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Fractured toe 4 months ago
I am a 39-year-old healthy male. Four months ago, I was walking past a brick structure and hit it with my bare foot. The toe next to my little toe was obviously broken, as it was twisted upward and toward my little toe. I visited a walk-in clinic on that day, in which the doctor x-rayed, set, buddy-taped, and x-rayed it again, then gave me the usual 4-6 week diagnosis. She didn't say anything about joints being involved, and also to the best of my knowledge it was only a broken phalange.
Here' am, four months later, and still on crutches. My whole foot swells up and turns an in-depth reddish purple if I let it rest down for just about any amount of time, even if I sleep, so I keep my foot elevated above my heart constantly when I'm awake.
About three(?) weeks before I got the crutches, I hobbled around on my small heel having a cane. Since I've heard of people walking having a broken toe and my doctor merely explained to wear supportive shoes, it seemed ok to do that at that time, but I'm wondering if putting the pressure on my small heel affected the healing time, as well as made the injury worse.
I did a lot of research on this, but I'm still tied to the following questions: Could it be totally uncommon for a toe fracture to take this long to heal but still cause purple swelling of the whole foot? Also, can walking about the heel for some weeks immediately after the injury affect the healing time of a phalange? Could my doctor have missed something in her diagnosis?
Orthopedic specialists wouldn't take me with no referral, so since i have do not have a medical professional, I visited a walk-in clinic yesterday evening. They took full-foot x-rays, said my bones had a moth-eaten appearance, provided possible causes including vascular, bone infection, osteoporosis, and cancer, and set in his diagnosis that my first metatarsal was fractured, even though he explained it might be a sesamoid bone he was seeing on the x-ray. They called ortho very first thing this morning to schedule an appointment, then called me back and said I desired to go to the ER instead, because ortho couldn't perform all of the tests I desired.
The ER doctor didn't realise why I had been sent there rather than ortho (I suspect it having connected with me lacking insurance?). They took my blood pressure, my temperature and drew blood, I showed him the x-rays from last night and the ones from 4 months ago, answered a couple of questions as they pushed in various places, then the ER doctor said he saw a memory foam specialist walking around and took the x-rays to exhibit him.
Before Time passes further, a couple of the places Personally i think pain are between my 1st and 2nd toes and my heel, but only when considerable pressure is applied.
After he came back from talking to the ortho specialist, he said he was confident it was reflex sympathetic dystrophy which the specialist agreed. Next he said the specialist didn't visit a problem with my bones,[url=http://parajumperssalenorge.albirank.net/][b]Parajumpers Long Bear Online[/b][/url], so I guess this means both teams of x-rays were underdeveloped, since the ones from 4 months ago seemed to have this same "moth-eaten" appearance after i compared the two sets.
Once the blood test returned, there is no sign of infection. However, I'm not sure when they were only checking for bone infection,[url=http://woolrichoutletde.albirank.net/][b]Woolrich Damen Parka[/b][/url], or if soft tissue infection would show up in the test they ran.
The ER sent me home having a prescription for Anaprox, explained to follow along with track of the doctor from last night (who had me quite worried wonderful his possibilities), and said I would need physical rehabilitation and a neurologist.
Coming home and reading up on it online,[url=http://duveticamen.blogspot.com/][b]duvetica men[/b][/url], I don't trust the ER doc's diagnosis. My foot doesn't sweat, nor will i feel pain unless there is pressure applied, and I haven't felt the burning sensation. My condition hasn't progressed in most this time. It has merely stayed the same, aside from the fact that I used to feel pain in the area of my initial fracture after i moved it, until just a couple weeks ago. I'm wondering when the ER doctor couldn't know enough about reflex sympathetic dystrophy or didn't focus on my answers, and perhaps was too suggestive when he spoke using the orthopedic specialist. Unfortunately, I didn't witness that conversation to know what was said.
Also, you have the issue of the clinic doctor's diagnosis of a fractured 1st metatarsal, which might be a sesamoid bone he was seeing (the ER doc said hello was a sesamoid). I actually do feel pain there when pressure is applied, however i can't conceive associated with a way possible I could have fractured anything in that area. Can it be my flexor hallucis longus tendon that hurts there when it is pressed, and what about my heel?
Sorry for asking so many questions, and many thanks for your help so far.
Yesterday I tried standing, gradually applying pressure towards the injured foot until there was equal pressure on each foot, and felt intense pain in my ankle or heel, I'm not sure which. Also, when I visit step forward on my small injured foot, Personally i think similar pain during my great toe joint where my toe connects to my foot. I can move my ankle and toe in a direction also it never hurts; however the more pressure I put on either area,[url=http://woolrichoutletdeutschland.halod.com/][b]Woolrich Damen[/b][/url], the more it hurts, being intense basically put enough pressure on it just to walk.
