Should I Wear My Cast Boot At Night?

[@bettycamacho7084]

Just finished week 5 in a boot cast due to 5th metatarcel break. I wore it at night the whole time mostly because it hurt not to wear it. My tip is don't sleep under the sheets especially if the sheets are tucked in. I slept on top and had a blanket over me that way my boot had free movement when I turned. I kept a pillow on either side of the bed at the end of my bed so when I turned I had a place ready to put my boot cast on. The first 2 weeks of the injury are the worst, the 3rd is meh and by the 4th week you are getting good with the crutches and you feel you are in the home stretch. Good Luck everyone!

[@TalkingWithDocs]

Great advice Betty. Thanks for watching and subscribing

[@emmel4fun]

I did the same thing. Found it too uncomfortable even with the soft cast to be in the sheets. I just lie on the bedspread and use a blanket with my injured foot sticking out.

[@Xvhqq]

Betty, I really hope you aint playin wit me right now. I’m 20, big into lifting, hoopin and I work damn near 12 hour shifts. This is literally day 1 of week 2 and I had a checkup today and they already got me in a boot. Idk if that was really the move tho because my foot was still to swollen to completely fit and it’s actually hurting more now 😅. And my actual injury, I broke two metatarsals on opposite sides of my foot, like the 4th and 1st or 2nd I think crushing my foot between a forklift and a metal pole🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️

[@eoco1868]

Thankyou. This is more info than I got at the hospital. I keep mine on all the time, bar ½hr in eve I take it off (with help of course) just to get foot washed and cream rubbed on leg. Refreshing!. Have made myself comfortable at night with extra pillows too. 😊

[@sengataylor9274]

Thank you Betty! I am on day 2 of the boot. I can’t wait for week 3 as meh will be so much better than this 😂

[@wesleamcghee1718]

I have broken my fifth metatarsal twice on my left foot. This time it is at the base, and it honestly hurts worse than the other break. I did not know whether I should wear the boot or not for sleeping. Loved watching your video and you guys are a hoot. I wore it last night and my foot was a little bit less painful today. I plan on keeping it on now for 23 hours and 55 minutes a day. Thanks so much for the information. ❤

[@meganhenry5795]

Someone else mentioned it, but it's brilliant advice. Sleep with light sheets because the weight of a comforter can hurt. Leave your sheets untucked.

[@tranquility9325]

You guys have made my night time so much easier wearing a boot! You said use a pillow case over it to protect the sheets, that is super CLEVER!!! Thank you!

[@TalkingWithDocs]

Yay Tranquility! Thanks for watching and subscribing

[@tranquility9325]

@@TalkingWithDocs you're welcome

[@traceysouth1047]

and maybe that would address my aversion to wearing this thing that I have to walk around the filthy neighborhood in because my dog will only go potty on a walk.....I'm 65 with rheumatoid arthritis /osteoarthritis and now an achilles tendon issue with severe pain. Dog is 15 and blind. We make quite a pair. But anyway if I put a pillowcase on it I won't have to worry about all the dirt & germs in my bed.. So thanks.

[@NickHope]

I have navicular stress fractures in both feet. I wore the boots the whole of the day for the first couple of days but I could tell I was going to get serious skin problems or if I continued. So itchy! Maybe the socks were irritating, or maybe I had the boots too tight. I'm now taking the boots off at night and when I'm at my desk. If you have to wear the boots at night, at least loosen and deflate them right off to allow the circulation that your bones need to heal. Covering them with a pillow case is a great suggestion. I can also recommend keeping a urinal bottle next to the bed, especially if you're taking the boots off and you don't want all the hassle of putting them off to go to the bathroom during the night.

[@kbc1883]

It seems advice on boot-wearing varies quite a bit. I have a 5th metatarsal Jones fracture and was told by the foot specialist that I don't need to wear it at night, but I am to be nonweight-bearing. In the UK they seem to have people put more weight on the boot earlier, in other countries (e.g. India) there also seems to be more advice to out pressure on it sooner. So I don't know that there is one agreed to right way.

[@Merichguy2]

You guys are so comical I love watching you. Wish you were my primary care physicians. Doctors with a sense of humor seems to be rare these days.

[@TalkingWithDocs]

Hi Rich. Doing our best to keep it useful and light. Thanks for watching and subscribing

[@staceyc509]

Yes they are very, very rare these days.

[@peaceandlove544]

You can take the airbooth apart, you are suppost to, and when you are resting in bed or in a reclinir wear the lining with the pump, keeps it in place without the heavy part. Still sleep over your covers and cover with something light. During day use a good shoe soul insert on your foot inside the boot and in your other shoe wear an adapter so both hips have same hight and you don't stress one and loose balance. Still use a cane. Or crutches. Depending on your strenght and stage of recovery.

[@maxineperkinswordsmith]

Best info hands down! Thank you.😮

[@tumbleweed57]

Have worn several boots. Lots of soft pillows to keep it from moving around too much. And also helps with swelling too.

[@TalkingWithDocs]

Good call You Rock! Thanks for watching and subscribing if you did

[@savannahsmiles1797]

my leg SWELLS badly with the boot...so strange, to get relief I take off the thing and life returns to a doable space.

