It has been a month since the car accident, and my foot is still in pain?
After the accident, I have a 0.5 cm deep wound at the base of my right big toe (which might indicate that my right foot was injured more severely, as it currently hurts more than my left foot).
When I stretch my foot forward (similar to a stretching exercise), the heel area is very painful (similar to the soreness experienced after weight training).
If I adopt a kicking position, like when playing soccer, my heel also hurts significantly, and I feel weak when trying to kick.
After the accident, I had an emergency examination of my right foot, and the bones were confirmed to be intact.
Doctor, what does this situation indicate? Is it just simple bruising? Do I need further examination? A week before the accident, I could barely walk on my left foot, and my right foot still hurts when it touches the ground, making it impossible to bear weight.
I can only rely on my left foot to walk, and I can only use my right foot very gently; if I exert too much force, I feel weak and risk falling.
Ivan, 20~29 year old female. Ask Date: 2016/02/02
Dr. Zhou Jianwen reply Rehabilitation
It may be soft tissue inflammation, such as fasciitis.
It is recommended to visit an orthopedic or rehabilitation clinic for further examination and treatment.
Reply Date: 2016/02/02
More Info
After a car accident, experiencing foot pain, especially in the context of a deep wound and subsequent symptoms, can be concerning and complex. Based on your description, it seems that you are dealing with a combination of factors that could be contributing to your pain and discomfort.
Firstly, the deep wound on your right foot, which is approximately 0.5 cm deep, could be a significant source of pain. Even if the bone was confirmed to be intact during your emergency examination, soft tissue injuries, including damage to muscles, tendons, ligaments, and nerves, can still occur and lead to persistent pain. The pain you describe in your heel when stretching your foot or during activities like kicking a soccer ball could indicate several possibilities, including:
1. Soft Tissue Injury: The muscles and tendons around the heel and foot may have been strained during the accident. This can lead to pain when the foot is put in certain positions or when pressure is applied.
2. Tendinitis or Fasciitis: Conditions such as Achilles tendinitis or plantar fasciitis can develop after trauma, especially if there was a change in your walking pattern due to pain or injury. These conditions often manifest as pain in the heel or the arch of the foot, particularly during movement.
3. Nerve Injury: If there was any trauma to the nerves in the foot, it could lead to pain, weakness, or altered sensation. This might explain the feeling of weakness when trying to push off with your foot.
4. Bruising and Swelling: Bruising can cause localized pain and tenderness, and swelling can exacerbate discomfort, especially when pressure is applied to the affected area.
Given that you are experiencing significant pain and weakness in your right foot, it is advisable to seek further evaluation from a healthcare professional, ideally an orthopedic specialist or a physical therapist. They can perform a thorough examination and may recommend imaging studies, such as an MRI or ultrasound, to assess soft tissue injuries that may not be visible on X-rays.
In the meantime, here are some general recommendations for managing your symptoms:
- Rest: Avoid putting weight on the injured foot as much as possible to allow for healing.
- Ice: Applying ice to the affected area can help reduce swelling and numb the pain.
- Elevation: Keeping your foot elevated can also help minimize swelling.
- Compression: Using a compression bandage may provide support and reduce swelling.
- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.
As you recover, it is essential to gradually reintroduce movement and weight-bearing activities as tolerated. A physical therapist can guide you through exercises to strengthen the foot and improve flexibility, which can help prevent future injuries.
In conclusion, while your symptoms may be related to bruising and soft tissue injury, the persistent pain and weakness warrant further investigation to rule out more serious conditions. Early intervention can lead to better outcomes and a quicker return to your normal activities.
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