More cast issues

I am on my 2nd cast this week and it started bothering me last night just like the  previous cast I needed changed.  Each cast has felt good about 1.5 days.  I have a burning tingling down the outside of my foot.  When I put my foot down it feels better, it feels good about 1.5 days after a cast change, and when my foot is out of the cast (when they remove it) it feels good.  I was off pain meds but the cast issue has caused me to take them at night. Any thoughts on what this could be?

I plan to call my doc today and tell him all of the above.  Instead of a 3rd cast in a week I’m hoping to convince him to give me the boot so I can adjust the straps, etc.  His initial reasoning for not giving me the boot was compliance.  He worried I would take the boot off, have to go to the bathroom, trip, rerupture, etc.  I feel at this point he needs to trust that I won’t do that and make my foot comfortable.  Any tips on talking with him?

2 Comments so far

  1. Mary Margaret McEachern on March 12th, 2010

    Hmmm…I am sort of in the same boat, I think. I am in my 5th week of the “splint” (not a hard cast but completely NWB) and I am scheduled to get the boot Monday. My splint doesn’t bother me at all during the day but it wakes me up at night (alwasys 3:00 or 4:00 am!) in excruciating pain. I want to take pain meds but they buzz me up so I just sit there and suffer until it subsides. Has really interrupted my sleep!

    As far as talking to your doc, I can’t really offer much at this point because it seems like different docs have different protocols and they don’t like to change once they have something in their heads. How long are you supposed to be in the cast? Is it a hard cast or a splint like mine? My heart goes out to you…this is probably the most difficult thing I’ve ever had to deal with.

    Good luck! MM

  2. normofthenorth on March 12th, 2010

    Yes, what MM said. Sara, if you think it will help, show your doc the protocols I posted or linked on my blog page. The study I’m following (”4b” on my list, I think) put everybody in a boot, no casts ever, and their results were excellent.

    There was a meta-study back in 2005 that compared patients in boots to patients in casts, and the booted ones did better. Many protocols with boots include sleeping in it; mine did. It’s a nuisance when you’re WB and walking outside, but it’s still better than walking around in a cast. (At least it’s POSSIBLE to take it off and clean it!)

    Boots are better! You should also be able to convince him that nobody is more concerned about the prospect of your AT re-rupturing than YOU are!

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