Foot / Ankle :: Broken Big Toe - Healed - Still Can't Bend It


Oct 2, 2015

So towards the end of July I broke my big toe (phalange I believe?) whilst playing soccer. X-ray showed a thin fracture, no displacement, but the fracture went down into the joint - the joint just below the nail if that makes sense.

7 weeks later I went back to the hospital. Consultant told me that according to the X-ray it's all healed... any stiffness is normal, and even if I move my toe manually I wont do myself any damage.

It's now almost 4 weeks since that appointment and I still can barely bend it :/. If I try and bend my toe, it'll go a bit but I physically cant do it. And i get this 'click' - not sure what that is.

If I try and bend it using my hands I also physically can't do it - it's stiff and wont go. If I try and use the ground/wall for leverage it still won't go. and i'm worried about hurting myself.

Anyone had this? Is it normal? I'm British so all my appointments were on the NHS. Now I'm in the US for a while and don't think I should see a doctor for something so minor.

Additionally, I was wearing the hallux boot (?) for all those 7 weeks. Due to that my ankle now seems slightly sprained - there's pain/tightness when I try and point and flex my foot, and this 'clicking' - maybe the ligament? Again, the boot has been off for nearly 4 weeks and there's still pain in my ankle.

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I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!

I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.

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I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).

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Foot / Ankle :: Nerve Pain In Heel/toe After Ankle Surgery

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I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.

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This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.

I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!

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The ball of my foot hurts also when I do toe exercise such as curling in and out.

Each visit to the doctor he tells me not to walk and put put weight on my foot. I tell him each time that I can't if I wanted to as it hurts to barely try.

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The first procedure didn't get all of the bone spur removed and I lost 6 months doing PT and then had to have another procedure at the NYC HSS to correct the issues and I also had the stem cells to regenerate the cartilage.

All of the repairs to the ankle went well and the stems regenerated the cartilage based on the 6 month follow up MRI.

I never regained my dorsiflexion. I am stuck at about 2 degrees.

I then had a gastroc release where they told me they got over 10 degrees during the surgery but I was unable to retain it after the PT started.

I then had a debridement to remove scar tissue from the front of the ankle where they we able to get about 16 degrees during the surgery, but the scar tissue once again re-formed and I stuck back at the 2-3 degrees.

I am currently still working hard on PT and have ART and GRASTON done 2x per week.

Has anyone had any luck in finding a surgeon or technique that helps permanently remove the scar tissue to regain ROM?

I'm also a candidate to wear the ankle distraction device where the device is supposed to be able to re-distribute my existing dorsiflexion and plantarflexion to give me enough of each to walk with a normal gait.

I am currently trying to weigh my (limited) options as after 20 months I'm tired of walking with a limp!

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It is my right foot only. Heel pain, and basically all of my foot. I wear inserts plus an extra heel cushion. I been to the foot doctor and gave me a antibiotic and he recommended icing and heating and stretching bottom of foot. Any other suggestions?

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I had PTTD reconstructive surgery on Feb. 24th. I am still NWB and in the hard cast.

I have been good about icing and elevating, and now the swelling is rarely an issue. However, now that the cast is much looser, I am very aware of the feeling that my foot is turning inwards... as in...It feels like i'm "standing" on the outside of my foot. If I prop the foot up so that the bottom of my foot is all fully touching the bottom of the cast, I have significant pain along that outside area from what feels like right under my ankle to just below the ball of my foot. Is there any chance that I am healing "crookedly" due to the cast being loose? Although I can't put weight on it, just straightening my leg completely will cause that "rolling out" and pain.

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Is there anything that I can do for nerve pain at this point in my recovery? I am no longer taking the "heavy" pain medication. I am just taking Advil and Tylenol. I am finding, however, that these do nothing for the nerve pain. Is there anything that I can do besides going back to narcotics? I'm wary of taking them for too long, but the real issue is that I would rather be clear-headed.

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For the first week I was told to take the pain meds before I felt the pain which was every 4 hours. After the perks I was able to use vicaden, however I didn't like the vicodin so I went to tramadol. That was only for the first two weeks. My dr does not believe in hard drugs after that. I was in a cast for two week which was the worse for me😔I felt very confined and tight.

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My knee roller is a blessing.Before weight bearing I tried hopping on crutches and fell, please don't try that.

Be honest I haven't felt myself since surgery hope it's part of recovery...I would like to know if you feel not yourself yet after 7 weeks. I am the type of person that loves to run out every chance I get and sometimes I am not up to it because it's tons of work with the boot. I sincerely hope after 3 months I can work by myself. Let me know if anyone feels the same.

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