Foot help please
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Mobile Chicane

Original Poster:

21,983 posts

241 months

Wednesday 21st August 2013
quotequote all
End of May this year I stubbed my foot rather badly on an ornate cast-iron staircase.

I had the full range of movement - just about - as the whole thing was very swollen. The second and third toes hurt the most, so I assumed these were broken, strapped the two together (as any A&E would tell you) and hobbled about my way.

The problem is that three months in, while it's lot better, I've reached a plateau and still can't bear weight on the ball of my foot. Looking from above, it is still slightly swollen across the 1st metatarsal / proximal phalange area of the entire foot.

I'm sure that three months of hobbling on my heel and big toe can't have helped maintain flexibility in the foot as a whole (I continued to try and get about rather than rest it), but I'm surprised that it's still hurting.

My question now to any physios / podiatrists in the house is - where do I go from here?

Is it a question of just being patient, and that at my age (48) expect healing to take longer? Any exercises which may help?

Any investigations I should expect / insist on if I go to A&E?

Many thanks in advance,

Old Hopalong.

sawman

5,166 posts

259 months

Wednesday 21st August 2013
quotequote all
probably best to get an x ray for starters - Your GP can organise this.

from then on it depends what the films show......

Don't go to A&E - its not an emergency, or an accident (now).

Your GP can arrange appropriate referral or start treatment themselves

Mobile Chicane

Original Poster:

21,983 posts

241 months

Wednesday 21st August 2013
quotequote all
sawman said:
probably best to get an x ray for starters - Your GP can organise this.

from then on it depends what the films show......

Don't go to A&E - its not an emergency, or an accident (now).

Your GP can arrange appropriate referral or start treatment themselves
Thanks - but would A&E send me away if I did go?

Trying to get an appointment with my GP is like trying to spin a room full of straw into gold by the morning.

sawman

5,166 posts

259 months

Thursday 22nd August 2013
quotequote all
They might do.

A&E are often very busy dealing with things that need urgent attention, not injuries which are months old so they could legitimately advise you go seek treatment elsewhere for your chronic condition.

Tedious, it may be, but your GP is the most appropriate route in to the healthcare system

hope you get to the bottom of it


Lemmonie

6,314 posts

284 months

Thursday 22nd August 2013
quotequote all
Do you have an ugent treatment centre anywhere close? There is one in Crawley but im guessing thats a bit far for you?

The_Doc

6,249 posts

249 months

Friday 23rd August 2013
quotequote all
sawman said:
probably best to get an x ray for starters - Your GP can organise this.

from then on it depends what the films show......

Don't go to A&E - its not an emergency, or an accident (now).

Your GP can arrange appropriate referral or start treatment themselves
GP not A&E.

x1million%

Your GP practice has a duty to see you in a reasonable time. Your taxes pay for the building and everyone's salary inside.
Email the practice manager if you can't get an appointment, it should not be, and they have no right making it, hard to get an appointment.

Not A&E or minor injuries unit, or NHS direct, just your GP.

dave_s13

14,026 posts

298 months

Friday 23rd August 2013
quotequote all
Do you have a local minor injury unit?

In leeds you could drop into the one near here and get an Xray there and then (if they deem it appropriate anyway).

Sounds like you have fractured something anyway.

dave_s13

14,026 posts

298 months

Friday 23rd August 2013
quotequote all
The_Doc said:
GP not A&E.

....
..or minor injuries unit, .....
Our minor injury unit is advertised as being for "bangs, cuts and bruises...."

In this case I would have thought it not too unreasonable for him to turn up there?? The only reason over going directly to the GP being timely access to imaging.

Happy to be corrected though.

ps..OP - do you have access to a piano tuning fork? If so, set it buzzing then hold it over the part of the foot that hurts. If it makes you jump through the roof, or feel sick with pain, then it can be a simple way to suggest a fracture diagnosis.

The_Doc

6,249 posts

249 months

Friday 23rd August 2013
quotequote all
dave_s13 said:
The_Doc said:
GP not A&E.

....
..or minor injuries unit, .....
Our minor injury unit is advertised as being for "bangs, cuts and bruises...."

In this case I would have thought it not too unreasonable for him to turn up there?? The only reason over going directly to the GP being timely access to imaging.

Happy to be corrected though.
whilst I have some respect for Minor Injury units, this will be beyond them

trust me. even if they do an xray they won't be able to interpret it, in this case.

trust me

If it was a minor injury, it would have gone away since May.

trust me, this is what I do.

dave_s13

14,026 posts

298 months

Friday 23rd August 2013
quotequote all
The_Doc said:
whilst I have some respect for Minor Injury units, this will be beyond them

trust me. even if they do an xray they won't be able to interpret it, in this case.

trust me

If it was a minor injury, it would have gone away since May.

trust me, this is what I do.
Fair enough doc.

I'm a podiatrist BTW so seen a few feet in my time and I know what you mean about Xrays being interpreted creatively.

OP, make sure you update us with what happens.

tori

1,799 posts

210 months

Friday 23rd August 2013
quotequote all
MC, give me a call!

(Cost you a beer though)

X

Mobile Chicane

Original Poster:

21,983 posts

241 months

Friday 14th March 2014
quotequote all
Update:

Still not better after many months of strapping and patience. Many thanks tori for your ministrations smile Doc agrees with you that it's a 'nerve pain'.

I finally went to my GP on 14 February, was referred to a specialist foot/ankle consultant whom I saw on 12 March, and I'm now booked in for an MRI scan of said foot on 2 April.

This is all on the NHS, but at a local private hospital which also does NHS work. To say I'm staggered at the speed with which I've been seen would be an understatement.

Is this at all usual? I'm impressed.

One very happy bunny. Thanks for the advice all.

nagsheadwarrior

2,789 posts

208 months

Friday 14th March 2014
quotequote all
Sorry for only reading the first couple of lines of the thread but stubbing ones toe on an "ornate cast iron staircase" is an exquisite way to aqquire an injury!

Mobile Chicane

Original Poster:

21,983 posts

241 months

Friday 14th March 2014
quotequote all
nagsheadwarrior said:
Sorry for only reading the first couple of lines of the thread but stubbing ones toe on an "ornate cast iron staircase" is an exquisite way to aqquire an injury!
First World Problems, hey.