Boot or Cast? [Broken Ankle or Broken Foot Treatment]

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  • Опубліковано 19 лис 2024

КОМЕНТАРІ • 82

  • @DrTomBiernacki
    @DrTomBiernacki  5 років тому +5

    Let us know if you HATE the boot or the cast more!
    For more on broken ankle recovery time: ua-cam.com/video/ZqFu7FqZYHg/v-deo.html

    • @DrTomBiernacki
      @DrTomBiernacki  4 роки тому +1

      Thanks for watching!

    • @annastasiamaxwell9737
      @annastasiamaxwell9737 4 роки тому +3

      I have a boot I hate the walking boot it hurts !

    • @reaganskates
      @reaganskates 4 роки тому +1

      I hate my cast it’s so annoying I can’t do any thing 😕

    • @laineybugger
      @laineybugger 3 роки тому

      I prefer the boot so I can shower etc and let it breathe. Are you supposed to sleep with the boot on? I’ve been taking it off at night, fracture of cuneiform

  • @deecal1021
    @deecal1021 3 роки тому +10

    A bit late to the party, but had to comment. Having worn both the boot and a cast, the cast comes out on top. Several reasons; the boot kept loosening and rubbing on my achilles tendon, kept hitting the front toe part of the boot, the velcro strap cause bruising on my calf, and I now have severe plantar fasciitis that is getting on my last nerve. With the cast, sure you can't take it off and the itching, peeling and smell is a mini issue, but.....the support was better (because it's molded to your foot), no bruising, less clunky, and I slept better. I used a scooter both times, the boot had my shin hurting, but not the cast. The boot needs a lot of reworking in the comfort and fit area, 'cause one size definitely does not fit all.

  • @mitchellmtb7202
    @mitchellmtb7202 4 роки тому +7

    Professional athlete here. Was in the boot. Had the boot off just to go across the room. Crutches slipped, did a crazy maneuver to protect the ankle and ended up breaking my elbow-radius. However I maintain I was walking quicker due to having a boot. Trimaleolar fracture and walking at 7 weeks with a cane and no boot. 2-3 weeks ahead of schedule.

  • @ashleyervin602
    @ashleyervin602 3 роки тому +2

    Growing up I constantly hurt my right ankle. One time the doctor and I got in a discussion of boot or cast. I said if you put me in a boot I will re-hurt myself in the boot. I had a history of this. Doc said I did not know what I was talking about and he put me in a boot. One week later while wearing the boot I ripped a tendon. It required sugery and a cast.......thanks doc. It was eventually found out I have drop foot. I have not gotten hurt in seven years since getting a MAFO.

  • @JoeySkate24
    @JoeySkate24 4 роки тому +6

    guys.. seriously, if you have the self-discipline to treat the boot like you have a cast then its worthy.. not to mention that the boot gives you the advantage of
    1) you will spend less money and less time in your recovery (talking about physiotherapy after healing)
    2) YOU CAN TAKE THE BOOT OF AND APPLY ICE TO THE INJURED AREA (which rapidly increases healing and the quality of healing)
    3) you can shower (in order to avoid injury, just shower sitting down)
    4) you can accelerate your recovery by going into partial weight bearing phase (after the acute phase is over) and that will decrease swelling and give you a more functional foot faster (decreased recovery period and physiotherapy period)
    and a personal tip for those with ankle sprains (of any degree but especially grade 3 sprains) - sleep with the boot because it will make you recover faster by making the tore ligaments heal shorter (less time required to heal), instead of longer
    great video! peace

    • @caitlinrios2030
      @caitlinrios2030 3 роки тому

      How do you know this? I have an ankle fracture and I’m considering a boot instead of seeing ortho and getting a cast. You’ve convinced me!

    • @m.taylor
      @m.taylor 3 місяці тому

      I have previously worn a cast with a stirrup and it was a struggle trying to function and recovery was so difficult. After that, I don't ever wish to wear a cast again unless there is absolutely no choice.
      With a boot, at least I can attend to the swelling and inflammation which can damage the soft tissues and bone.