[@urltima]

As someone who is active and has never broken a bone before - i went hiking and slipped in the mud, at first i told my friend "oh my gosh i think i broke my ankle" but after a few minutes i told myself i was overexaggerating and looking at my foot, it was still straight so i figured it was the worst sprain of my life. I really truly underestimated the time it takes for bones to heal, and i am losing my everlovin mind by being sedentary. Walking places is a freedom i did NOT appreciate before but now at week 6 of wearing my cast, im ready to bust out the damn thing, my foot is SCREAMING to stretch and move and warm up the muscles. And then another 4-6 weeks in my boot after 6 weeks of being casted? My god... ive been taking my calcium tablets with a prayer everytime because it NEEDS to heal asap or im gonna scream. 😂

[@TalkingWithDocs]

Hopefully less than 3 months. Hang in there!

[@elijahcube7063]

😂you’ve fully encapsulated how I felt my first few weeks in the cast. Had to get the damn thing take off after week 4 cos I couldn’t handle it anymore. Going for a walking boot now but told to not weight-bear on the foot at all for 6 weeks. Prior to fracturing the base of my 5th metatarsal I’ve been an active man in my late 20’s. I hurt my foot playing soccer, so having to be sedentary was crazy. Relearning how to navigate life with limited mobility and it’s been difficult, facing a possible 3 months of this is daunting but I’m hoping it takes a lot less time

[@ThrifterPicker]

You and me both. I’m at 4 weeks. How are you now?

[@SuperPhoenix06]

I have a ruptured achilles tendon. Please tell me.if all that I have read above applies to me too. Thank you in advance

[@Mepitbull111]

I slept with my air cast for four weeks before receiving a reprieve to take it off at night. I had a large pillow on top of our bedding to prop up my foot (toes to nose)and I had a blanket that I used over the pillow and myself. My husband was not bothered by my movements as he was between the sheets, and I was on top of the sheets. 4:04

[@284Winchester]

I’ve had my second insertional Achilles tendinitis surgery almost 2 months ago. I went from a cast to a boot today. My best advice is if you can comfortably sleep in a recliner do so. Also keep it elevated at night-again a recliner makes it easier to do this. Believe me taking the boot off and getting your foot hung up in the covers, a pet or small child jumping on your bare foot or waking up and in a period of grogginess putting your bare foot on the floor will pretty quickly show you why it’s best to keep the boot on 😬 At the hospital post op they gave me a piece of foam that is angled on one side that helps keep your foot elevated. I’ve learned to sleep with my foot in it at night. At times I will place a very soft pillow on top of it and then place my foot on top. This helps when you need a better angle or your leg is just tired of being at the same angle for a while

[@TalkingWithDocs]

Thanks for sharing your experience 284. Best of luck during your recovery. Thanks for watching and subscribing

[@bulliprapancham5070]

Hi: How long did it take for your full recovery? I am shortly going to have the same surgery; hence curious. Cheers.

[@284Winchester]

@@bulliprapancham5070 on my left one probably a year. On this second one I’m about 16 months in but I had a setback about 6 months after the surgery. I was released a year almost to the day but still had some minor issues. The next day I blew my knee out on that same side and it affected my Achilles because of how I walked, so I still have some discomfort and pain but it’s much better than before the surgery. I hope that wasn’t too confusing

[@claireOGB1206]

I wish you guys were my Dr.'s!!! I'm home recovering from a broken ankle & surgery. ugh. 4 weeks post surgery & you did a much better job of explaining the boot than my Ortho Dr. did. Thank you!!

[@TalkingWithDocs]

Now you know Claire!

[@denisemariner9755]

Buy a bed cradle, which, lifts the sheet and blankets up and off the lower part of the bed. Reduces the risk of getting tangled up.

[@TalkingWithDocs]

Good call Denise! Thanks for watching and subscribing

[@hexhex7220]

can I give you guys a double like? my 30 yr old daughter just broke her ankle in two places 3 weeks ago... aircast.... driving her crazy... sweating... suggest using a charcoal shoe insert to help keep foot dry, works great just watching this video has helped a bunch... and given us a little chuckle as well... thanks docs

[@TalkingWithDocs]

Hi hex. Hope your daughter heals quickly. Glad we could make you chuckle. Thanks for watching and subscribing if you did

[@hulahickey6959]

My surgeon said I could take the boot off to sleep but I found it more supportive/stable therefore more comfortable to sleep with the boot on at night.

[@TalkingWithDocs]

Yes Hula. We would agree. Thanks for watching and subscribing if you did

[@WelcomeToJ]

Tip for sleeping with a boot: PILLOWS! I've used about 5 different sized pillows, some just line the side of my bed until I need them, but I pull a couple in for sleeping on my side - I put one full-sized pillow between my knees and another smaller one just generally under the knee of the leg in the boot. I also have one setup to the side of the boot when I'm on my back so my leg doesn't roll to the side (which it has the tendency to do). The boot itself is heavy for my leg, so any support to take the weight/strain of it off my healing ankle when I move at night helps. Context: I have a minimally displaced (2mm) oblique fracture of the distal right fibula (Webber C). Only 3 weeks in and no surgery yet, but have an apt next week to see if the bones have shifted. Docs, would love your opinions on this fracture needing surgery - from what I've read, it's extremely rare for this kind of fracture to not require it?

