Can Modern Medicine Fully Heal My Left Big Toe After Past Fracture?

The bone in my left big toe was broken ten years ago. Is it possible to undergo surgery for complete recovery?

Ten years ago, I injured my left big toe while serving in the military when a heavy object fell on it, causing a fracture.
At that time, I had an X-ray taken at the military hospital, and the results showed that the fracture was just below the first joint when counting from the top.
After surgery, the doctor told me that it would heal, but after recovery, I found that I could only bend it to about 25 degrees (based on my estimation).
The area where the fracture occurred has also become quite thick, and I can feel a lump of bone there.
I'm not sure if this is the healing site that is restricting the angle of the top joint from bending down.
Additionally, the surgical scar has a persistent twitching sensation; it’s not painful, but it’s noticeable.
Normally, when I go out wearing socks and shoes, I don’t feel much discomfort, and my mobility seems normal.
However, I would like to ask if modern medicine can help heal this condition, and whether the twitching sensation might indicate nerve damage.
Thank you.

jack, 30~39 year old female. Ask Date: 2015/11/23

Dr. Shi Guozheng reply Orthopedics

If there is nerve damage, it is likely to cause numbness and pain.
Additionally, persistent limited range of motion in the joint may be related to a fracture.
Rehabilitation methods can be used to stretch it and see if there is an improvement in mobility.

Reply Date: 2015/11/23

More Info

It sounds like you have been through a challenging experience with your left big toe fracture, and it's understandable that you have concerns about its healing and functionality. Based on your description, it appears that you sustained a significant injury to your toe, which has led to some lasting effects on its movement and sensation.

Firstly, regarding the limited range of motion in your toe, it is not uncommon for fractures, especially those involving joints, to result in stiffness or reduced mobility after healing. This can occur due to several factors, including the formation of scar tissue, changes in the bone structure, or even the alignment of the joint after the fracture has healed. In your case, the fact that you can only bend your toe to about 25 degrees suggests that there may be some stiffness or possibly even a condition known as post-traumatic arthritis, which can develop after an injury to a joint.

The thickened area you mentioned at the fracture site could be a result of bone remodeling. After a fracture, the body goes through a healing process where new bone is formed, and sometimes this can lead to a lump or bony prominence at the site of the injury. This is generally a normal part of the healing process, but if it is causing discomfort or affecting your mobility, it may warrant further evaluation.

As for the "pulling" sensation you experience at the surgical site, this could potentially be related to nerve involvement. Nerve damage or irritation can occur during the initial injury or the surgical procedure, leading to sensations such as tingling, pulling, or even pain. This is often referred to as neuropathic pain, and while it can be bothersome, it is not uncommon after a significant injury.

In terms of modern medicine's ability to fully heal your toe, it is essential to understand that while many advancements have been made in orthopedic medicine, some injuries may not return to their pre-injury state. However, there are several treatment options available that could help improve your situation:
1. Physical Therapy: Engaging in a structured physical therapy program can help improve your range of motion and strengthen the muscles around the joint. A physical therapist can provide you with specific exercises tailored to your needs.

2. Pain Management: If the pulling sensation is bothersome, discussing pain management options with your healthcare provider may be beneficial. This could include medications, nerve blocks, or other interventions.

3. Surgical Options: If conservative measures do not yield satisfactory results, you might consider discussing surgical options with an orthopedic specialist. Procedures such as joint manipulation, arthroscopy, or even corrective surgery may be considered depending on the specific issues with your toe.

4. Regular Follow-up: Continuous monitoring and follow-up with your healthcare provider are crucial. They can assess the healing process and determine if any further interventions are necessary.

In conclusion, while modern medicine may not guarantee a complete return to the pre-injury state, there are various avenues to explore that could enhance your toe's function and alleviate discomfort. It is advisable to consult with a specialist who can provide a thorough evaluation and recommend a personalized treatment plan based on your specific circumstances. Your proactive approach to seeking answers and solutions is commendable, and I wish you the best in your journey toward improved health and mobility.

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