NAMASTE VIJAY JI,
Post-case removal care after hairline fracture- mild pain and swelling in the left leg even after 15 days of cast removal.
WHY IT HAPPENS after a cast is removed -muscles and soft tissues are weak due to immobility. -lymphatic circulation is reduced->causes fluid accumulation(swelling) -mild pain is normal during early remobilisation.
#GOAL OF POST CAST CARE -reduce residual swelling and pain -regain strength and joint mobility -improve blood and lymph flow
#EXTERNAL APPLICATION 1)DASHMOOLA TAILA- -warm slightly, apply gently on the area, light massage -followed by warm compress with salt bag or steam
2)HERBAL PASTE -earndamoola+ shunthi+ Rasna paste -apply lukewarm, leave for 30 min daily for 5-7 days.
#INTERNAL MEDICATIONS- FOR 1 MONTH
1)YOGARAJ GUGGULU- 1 tab twice daily after meals
2)LAKSHADI GUGGULU- 1 tab twice daily after meals
3)DASHMOOLARISTA- 20 ml+warm water twice daily before meals
4)ASTHISHRINKHALA TABLET- 1 tab thrice daily after meals
#EXERCISE AND PHYSIOTHERAPY Start gently with -Ankle rotations -toe curls and extensions -calf stretches -gradual walking support with proper footwear -elevate leg when at rest to reduce swelling
#DIET TIPS -AVOID= long standing or walking without rest -cold exposure to leg -heavy weight bearing too early
-Post cast pain ans swelling can last for 3-6 weeks. Ayurveda focuses on restoring balance and improving circulation and strength through herbal oils, guggulu preparations and supportive diet and physiotherapy.
if pain worsens or swelling increases, check for deep vein thrombosis or incomplete healing via X-ray or Doppler test
hope this will help you healing
THANK YOU
DR. HEMANSHU MEHTA
Hello. Take Sarivadi vati 2 tabs 2 times a Day after food for 10 days. Tab lakshadi gugul 2 tabs 2 times a Day after food. Apply warm Bala tail on the área Without pressure. Tab Astiposhak vati 1 tab 2 times a Day.
HELLO VIJAY, WHY PAIN AND SWELLING PERSIST AFTER CAST REMOVAL? -AFTER 4-6 WEEKS OF IMMOBILISATION MUSCLE ATROPY OCCURS(MUSCLES WEAKEN AND SHRINK) JOINT STIFFNESS DUE TO LACK OF MOVEMENT LYMPHATIC FLUID STAGNATION->CAUSES SWELLING(EDEMA) REDUCED CIRCULATION->SLOWS HEALONG TENDON?LIGAMENT TIGHTNESS DUE TO INACTIVITY
THIS IS WHY 15 DAYS POST-CAST,ITS COMMON TO FEEL -DULL ACHE -MILD SWELLING,ESPECIALLY AFTER WALKING/STANDING -FATIGUE IN THE AFFECTED LIMB THESE ARE SIGNS YOUR BODY IS STILL IN THE REPAIR AND REHABILITATION PHASE
#PHASE WISE RECOVERY
1)REDUCE SWELLING AND PAIN HOME REMEDIES AND THERAPIES *ELEVATION- LIE DOWN WITH LEG RAISED ABOVE HEART LEVEL USING PILLOW=2 TO 3 TIMMES DAILY FOR 20 MIN
*COLD COMPRESS(IF SWEELING IS MORE THAN STIFFNESS)- ICE IN A CLOTH OVER SWOLLEN AREA- 10-15 MINS, 2-3 TIMES/DAY
*WARM COMPRESS(IF STIFFNESS IS MORE THAN SWELLING)- HOT WATER BAG/WARM TOWEL- 1-2 TIMES/DAY
*GENTLE MASSAGE- USE MAHANARAYAN TAILA-SLIGHT WARM DAILY AT BEDTIME- MASSAGE UPWARD DIRECTION FROM FOOT TO KNEE TO HELP LYMPHATIC DRAINAGE NOTE-NO PRESSURE JUST GENTLE MASSAGE
2)RESTORE MOBILITY AND STRENGTH DO NOT SKIP PHYSIOTHERAPY- TYPE EXERCISES EVEN IF SWELLING IS MINIMAL-MUSCLES AND JOINTS MUST RE-LEARN MOVEMENT
*DAILY EXERCISE PLAN(START SLOW, 5-10 REPS,INCRASE GRADUALLY)
-ANKLE PUMPS ENERCISE- POINT TOES UP AND DOWN= IMPROVES CIRCULATION -ANKLE CIRCLES-ROTATE ANKLE SLOWLY=MOBILIZES STIFF JOINTS -TOE CURLS- CURL AND SPREAD TOES- REACTIVATES SMALL FOOT MUSCLES -TOWEL STRETCH- SIT,WRAP TOWEL UNDER FOOT,PULL GENTLY=GENTLY STRETCHES CALF -HEEL RAISES(SEATED)- LIFT HEEL WHILE KEEPING TOES DOWN= STRENGTHENS CALVES -SUPPORTED WALKING- WALK ON FLAT FLOOR WITH GOOD POSTURE=GRADUALLY INCREASE WEIGHT BEARING
*AVOID STAIR CLIMBING,FAST WALKING OR STANDING LONG INITIALLY
3)AYURVEDIC MEDICATIONS(START ONLY IF ABOVE THINGS DIDNT GIVE RELIEF THEN ONLY AFTER 1 WEEK OF FOLOWWING THAT) -LAKSHADI GUGGULU- 2 TABS TWICE/DAY AFTER MEALS- STRENGTHEN BONES
-SHALLAKI CAP-1 CAP TWICE/DAY AFTER FOOD- REDUCES INFLAMMATION
