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Re: physiotherapy
As none of us have any real medical knowledge, you shouldn't take our advice as gospel (but I guess you know that!).
In my opinion, the whole "pushing it as far as possible before it hurts" doesn't sound like a great idea - it might very well be all that physiotherapy is, but still. Leave the cast off, but try not to use your thumb at all. It'll probably be used for things automatically (they're nifty little things, thumbs!) and ring the doctor to tell him you haven't heard from the physio. He might just have forgotten or something.
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