Concerns About potential Tendon Rupture in Foot
A 19-year-old male, standing 6 feet 4 inches tall and weighing 185 pounds, shares his experience regarding a foot injury sustained while skimboarding approximately three weeks ago. He describes the incident as a blunt force trauma, mentioning that the water was quite cold and numbed his foot, masking any immediate pain. However, the following day brought noticeable swelling and discoloration, particularly around the third toe, prompting him to seek urgent medical attention. At the urgent care facility, an X-ray was performed, revealing no fractures, yet the doctor noted significant bruising. The patient raised concerns about his inability to bend his third toe, but the physician attributed this limitation to swelling. Interestingly, the doctor mentioned monitoring for signs of infection, despite the injury being a blunt trauma with no visible wounds. Two weeks on, with no improvement in his toe's mobility, he consulted his primary care physician. A second X-ray was ordered, which identified a minor avulsion fracture. The doctor explained the findings as follows: "The X-ray of your right toes indicates a small fragment of bone near the base of the third toe, which aligns with a minor avulsion fracture—this occurs when a small piece of bone detaches. The remainder of the bones and joints appear normal for your toes, confirming the nature of your injury. I recommend continuing the use of buddy tape for the next two to three weeks." Now, three weeks post-injury, the individual expresses continued worry. He still cannot bend his third toe significantly, not even with passive force applied. He notes limited movement in his fourth and fifth toes, which he can only flex manually. His second toe shows similar restrictions, moving only in conjunction with the big toe, highlighting a lack of independent mobility. While pain has subsided, the sensation of disconnection remains prevalent. On his uninjured foot, he can flex the four smaller toes collectively, but not individually, which he considers typical. There is a growing concern that he may have ruptured the flexor tendon associated with his third toe, or possibly others. With three weeks elapsed since the incident, he has read that delays in surgical intervention could jeopardize full recovery. He plans to push for an MRI appointment when his primary care provider's office reopens on Monday, but is eager for opinions from others. While recognizing the necessity of an MRI, he hopes to avoid surgery within the next six months, if possible.
Answers (1)
3/28/2025, 8:20:47 AM
OpenHealth AI
It's understandable to be concerned about ongoing symptoms following your foot injury, especially after experiencing significant swelling and pain. The situation you're describing suggests a potential issue with the tendons or ligaments in your foot, particularly regarding your flexor tendon related to your third toe.
Explanation
Your reported inability to bend your third toe and the continued restrictions in movement of the surrounding toes could indeed indicate a tendon issue or complications related to the avulsion fracture. The fact that you're experiencing limited mobility even with passive movements raises the concern of a tendon rupture or significant irritation, which may require further evaluation. Moreover, the sensation of disconnection you describe can be disconcerting and could signal that immediate attention is warranted.
Next Steps
-
MRI Appointment: It's great you're planning to push for an MRI appointment. The MRI will provide a clear view of the soft tissues, including the tendons in your foot, which can confirm if a rupture or significant damage exists. Make this the very first priority as it lets you move forward with a clear diagnosis.
-
Cold Therapy and Rest: In the meantime, continue to limit activities that could strain your foot and apply cold packs to the injured area for 15-20 minutes several times a day. This can help reduce any potential swelling that may still be present.
-
Buddy Taping: Continue using the buddy taping method for your toes as recommended. This can provide stability and support to help the healing process.
-
Gentle Range of Motion Exercises: If tolerable, try gentle range of motion exercises for your toes to maintain as much mobility as possible without causing pain. Avoid forcing movement but do try to "wiggle" them gently, especially when the swelling decreases.
-
Keep a Symptom Diary: Record any changes in your symptoms, including pain levels and mobility, to discuss with your doctor during your upcoming visit. This information may help them understand the progression of your healing.
-
Monitor for Changes: Be aware of any signs that could indicate complications, such as increased pain, significant swelling, or any changes in color that could suggest circulation issues.