  • @21Diddley
    @21Diddley 2 роки тому +1

    Really helpful, thank you. Exactly the information I was looking for. As an older person (66) still in a cast following surgery all I needed to know was why my surgeon has already planned for me to be in a cast for six weeks and then a boot for eight weeks. It's now clear what his plan is and makes complete sense. I dont' mind the cast, it was supposed to be temporary but the waiting list for Fracture Clinic appointments means it'll be five weeks before it's replaced by a permanent one for a week or so before being replaced by a boot. The temporary one is heavy and as it's a backslab with crepe bandages I could, in theory, take it off myself but I have absolutely no plans to do so. I just want the injury to heal without me complicating things by getting another injury. I know I'll have months of rehab to get back as much use of the ankle as possible and that's absolutely fine. It was a bad break and as long as I can control the pain when it's bad I can cope.

    • @DrTomBiernacki
      @DrTomBiernacki  2 роки тому

      We appreciate you watching and contributing, we hope your foot and ankle feel better soon!
      If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us!
      g.page/r/CaxJ9b-O6o27EAg/review
      We are working hard every day to make better and more meaningful content! This is what keeps us going for sure.

  • @mitchellmtb7202
    @mitchellmtb7202 4 роки тому +4

    Professional athlete here. Anecdotal but I was walking quicker due to having a boot. Trimaleolar fracture and walking at 7 weeks with a cane and no boot. 2-3 weeks ahead of schedule. Went straight from scooter to walking with shoe. Never did walk with the boot on. Boot also allows you to do minor PT.

  • @andrewattenboroughtwothumb4697
    @andrewattenboroughtwothumb4697 4 роки тому +6

    thanks for talking about this doc us in the casting community have been talking about this

    • @DrTomBiernacki
      @DrTomBiernacki  4 роки тому +3

      Wow we really appreciate the kind words. great feedback like this is what really keeps us working hard to make better and more meaningful content.
      Thank you for being such a great fan and we really appreciate you watching!

  • @fourftr
    @fourftr 5 років тому +3

    Great viewpoint! Going in for surgery for ruptured Brevis tendon and some small tears elsewhere. He told me first 3 weeks in cast then next 3 in an air-cast boot and 3 weeks ankle brace

  • @aracelirosales7328
    @aracelirosales7328 4 роки тому +5

    Thanks a mill! I was aimimg toward the boot..i changed my mind with such clarity🤗thnx for this very important info.

    • @DrTomBiernacki
      @DrTomBiernacki  4 роки тому +1

      Thanks for being a fan and watching!

    • @shreenhoosen9535
      @shreenhoosen9535 4 роки тому

      I have the cast after operation I'm scared if I will be able to walk with out my walker after the cast is removed and is it better to use the boots thereafter.. Please advise what size boots should I get as I'm a size 4 or 5 depending on the cut of the shoes

  • @Brittany.Anderson
    @Brittany.Anderson 2 роки тому +2

    I have been super careful with having the boot. I make sure to have it on every time I get up. I had the choice of boot or cast shoe for my broken foot. I started out in the cast shoe and went into the boot. I got x-rays yesterday which was just over 4 weeks out, and my foot looks great

  • @scrambledwithcheese
    @scrambledwithcheese 3 роки тому

    Found your videos very helpful and comforting during my recovery with an anterior process/calcaneus fracture.

  • @JusZard
    @JusZard Рік тому +2

    They wanted to give me surgery for a pretty clean but slight displaced break . I said no and just went with a cast Vs a boot .

    • @DrTomBiernacki
      @DrTomBiernacki  Рік тому +1

      This can work very well in most cases unless the bone is displaced.

  • @andrebudiman4506
    @andrebudiman4506 10 місяців тому +1

    How about for tibia fracture?

  • @furiousphoenix7526
    @furiousphoenix7526 4 роки тому +3

    Is it ok to take off the boot for a couple of hour while laying in bed? I’m asking this because it can be quite comforting letting the foot have less pressure all day long. If I take it off for about two hours or so am I messing up my healing? I don’t move it I just lay sideways.

