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The response to the question below was authored by Marc Mitnick DPM
I stepped wrong on right foot. It hurts to walk on it when bearing weight to the right of it. I had a previous injury to that foot years ago but doctors said not broken.
I stepped wrong on my right right foot injuring it. Again, I guess I should say. It is not bruised nor is it swollen but it is very painful to move a certain way or walk on it when the weight or pressure gets to like the 4th and 5th metatarsals. I went to my doctor and he x rayed it and told me that he did not see any breaks or fractures. But, he did see something strange.. He showed me the x ray and pointed to the (what I believed to be the 5th metatarsal)(for which that is the last bone to the right of your right foot) and proceeded to tell me that the bone looks strangely odd shaped. To me it looked like it was bowed like. But he said he sees no breaks no fractures and told me to wrap my foot try not to walk the way it will hurt me, gave me a script of naproxin, and if it still hurts in a couple of weeks come back. I proceeded to let him know that i did previously injure that same foot years ago but he was not interested. Oh, but he did say that a second person looks at the xrays and if they see anything they will call me. Now, my concern is that years ago when I injured my foot I did so pretty badly, I had heels on walking on a bricked uneven street and stepped into a hole twisting my ankle and foot and all my weight went to the right side of my foot and toes and on top of my foot. My foot and toes were black and blue, swollen, and hurt very very badly. I went to the doctor (orthopedic), they said from the xrays it looks to just be badly bruised and sprained but never did a 2nd xray after the swelling went down. (?) I suffered for a long time with my foot. I suffered off and on through the years. It always felt weaker than the other and stepping wrong would cause some pain at times. Weather changes sometimes cause
pain too. At times I would suffer with painful spasms in my toes and at the base of the 3rd and 4th toe and into my foot. Feeling like it is crippled or out of place (not a charlie horse). Do you think I could have possibly been misdiagnosed years ago and my foot healed incorrectly and that is why I am feeling these pains off and on, and now I feel like I have re injured it again giving the fact that this time I felt bones crack again and it hurts very badly. Would the strangely odd shaped 5th metatarsal be the result of my bones not healing right the first time I injured it? Or do you think maybe I could have injured the 5th metatarsal head the 1st time? Or maybe it did nerve damage? But why is the bone shaped like that? what should I do? I don't want to just keep going like this due to the fact that I am tired of being in pain with this and I am not getting any younger, if there is a problem, they need to address it now, not 10 or 20 years from now when other health problems can arise.. RESPONSE
Without having the luxury of seeing all your x-rays and examining you I cannot tell you exactly what is going on here. Anything is possible.
What I would suggest is that you have an MRI of the foot. An MRI will be able to tell you if there is any soft tissue damage as well as let you know if there is a fracture, whether a recent one or an old fracture which has not completely healed.
As far as your concern about the doctor who mentioned your fifth metatarsal bone was abnormally shaped and now you are concerned about that; I would suggest you have an x-ray of the other foot. If the "abnormality" is congenital then it would probably appear the same on the other foot. If the "abnormality" is the result of previous trauma then it will appear different from the other foot.
Marc Mitnick DPMDISCLAIMER
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