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Pain after fall in child

Discussion in 'Ask your questions here' started by Unregistered, Apr 27, 2010.

  1. Unregistered

    Unregistered Guest


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    My daughter of 8 had a fall off the adventure playground (approx 3ft) and landed on the outer part of her right foot. I took her to a&e whereby they xrayed it and told us it was sprained, rest for 48 hours, ice etc and then gradually start to use it again.

    We followed this to the latter and my daughter on day 3 could walk but only by placing her heel to the ground. Another day on and she is in so much pain, her foot was swollen over the big toe and arch area that i took her back down and again had it x-rayed. Still nothing. Reluctantly they gave my daughter crutches.

    Today we have been down to the trauma clinic whereby he looked at the foot, re-looked at the x-ray and concluded that she had broken a small bone leading to the big toe...nothing detrimental and she probably didn't even need the crutches! She has been told to gradually use it again and to reintroduce sports etc after a week and her gymnastics once she feels comfortable again.

    We left there with the crutches (i explained that she had tried without them the first time and after 72 hours her foot was swollen) but without the foot being strapped up or anything.

    Is there any further advice you can give? My daughter does 4 hours of gymnastics a week and i don't want her to suffer because it hasn't healed properly. We have not been told to go back unless it continues to swell. At the moment the area around the base of the big toe is swollen and she won't put her foot to the floor.

    Sorry for the essay but just would like to do the right thing to get her back on the mend.

    Thanks in advance
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***************************************************
    Your apparent belief that x-rays findings are necessarily the quintessential judge as to whether or not serious damage has been done may be in error. But especially as she has been given various diagnoses as to what was damaged in her fall, it would be imprudent at the very least to attempt to offer meaningful advice as to what, if anything, needs to be done or whether a normal healing process leading to a return to full and pain-free function will eventuate without intervention. But I think that common sense would dictate that she rest the injured part and not participate in gymnastics or any athletics involving the foot until there is no more pain and she can function normally during common weight-bearing activities. I don't know what the availability of an independent second opinion from a well-vetted specialist is within your health system, but if you were in the U.S., that would be the prudent thing to do if one had uncertainty as to the quality of treatment being rendered.
     
  3. Unregistered

    Unregistered Guest

    Thanks for your speedy reply.

    My daughter is still using the crutches and i have told her to continue to until she feels she is ready to put her foot to the floor and when she does to then only do it for short periods of time. The sports etc would definitely be gradually reintroduced only when i know that she has been pain free for a good number of days whilst walking etc without the aid of crutches and pain free.

    My only concern is that we have been here before and seem to end up back at the very beginning again. We will try again and see where it gets us this time otherwise we will be returning for yet another diagnosis.

    I take it small bones in the foot do generally heal well if the patient rests up and doesn't run before they can walk.

    Thanks
     
  4. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ************************************************** *
    Given otherwise good health, the key to healing of fractures of bone is good apposition and stabilization of the fracture segments during the healing process. But the totality of injury which results in a fracture is almost never limited to the fracture itself, and the concomitant damage may be more problematic in the long term. Bone is one of the few tissues of the body which heals with cells identical to those which were destroyed in the trauma, and thus, a nominally healed bone is most often as good as new. That claim cannot be made for most other injured tissues.
     
  5. Unregistered

    Unregistered Guest

    Thanks foot doctor will let you know how she goes :)
     
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