Not what you're looking for? CLICK HERE INSTEAD
My husband works for railroad had a crush injury to foot four weeks ago.he had mri. Ct scan and xrays. No breaks. Just showing soft tissue adema. Problem is he still can not walk or put pressure on foot. Wears a soft cast and crutches. Ices it at night elevates it all day and night but every time he does stand even if only for a few minutes his entire foot turns purple blue almost black. With alot of numbness. Has seen podiatrist. And orthopedic wondering if this could be vascular. Ive never seen a foot turn almost black just from standing. Any suggestions appreciated.RESPONSEHi Rhonda,You are correct, a foot should never turn black, or perhaps dark purple. The fact that this occurs when he puts his foot down on the ground suggests there is a problem with the blood returning back to the heart. It is somehow being restricted.If the injury had just occurred a few days ago, my first thought would be that the cast is too tight. Even a soft cast can be applied too tight. However, this is four weeks down the road and one would assume that the majority of the swelling should have subsided by now.The numbness as well is a sign to me that there is too much pressure somewhere that is putting pressure on the nerves thus creating numbness (as well as the foot turning dark).The final issue is that it is four weeks post injury and apparently your husband is still in a lot of pain.Sometimes, initially after an injury there is so much soft tissue swelling that it becomes difficult to spot a fracture or perhaps a tear in a muscle or ligament.Assuming the doctor(s) treating your husband are experienced, they should be able to guage if your husbands progress is normal or not. This would be influenced on his age, medical condition, weight and compliance with staying off his injured foot.Assuming all things being equal, I would think that at four weeks post injury, although he may not be ready to do cart wheels, he should have noticed progressive improvement. If this is not the case, then the foot needs to be re-examined including perhaps another MRI.You would also be wise to show the doctor the color of his foot when in a dependent position. The first thing I would do, if he was my patient, would be to remove the soft cast and see if the same discoloration still occurs, as well as the numbness.If it does, then I would recommend a consultation with a vascular specialist to assess the patency of his circulation.There is a condition known as Complex Regional Pain Syndrome (CRPS, which you can read about on my site) that may have to be ruled out as well. The best people to make that diagnosis are neurologists and pain management specialists, usually anesthesiologists who specialize in pain management.So I would recommend letting his doctor see his present situation and go from there.Marc Mitnick DPMDISCLAIMER
Click here to post comments
Join in and write your own page! It's easy to do. How? Simply click here to return to Ask the doctor.
Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)
I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
Solo Build It!