[@TalkingWithDocs]

Good advice! Thanks for watching and subscribing

[@savannahsmiles1797]

The boot for me was UNBEARABLE. Heavy and confining and just made swelling WORSE. I have a spiral tibia/fibula fracture, a rod and screws...I try to wear the boot I dubbed wrecks, cuz it just has wrecked my life. It hurts when it is on, and my leg is SO sore, not from my nasty injury, but from the weight of the boot pulling on the staples, and overworking my upper leg. I am NOT allowed to let the boot touch the floor, NO weight on it, and my leg is SO sore from keeping it up, when I use the walker. TOO much pain. PT said NO boot while not up and about...surgeon said boot at all times. Compromised and if exiting the bed. I put on wrecks, for safety...while laying down no wrecks for comfort and to be ABLE to rest. Pain doesn't ALLOW healing, so my goal is to grow that bone back and get mobile. Swelling is worse thing I have to deal with. I am NOT on pain meds for other reasons, so coping with pain is a huge concern for me. Wrecks causes me stabbing pains from my ankle, when I don't have wrecks on, I don't have stabbing pains at all...Plus being so heavy I think it could pull my lower back alignment out.

[@rebeccawalker225]

@@savannahsmiles1797 Yes same with me. I am recovering from having hardware removed. I was shocked when three days post op they put me in the dreaded boot. It rubs on the stitches from my incision, causes my foot to swell and creates pain when I had non at all during the first two days after surgery. I am a rebel. I see no reason to be wearing the boot unless I am moving around (and I'm non-weightbearing, using a walker cause those crutches were a liability). So you have my sympathy/empathy. I plan to call my doctor tomorrow (it's December 26th so office is closed). In the meantime that boot will spend most of its time in the corner where it belongs! Good luck with your healing. You will get there. My break was pretty bad, but the bones are healed now. It did take a while. 🥰

[@aylemarshland5609]

Me too, lots of pillows!

[@m.taylor]

I found wearing the boot really heavy too and seemed to make my foot more painful prolonging the swelling so I was switched to a cast with a stirrup, which seems to be more tolerable despite my not being able to remove the cast briefly to wash my foot.

[@lovinglife419]

I was told, I could sleep without it, but I felt more supported wearing it. So I’ve continued. Sometimes I loosen it up, but over time I’ve gotten use to it. Only remove for cleaning and icing before bed.

[@TalkingWithDocs]

Very nice. Thanks for watching and subscribing

[@Bfly1993Health]

Man, I was in a boot for a month before I had surgery on my foot.... 6 screws, one plate, and a surgical pin later, then put in a hard cast for 6 weeks. I finally graduated to another walking boot for 6 more weeks, non weight baring. 😅 I was religious at wearing my first walking boot at night! And I had no say with the hard cast, obviously. But now I'm just ready for freedom! My ortho said I could take it off for sleep, bathing, and I could start stretching it out to regain some movement (I have so much atrophy in my calf and stiffness in my ankle!) I guess what I'm saying is, I agree with this but I'm also taking the boot off for sanity. It reminds me that I am so much closer to walking. 🥲 Good luck to everyone else here who is injured! Take it slow. You got this ❤

[@jordanb722]

[@richiegarcia4]

For a broken ankle, I can't sleep with the boot. If I do, the boot tends to flop to one side or the other which gives me a jolt of pain and wakes me up. I use an ace bandage instead. Since it's lightweight, I don't have to worry about my ankle flopping over in my sleep.

[@Sputnik2020]

I did the plantar fasciitis boot. Stick your feet outside of the end of covers so when you roll over in bed, your not all twisted up in blankets.

[@TalkingWithDocs]

Exactly Markyfishme! Thanks for watching and subscribing

[@legalisefreedom]

I broke my ankle 2.5 weeks ago and am a little over 1 week post op. With all the time on my hands, I've been going down the fractured ankle rabbit hole here and on Reddit. The most important thing I've learned is that it really does depend. Every ankle injury is such an individual experience. Hopefully I will be transitioning from a splint to a walking boot in a little over a week. Of course, I will listen to my surgeon's instructions but it's always nice to compare experiences.

[@Alvaradoxdavid]

Same lol

[@karendavis7880]

I broke my ankle/fibula and had surgery so I was wearing the boot to bed and sleeping with it elevated. What best worked for me was using a smallish throw blanket...enough to keep me warm but not enough to get caught up in...hope this helps someone...I'm finally walking...it's been a challenging recovery for sure!

[@TalkingWithDocs]

Thanks for sharing!

[@aylemarshland5609]

I have ankle fracture and my ortho dr asked me to wear at night and it has been fine. The tip of having that leg outside the sheet is good advice. I have a boot for outside and one for inside that seems more sanitary for the bed. It also helps to use pillows..... Thank you Drs I get alot of help from you. Know you are appreciated.

[@julietb5678]

Luckily, the many months I had to wear aircasts (three separate tendon tears at different times), I was able to take mine off at night after the first night or two. I found that after surgery, wearing a cast in bed was much more comfortable than a boot. I like your suggestion about using a pillowcase over the boot, because one thing I didn’t like was the Velcro straps scraping and catching on the sheets.

[@TalkingWithDocs]

Good call Juliet. Thanks for watching and subscribing

[@rickrussell3749]

Cory Hart says yes. Classic! I’m wearing a boot now- Achilles rupture. Thanks for the levity.

