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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Manage Pain From A Fractured Tibia Without Painkillers?

Thank you, 2 1/2 weeks ago I fractured my tibia with an oblique break and have been set in an aprox 15 kilo cast to immobilise it while it is given time to heal naturally. Because I have had issues at times in my past with alcohol, D&A have interfered and decided I can have no pain or sleep relief. They have contacted my GP and I am left at home (I live alone) having too much pain and very little sleep. This is depressing me and making me feel suicidal. Is there anything I can do. I dismissed D&A but they have done this anyway as they say they fear I will swop one for the other. I am 54 living in Newcastle NSW with no family as I am from n.z
Thu, 7 Dec 2017
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Orthopaedic Surgeon,  's  Response
Dear patient
once fracture is stabilised by giving cast pain should not be there. As pain at the fracture site is caused by movement of bones your cast may be loose or it may have broken. Swelling and compartment syndrome may be the reason for pain. After cast few precautions such as strict limb elevation and active toe movements is advised. If that is not done swelling may increase and pain will peslrsist. I would advise visit to your orthopaedic surgeon as soon as possible without delay. Once proper cast is given you will not need any painkillers.
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How To Manage Pain From A Fractured Tibia Without Painkillers?

Dear patient once fracture is stabilised by giving cast pain should not be there. As pain at the fracture site is caused by movement of bones your cast may be loose or it may have broken. Swelling and compartment syndrome may be the reason for pain. After cast few precautions such as strict limb elevation and active toe movements is advised. If that is not done swelling may increase and pain will peslrsist. I would advise visit to your orthopaedic surgeon as soon as possible without delay. Once proper cast is given you will not need any painkillers.