Dear doctor, I met an accident and fractured occurred in right leg on 29th Dec 2014. As per the X ray report it is ?fracture lateral malleolus right(closed) with fracture 2nd and 3rd metatarsal(closed)?. Initially,the doctor thought for surgery for ankle injury but another senior Orthopedic surgeon of the same hospital after examining the X ray plate, put a POP BACK Slab for 15 days and as per his version chance of displacement was there. On 13th Jan 2015, another X ray was done and the doctor surgeon wrote in the prescription ? X ray shows good alignment, no displacement?. On the same day synthetic casting was put in place of POP Back slab and I have been told to meet him after one month. I was allowed to walk with two elbow supported crutches without giving any load to the right leg. Now I am off from my office since more than one month.Although I am obeying all the instructions given by the doctor, i am feeling some pain on the ankle fracture occasionally. Pain is like needle pushing and some sorts of inflammation but tolerable. No swelling is there at present.Rarely I feel tolerable pain on metatarsal fractures. Is this pain normal ? Can I join my office using crutches now ? when i can walk on my feet? How many days it will take further to drive car ? Please note that I am now 49yrs, wt-74kgs normal built, no BP and diabetes. Eagerly waiting for your observation, doctor, regards, Jayanta Kr. Bhattacharyya
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Hello, I am Dr Akshay from Fortis Hospital, New Delhi. I have gone through your case summary. Your injury was on 29th December and it is 2nd Feb today. Since cast was applied on 13th Jan it is also 3 weeks since then. If it is an undisplaced fracture then management is ok. We need to get sequential X Rays to look for any displacement because as the swelling subsides fracture can get displaced because there is looseness in cast. Anyway since conservative management is chosen i would like to have a look at you recent X Rays before giving my verdict. Thanks & Regards Dr Akshay Kumar Saxena Ph No : +91-9891359607 Email Id : akshaysaxena2004@yahoo.co.in
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