[@TalkingWithDocs]

You are very welcome Rick. Corey Hart will Never Surrender to the boot. Thanks for watching and subscribing

[@timhardman4764]

Just finished week 3 of 6 in the boot - vertical non-displaced fracture of the Medial Malleolus (that knob on the inside of your ankle....actually part of your tibia, 2nd biggest bone in the body and full weight bearing). Doc said I'd like to put you in a cast but if you are very disciplined you can wear the boot 24/7 for 6 weeks instead of the cast. With some things I am not disciplined but for this, I knew I would be very disciplined (67 yr old who loves playing pickle ball and I want to get back to it, fully recovered a.s.a.p. which = follow Dr. orders to the T and take your time with PT to recover and build muscles back up again). Any twisting motion of my ankle sent zingers of pain that were intense but short lived, gone as fast as it came. The twisting torque always happened when catching my toe or heel on something getting up from a chair or getting in and out of the car or turning over in bed and my toes getting caught up in the covers while rolling over. This was an issue for weeks 1 and 2 and not so much anymore at the end of week 3. I learned to push up on the covers with my good foot right next to the booted foot to make some space for the booted foot to turn with less friction from the covers above. Untucking the sheets is a great idea as well as using a blanket where your feet stick out so there is no restriction or interference from the sheets/blankets when turning from back to side position. Using a satin pillow case over the boot would help...especially with satin sheets. One or several of the suggestions above will make a big difference. I've worn the boot every night and I'm accustomed to having it on 24/7, it now feels normal to have it on and abnormal to take it off. Per Dr., while lying in bed, for 30 minutes a day I take off the boot, rest it suspended on a pillow and write the alphabet (in the air) using my injured foot to start stretching and using the muscles and tendons etc... My knee scooter has been awesome. Using a pee bottle was great at night so I did not have to navigate to the bathroom. Now I use the scooter. I was lucky to injure the left foot so I can still drive. This injury has stopped me from doing all sports and walking since I can't put any weigh on it but between crutches and the knee scooter and my desk chair on wheels with mostly tile floors in the house, I can still do pretty much everything on my own....it just takes a little longer to get it done. Good luck with your injury.

[@susandean8584]

Thanks for this informative video. I am currently wearing a boot cast for a stress fracture. Have you done a video on the causes, treatment and prevention of stress fractures? If not, I would love it if you could do one.

[@TalkingWithDocs]

Hi Susan we can add it. There are many causes but often it can be related to increased physical activity like running when in the foot. Thanks for watching and subscribing

[@marciaborg77]

My mom broke her ankle and was in a boot from Christmas eve day till Monday. Yes she followed the doctor's advice. She took it off at night and day worn it.

[@TalkingWithDocs]

Nice Marcia. Thanks for watching and subscribing

[@lindamartin6860]

Can’t stand weight of boot. Took it apart, put inside liner over my broken ankle and pumped it up. Surrounded my foot with pillows. Works well!

[@TalkingWithDocs]

Sweet Linda. Thanks for watching and subscribing

[@maryannbradshaw6658]

This is what I do.

[@maryannbradshaw6658]

The weight of the boot is too much to bear.My foot swells up and hurts like crazy. I use the liner over my ankle and pump it up. It works well just sitting around in a recliner too. The boot is way too heavy. When I start putting weight on my foot in about 8 weeks then I will start wearing the boot.

[@gracenorcott1]

Second foot surgery, several weeks in a cast, last 2 weeks in boot for physical therapy. Last time sleeping was terrible. This time I used an old couch cushion to elevate my leg. It supports below knee to foot and raises the foot several inches to take pressure off my back and knee. It works great for side sleeping too. A heavy boot lying on my good leg was so uncomfortable. Tomorrow is 8 weeks since surgery. I can start partial weight bearing next week. This surgery was more involved and requires longer non weight bearing. I’m really looking forward to using my surgical foot but I know it’s a slow process to get back to normal.

[@alidavalentinagosgnach700]

You guys make my day!😂🤣 the best sense of humour that any doctors can have! Love you guys! Be safe! 😊

[@TalkingWithDocs]

Thanks so much Alida.

[@christretch]

I am in an air boot, but do not sleep in it. I take it off to drive, wash, ice and sleep. I use the stent that the ER made me with wrap on my ankle and around the stent to sleep.

[@TalkingWithDocs]

Hi Jacqueline. Sounds reasonable. We believe you mean splint not stent. Thanks for watching and subscribing

[@Kolobkova]

If your right leg is in boot, you can sleep on left side and put memory foam pillow between legs to support leg in boot.....

[@TalkingWithDocs]

Nice. Thanks for watching and subscribing

[@Sunintheam8]

I just had Plasma Rich Platelet Therapy for two tears in my Achille's tendon. My doctor said I have to wear the boot ALL THE TIME 😢. I feel like I am trapped. I consider myself to be a strong person, but this is kicking my butt.

[@TalkingWithDocs]

Yeah it's hard for sure. Hang in there

[@harsha6381]

I have a fibula crack close to my ankle. I wear the cast at night too. Find it’s really better if I keep the cast out of my blanket. That way it doesn’t get caught in the blanket when turning sides. Also it’s cooler that way. Sleep better.

[@TalkingWithDocs]

Good idea. Some people cover it with a pillow case of something else that won’t get caught up

[@JB-yi1ox]

2 wk post op. Just got staples removed. Ive got the boot off period. When im in need to go out of the house ill put it on and treat it like a cast. Ive got minimal pain if any and movement issue due to being in a cast / brace. It feels fine and honestly if it feels different at any time that i think i need to wear it 24/7 i will. I just want to promote freedom...cheers.

