenko​

​Button​
​Find it on the Internet and have a look. An acquaintance went with this. says it’s much more convenient.​

​No, don't step on it. Very delicate cartilage tissue is formed there; it doesn’t cost anything to break it again! And it will be much worse and more painful and wearing the cast will be extended. Moreover, only 1.5 weeks have passed, which is very little. The doctor will allow you to step on the fracture after a thorough examination of the condition of the fracture and removal of the plaster. And after the cast is removed, exercise, running, and jumping are usually prohibited for another month.

​And in the future, your leg may ache at the site of the fracture.​

Is it possible to go to school with a cast on my leg?

​What, is it embarrassing to be on crutches? My wife has a dislocation - a cast for a month.

​It’s better not to strain your leg, it may come back to haunt you in the future.​

​You MUST NOT step on your feet.​

​Lilac fairy​
​I believe that you need to go to school!​

​It’s better not to, you can just study at home and write tests in class at the end of the month.​

You'll be so cute. There you need more of a head.​

​you can if you want... .​

​***SKARLETT***​

​LADY with a dog​

​Work_sergei​
​Helena​

​Roman Filippov​

​This is not normal.​

​They lifted me up on the 2nd day after knee surgery.​

​Sali-Mali​

​=Evo4ka=​
​but better rest
​It’s better not! God forbid there is some kind of displacement, then you won’t forgive yourself...​
​if you don’t step on your foot too much​

No need. one careless movement and surgery and a cast and three months. sit still.​

​In general, if it doesn’t hurt, it’s okay (at least that’s what we were told), although the first 3-4 weeks are not advisable, as the process of healing and fusion is underway...

It is normal if your leg hurts in a cast. -----

​Just because you can move doesn’t mean everything is fine! If it heals incorrectly there will be an operation and bones will be broken again, do you need it??​

​It depends _how_ it hurts and how long ago the cast was applied. The first time after a fracture, naturally, you will hurt! :(But if the cast has been applied for quite a long time, the pain was there at first, then almost went away and suddenly started again for no reason, then I advise you to urgently consult a doctor! At least call him!​
​This means it was installed incorrectly and regeneration cannot occur.​
​I walked along the long corridors of the regional hospital.​
​You try going to school. If the leg swells or hurts very much, then the mother will see it herself and feel sorry for her daughter :-)​
​well, of course, straining your sore leg at least is not very good, although if you have crutches with you... then you can... but to be honest... I don’t understand such a need... there are certificates... (sick leave)... with a broken leg you need peace for the growth to be correct...

​Sergey Vasilievich​

​Irina Sobol​
Alexandra Yankovskaya

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