FRACTURES

A fracture is a partial or complete break in a bone. Most fractures are caused by falls or accidents. Also, osteoporosis or osteopenia can result in bone density loss and stress fractures.

Symptoms of a fracture might include:

• Pain
• Bruising
• Bone at an unusual angle
• Difficulty moving the affected area
• Swelling
• Bone protruding through the skin-requires immediate medical attention

DIAGNOSIS and Treatment

Following an injury that results in a fracture of the foot, ankle or lower leg it is important to have the fracture evaluated as soon as possible by a doctor.  If you are treated in the Emergency Room you should follow-up with a foot and ankle specialist for treatment. 

Treatment of fractures will depend upon the type and severity of the injury.  An X-Ray will be done to determine the nature and severity of the injury.  After review of the X-Ray the doctor will decide if surgery is needed to stabilize the fracture.  The fracture will then be stabilized using immobilization with a cast or walking boot.  Immobilization can allow the bone to heal.  Prescription medications including pain medication and/or anti-inflammatory medication may be prescribed to alleviate the pain and reduce swelling.  

A statement frequently made by our patients regarding toe fractures is, “It is just a toe fracture and there is nothing you can do.” This is completely false. If the fracture is significant enough it may have to be repositioned in the office under local anesthesia. Waiting too long can result in the need for outpatient surgery. The window of opportunity to perform an in office reduction is within the first few days up to the first week after the injury.