Reassurance
It's important to trust that taking these steps now will provide you with a clearer understanding of your injury and the necessary path forward. The goal of avoiding surgery is definitely achievable, especially if you can ensure that any tendon issues are addressed promptly upon confirming the diagnosis through the MRI. Remember to remain engaged in your recovery process, and don't hesitate to seek further opinions if you feel it's warranted.
Related Questions
Experiencing Medical Adhesive for the First Time
I apologize for the awkwardness of this message, as I’m typing with my non-dominant hand. I'm a young woman, and an incident occurred while I was drinking. To keep it brief, I managed to accidentally slice the tip of my thumb off about two hours ago. Thankfully, it wasn’t an extensive injury, but enough to cause bleeding that lasted for roughly 30 minutes, even with pressure applied and my hand elevated. (For context, the cut extends a few millimeters deep, penetrating beyond just the surface layer of skin.) Following the accident, I visited the hospital where they applied medical glue, wrapped it up, and discharged me. As I was leaving, I began experiencing some pain, which persists. Upon returning home, I noticed some blood on the gauze covering the injury, which appeared roughly an hour after I got back. Is this typical? The hospital did not provide any pain relief, which I’m not overly concerned about since it is only my finger, but my tendency to be a bit of a hypochondriac is making me anxious. This is my first experience with such an injury. What’s the recommended method for cleaning it once I change the dressing? Thanks in advance!
Injury from a Fall
A 44-year-old female, standing at 5 feet 2 inches and weighing 111 pounds, has no pre-existing medical conditions. Recently, I experienced a mishap two days ago while wearing platform crocs that led to a fall on a tiled surface. In my instinctive reaction, I landed on my palm. Although I can still move and utilize my hand as usual, I’ve noticed significant swelling and considerable pain in the soft area just below the thumb joint. Moreover, when I apply pressure to this spot, I experience a sharp, pinching sensation radiating up my arm. On several occasions, my thumb has also felt momentarily numb but returns to its normal state shortly thereafter. Should I simply allow more time for recovery? I’d prefer to avoid wasting anyone's time if all that’s required is a few days of rest. I appreciate your assistance!
Seeking Guidance on Long-Term Shoulder Muscle Loss After Dislocation
I am a 25-year-old male, and five years ago, I experienced a dislocation of my left shoulder. While the joint has healed well and I have regained a good range of motion, the muscle in my shoulder has not recovered. There is a noticeable difference in muscle mass when compared to my right shoulder. Additionally, I have lost sensation in the area where the muscle has atrophied. When I touch that spot, I feel almost nothing at all. I recall being informed that sensation might return within six months to two years, but unfortunately, that hasn’t happened. In the gym, I've also realized that my left shoulder functions improperly during workouts. While performing chest and shoulder exercises, it seems as though my triceps compensate excessively, rather than the shoulder muscle engaging as it should. This leads to a very frustrating and unbalanced training experience. At this juncture, I’m concerned that the issue may stem from lasting nerve damage caused by the dislocation. I’m curious whether it’s still feasible to rebuild the muscle or regain sensation after such a lengthy period, or if this condition is likely permanent. Have others found themselves in similar situations years later, and did they manage to make any progress or uncover the root cause of their issues? I’m not seeking a diagnosis; I simply wish to understand if the muscle damage is irreversible or if there remains a possible pathway to recovery. What steps should I consider taking next? I would greatly appreciate any advice or insights regarding my situation. Thank you!
Urinary Retention and Lower Back Discomfort
A 38-year-old male weighing 237 pounds has been experiencing urinary issues over the past five days, noting significantly reduced urine output with a very feeble flow—occasionally just a dribble. Yesterday, he began feeling discomfort in his flank region, near where he suspects his kidney is located. Today, that discomfort continued but intensified. He sought help at a prompt care facility where a urinalysis was conducted, revealing no abnormalities. The medical advice he received was to increase his fluid intake. While at the facility, he began to experience severe pain in the lower part of his back, right in the center, making bending a challenge. Currently, he is applying ice to the affected area; however, it's uncomfortable for him to lie down or stand. He wonders if the urinary issues and the back pain are connected and is reluctant to visit the emergency room due to financial concerns. Additionally, he recalls a couple of relevant incidents: last Saturday marked the first time he had gone roller skating in many years, during which he noticed some discomfort in the perineum. He has also been dealing with a cyst in his pubic region for a month, which is gradually improving.