[@brendad4260]

when my nephew was 15 and had to have neck fusion for a fracture he decided to try skate boarding with his neck brace and ended up breaking his arm. He followed the instructions to leave the neck brace on at least. Apparently wasn't told not to skateboard

[@TalkingWithDocs]

That is a crazy story Brenda. Kids are awesome. Thanks for watching and subscribing

[@FTLLC]

I've been told to keep my leg elevated as much as possible, therefore when sleeping I generally do not move at all at night- with my leg and a boot a top two pillows

[@TalkingWithDocs]

Very nice

[@dianefarias5207]

Over it with a satin pillowcase so it doesn't drag against the sheets

[@JennyBeeAMDG]

Currently on my 9th week in a CAM boot for 2 stress fractures on my 3rd Metatarsal and another stress fracture that developed on the 2nd Metatarsal while wearing my boot for the previous 2. I seriously believe THE only reason I have started to heal is because I have assigned myself the Cross of wearing my boot at night. One of the ways I cope with my boot at night is by sticking a pillow between my two feet whilst laying on my side. The pillow helps to protect my Right foot from my Left and evens out my hips/back a bit as well.

[@TalkingWithDocs]

Nice Jenny. Good luck. Thanks for watching and subscribing

[@kevock7100]

I use a body pillow and being a side sleeper it was on top of the pillow, but it doesn’t matter because the first three weeks are the worse with any operations I have had concerning the bones. Total Ankle replacement, bilateral knee replacement and shoulder replacement, it all came from 35 years in the Army, and I had the operations once they finally medically discharged me.

[@TalkingWithDocs]

Wow thanks for your service. All the best

[@lindseysharon259]

I’ve had multiple surgeries resulting in wearing a cast. The biggest game changers for me was buying one of the nice, concave, elevated pillows and buying those special diabetic socks that are extra stretchy. I had a below the knee cast, so the socks were long enough that I could fold them over the top of the boot to keep them from slipping down. They were way more comfortable than normal socks or even the knee high sock that came with the boot. They are absolutely worth picking up if you’re injured. My nephew (thigh high boot) bought some after his surgery as well and said they really helped.

[@TalkingWithDocs]

Thanks so much for sharing

[@CapybaraCM]

Just came home 2 wks Post Op and found that on Amazon. So much nicer to have concave place for leg and know that it's unlikely to roll off a pillow in middle of night. It was almost "too" elevated though ;-)

[@carolynbrowning6194]

Can anyone tell me if it's necessary to keep foot elevated all night? I just had surgery today. Almost 4hrs..I've got 4plates and 16screws. I'm worried when numbing wears off how bad my pain will be...but I can't sleep with my foot elevated. It's my left foot and I sleep on my left side. 😔

[@teresagardner6914]

I had bunion surgery 4 weeks ago, I am going nuts not bring able to do the simple things. Walking around the house, doing dishes…. I sleep with the air cast on. I have 2 wedge cushions under my leg which helps me not to move around while I sleep an added bonus is no back pain when I wake up.

[@triplethreatyes]

Have never worn a boot but had knee replacement surgery and used a bed wedge pillow. That may help.

[@TalkingWithDocs]

Good call FAB ULOUS. Thanks for watching and subscribing

[@joshuaduncan369]

I recently had brostrom procedure to repair my atfl and cfl and syndismotic repair now I'm out of the splint and cast and now I am in a cam boot. When it comes to sleeping with the boot on I leave my ankle that was operated on out from under the covers and it helps a lot cause you don't have all that pressure on your ankle

[@TalkingWithDocs]

Very nice Joshua. Best of luck during your recovery. Thanks for watching and subscribing

[@lisamac6661]

Put it on a soft pillow to cushion it so you are not hitting it with your other leg.

[@staceyc509]

My advice is propped up and something to help you sleep. Thankfully this time I have a awesome purple mattress adjustable bed but the last few times (EDS patient) it was a recliner and a pillow underneath my leg. Hopefully after I heal from the internal brace surgery and a couple of repaired ligaments I won't have the issue atleast on this side. Another trick atleast for me is use a shower chair and take a nice long shower to get a bit more of a break. For about 15 mins before I go to bed I also prop my leg up and open up my boot to relax before I strap it back up to sleep. I do not remove it but give it a quick breather.

[@TalkingWithDocs]

Good advice Stacey. Thanks for watching and subscribing

[@AvalarProductionsInc]

Great idea. I take mine out for a breather too. Hope you're doing well by now.

[@user-np7gp3en3i]

I wore my boot to sleep always when I had this fracture, "avulsion fracture involving the medial aspect of the intra-articular metaphysis proximal phalanx left fifth toe with 2.5 mm displacement. The fracture fragment measures approximately 3 x 3 x 3 mm." I just did a nice avulsion fracture of great toe very top bone. ( hallux distal phalanx fracture). I wrap it with ace bandage supporting toes together so they can't spread. Then wrapping as if ankle is sprained. Then put it in an orthopedic shoe. I wear the big walking boot during the day. The great toe fracture pain is very minor in comparison to when I broke my fifth toe.

[@TalkingWithDocs]

Hope you are doing well I. Thanks for watching and subscribing

[@Mel-yh8yn]

You guys are hilarious 😄 & love that you quote Seinfeld! Don’t stop your videos!

[@TalkingWithDocs]

Hi Mel. Who doesn’t love Seinfeld! Thanks so much for watching and subscribing if you did

[@bluedragon2527]

Thanks for clarifying the "why" it should stay on. But does it need to stay elevated?

[@TalkingWithDocs]

It should Blue Dragon. Helps with pain and swelling. Thanks for watching and subscribing

[@kimberlycraig5896]

Thank you for the quick response. You guys are great!!!!!! 😃

[@TalkingWithDocs]

Our pleasure!

