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Bent my big toe back, unhealed after a year:(:(

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I am a 16 year old male and almost a year ago I bent my right big toe back way too far in one hard, jarring motion. It was incredibly painful and sore for a few days before becoming simply just there. It hurts to push or pull with it or to push it or pull it with something else. It affects the way I walk and my right hip his getting pains which I am assuming is from misalignment of my getting about. I have had x-rays from which no doctors, physiotherapists, podiatrists, or sports diagnosticians can deduce anything and there is no visible or �feelable� abnormalities. I can�t afford to get an MRI and I�m beginning to get scared it could be permanent. There are many physical activities and sports which I refrain from because of this and I just can�t stop thinking and worrying about it the longer it doesn�t heal.
Please has anybody had any similar experiences or had a friend who has or treated somebody with a similar or the same problem??? Any advice/experience would be wonderfully appreciated:)
Thank you.
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replied August 16th, 2011
Especially eHealthy
riverbodhi,

You don't really say where your pain is located. Is it within the metatarsalphalangeal joint (MTPJ), which is the large joint of the great toe? If so, is it on the plantar surface, as where, when you walk, you roll over it? Or, is it on the top surface or on the sides? If it is not in the joint, where exactly does it cause you discomfort? You say it hurts to push or pull on it, does it hurt when you go through a range of motion (actively, passively, or both)?

You also state that you cannot tell by looking at it, that it is bothering you. So, there is no swelling, redness, discoloration, deformity of any type? Does the great toe, more or less, go straight out from the foot, like your other side (i.e. do you have a bunion)?

You state that many healthcare providers have looked at it, but have you actually seen an orthopedic surgeon (a bone and joint specialist)? Given, a podiatrist or sportmedicne specialist should have been able to figure out what is going on. You also had x-rays right after the injury, but have you had any recently? What have the HCPs felt was wrong with you? And what type of treatments have you had? Do you have any other information you think might be helpful?



Unfortunately, with the little information you have given, it is hard to even try to hazard a guess at what could be causing your problem. The problem could be from the bone, cartilage, ligaments, synovial lining, tendons, sesamoids, physeal plate, skin, nerve, blood vessel, fascial tissue, or a combination thereof. It could be a static anatomical problem or, possibly, the anatomy could be normal, but is dynamically not working properly (i.e. a biomechanical problem).


After a year, if it was going to resolve on its own, it would most likely have done so. So, to say just give it more time, is, well, a little ridiculous. There has to be some sort of problem, it is just a matter of sorting it out.


Again, if you can provide a little more information, it might be possible to give you some suggestions as to what it might be or how you might be able to treat it. Otherwise, it would take a book to cover all the possibilities.

Wishing you the best.
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replied February 1st, 2012
..pretty sure thats a Metatarsalphalangeal joint sprain, more commonly called Turf Toe..

from wikipedia: Treatment and prognosis

The injury can be debilitating for athletes who need to accelerate, quickly change direction, or jump. Use of the toes is not possible during the healing process.

Since the toes are necessary for proper push-off when accelerating, those sorts of athletic activities can be almost completely curtailed. A healing period of one or more months is often required.

Because of the anatomy of the distal foot and the unique use of the foot, it is often impossible to properly tape or brace the joint. Although difficult, it is not impossible to tape the toe to limit dorsiflexion (upward bend of toe). Additionally, wearing a shoe with a rigid sole (often a metal plate) and cushioned innersole will help minimize extension of the joint. Anti-inflammatory medication as well as physical therapy is recommended.

Turf toe can often progress into a chronic problem, in which the joint(s) never really heals or heals too slowly to return to usual physical activities.

Turf toe can become more serious if left untreated, and may cause serious problems for the athlete..

sorry bro..an i just had it happen to me too..forget walking..its overrated.!
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