Today, my knee hurts if I lift my knee toward my chest from a sitting position. I simply noticed this symptom today, and so i decipher it has connected with standing yesterday. My ankle and toe joint feel the just like yesterday, moving feels ok, but applying pressure hurts.
As a reminder, I hobbled on the cane and my heel for a few weeks after my toe fracture; next, I made use of crutches without applying any pressure whatsoever on my injured left foot or my left leg for the rest of these 4+ months, keeping it elevated constantly everything time.
I really want to see a professional to properly diagnose my problem(s), but the orthopedic specialist wouldn't take me due to lack of insurance when my doctor attempted to set an appointment. So, I'm tied to trying to get whatever free advice I can get for now, in hopes will be able to get medicaid after i apply next week.
I additionally attempted to take pictures of my x-rays having a cheap camera,[url=http://billigmonclerjackenkaufen.olimx.com/][b]Moncler Jacke[/b][/url], which I'm sure you realize could be a daunting task. The standard isn't exceptional, but I'm posting them in case it will help for these post. I kept different shots of each one, because they show more or less details in different areas.
For other people who may find these details useful, some tips about what happened.
After breaking my toe, I hobbled around on my small heel with a cane for a few weeks, as mentioned during my first post. This caused unnatural technique injured foot and it began to cause pain during my heel along with other places of my foot that weren't broken, and so i switched to using crutches with my injured foot off the floor, and continued using crutches by doing this for around four more months, not using the injured foot at all, since the pain never disappeared. The toe itself, however,[url=http://duveticaukoutlet.halod.com/][b]Duvetica Outlet[/b][/url], was fully healed,[url=http://discountnikesoccershoes.webmium.com/][b]Discount Nike Soccer Shoes[/b][/url], albeit a little crooked because I didn't go back for your initial one-week followup after having the fracture reduced (set) and my toe buddy-taped.
The pain in weird places ended up being Complex Regional Pain Syndrome (CRPS), otherwise known as Reflex Sympathetic Dystrophy (RSD). This can be a condition from the central nervous system that can occasionally occur following a relatively minor injury, usually once the injured limb is used unnaturally due to that injury. Mistake #1 was using the cane improperly and keeping my toes started when I hobbled around on my small heel.
The moth-eaten appearance. remember, this is after four months approximately of not walking about the foot at all, suspending it up while I walked on one foot and two crutches in that whole time. That's right, bone atrophy. It had been porous since it hadn't been used in over 4 months, not because of some disease. That was mistake #2, babying it for anyone months when I must have used it,[url=http://parajumperssalenorge.albirank.net/][b]Parajumpers Jakke[/b][/url], a minimum of a little bit, regardless of the pain.
My orthopaedic specialist explained all this to me after we spent Three hours in her own office last October, taking a look at my foot and the x-rays, groing through my medical history and physical lifestyle, and developing a detailed timeline of my condition over the previous 4 and a half months. She was very thorough and very straight-forward, and I truly appreciate all that she has done for me. I haven't been back for a few months, but come with an appointment for a followup next weekend.
I have some pain during my foot in the RSD,[url=http://billigmonclerjackenkaufen.olimx.com/][b]Billig Moncler Jacken Günstig Kaufen Moncler Jacke Damen Outlet Deutschland[/b][/url], but I'm walking on it normally, and luckily it isn't nearly as severe as numerous of the cases I've find out about. However for all of you people out there who're looking over this after fracturing a toe, ankle, or whatever, whether it's too painful to walk onto it, it's better to stay from it for a couple of weeks before you can flex it normally while walking, than to end up with a possible lifetime of RSD.
Don't stay from it too much time or it will atrophy from non-use. You are able to regain bone mass with physical rehabilitation afterward,[url=http://duveticadoudoune.halod.com/][b]Duvetica Soldes[/b][/url], however the more your bones atrophy, the longer it takes to reverse it, and also the more you risk another fracture in the thin bones as long as you're attempting to build them up again (which luckily didn't occur to me). Do ask your physician using a cane properly, and follow those instructions. It should be held opposite the injured foot, this is not on exactly the same side because the injury, and I repeat, the movement of the foot must be natural, if you are not putting your full weight on it.
Should i be wrong in a detail here, I'm sure a physician will correct me. However, I speak from what my orthopaedic specialist has told me after thorough examination, as well as from my very own experience.
Of course, pain where you don't expect it's not necessarily CRPS/RSD, and you should visit a qualified specialist to make that diagnosis. However i hope this information will help prevent another person from setting it up, because I've read some horror stories from people whose condition is much more severe than mine, even if the initial injury wasn't any worse.
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