  • @fgllc
    @fgllc 2 роки тому

    I have chronic foot pain that no one can diagnose. I have worn both boots and casts. Personally I hate boots for the following reasons. First, if I can take something off, I will. Being in a cast, where I cannot easily remove it keeps my foot/ankle immobilized. Second, and most importantly for me, the sole of boots are flat; they do not conform to your foot like casts do. The boots actually cause more pain in my foot. Third, they are less bulky than boots. As far as not being able to shower, they make silicone shower covers that work very well. Just my $0.02.....

  • @mariaclayton9892
    @mariaclayton9892 3 роки тому

    Gotta drive so I'm taking the chance. I'm careful though. I walked on a cast when it wasn't a walking cast. Had wheels too. I guess I'm just a bad patient. I have things to do.

  • @hectorortiz2220
    @hectorortiz2220 2 роки тому +2

    Best smile ever. 😍

  • @StellaVictoria-sh5vb
    @StellaVictoria-sh5vb 10 місяців тому

    Does the boot or cast promotes healing or protects the injury?

  • @neverbeaten
    @neverbeaten 4 роки тому

    Makes super sense. Im in half cast cause i have an open wound. Doc said we can get to boot if my wound closes. Hope it isnt as expensive as u said :(

  • @Eagles2-4-18
    @Eagles2-4-18 2 місяці тому

    I’m 55 and broke my 5th metatarsal. What should I do?

  • @Annie-ye2pi
    @Annie-ye2pi 4 роки тому +1

    I feel like I chipped my shin. I banged it really, really hard on a chair then the chair fell on me. It’s been 3 days and the pain hasn’t stopped

  • @elsaji9108
    @elsaji9108 4 роки тому +1

    Yo I was recently shot in the leg with a .40 caliber I got a couple questions before I say I already had my surgery because it fractured my leg bone and the entry wound is below my right cheek and the exit wound is in the front thigh area on the same leg and they said that my nerve spreaded , May I ask that what would be more effective a cast or a boot I have a temporary Boot because I do hAve foot drop and if you can get back to me thank you

  • @amirtz3342
    @amirtz3342 3 роки тому

    I just drive with my other foot. So you can definitely drive. I broke my right ankle, I am driving with my left no problemo boss

  • @احسانسلامعبدالله
    @احسانسلامعبدالله 3 роки тому

    I am asking for your help because I don’t know how to walk correctly. I hope to communicate with you

  • @WeArePoachie
    @WeArePoachie 4 роки тому +2

    I have a non-displaced fracture of my ankle. My orthopedist gave me a boot to wear. I actually thought it would be much more comfortable than it is. My heel doesn’t even naturally reach where the heel should go and it’s really irritating my skin. My doctor said I can take it off to shower but that’s about it. I’m trying to follow his directions but that sure is difficult. Is it okay to wear it rather loosely if I’m not moving? I tighten it if I need to get up for anything. They really didn’t give me any direction.

    • @Zara-r5m1r
      @Zara-r5m1r 2 місяці тому

      Same. I Literally broke my ankle yesterday afternoon, non displaced fracture. Received a boot with little instructions, and I don't even think they put it on right. Super uncomfortable, and doesn't feel supportive at all. I'm in so much extreme pain I can't even take care of my kids properly and I'm a stay home with 2 smalls kids. did they give you a wrap to apply before you put on the boot? Or do you just wear with socks/barefoot? Thanks in advance, I'm just really suffering right now. I'm looking Anywhere for advice or help.

  • @fxzer5929
    @fxzer5929 2 роки тому

    I’ve been in a cast for 6 weeks and when I took it off I couldn’t feel the bottom of my foot and 2 months later I still can’t feel the bottom why is that???