-ASHWAGANDHA CHURNA-1 TSP WITH WARM MILK AT BED TIME- REBUILDS MUSCLE STRENGTH,REDUCES FATIGUE
-DASHMOOLA KASHAYA- 40 ML WITH WARM WATER TWICE BEFORE MEALLS- IMPROVES HEALING OF LIGAMENTS AND JOINTS
4)DIET TO PROMOTE BONE AND TISSUE HEALING
INCLUDE- -RAGI(NACHNI)-RICH IN CALCIUM -SESAME SEEDS-BONE TONIC -DRUMSTICK-RICH IN IRON+CALCIUM -COW GHEE- JOINT LUBRICANT,IMPROVES TISSUE REPAIR -TURMERIC+BLACK PEPPER- ANTI INFLAMMATORY -ALIV SEEDS(GARDEN CRESS)-RICH IN IRON,CALCIUM AND PROTIEN
FOOD TO AVOID- -EXCESS SALT->INCREASE SWELLING -FRIED,JUNK,STALE FOOD->SLOWS HEALING -AERATED DRINKS,CAFFEINE IN EXCESS -COLD DRINKS/ICE CREAMS->SLOWS METABOLISM
5) LIFESTYLE AND FOOTWEAR CARE -FOOTWEAR=USE CUSHIONED,CLOSED FOOTWEAR WITH ARCH SUPPORT -AVOID=BAREFOOT WALKING,ESPECIALLY ON COLD/HARD SURFACES -ACTIVITY=GRADUALLY INCREASE WALK TIME,AVOID LONG STANDING -REST- TAKE BREAKSIF SWELLING REAPPEARS AFTER WALKING
#WHEN TO SEEK EMERGENCY ATTENTION -SUDDEN INCREASE IN PAIN OR SWELLING -AREA BECOMES RED,HOT,OR WARM TO TOUCH -NEW ONSET NUMBNESS,TINGLING OR DISCOLORATION -PAIN NOT IMPROVING AFTER 3-4 WEEKS OF POST-CAST CARE
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hi,swelling is natural due to immobility of muscle for these days it will decrease as you start working with your muscles So start doing gentle exercises You can apply cold compressions Application of murivenna locally Gandhatailam capsule 1-0-1afterfood Lakshadiguggulu 1-1-1 afterfood
Thank you for sharing your update. It’s good to hear that you are able to do daily activities now. The swelling and pain Post cast or common and usually due to VATA and KAPHA cumulation in that area. You can apply warm Mahanarayana taila and gently massage it Don’t massage with too much pressure or very forcibly You can show your leg in warm water with rock salt for about 10 to 15 minutes Do physiotherapy and light exercise exercises according to your comfort You can take Dashamoola kwath-1 teaspoon in 400 ML water, boil until treatments, hundred ML filter and drink twice daily on empty stomach Lakshadi guggulu-one tablet twice daily after food with warm water
Post-cast removal discomfort is common, and Ayurveda offers supportive strategies to enhance your recovery. First, understanding the condition of your leg important. Since you’re 15 days into recovery, focusing on improving circulation and easing swelling can be beneficial.
Applying warm sesame oil to the affected area can be calming for Vata dosha, which may be aggravated due to immobility. Gently massage the oil into your leg, using comfortable pressure and circular motions around the muscle areas and up-and-down strokes along the bones. Doing this before a warm bath or shower can help oil penetration and soothing effect.
Herbal compresses, like using a warm cloth dipped in decoctions of Dashmool or Triphala, may help reduce swelling. These herbs are known for their anti-inflammatory properties. You can prepare a decoction by boiling the herbs in water, straining it, and soaking a cotton cloth in the decoction to use it as a compress once it cools to a warm temperature.
Dietarily, ensure your consumption is warm, cooked foods support digestion and circulation. Incorporating turmeric in meals could aid in inflammation reduction. Drink warm water with a small pinch of dried ginger to help with circulation and reduce swelling.
Practicing gentle exercise or Yoga to re-establish strength and flexibility in the leg is advisable. Pavanamuktasana series may gently stimulate blood flow without overstrain. Make sure you perform these exercises with caution and only as far as comfort allows.
Finally, if swelling or pain persists beyond your comfort or starts to worsen, I recommend going back to a healthcare provider, for professional assessment. Healing takes time, and patience balanced with appropriate measures can support a speedy recovery.
