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Anon asked...

Can I go on a long haul flight?

I am going on a long haul flight coming up in a couple of months. I am a 23yr Female, but broke my foot severely 18 months ago. It was a lisfranc injury/dislocation and I had 4 plates and a screw put in, these have since been taken out. I am no longer under any medical care for this and the only problems I experience are residual swelling and stiffness from being on my feet too long or walking too much, I also have a couple of slightly numb areas on my foot still, and gets tingly sometimes. My question is, should I be worried about my circulation on my flight? I haven't been on a long flight since and hadn't thought whether it would be affected or not. Thank you for your advice.

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The answer

If your foot injury is 18 months old and well healed, then it is unlikely that there will be much swelling or circulatory compromise now if you are fully mobile.

Without exact clinical details it is difficult to know whether you would be at increased risk of leg blood clots, although there is a theoretical increased risk if there has been damage to the circulatory and lymphatic drainage system of the lower leg.

Ideally it would be best to speak to your orthopaedic surgeon to get advice, although I would have thought it should be fine to fly now, provided there is no circulatory compromise and that you take the normal DVT prevention precautions e.g. keep legs moving, remain hydrated with regular water intake and consider compression stockings. In some cases it may be appropriate to take aspirin if you were thought to be at increased risk of leg blood clotting, although you would need to discuss this with your GP first.

Answered by Dr. A. Wright.


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