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Wednesday, July 31, 2013

Foot Sprain: MRI Needed

Hello,


About 5 weeks ago, I fell and the foot began to swell and turn to a purplish shade within about 5 minutes. I ended up in the E.R, being diagnosed with a bad sprain, and it was put in a splint for a week. 

Although I stayed off of it completely for that time, the swelling, pain, or coloring had not improved at all. In a visit to another orthopedist, he diagnosed it as a chip fracture, caused by tearing a ligament with the bone. He put it in a cam walker originally for 3 weeks. After those weeks, he looked at it again, but the swelling had not gone down very much, and the pain seemed to have increased, if possible. He said to leave it in the boot for 3 more weeks, later transferring it to an air cast, before beginning therapy.

 But now, a week before the follow up, the foot hurts more every time I put pressure on it. The pain is not in the ankle, but in the inside of the foot and the heel. The swelling has gone down a bit, but the bruising has returned, and the pain is becoming more unbearable. Is it possible more than one ligament has been torn and this may require surgery?
Thank you

Dr Blake's comment: 

     Thanks for the email. I hope you can get an MRI to really know what is going on. Typically when you are in the boot, the swelling does not get much better, but the pain does. Something is going on that no one knows yet. Try to experiment to see if crutches help, but push the health care system to get an MRI. I hope this helps. Rich

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.