[@necessarypassion0328]

Just got my boot after having cast removed yesterday. I slept in the boot yesterday. Called to ask if I can sleep without it but didnt get a call back. Def trying tonight. Fingers crossed

[@CapybaraCM]

Is the main difference between the removable and resin casts just removability? Are the boots still as effective as resin cast with final outcomes? Great idea with the pillow case around boot. Thx. Seeing Ortho 36 hours to get staples out from IM nail insertion and hoping I can convince him to trust me and I can wear removable cast/boot. Thanks for terminology of "compliant/non-compliant" so I can impress upon him I'll be compliant and wear it 23:55/day!

[@TalkingWithDocs]

Hi Chris. Yes equally effective. And yes you will wow him!

[@bryanutility9609]

I continued to lift weights in my boot, including deadlifts.

[@TalkingWithDocs]

Very nice Bryan. There is a lot you can still do. Thanks for watching and subscribing if you did

[@bryanutility9609]

@@TalkingWithDocs I mr also too 6 months & bone stem. broke the sameq 5th metatarsal last week but up higher so it’s more risky fracture. I’m not supposed to stand or walk for six weeks. Then i can walk

[@PapasDino]

As someone with a "broken ankle, second award" (stupid rock I landed on during a parachute jump) I would love to have had a air-cast! Terrible to have grown up back in the dark ages! ;-)

[@TalkingWithDocs]

Yes Dino technology has helped us a lot! Thanks for watching and subscribing

[@kalijasin]

"rock I landed on during a parachute jump". That was stupid 🙈

[@MechanicMark613]

Wearing it at night mentally will give you a better night sleep

[@TalkingWithDocs]

For many that's true

[@Antdadon11]

False. Im currently a week and a half in and i haven't slept good yet. I tore my Achilles.

[@BeanDar]

For me cleaning it is the hardest thing before going to sleep. It is so gross.

[@anthonypierre2094]

Had bunion surgery and after the 1st week and a half I couldn't take it. I have been very careful, I told my doctor he was on with it.

[@jaytibbles2223]

Is it true that Canadian Geese can no longer honk when flying over Qttawa?

[@TalkingWithDocs]

Hi JAY. It is a crazy time here when people feel like they can impose their will on others rather than simply peacefully protest. What a mess. Thanks for watching and subscribing

[@emjaydark2811]

@@TalkingWithDocs How strange to come here with a broken ankle and read about the dictator in the government, from 8 months ago, and still he is here and still the dictator.

[@nickycoppini]

Brilliant Docs i am in week 3.5 and all u said is spot on. Bravo and thank you for reasurance.

[@TalkingWithDocs]

You are so welcome and best of luck!

[@cathydavis1817]

4 Weeks ago I had a right ankle replacement because I broke it in 2018 and was no cartilage left I was in a splint, wound vac and was wrapped in gauze and a ace bandage had that for 2 weeks now in a tall boot and only for standing. I do take it off while resting and at bedtime, this Wednesday I go for my 3rd follow-up and I hope the Surgeon says I can walk slowly with my walker and I know she said at last visit PT will start next week. This is what scares me I have no feeling in the bottom of my foot and some numbness throughout my foot. Still have quite a bit of pain pins and needles and can’t wiggle my toes. My skin it tight too I’m hoping that PT helps with these issues. I’m a senior and healing does take longer. I am hopeful and optimistic that in time I will be back to normal and I can have my dog back , my brother and his wife are taking care of him while I’m laid up. I’m sad and lonely without my dog. That’s my story. Thanks.

[@jumurph2618]

I’m paralyzed from knee down with severe foot drop, can I wear the air cast because it seems safer than the knee cast they gave me???

[@TalkingWithDocs]

Some people use it. Need to make sure there are no pressure points

[@rodolfocruz6855]

I wore it but i had it out of the covers and had 2 pillows. One to raise my boot another to keep it in place

[@GreggBB]

It seems odd that folks would not follow directions for post-surgery. Talk about counter productive. I think "it depends" is a very logical answer. Everyone is different, and so many situations are different as well.

[@TalkingWithDocs]

For sure Gregg. Some patients just don’t listen. Thanks for watching and subscribing

[@familychannel4life242]

In my personal experience, my ortho was a super quick visit with minimal info and lacks in the calling back department.

[@larrydavis1841]

Good info. Just got my aircast for a fractured tibia. It’s pretty heavy. Someone should make it lighter because it would e much easier to sleep with it on.

[@jayj3990]

I dance to your few seconds of music at the beginning, love it. 😁😁 always a great show.

[@TalkingWithDocs]

Thanks so much Jay. Thanks for watching and subscribing

[@khanimed7513]

Can I take it off to shower in the first week?

[@IvisMFernandez]

Drs: I used to have a lot of pain with my boot (hinflable) like a month with the pain, in my clinic SANITAS medical center in Miami they gave me the boot but no paper instructions and a they only spoke few indications. The consequence Was I did not inserted the boot on the proper manner i don’t even know I have to used red ball to hinflate the boot. The boot wasn’t tight properly to my foot during in a month . I went to orthopedic and they showed me how to hinflated the boot ….but I inserted my boot hinflated and I did not insert the brackets and the pain continue, when At 5 weeks I decided to watch videos and I realized the process I used to do wasn’t right either and today after almost 7 weeks I know how to put my boot and I think the wrong manner to insert the boot affect my fracture. My ct scan is in 15 days and let see how wrong is my ankle after all this.

[@TalkingWithDocs]

Fingers crossed everything is ok for you

[@dianebusch7405]

I wish my doctor had told me that and now 10 weeks later my ankle is still not healed.

