Ankle:Any advice on how to help with pain till i can get to casulty

Nutchopper

As i already stated i cant get to a + e tonight and i doubt my gp will be able to help but thanks for the help anyways

Oh well, look forwards to your 4 hour wait in A&E tomorrow

What I was actually saying is it's hardly an 'a&e' problem if you're going to wait 24 hrs before going..... can't be that bad.

Reply 21

Helenia

20

Your GP will probably do almost exactly the same as A&E would.

Reply 22

joyabbott

All A&E will say is what we've said above... so either go tonight, or not at all

In my opinion anyway!

Reply 23

viviki

14

joyabbott

Oh well, look forwards to your 4 hour wait in A&E tomorrow

What I was actually saying is it's hardly an 'a&e' problem if you're going to wait 24 hrs before going..... can't be that bad.

Could be. I remember being a kid and moaning about my arm for a whole week it was really swollen and painful before my mum took me to A&E (falling off my bike). Turned out to be a broken bone in my wrist. Mums a nurse too but she thinks I'm a big drama queen so thought I was just moaning.

Reply 24

joyabbott

However, you were a child when you broke your arm and probably less able to appreciate your injury!

Someone of this poster's age is very unlikely to have done anything more than a strain without quite a significant trauma (which I'd have thought they would have mentioned). Also, they are still able to weight bear.

So I agree, it's not impossible, but the probability of anything more serious is very low.

And if it is a fracture, it's better to get it diagnosed EARLY in case it needs reduction - hence they should go tonight.

Reply 25

Muse

13

joyabbott

All A&E will say is what we've said above... so either go tonight, or not at all

In my opinion anyway!

Yeah, I agree. If it's not serious enough to warrant an immediate requirement to go to A&E, it seems more appropriate for a GP / NHS walk-in centre, or even get a taxi to A&E straight away. Of course, they'll still treat you in A&E, but it's not there for future planning.

Reply 26

Ninja32

7

well i broke my ankle at rugby training on a weds nite, did fkall that nite
thursday stayed on sofa with rice
friday i finally went to A&E....WALKED to doctor surgery
then WALKED to x ray etc, then after x ray they were like ooooh its broken, we'll get u a wheelchair...thx

lol not trying to scare you, but it could be kinda bad, mine only bruised on the friday

Reply 27

joyabbott

Thank you Miles! I'm not talking to a brick wall after all

Reply 28

~NC~

OP

11

Hmm i suppose, i could get a taxi there, i never thought of that :frown:

Well i suppose off i go, thanks for all the advice people, ill keep you posted as to what i actually did. Thanks again for all the advice.

Reply 29

viviki

14

Nutchopper

Hmm i suppose, i could get a taxi there, i never thought of that :frown:

Well i suppose off i go, thanks for all the advice people, ill keep you posted as to what i actually did. Thanks again for all the advice.

If you've got the money then get the taxi definitely better to be safe if its that painful.

Reply 30

Muse

13

joyabbott

Thank you Miles! I'm not talking to a brick wall after all

You've obviously seen some of the less urgent cases turn up on ED rotation, then? :wink:

indeed ;-)

Nutchopper

Hi, i recently injured my ankle whilst walking on a DOE expedition, i did it on sunday, i cant get to casulty until tomorrow evening and i was wondering if anyone has any tips on how to help me survive the endless flights of stairs at school, i cant miss it due to exams etc, i dont know what i have done to my ankle, its very sore and bruised around the ankle bone and slightly swollen. As i said i cant get to casulty until tomorrow but is there anything i can do until then, i am taking neurofen but its not really helping, i would appreciate any help and ill keep you posted on what i actually did, any help greatfully appreciated.

If you oly did it on sunday as in yesterday, then actually you shouldn't be taking nurofen/ibuprofen, you should be taking paracetamol................nurofen is an anti-inflammatory but in the first few days after injury there is evidence to suggest that taking anti-inflammatories is actually detrimental to the healing process......................

Reply 33

joyabbott

I'm not entirely sure how widely that evidence is accepted... certainly not something I've come across before. - have you got a reference as I'm intrigued?

I'm all for anti-inflamms I'm afraid!

Reply 34

JackieS

11

joyabbott

I'm not entirely sure how widely that evidence is accepted... certainly not something I've come across before. - have you got a reference as I'm intrigued?

I'm all for anti-inflamms I'm afraid!

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15161166&query_hl=5
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11734496&query_hl=5

thats just a couple I skimmed through on pub med..............I dont have anything amazingly concrete, I was just told it in a lecture last week............we were just told its not advisable i the first 3-5 days, after that you can take them...........but provisional sources of painkiller treatment should come from paracetamol..................plus NSAIDS don't have the greatest GI effecs so you don't really want to popping them like they're sweets (I know you have to take quite a few to get that kind of reaction, but still)

Reply 35

Muse

13

I don't think a couple of recent papers, one of which involving rat experimentation, can be valid evidence for a statement such as "then actually you shouldn't be taking nurofen/ibuprofen, you should be taking paracetamol................" in a clinical context (!)

I can't access one of the journals for some reason, half the time I have to end up using my brizzle account as imperial college are skimpy when it comes to journals!

Edit: and sorry, i didn't read your later edit, you've diluted it a bit :wink:

Reply 36

joyabbott

Interesting

Seems a bit of a controversial topic, but interesting none the less!

--------------

If it was me, I'd take the risk and find my diclofenac

Reply 37

JackieS

11

Miles

I don't think a couple of recent papers, one of which involving rat experimentation, can be valid evidence for a statement such as "then actually you shouldn't be taking nurofen/ibuprofen, you should be taking paracetamol................" in a clinical context (!)

I can't access one of the journals for some reason, half the time I have to end up using my brizzle account as imperial college are skimpy when it comes to journals!

Edit: and sorry, i didn't read your later edit, you've diluted it a bit :wink:

Its not conclusive I know and there are quite a few more around on NSAIDS and # healing....................but whilst it isn't conclusive I thought it was interesting to mention it :smile:

Some would argue that although its not conclusively proven that it is bad for injury healing, its not been conclusively proved that it DOESN'T cause damage and you should therefore err on the side of caution..........

it would be interesting if they did eventually prove conclusively that it was bad for you, after all, docs appear to give out NSAIDs like sweets these days!

Reply 38

joyabbott

I don't think they do actually - I think doctors in general are now very aware of the potential problems with NSAIDs. The number of deaths per year they contribute to is massive.

Reply 39

joyabbott

I didn't say it wasn't possible

I just wish people would use A&E services properly - It's NOT a place for 'if it's not better by tomorrow, I'll go'. Generally, if you really need to seek help from A&E services, you should not be going to school, going shopping or whatever beforehand!

and then people complain about waiting times....

Sorry, it just really really annoys me

Ankle:Any advice on how to help with pain till i can get to casulty

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