Toe dislocation
At the beginning of September, I accidentally fell and dislocated the middle joint of my unnamed toe.
After an emergency doctor manually reduced it, I was instructed to use a breathable bandage for support, and my little toe was simply stabilized.
However, the bruising has not subsided, and the injured toe remains bent.
I cannot fully bend it, and bending it with my hand causes pain, while the other toe cannot bend on its own either.
I would like to know if I should visit an orthopedic specialist for rehabilitation or if there are other measures I can take to promote healing.
After reading other cases, I have started soaking my foot in warm water and applying heat daily.
I also elevate my foot with a pillow while lying in bed.
Although I can walk now, my mobility is still somewhat limited, and even slight pressure causes persistent soreness.
Therefore, I would like to inquire whether I should go to an orthopedic clinic or a rehabilitation department for further treatment.
Taiwan Xiao Mei Mei, 30~39 year old female. Ask Date: 2020/10/09
Dr. Chen Yongxue reply Orthopedics
Hello, typically after a dislocation of the interphalangeal joint is reduced, it needs to be immobilized for about four to six weeks.
Once the ligaments have healed, heat therapy and passive range of motion exercises can be initiated to prevent stiffness.
Once the pain from passive activities has significantly decreased, normal activities can be resumed.
Thank you.
Reply Date: 2020/10/09
More Info
Managing a dislocated toe can be a frustrating experience, especially when recovery seems slow and painful. Based on your description, it sounds like you have already taken some important initial steps, such as having the dislocation reduced by a doctor and using a breathable bandage for support. However, the ongoing symptoms you are experiencing, such as bruising, limited range of motion, and pain, suggest that further evaluation and possibly treatment may be necessary.
First, it's important to understand that recovery from a dislocated toe can vary significantly from person to person. Factors such as the severity of the dislocation, the presence of any associated fractures, and individual healing rates all play a role in how quickly and completely one can recover. In general, bruising can take several weeks to resolve, and pain can persist for a similar duration, especially if the toe was significantly injured.
Here are some tips to help manage your recovery:
1. Rest and Elevation: Continue to rest the affected foot as much as possible. Elevating the foot can help reduce swelling and improve blood circulation, which may aid in healing. Using pillows to keep the foot elevated while resting or sleeping is a good practice.
2. Ice Therapy: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.
3. Gentle Range of Motion Exercises: Once the acute pain decreases, gentle range of motion exercises can help restore flexibility. However, these should be done cautiously and without forcing the joint. If you experience significant pain, stop the exercises and consult a healthcare professional.
4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Always follow the recommended dosages and consult with a healthcare provider if you have any concerns.
5. Footwear: Wearing supportive and comfortable shoes can help alleviate pressure on the injured toe. Avoid tight-fitting shoes or high heels until you have fully recovered.
6. Physical Therapy: If you find that your range of motion is still limited or if pain persists, it may be beneficial to consult a physical therapist. They can provide tailored exercises and treatments to help improve mobility and strength in the toe.
7. Follow-Up with a Specialist: Given that you are still experiencing significant pain and limited movement, it would be wise to schedule a follow-up appointment with an orthopedic specialist. They can assess the toe for any underlying issues, such as fractures or joint instability, and recommend further treatment options if necessary.
8. When to Seek Help: If you notice any of the following symptoms, seek medical attention promptly:
- Increased swelling or bruising
- Severe pain that does not improve with rest and medication
- Inability to move the toe or worsening deformity
- Signs of infection, such as redness, warmth, or discharge
In conclusion, while some discomfort and limited mobility can be expected following a dislocated toe, persistent symptoms warrant further evaluation. Engaging in proper self-care, considering physical therapy, and maintaining communication with healthcare providers will be crucial in your recovery journey. Remember, patience is key, as healing can take time, but with the right approach, you can expect to regain full function of your toe.
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