[@Sisu2280]

Hey docs... What's the go? Post ankle ORIF IWBAT or even EWB is proven to have no drawbacks in the literature. Yet, no one is prescribing it at the practice level? All these people stuck for 6-10 weeks without walking, then learning to walk again for another few months even when the science states the opposite is safe and effective???

[@anitaarmstrong5583]

You two make my day 🤣😂. Another great video. Be safe docs 🙏

[@TalkingWithDocs]

We are very happy to do that Anita! Thanks for watching and subscribing

[@alphadog5274]

I couldn't put the boot on the first 3 weeks if I wanted to, believe I tried. The swelling was insane from the knee down. Grade 3 sprain, avulsion ankle fracture and 5th metatarsal break(jones fracture, fell down the stairs. Once the swelling was somewhat less, I couldn't flex my foot without it feeling like it was fire and spasming like crazy. These last 4 & 1/2 weeks have been interesting. I go back next Friday. I'm hoping no surgery but we'll see

[@onedominant]

Well, it seems I have gone and fractured something in my right foot. I've ordered an air cast boot that should arrive soon. Until then, I'm lacing my foot tight into a hiking shoe and walking only on that heel, not flexing the foot ('cause it bloody hurts). Meanwhile, I see no way to drive myself to work and back with the boot on. Hoping that using the hiking shoe for the commute will minimize any risk. The job doesn't care. Such is life. The next 4 to 6 weeks should be highly unpleasant and inconvenient. Oh, and our offices are relocating next week - every desk, every chair, every file, and nick-knacks too - about 70 boxes. This should be a joy.

[@sarahcassidy1787]

Can you do a talk about waterproofing the boot because that's the biggest issue for my son ... taking a shower and keeping the boot dry.

[@RapFanatic4ever]

Thank you I just got one 2 days ago because Wednesday night I kicked I stubbed my toe on my computer chair and I found out from Urgent Care I fractured my pinky toe . So I guess I should wear it all the Tims for a couple of weeks

[@TalkingWithDocs]

Primarily when up and walking. Some people wear it at night. Best of luck

[@RapFanatic4ever]

@@TalkingWithDocs how long will I have to wear it

[@latashathomas4239]

I have a high ankle break. 3 plates. I just got a boot and my doc gave me the go ahead to sleep without my boot because I have so much hardware, it's highly unlikely that I'll undo this. I'm still non weight bearing though. I wake up in the middle of the night and put it back on though. I'm glad to have the option. This is another progression in the healing process.

[@TalkingWithDocs]

Slow and steady. Hang in there. Thanks for watching and subscribing

[@sarahabston5098]

I went from a splint to a boot don't seem right

[@TalkingWithDocs]

That's not uncommon

[@NicoleGuzman-oj5fx]

Yeah, I have to wear mines for 4 to 6 weeks too😢

[@NicoleGuzman-oj5fx]

I’ve broken my arm once, but breaking fracturing, your leg is worse

[@TalkingWithDocs]

Sucks

[@NicoleGuzman-oj5fx]

@@TalkingWithDocs omg you replied

[@BethWeber-z8r]

I have a severe heel fracture and am in month 5 of an air boot. When is this going to be over?

[@annahui9919]

Always Enjoy seeing you two Drs thx you.

[@TalkingWithDocs]

Very welcome Anna. Thanks for watching and subscribing if you did

[@Brittany.Anderson]

I have had multiple broken bones. My first known broken bone was my left kneecap and it was a really bad break. My only other known break was my left foot which was a very simple break. I followed my orthopedists advice from when I was in a knee brace and had problems related to being in it. In order to not have any issues with being in the boot. I also followed my orthopedists instructions starting on week 3 of having the boot. The 3rd week I was able to start walking on my foot and I started walking some barefooted close to the 6 week mark. I saw my orthopedist at like 6.5 weeks and I was asked if it hurt for me to be barefooted and I said no and I was done with everything.

[@TalkingWithDocs]

Wow Brittany be careful. Thanks for watching and subscribing

[@kayslowey-sly6255]

I enjoy your videos no matter what the subject! Your subscriber numbers are really growing! Blessings…

[@TalkingWithDocs]

Thank you so much Kay. Thanks for watching and subscribing if you did

[@esedman157]

I just spent 8 weeks and 2 days in a cast and boot combo after surgery. My dr gave me permission to sleep without it today. I’m still going to be cautious at first though. Orif fibula multiple fractures with 11 total screws and tightrope

[@kristinaholody6814]

I just broke my ankle and had surgery five weeks ago. I am in a walking boot still can’t put no weight on my foot. Let me tell you this boot is hell to sleep in. The pain that I’m in at night because I can take it off during the day and do my exercises like my doctor wants it’s unbelievable I get sharp pains and it jerks my body that my doctor says I shouldn’t be in any pain so I don’t know, but I put my boot on before I go to bed and I sleep with it. I go back May 22 to take x-rays to see how it’s working but I broke the ankle and I broke the leg so I’ve had a fun five weeks.

[@TalkingWithDocs]

Wow that’s a lot. Best of luck

[@bbqsauce2865]

Is there any pain long after a fracture in an ankle is healed?

[@TalkingWithDocs]

Yes Bbq you certainly can. Often relates to subtle damage from the injury itself. Thanks for watching and subscribing

[@bbqsauce2865]

@@TalkingWithDocs is the pain garunteed or is there a chance for that to happen?

[@kanoodle801]

i have a fractured foot, and the doctors told me that i NEED to wear it to bed or else it ain’t heal properly.