  • @sarahgordon2597
    @sarahgordon2597 2 роки тому

    sept 23rd 2021 jones fracture surgery, from nonunion. 43 year ol woman who has osteporosis, been in boot since june 2021, after fracture, didnt heal, they did surgery. now dec 25th, just had heel pain all week, and just started walking dec 5th, very little, then this week, went to er with heel pain, and they told me i have new fracture in 4th metatarsal, i am clueless, they told me to start doing walking without crutches, and sqauts, lunges for PT, not sure what caused this, i only did bike and rowing machine last week very little and heel pain didnt go away and not i find this out, I am really needing to get good advice. I am not on medicatio for osteporosis because i dont want to go on fosamax yet. i am on HRT, and hoping to get forteo

  • @belentot4717
    @belentot4717 3 роки тому

    Got a fracture and the doctor decide to put splint only but i notice that the splint is not 90 deg can i buy a booth and just used it instead..?

  • @Nadia_Arts
    @Nadia_Arts 4 місяці тому +1

    I broke my fifth metatarsal and doctor put me in a boot. My foot is narrow and I have skinny ankles and legs. Said I should not weight bear. This boot doesn’t feel stable enough on my foot no matter how much I tighten it when I am on crutches and it feels really heavy!! When I walk with crutches, I could feel the weight of the boot put strain on my broken bone. Any advice? I feel like a fitted cast would be more effective?

    • @Zara-r5m1r
      @Zara-r5m1r 2 місяці тому

      Exact same experience. The weight of the boot is literally causing me so much more pain when I lift my foot. I don't feel like my injury is supported at all, idk what to do, I just broke my ankle yesterday.

  • @DanielKwan
    @DanielKwan 2 роки тому

    Boot how much later?

  • @sainiaman9
    @sainiaman9 Рік тому

    I have a 6 weeks cast. But doc asked to remove ut after 3 weeks and again put it for 4 more weeks. I have zone 1 metatarsal fracture. Can i wear show after 3 weeks cast

  • @juliacarpenter7977
    @juliacarpenter7977 3 роки тому +1

    Ok.. so like- that big ball on my ankle hurts a ton. There’s bruising starting around it, and I can move it.. just not much..

    • @DrTomBiernacki
      @DrTomBiernacki  3 роки тому +1

      That is definitely a tough pain to have. If it doesn't get better just make sure to check with your podiatrist or primary care doctor to make sure there is nothing more serious going on.
      We really appreciate you as a fan and we hope to keep making better and more detailed videos for you going into the future!

  • @SolitaireMiles
    @SolitaireMiles 2 роки тому

    I am four months after a tri mal, no surgery because I have Lupus and Raynaud's. Two of the breaks are healing well but the malleous is only at 20 percent. They put me in a boot after five weeks. I felt great in the cast I hate the boot. Can I go back into a cast?

  • @superpuma1224
    @superpuma1224 4 роки тому +1

    Do you need a boot after being in a cast for 7 weeks

  • @sitinazliayazid874
    @sitinazliayazid874 3 роки тому

    I fractured my metatarsal and the doctor didnt allow me to wear boots. Currently in cast for about a month already. But i hate cast so much bcs of a lot discomfort it put me through😭

  • @dekiera.s
    @dekiera.s 4 роки тому

    i really want a cast my ankoe is fractured but i was wondering if it is possible for me to get a walking cast

  • @usmannazeer6441
    @usmannazeer6441 3 роки тому

    I had clubfoot (TEV) and underwent wedge osteotomy + achilis tendon lengthening 3.5 months ago. Now the cast has been removed and the dr has allowed me to walk. I want to ask what percentage of my body weight can i put on my corrected foot now? And for how long

  • @savanna.llolll
    @savanna.llolll 3 роки тому

    i fell off my skateboard, the moment i hit the ground, i heard a pop and a crack, then, i couldn’t feel my toes for a couple seconds, then couldn’t stand up without almost falling over, and the doctors gave me a boot and crutches until i get x rays but i think my foot is broken because of the way i fell and heard that noise. i’m possibly going to go get x rays done today.

    • @nicolanaccarato7790
      @nicolanaccarato7790 Рік тому

      You must be in US, I feel so much compassion for you people out there, to have to wait days for a couple of x-rays after an accident !!! You need to be wealthy in there to get the same treatment that the poorest guy in Europe would get over here for free !!!

