Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
123 Doctors are Online

Plaster done on broken fibula. Feeling swelling and uncomfortable. Prescribed anti depressant. Any advice?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 2004
Answered : 189 Questions
hi I have broken my ankle,at the bottom of the fibula. I am now at the begining of week five in recovery.
I was put in a full leg plaster for a week. this was then removed and I was put into a removable air splint. For the first 4 weeks I did no weight bearing as this felt uncomfortable. Also because I had alot of swelling.
I still have a problem with swelling, but have been told this is normal? however I have had mixed responses to the swelling.. I am beginning to slowly weight bear and walk a tiny bit with the aid of my crutches.
The Question of concern is because i hadn't weight beared for the first 4 weeks have I done some nerve or other damage. I havent been sleeping well and the doctor at the clinic prescribed me the anti depressant
Amitriptyline XXXXXXX Ta 10mg.
I do not wish to take these,. Am I doing my foot harm by not taking them, and is there something else that you can suggest that does not have such strong side effects?
do the nerves in my foot need some drug to help aid the swelling and minimal pain and nerves.
My toes do feel sore some of the time.
And any other advice you can give so I can have a full recovery. thankyou Gina
Posted Mon, 30 Jul 2012 in Bones, Muscles and Joints
Answered by Dr. Sathyadharan Panneer 39 minutes later

Thanks for writing in,

For a fracture 1 week cast is not enough. It needs minimum 3 weeks cast immobilisation with non-weight bearing walking till it shows signs of good union(may be another 3 weeks). But since your doc has advised you cast for just one week, I would like to see the X XXXXXXX of ankle. If you can upload your Xray , it would be great. You can use the ‘Upload your reports’ section on the right.

After switching over from cast to brace, such swelling and pain is supposed to happen because of dependent position of the leg. The following measures will help:
a.     Keep your leg elevated over pillows
b.     Avoid hanging your leg as far as possible
c.     Applying crepe bandage from toe till mid leg will help reduce the swelling and thereby the throbbing pain.

Since its almost 5 weeks, we have to take a repeat xray, to see how the fracture is uniting. Depending upon the union, partial weight bearing can be allowed.

Immobilising won’t affect your nerves. Immobilising will cause some joint contracture/stiffness with involved muscles going for wasting. All these are reversible when adequately mobilised by physiotherapy once fracture shows good signs of union.

No drugs are needed for your nerves. Soreness in your foot will also recover once you start bearing weight in your foot.

Hope this answers your query. Wish you a speedy recovery.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor