HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Pain And Swelling In Feet After Treated Fracture In Toe?

In February, I developed a pathological fracture of my fifth metatarsal closest to the toe. The md placed me in a plaster cast followed by a boot. I was out of work for about a month. I returned to work in March wearing the boot. However, I am on my feet quite a bit (walking, standing,etc./ I am a nurse), and the pain and swelling increased over the next month. The MD decided to do surgery. I had surgery on April 28th, where the MD found that I actually had two fractures present with bone fragments which he removed. About two weeks after the stitches were removed, the incision opened up. I was placed on antibiotics for two weeks. After the first two weeks, the incision was still not healing, so the MD decided to debride it in the office and place me on a second round of antibiotics. The incision appears to be healed now, however, it is very sensitive and I continue to have swelling, muscle spasms, and pain in the toe and side of my foot. I have had a bone scan which showed hot spots in the area of the fracture and the ankle, which the MD said were from surgery. I just had an EMG performed today, because the MD feels the pain in my foot is being caused from my back. I have also, been seeing a chiropractor, who feels the two are not connected. Now the MD wants me to see a vascular surgeon because he thinks I may have Raynaud s that is causing my pain. I feel like we are just grasping at straws and I am very frustrated, exhausted, and depressed. Please help!
Mon, 6 Apr 2015
Report Abuse
Orthopaedic Surgeon 's  Response
Dear Sir/Madam
I have gone through your query and read your symptoms.
In my opinion,first of all you fail to tell what was the pathology behind your fracture. secondly what was the surgery done, was any grafting done or ant wire put, also has the fracture healed now, your skin can be sensitive due to small nerve that become sensitive due to surgical trauma, i would also warn you towards developing CRPS where in the skin becomes hypersensitive, swollen and shiny, this occurs because of sympathetic overactivity. if pain is your main concern, i suggest you to consult a Pain specialist. if you can provide me answers i can help you out.
I hope that answers your query. If your want any more clarification, contact me back.
Dr Narender Saini
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
What Causes Pain And Swelling In Feet After Treated Fracture In Toe?

Dear Sir/Madam I have gone through your query and read your symptoms. In my opinion,first of all you fail to tell what was the pathology behind your fracture. secondly what was the surgery done, was any grafting done or ant wire put, also has the fracture healed now, your skin can be sensitive due to small nerve that become sensitive due to surgical trauma, i would also warn you towards developing CRPS where in the skin becomes hypersensitive, swollen and shiny, this occurs because of sympathetic overactivity. if pain is your main concern, i suggest you to consult a Pain specialist. if you can provide me answers i can help you out. I hope that answers your query. If your want any more clarification, contact me back. Dr Narender Saini