I was pole dancing on saturday and fell on my toe. Pic attached is on Sunday. today is monday and the bruising is better but its still stiff and a bit pain (3-4/10 when i walk). I can flex the ...
However, if the above steps provide no relief, that generally means that the nail spike is pretty deep, and if the spike continues to be there, things can get worse. Fret not, in this day and age, we no longer need to take out the entire nail just to resolve an ingrown toenail. That is regarded as uRead more
However, if the above steps provide no relief, that generally means that the nail spike is pretty deep, and if the spike continues to be there, things can get worse. Fret not, in this day and age, we no longer need to take out the entire nail just to resolve an ingrown toenail. That is regarded as unnecessary, and will cause a much bigger wound for you to take care. The current treatment for ingrown toenails are mainly 3 option:
- First is known as a “slant back”, which is basically trimming the portion of the nail spike away without cutting too deep towards the root. This is helpful when the spike is not near the nail root at all, or the shape of the nail is largely normal.
- The second method is known as a “partial nail avulsion”, which basically removes a small portion of the nail all the way down to the nail root. Think of it like treating a wisdom tooth, you are just remove the tooth that is causing the problem, but the other teeth stay. After the nail is removed, we could also put in a chemical to stop that portion of the nail from growing back, so that will put an end to your suffering permanently. This method is generally recommended for cases where the spike is very close to the nail root, or the edge of the nail curves deeply into the flesh (resulting in recurring ingrown toenail)
- The third option is relatively new, known as “nail bracing”. This involves putting a “brace” over the nail plate to try and hold the shape of the nail such that it doesn’t grow into the flesh. This is only useful if the shape of your nail (at the base of the nail) is considered normal and not involuted (or curving into the flesh).
We hope this gives you a better idea on the management of ingrown toenail, and hope that you received help for your problem.
Benedict Khoo,
Principal Podiatrist, Straits Podiatry.
Website: http://www.straitspodiatry.com/
Facebook: https://www.facebook.com/Straits.Podiatry
Based on your description of the incident and the symptoms you're experiencing, there are several possibilities to consider. While I cannot view images, I can guide you on the understanding and management of toe injuries, particularly focusing on the likelihood of a toe fracture. Clinical Overview WRead more
Based on your description of the incident and the symptoms you’re experiencing, there are several possibilities to consider. While I cannot view images, I can guide you on the understanding and management of toe injuries, particularly focusing on the likelihood of a toe fracture.
Clinical Overview
When you sustained a fall onto your toe, it could have resulted in various injuries, including a toe fracture or a soft tissue injury such as a sprain. The symptoms you describe—bruising, stiffness, and pain—are quite common following either injury. Here are some key considerations:
1. Toe Fracture:
– Given that you have some ability to move the toe and the pain intensity is moderate, this could potentially indicate a nondisplaced fracture, where the bone might have a minor crack but remains in alignment. Bruising is typical with bone injuries, as well as sprains.
– Important indicators of a fracture might include pinpoint tenderness directly over the bone, visible deformity, or when you experience shooting pain upon engaging in specific movements.
2. Soft Tissue Injury (Sprain):
– Sprains involve injury to the ligaments and might present similarly, but tend to allow more movement than a fracture would, assuming they are not severe.
Management and Recommendations
1. Rest and Protection:
– Avoid activities that stress the toe or exacerbate the pain. Give yourself a few days to rest and avoid unnecessary walking.
2. Ice and Elevation:
– Continue applying ice intermittently (15-20 minutes every hour) to reduce swelling.
– Elevate the foot to decrease swelling and provide relief against gravity-induced edema.
3. Pain Management:
– Over-the-counter NSAIDs (e.g., ibuprofen, naproxen) or acetaminophen can be taken to help manage pain and inflammation.
4. Protection:
– If available, use buddy taping to stabilize the toe by taping it to an adjacent toe with a soft cushion between them to prevent skin irritation.
– Consider wearing a stiff-soled shoe to minimize toe movement further and offer protection while walking.
When to Seek Further Medical Attention
Given the persistent pain and restricted movement, it would be prudent to seek a professional evaluation if:
– There is significant swelling or persistent bruising.
– You experience increased pain or any loss of sensation or color changes in the toe.
– You cannot bear any weight on the toe.
– The symptoms do not improve with self-care after a few days.
A clinical examination and potentially an X-ray would confirm whether there is a fracture and determine the treatment plan. Healing and proper management are crucial to prevent long-term complications such as arthritis or chronic pain.
Prevention and Future Considerations
Once healed, consider engaging in preventive measures such as proper warm-up exercises, possibly reviewing floor surfaces for traction, and ensuring adequate support for activities like pole dancing. This can help minimize repetition injuries or acute incidents.
Overall, the primary goal is to ensure proper healing while mitigating pain and enhancing functional recovery through careful monitoring and appropriate intervention.
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