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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stress Fracture, Swollen. Used Surgical Shoes. Pain Refrained. X-rays Taken. Problem?

I have been having terrible pain at the base of the second metatarsal in one foot. Sometimes my foot is so swollen i cant put my shoe on, but no bruising. My dr sent me for X-rays which came back suspicious for stress fracture. I was placed in a surgical shoe after the pain went on for 5 weeks. I was told to wear the shoe for two weeks, which I did. I felt improvement. Two days after I took it off, the pain was just as bad as it had been at the beginning so I put the shoe back on. It seemed like I had undone the progress I had made. Then we took a two-day road trip and from not being able to elevate my foot, it was so swollen and painful I couldn't fall asleep. I saw an Orthopedist in the state I was visiting who took new X-rays (now at 10 weeks from onset) and saw no signs of stress fracture. He found that I had at some point fractured my big toe (same foot) but the injury was old and had heeled. The orthopedist sent me for an MRI. I just got the results and the only thing they found was mild arthritis setting into the joint of the big toe. I just don't understand how that would be causing my symptoms. My pain is not in my big toe, it has always been on the top of the foot. From just the physical exam, the Orthopedist also thought i had a stress fracture in the second metatarsal until he saw the xrays. We are now approaching the 12 week mark from onset and I am still getting pain and swelling. Any thoughts on what might be causing this?
Wed, 24 Jul 2013
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Orthopaedic Surgeon 's  Response
Hello Dear

Thanks for writing to Healthcare magic,

I have studied your case,

As per your symptoms there is possibility of gouty arthritis. do you have , repeated episodes joint deformity, family history of gout.
I will advise to go for blood investigation ,do arthritic profile .
Till time take analgesic and hot fomentation.

Hope I have answered your query. Let me know if I can assist you further.

Take care
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Stress Fracture, Swollen. Used Surgical Shoes. Pain Refrained. X-rays Taken. Problem?

Hello Dear Thanks for writing to Healthcare magic, I have studied your case, As per your symptoms there is possibility of gouty arthritis. do you have , repeated episodes joint deformity, family history of gout. I will advise to go for blood investigation ,do arthritic profile . Till time take analgesic and hot fomentation. Hope I have answered your query. Let me know if I can assist you further. Take care