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Broken Foot

WHAT YOU SHOULD KNOW

A break in one or more bones of the foot, including the injury known as a subtalar (sub-TAY-lar) fracture, can be very painful. Healing time ranges from several weeks to a couple of months. An x-ray will show when the fracture has healed and you can resume normal activity.

Causes

This type of fracture is usually caused by a fall or an object that lands on the foot.

Signs/Symptoms

You are likely to suffer pain, swelling, bruising and weakness of the foot. It may tingle or feel numb. If the bones are broken badly, they may look misshapen. You may be unable to walk.

Care

Your doctor will probably take an x-ray of the foot. You may need to wear a cast or splint on the foot, depending on how bad the break is, and will have to use crutches for a while. If you scraped or tore your skin and haven't had a tetanus shot in 5 to 10 years, you may need a booster.

WHAT YOU SHOULD DO

If you are not given a cast or splint:
  • Use crutches and avoid putting any weight on the injured foot until your doctor gives the okay. Then slowly increase the amount of time that you use the foot, stopping as soon as it begins to feel painful.
  • After the first 1 to 2 days, you may apply heat to the injury to help relieve pain. Use a warm heating pad, whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
If you are given a cast or splint:
  • Use crutches until your doctor says they are no longer needed.
  • To reduce swelling, keep your foot on pillows while lying down and on a chair or footstool when sitting. Keep the foot above the level of your heart, if possible.
  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a thin towel between the bag of ice and your cast.
  • If you are given a plaster or fiberglass cast:
    • Do not try to scratch the skin under the cast by pushing a sharp or pointed object between the cast and your leg.
    • Check the skin around the cast every day. You may put lotion on any red or sore areas.
    • If you have a fiberglass cast and it gets a little wet, it can be dried with a hair dryer.
  • If you are given a plaster splint:
    • Wear the splint until your doctor says you may remove it.
    • You may loosen the ace wrap around the splint if your toes become numb or start tingling.
  • Do not put pressure or lean on any part of your cast or splint. It may break.
  • Keep the cast or splint dry. It can be covered with a plastic bag during bathing. Do not lower it into water.
You may use acetaminophen or ibuprofen to relieve pain and swelling. Take all medicines as directed by your doctor. If you feel the medicine is not helping, call your doctor, but do not stop taking it on your own. If you have been given a tetanus shot, your arm may be red, swollen, and painful at the site of the injection. This is a normal reaction to the medicine in the shot.

Call Your Doctor If...

  • The cast gets damaged or breaks.
  • The pain gets worse or you have more swelling than before the cast was put on.
  • The skin or toenails below the injury turn blue or grey, or feel cold or numb.
  • The cast develops a bad odor.
  • There are new stains coming from under the cast.

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