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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be Done For The Foot Injury Also Having The Ehlers- Danlos Sydrome?

Thursday night / Friday morning I stepped on a toy train my boys had left on the floor. It hurt horribly bad immediately and the whole arch of my foot felt like it was on fire or something. The train punctured my foot right about the middle of my arch. I didn't know this until the next morning though due to it being so dark and me being so tired and needing to get off my foot. By Friday afternoon, the arch of my foot was really sore and I couldn't stand to have it touched. Over the rest of the day and throughout last night, it has been having some weird problems off and on that include random spasms (small and usually limited to the arch area), and stiffening of the foot that would come and go.

The foot I injured also happens to be the same one that was already injured from a month back but is still refusing to heal. I was on it for just a few steps when the puncture wound happened (wheel chair wouldn't reach the window and I needed to shut the curtains). The old injury includes a developing bone spur, a fracture near the heal, and a permanent swollen lump on top in the metatarsals area for my second and third toes. No one has been able to tell me what is wrong there though yet (even after 2 x-rays and a ct scan) and it's causing me to not be able to move my toes at all.

My foot is in a lot of pain now from a combination of problems from both injuries. I am stuck with a resident / student clinic for doctor care and they wouldn't even take my first injury serious (had to go to an immediate care in the end to get help) so I am not very hopeful that I could find help there with this new injury either.

Another important detail to know about me is that I have Ehlers-Danlos Syndrome and have history of wounds (even minor ones) taking a long time to heal. A lot longer than average times for sure.

Can you help me? Should I be concerned about this new injury? Could it be messing my old injury up even worse? Any chance you have a suggestion as to what I could do?

Thank-you : )
Wed, 30 Nov 2016
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Orthopaedic Surgeon 's  Response
Hi
Nothing to worry.
Just do contrast fomentation alternate hot and cold water dipping twice a day.
Wear a silicon insole in foot wear.
Take lyrica75mg BD and ace -proxyvon tab 1bd and methycobalamin 1500 ki. Once a day.
Use a walking stick in opposite hand to allow partial weight bearing on affected foot.
Keep foot elevated.
It will be okay soon.
Consult a podiatrist also
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What Could Be Done For The Foot Injury Also Having The Ehlers- Danlos Sydrome?

Hi Nothing to worry. Just do contrast fomentation alternate hot and cold water dipping twice a day. Wear a silicon insole in foot wear. Take lyrica75mg BD and ace -proxyvon tab 1bd and methycobalamin 1500 ki. Once a day. Use a walking stick in opposite hand to allow partial weight bearing on affected foot. Keep foot elevated. It will be okay soon. Consult a podiatrist also