[@TalkingWithDocs]

Yes we often advise that as well. Thanks for watching and subscribing

[@neonsunset-1701]

I had both a spiral tibial fracture and a lateral malleolus fracture. A rod was inserted in my tibia, and I had a plate on my ankle. I was told that the Aircast had to stay on while I slept, so I found that I had to sleep on my back to be more comfortable. . . and propped up slightly so that my back wouldn't spasm (I guess I needed a better mattress). After a couple of months, I was told that I could sleep without the Aircast on, and I was overjoyed that I would finally be able to sleep on my side again. However, when I tried to sleep on my side without the Aircast, my knee and ankle would bother me too much, so I would have to use a pillow underneath them. It wasn't a fun time!

[@TalkingWithDocs]

Oh man Neon. Hope you are ok now. Thanks for watching and subscribing

[@neonsunset-1701]

@@TalkingWithDocs It took a while, but eventually I didn't need a pillow to cushion my knee and ankle when sleeping on my side. 😊

[@joyous8248]

My 1rst Spiral right leg fracture .. I wear my boot all the time because I’m afraid I’m going to do more damage to it .. tomorrow ortho surgeon will tell me if I need surgery 😣😮‍💨

[@TalkingWithDocs]

Good luck!

[@joyous8248]

@@TalkingWithDocs ty .. well ortho surgeons said definitely need surgery …. Not only a spiral fracture but I also damaged my ankle bone & long recovery 😮‍💨….

[@Bearamirez-l6f]

I had a anckle replacement 4 weeks on cast what comes next please

[@TalkingWithDocs]

Sometimes boot. Sometimes partial weight bearing. It can vary

[@Drochild]

Hey Docs. Not sure if you'll see my question but im in desperate need of help and no orthos in the area can find a solution. I wore a walking boot for way too long (3 months). Now its been a few years and although the initial injury has healed ive had hip and knee pain ever since. My feet dont fit in shoes anymore either. Any advice or direction I should go?

[@serena7397]

Doctor Knows Best!

[@TalkingWithDocs]

That is funny Serena. Thanks for watching and subscribing if you did

[@serena7397]

@@TalkingWithDocs I'm subscribed! 💙💙

[@isaacstoeckel6301]

I just got two fractures on my ankle and I am chugging milk down endlessly. I have three questions: 1 do you need to have the foot elevated when sleeping? 2 can I Ice it while sleeping? 3 do you need a sock on the foot or will it make no difference at all? I am a teenager and am VERY worried. Help appreciated

[@peterperez6006]

Yes keep your ankle elevated at sleep as well. Don’t ice it at night as you sleep as you won’t be able to feel any discomfort of there is any. Wear a sock if your comfortable with it whatever works for you .

[@TalkingWithDocs]

Hi Isaac. Don’t worry about the milk. Balanced diet of lots of leafy greens and nuts. Elevation helps with pain and swelling. Shouldn’t ice while sleeping as you could get frost bite. Sock is not mandatory but better to absorb the sweat. Thanks for watching and subscribing

[@TalkingWithDocs]

Thanks for sharing your thoughts Peter

[@NancyPerozzo]

Thank you for this session. I have a Achilles rupture and have a question about support during sleep that I’ve been unable to find an answer for. Is a customized, splint cast (partial, ie open front) held in place by tenser bandages a possible replacement for an air cast overnight? I was fitted for the splint cast, with downward toe slant in the emergency department at the time of the injury and a few days later transferred to an air cast. I still have the plaster cast available. I’d appreciate finding information on this option. Thanks.

[@funkynerd1679]

Look up Thetis achilles rapture night splint. Been using since I moved to Vacoped boots.

[@willardbuchanan9122]

Try wearing a full metal locking brace at night get you fractured the plateau severely and tossed turned all night and smack your leg with the brace yeah that doesn't feel good

[@TalkingWithDocs]

For sure willard. Thanks for watching and subscribing if you did

[@Brineytoes]

I had a surgical repair (plate and screws) of my FIRST metatarsal (everyone only talks about the 5th!) comminuted fracture. It’s not going anywhere, right? I have a big dressing, and the boot HURTS. I’m not wearing it except when I have to engage in activity where I might fall. So do I still need to wear the boot?These bones are going nowhere. I am in a wheelchair or on the couch 24/7, not on crutches because I am legally blind and must walk with a blind cane. All Indomis transfer from wheelchair to toilet and back, and the couch and back, for the duration.

[@psage88139]

Great video and thanks for the chuckles. I wear my sunglasses at night so I can See the light that's right before my eyes! I’m in a boot after rolling my ankle and possibly breaking the bone where the ligament attaches. It’s my first night, so thanks everyone for your tips and tricks. If I can’t sleep I have Corey Hart’s song in my head I’ll be singing. Lol

[@TalkingWithDocs]

Perfect Pamela. Thanks for watching and subscribing

[@TaniaShopper-r3n]

My ankle fracture hurts in the moon boot especially after sleeping. I have a pump up boot. It’s hurting me. I’m about to ask for a cast. I’m getting so much pain!

[@teresamarcantuoni]

I have broken my 5th metatarsal and ripped my tendon, I’m in the second week, but I have no pain at all and I hate wearing the boot at night in fact the only pain I have is from the boot I find it so claustrophobic when I wear it, I absolutely hate it, but I feel fine without it and no pain at all but I put it on when I leave the bed is that really bad?

[@gangstafish25]

I had a complete ankle replacement. Tomorrow is boot day. I have a wedge pillow. Should I wear the boot at night?