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painful foot from broken leg

Recovered from broken tibia , I have been back yo work for two weeks . I still have a bit of a limp and my leg is getting stonger, however my feet hurt alot at end of the day . Is this pain possibly associated with my limp ?


RESPONSE
Hi,

It would be safe to say that the your end of day foot pain is certainly associated with the trauma you suffered to your tibia. You do not mention if you had surgery or not, but I assume at the very least you were wearing a cast for a prolonged period of time.
Yes, the possibility exists that your feet hurt because you are limping. Walking abnormally, Limping, will certainly change your gait and because of that will cause the muscles going into your foot and the muscles within your foot to overwork which certainly could cause pain, particularly the more you walk. An abnormal gait may also cause your actual gait cycle to change somewhat, putting excess pressure on certain parts of your feet which you do not normally do and thus you will end up with pain in your feet.
The most common cause however, of pain in the feet after this type of injury is simply due to the fact that you are not used to walking normally. I will assume that the broken tibia tied you up for 6-8 weeks, possibly longer, depending on the severity of the fracture and during this whole time you were forced to walk in an abnormal fashion. Now, as you attempt to return to a normal gait you are getting pain because the muscles in the broken leg have weakened due to wearing a cast and all the down time you experienced while the healing process was going on.
In many instances that will account for the limp you are experiencing, simply the fact that the muscles in the broken leg need to be strengthened so that you can return to a more normal gait.
This will be compounded by the type of work that you do. If you sit at a desk all day, the pain will be less prevalent then if your job requires you to do a lot of standing and walking.
If this problem is a real issue for you, why not speak to your doctor about going for physical therapy, as therapy will go a long way to strengthening your muscles and allow you to return to a more comfortable gait.

Marc Mitnick DPM
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