why does my broken foot still hurt
In 2012 winter I was around in socks. When I entered the kitchen my right foot slid forwards into the kick of the cabinetry. As I fell back my foot was caught in the kick of the cabinetry and essentially had nowhere to go. Snap. I hoped that the pain was just going to be a sprain as I lay on the floor for 20 minutes and quickly realized I had done more serious damage. I called for an ambulance. On arriving at the hospital the sock was cut off. The foot was more like a rainbow than flesh colored and the swelling was substantial. I was given nitrous oxide till an x-ray could be arranged. 2, 3 and 4 were fractured with the 3rd seriously misaligned. Due to the swelling which continued to increase it was determined that no corrective action could not be done at the time. I was placed in a heavy back slab plaster and was to return in 2 weeks once the swelling had decreased and was armed with pain killers. On returning the back slab was removed. The foot had swollen in the slab and with the foot exposed the foot was like a giant blister and still a kaleidoscope of color. Surgery was done to realign the 3rd
and the other two pinned into place with titanium pins. Back into a slab. I was required to return every 2 weeks for and monitoring. This was for a total of three months and throughout no weight bearing. At the end of the three months I was put in a moonboot as the x-rays showed healing was taking place, and sent to rehabilitation.
Throughout this time I was still experiencing considerable pain. I returned to the orthopedic clinic a number of times and my concern over the continuing pain was essentially considered to be psychosomatic. After four months I was finally seen by a junior doctor who actually listened to my concerns and ordered a. This revealed that I was still in pain because only 1 metatarsal had joined leaving the other two fractured. In addition there was evidence of osteonecrosis or bone death. More surgery was required to plate and screw the fractures and bone grafts were taken from my heel. Again back into casts and non-weight bearing. Of note the pain I had been suffering was greatly reduced for the first time in 8 months. I believe now if you are still in continuous pain then make sure the doctor listens to you. If they don't then find one that will. That pain is there for a reason that something is wrong. Please do not allow yourself to be fobbed off. After another three months I was back in a moonboot and more rehabilitation. I still suffer pain and regularly and take non opioid pain killers. Even 6 years on I still continue to have pain, not continuous pain but pain all the same. Toe fractures are common and generally heal well with little or no therapy.
Although the bones may take 3-8 weeks to heal, pain usually improves much earlier. Rarely, very severe fractures, especially of the big toe, may require a cast or surgery. Metatarsal fractures usually heal well. The first metatarsal (the one attached to the big toe) sometimes requires a cast or surgery and a prolonged period on crutches, but the middle 3 metatarsals can usually be treated with a rigid flat-bottom shoe and partial weight bearing. "March fracture" is a metatarsal stress fracture that commonly occurs in joggers and requires stopping for 4-6 weeks. The fifth metatarsal (the one attached to the pinkie toe) is the most commonly broken bone in the midfoot. There are 2 general types. One type is the proximal avulsion fracture. These are very common and usually happen at the same time as a. They heal very well with a rigid flat-bottom shoe or elastic bandage and weight bearing as tolerated. The other type is the Jones fracture, which is much less common but does not heal as well. This fracture gets worse with time if you keep walking on it, so non-weight bearing is very important. People with this fracture are more likely to develop problems healing that require an operation. Fractures at the joint between the cuneiforms and the metatarsals are called Lisfranc fractures.
These are rare, but can be difficult to diagnose and treat. Weight-bearing X-rays (taken while standing on the injured foot) are sometimes needed to look for this problem. These fractures sometimes require surgery. Navicular fractures are rare and most often represent stress fractures in young athletes. They usually heal well with a rigid flat-bottom shoe and weight bearing as tolerated. Severe fractures through navicular bone sometimes require surgery. Calcaneal fractures often occur in people who fall from a height and land on their feet. These people often have other injuries as well, so they should be examined carefully. The most common fracture of the calcaneus, the intraarticular joint fracture, usually requires surgery. Other fractures of the calcaneus can usually be treated with splints or casts and non-weight bearing. There are many types of Talar fractures, some of which are difficult to diagnose and treat. Lateral process fractures often occur from snowboarding injuries. Posterior process (Shepherd) fractures are found in athletes who dance or kick. The diagnosis of these injuries often cannot be made in the doctor's office or emergency department on the initial visit and require bone scans or other studies if symptoms continue. Treatments vary but often require splints or casts and a period of non-weight bearing.
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