It amazes me hearing people promoting removing casts, cutting them back etc. The cast was tight - what, should it be loose? If this in regards to my post, yes it was too tight, thanks for presuming I'm an idiot. Everything is formulated to deal with the masses of stupidity. Laws, doctors whatever. My hand would throb within minutes, so I'd have to lift it above my head, and I'd feel the pressure release imediaty. If I was near the doctor who put the cast on, I'd perhaps have gone back for another. I've had 6 casts before this one on other breaks, so I know how they should feel, two of them were also Scafoids. Cumfrey that I used is known as "Bone Knit" and for good reason, perhaps google it. Because of tests done on a similer plant with some simler alcaloids or something, in the 80s it got a bad name to take internally. Sponsored by drug companies I'm not sure. There's hundreds of stories of how great it is. Including mine. My Scafoid was snapped in two, three weeks later no sign of anything on X-Ray. I would sit with my hand in the cast, or on my lap, if I was to get up for anything, I'd tape the cast back on, it had maybe 1/4 removed from the back. It's there to hold the joint totally imobile. So I did hold it totally imobile. Dudes using their hand with the cast on would do a LOT more damage. Just look at all the different procedures for different things, nothing is the Correct way. Perhaps I should have put more detail into how cautious I was, but I didn't want to ramble on, I figured people would presume I was. I cut the thumb part off - so now it's not a scaphoid cast and not worth a pinch of ****! Doctors covering their arse - yep, the prime training in medicine is not how to help, but how not to help. I also made comment "Do what the doctor says".
The scaphoid bone has one blood vessel supplying it. Unlike most everywhere in the body, that vessel enters the bone distally (the finger side) and therefore when the bone breaks it is the proximal (towards the head) end of the bone that can die causing complete loss of wrist stability, permanent arthritis and stiffness. Complete immobilisation is essential. Internal fixation with a screw is better. For every person who gets away with being their own orthopaedic surgeon there is at least one who regrets it. A broken bone causes a short peiod of disability in the overall scheme of things. Do what your surgeon says and hopefully (but not definitely) you will not have a very long period of disability, or worse.