Understanding Injuries: Distinguishing Between Tibial Stress Fracture and Anterior Tibial Tendonitis
Recently, I've ramped up my workout regimen significantly since early December, but I keep facing setbacks with injuries. During December, my routine involved daily outdoor walks and a brief incline walking session, complemented by 30 to 45 minutes of exercise. I noticed a bony protrusion appeared at the back of my right heel, and a similar one started to develop on my left heel as well. When I returned home over the holiday break, my mom arranged for me to see a podiatrist, who diagnosed the right heel bump as a pump bump. On the other hand, the left heel had become a source of greater discomfort and noticeable swelling, to the extent that my Achilles tendon was not visible. The diagnosis for that was Achilles tendonitis. The podiatrist recommended a change of footwear, a steroid treatment plan, anti-inflammatory medications, and a course of physical therapy lasting 4 to 6 weeks. Upon returning to college and anticipating starting physical therapy, I noticed improvements in my ankle discomfort with the new shoes. As a result, I delayed my therapy sessions and resumed a more regular workout routine. Since then, I have been free from significant pain, and both heels are feeling better. My regimen over the last two to three weeks involves about an hour of strength training followed by a two-hour treadmill session—beginning with an incline of 10 at a speed of 3.5, progressively lowering the incline and raising the speed every 10 to 12 minutes. During this treadmill time, I generally study, so I remain engaged. On days when I don’t use the treadmill, I aim to walk several miles outdoors, taking advantage of the hilly terrain on my campus. Sundays serve as my primary rest day, but I still try to complete my fitness rings and take longer walks. Just this past Sunday, I undertook a 10-mile walk that lasted around 2.5 hours, and I noticed the following day that I had discomfort in my right shin. Initially, I assumed it was shin splints and continued my usual activities throughout the week. However, by yesterday, I recognized that the pain was persistent and not improving. Upon closer examination, it seemed like it wasn’t typical shin splint pain; instead, I have localized pain the size of a quarter on the front area of my shin that is tender to the touch and during movement. Mornings tend to be slightly better, but the pain worsens at night after a day spent on my feet. Routine activities aggravate it, and when I walk, it feels akin to a hammer striking my shin. Moreover, if I walk normally and push off with my toes at the end of my stride, a sharp pain radiates up my shin. I have also noted moments where my gait has altered slightly, and I’ve started limping without realizing it, though I can correct my stride when I concentrate. The most discomfort was felt last night after I returned home to my apartment. While lying on my stomach with my legs hanging off the bed, I could still sense the pain even without any movement. Although the pain escalates with weight-bearing activities or when walking, I also experience pain if I sit down with my feet flat and then lift my leg. Driving is particularly challenging as switching between pedals causes significant discomfort. In trying to pinpoint the issue online, I found that my symptoms seemed more closely aligned with a stress fracture rather than the shin splints I initially presumed. I read concerning accounts of stress fractures evolving into full breaks and potentially leading to longer recovery times. Not wanting to prolong my downtime unnecessarily, I decided to visit urgent care today for a professional evaluation. They conducted x-rays but found no visible abnormalities. The doctor performed a few movements and suspects I might have anterior tibial tendonitis, as there was some crepitus noted. However, fears of a stress fracture still linger. This pain feels distinct from the previous Achilles tendonitis; whereas that felt like a stretching tension, this current sensation resembles a hammer striking my leg when I walk. In contrast, I experience a pulling feeling only when rotating my ankle without weight. I'm uncertain if this all articulates my situation clearly, but I am planning to attend physical therapy soon and will limit incline walking for the time being. Still, I am left wondering if my concerns about a potential stress fracture are warranted, or if this seems more characteristic of tendonitis?