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ATOT medical question - broken / sprained foot

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jme5343

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I was out doing some trail running yesterday and about a mile or so in, I rolled my left foot to the outside when stepping on a rock. Hurt a tad bit, but I kept running, not going to stop and let it get stiff. Happened again shortly after, presumably because it was a little weaker, then again, at which point it became pretty painful. So, I slowed to a walk as I had about a mile to go to get back to the car. One time walking back, it happened again, at which point I felt it start to swell, but obviously I still had to walk out.

I did all the rest, ice, compression, elevation last night and have been using crutches. This morning it is still swollen, black and blue (consistently so, no huge splotches or obvious bleeds). The pain is at the outside of my left foot, about halfway between my little toe and heel. It is NOT the ankle.

I can put a little pressure on it if I distribute the weight very evenly and keep the foot totally flat.

What I wonder is whether it even warrants a trip to the walk in. I figure it's probably just like a toe issue, they're not going to tell me to do anything other than "yep, it's broken" or "it's just sprained" and tell me to stay off the foot, which is a a no brainer.
 
jme5343 said:
I was out doing some trail running yesterday and about a mile or so in, I rolled my left foot to the outside when stepping on a rock. Hurt a tad bit, but I kept running, not going to stop and let it get stiff. Happened again shortly after, presumably because it was a little weaker, then again, at which point it became pretty painful. So, I slowed to a walk as I had about a mile to go to get back to the car. One time walking back, it happened again, at which point I felt it start to swell, but obviously I still had to walk out.

I did all the rest, ice, compression, elevation last night and have been using crutches. This morning it is still swollen, black and blue (consistently so, no huge splotches or obvious bleeds). The pain is at the outside of my left foot, about halfway between my little toe and heel. It is NOT the ankle.

I can put a little pressure on it if I distribute the weight very evenly and keep the foot totally flat.

What I wonder is whether it even warrants a trip to the walk in. I figure it's probably just like a toe issue, they're not going to tell me to do anything other than "yep, it's broken" or "it's just sprained" and tell me to stay off the foot, which is a a no brainer.
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So you rolled it four times?

If it's a bad sprain, it's a really good idea to get PT. Your ankle can get trained/weakened to not realign properly, leaving it more likely to roll again.

I'd guess the midfoot issue is a nasty bone bruise which will hurt. A lot. But no way to know.
 
I'd definitely go get it checked out and have it xrayed. Assuming it is fractured, they can see the characteristics of the fracture and do various casts, boots etc to make sure it heal properly so yo udont definitely more foot problems later on. But youre also right htat if its just sprained they'lll likely just give you an air cast and do nothing.

http://en.wikipedia.org/wiki/Ottawa_ankle_rules

Although your ability to bear weight after injuring the foot is a better sign.
 
Walk in doc had me get some x-rays this morning. Broke the corner off of the bone behind the pinkie toe metatarsal. That's my entirely non-medical description.

Now waiting on my primary to refer me to a specialist.
 
jme5343 said:
My bad. It's actually the base of the fifth metatarsal that is broken. Seeing the orthopedist tomorrow to determine whether it should be booted or casted (not a word, I know).
Click to expand...

Fifth met heads fracture frequently. If it's along the metaphysis or back on the tuberosity and not displaced, you should be fine in a boot. If it's just ahead of the tuberosity, you'll probably need to be in a cast for a week or two.
 
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