Conversation: The conversation between human and AI assistant.
[|Human|] Is it normal to get a tingling sensational pain near & below the small toe area when leg is a cast ? It s been 41/2 weeks since I fractured my bone that supports the ankle. Got 2 more weeks in the cast ! Feeling a sharp tingling nerve pain this morning ?? Could it be serious? are there side effects or signs when bone is healing ??
[|AI|]  Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in history about the tingling sensation, it is very uncommon until the cast is applied too tight. If the cast is applied too tight then the nerve is getting compressed and the symptoms of tingling is arose which needs an attention. In case if the cast is not tight, I will advise to undergo an MRI of the lumbar spine as, any soft tissue injury in that area will lead to pinching of nerve root and produce symptoms. Also, a vascular assessment is needed to cross confirm is any DVT is present for which a Doppler is advised. As, until a thorough neuromuscular assessment is performed the diagnostic tests are an optional. Based on the assessment the diagnostic tests will be planned. RegardsJay In Chat Doctor.