Pain after plaster placement

A 34 year old male had an undisplaced fracture of the midshaft of her left tibia. The fracture was treated conservatively with a plaster cast. 3 days after the plaster placement she presented with severe pain in her leg. Her toes are warm and pulses are present. What should be the immediate management?

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FRACTURE shaft tibia are best managed by fixation Conservative pop needs good length of time to relieve pain as hematoma and extravasetion is abundant which may get infection Fragment may not have in alignments Proper reduction is necessary Rx rest NSAIDs Serratiopeptidase Broadspectrum antibiotics

Thanx dr Kute Ankush
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Post traumatic Infection or Nerve compression pain. Check x Ray if needed refix or recast. BS antibiotics orally. Soluzyme TDS before meal Diclo+ PCM TDS Multivitamin and antioxidant orally. Complete rest.

Thanks Dr Kute Ankush
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? POST TRAUMATIC.. INFECTION.. ? NERVE COMPRESSION..PAIN.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. BSR.. X-RAY STUDY.. EXPERTS OPINION

Tnx Dr Shivraj Agarwal sir
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Post Traumatic Infections/ veinous compression due to plaster urgently remove the plaster and ask for USG of infected part and X-RAY, CBC ESR Blood SUGAR

The main complications of plaster cast are stiff joints, muscle wasting, and impaired circulation. Local complications of the cast can occur immediately or after a delay. Pain has many causes. This may be due to Tissue damage at injury or reduction Swelling within the cast Muscle spasm Pressure on blood vessels or nerves Skin irritation Plaster sore Detail examination will help to decide further treatment protocol according to above mentioned findings. Complications of plaster cast can be reduced by taking all precautions of application of the cast, keep a vigilant eye and making sure that the patient is well instructed about the care of cast that includes Application of the plaster cast should be done by a skilled person in the proper manner Patient, as a routine, should always be called for follow up examination the next day. Strict elevation of the limb should be instructed. The patient should report on every pain that is not relieved, swelling, bluishness or pallor of the distal part. The patient should be carefully examined in the follow up for probable complications of plaster cast

The main complications of plaster cast are stiff joints, muscle wasting, and impaired circulation. Local complications of the cast can occur immediately or after a delay. Pain has many causes. This may be due to Tissue damage at injury or reduction Swelling within the cast Muscle spasm Pressure on blood vessels or nerves Skin irritation Plaster sore

Reassurance burning pain or needle sensation for few weeks 40 percent reflex sympathetic dystrophic burning pain Or polyneuropathy

Obviously no vascular compression Can there be pressure on peripheral nerve ? Suggest removal of POP and reapplication