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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bruising, Swelling And Burning Pain In The Foot After Getting Injured. Difficulty In Bending The Toe And Twisting The Foot. Nerve Damage?

hi there, my foot was crushed by a horse 5 weeks ago, there was immediate bruising , swelling and burning pain. i recently went to the doctor for the first time since the injury because the pain has become so bad that i can only walk for about 5 minutes at time. i cannot bend my toes downward or twist my foot from side to side because it feels like rubberbands are stretching and snapping. i had an mri and xrays and both were negative. the doctor said it must just be nerve damage. does this sound accurate? is there any way i could have a lisfranc injury that did not show up on the mri/xray? could i have actually injured the foot 5 weeks ago and now it has healed and is not showing up?
Tue, 22 Jan 2013
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Pathologist and Microbiologist 's  Response
hi there, it is highly improbable for an x-ray not to show fractures, tho' soft tissue injury may not be seen but an MRI will be able to pin point to that. So if x-ray and MRI do not show any injury then probabley you have got some ligamental tear or sprain which takes a long time to heal and is very painful, as they do not have any blood supply of their own. You need to use crepe bandages, rest with elevation of foot and antiinflammatory drugs for few weeks to get over it. Try to give the limb rest as much as possible. Take care.
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Bruising, Swelling And Burning Pain In The Foot After Getting Injured. Difficulty In Bending The Toe And Twisting The Foot. Nerve Damage?

hi there, it is highly improbable for an x-ray not to show fractures, tho soft tissue injury may not be seen but an MRI will be able to pin point to that. So if x-ray and MRI do not show any injury then probabley you have got some ligamental tear or sprain which takes a long time to heal and is very painful, as they do not have any blood supply of their own. You need to use crepe bandages, rest with elevation of foot and antiinflammatory drugs for few weeks to get over it. Try to give the limb rest as much as possible. Take care.