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On a number of occasions recently I have sent a patient that I have clinically diagnosed with a stress fracture of tib or fib and when attending the hospital they are told that "we don't cast stress fractures anymore just rest it for 3 weeks" No Aircast type boot is given either, is this the new Gold standard or just a cost saving method? This in UK Kent btw.

regards Dave

 

No idea 're cost saving and nhs.

Boots are given in Sweden, if the person gets a diagnosis in time. Generally the MRI or xray confirmation occurs so long after that callous formation is underway and the person told to rest a little while and good luck.

I get to see themmwhen the good luck is not enough.

Sorry not really adding anything to the thread just needed a stream release.

 

David:

The standard of care here in Northern California for treating tibial or fibular stress fractures is either a boot-brace walker, if the patient has pain with walking, or reduced weightbearing activities with possibly a cane or crutches if the patient can walk with minimum pain. I prefer using the boot-brace walker (i.e. cam-walker style braces) for my patients.

Hope this helps.:drinks

 

Thats good, today I supplied a TM Airguard walker to a young man with a fibular stress fracture (my clinical diagnosis) after he had been to hospital and was given the treatment option I mentioned earlier even tho he found weight bearing painful. He reported later this evening that the walker is very comfortable and he is pleased to be able to walk pain free.

Cheers Dave