  • @grandpasweed7150
    @grandpasweed7150 4 роки тому +1

    THIS IS WHAT I HAVE TO WEAR NOOO (i fell down stairs and my foor is really swollen so we are getting a cast probably)

  • @efrmdac4649
    @efrmdac4649 4 роки тому

    I broke my ankle and shin about 2 weeks ago and I've been in a cast ever since we are going back to school in about 2 weeks and next week I'm going to hospital in a week to get xrays and find out whether I will get to weight bear and use a boot and I'm just wondering do you think I'll be able to get the boot and weight bear so soon?

  • @DADBUD23
    @DADBUD23 3 роки тому

    I just bagged myself a trimalleolar ankle fracture a week ago and have a cast on while I wait for my operation and I can already feel my leg wasting away 😔

    • @shellyedwards7526
      @shellyedwards7526 3 роки тому

      Oh nice! I'm in that boat as we speak. Same injury, waiting for surgery. My starter cast is tight as hell and my heel is sore. Not looking forward to another 3 months of this.

    • @DADBUD23
      @DADBUD23 3 роки тому

      @@shellyedwards7526 I cut my cast of myself twice as it felt like it was squeezing my ankle , I also had a spiral fracture high up on my fibular so ended up with a 12 inch opening 🤦🏻 it’s been 8 weeks after my operation and I am walking with a walking stick and no cast or boot , it’s not going to be as bad as you think , soon as your bone heals get mobile as soon as possible, obviously there is lots of pain at this point but no pain no gain as they say !!! everything will be all good , hope you have a speedy recovery 🙌🏻

  • @cindyjohnson6993
    @cindyjohnson6993 Рік тому

    I think my boot is too tall. Im 5’4

  • @etienne7774
    @etienne7774 5 років тому +3

    When you have time... view Doug from Windsor on fire.

  • @breannajenkins9434
    @breannajenkins9434 4 роки тому

    I fractured my cuboid bone on Thanksgiving. The fracture extends into the calcaneocuboid joint. I go to see an Orthopedic doctor on Thursday. I am in a boot right now from the er, do you think the ortho doctor will put me in a cast?

    • @enigmaticdolphin2155
      @enigmaticdolphin2155 3 роки тому

      Broke my cuboid in 2015 and was in a boot for months. Not even sure if it ever fully healed. Now having significant pain in exact same location and concerned it may be reinjured.

  • @juliemagallanes811
    @juliemagallanes811 4 роки тому

    Hi Dr, been in a half leg cast for 2 wks with non weight bearing for a nondisplaced 5th metatarsal fracture in the shaft of right foot. Doctor said yesterday's xray showed that the fracture has actually widened more than in the initial xray and wants 3 more wks on cast and NWB. With the cast now, boot later rule, is it ok to instead request a boot instead of the cast? I cannot afford to be at home any longer as family and work will not allow it.

    • @neverbeaten
      @neverbeaten 4 роки тому

      In my opinion no. Your fracture is worsened u need more protection. I hope u are never stepping on it? Pls use clutches ans try to keep ur usual life, i know its hard. Im on clutches rn

    • @juliemagallanes811
      @juliemagallanes811 4 роки тому

      @@neverbeaten im now on 6 weeks non weight bearing. Unfortunately, i developed a blood clot in the fractured leg. Went to the Ortho, he re casted me with a looser cast, but suggested 3 more wks of non weight bearing. Next Tuesday is my 7 week follow up, praying its healed up some. I need to get back to my life

  • @xena496
    @xena496 Рік тому

    When I broke my ankle and foot I had to sleep in a boot.

  • @Sharon-yk7xm
    @Sharon-yk7xm Місяць тому

    The boot is dangrouse its not a flat at foot its a bloody rocker its like walking in a slippery banna

  • @indynugs
    @indynugs 6 місяців тому

    Casts are cheaper and a custom fit. Seems like an insurance scam to charge you $600 a pop for those dumb boots.

  • @normamlupian9892
    @normamlupian9892 2 роки тому

    Knee