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The response to the question below was authored by Marc Mitnick DPM

Lead pencil struck my foot

by Alan
(Jersey City, NJ)

I had this sharp lead pencil pierce maybe 1 or 2mm through my foot. When I felt the pain, I immediately pulled back. There was a black mark deep under the skin, no blood. I tried using the needle to probe that as if it was lead, but either it went further inside or it was just the color left by the lead. Anyways, I came home and my friend tried to probe it again a few hours later with another needle but could not find. This time a tiny amount of blood was there due to needle probing. I applied the liquid bandage as I did not wanted to get infected. Next day went by fine without me noticing anything. After 2 days, today I noticed a shining heart shape yellow skin happening around the wound. First thought it must be caused by the liquid bandage. But when I tried to peel off, there was no liquid bandage to peel off. It is my actual skin which is shining. I tried to press the wound area and I can feel a tiny pain. Should I be worried? Pics are attached which were taken at the time of writing this question. Thanks

RESPONSE

Hi Alan,

The problem here is that I have know way of knowing if there is any lead in your foot or not. The problem, as you can guess, is that lead can break off readily easily so in a best case

scenario you may have no lead or a very small piece.

The fact that you do not feel much pain does not tell me one way or the other whether there is still lead in your foot, it just tells me that if there is lead in your foot, it is probably a very small piece.

Is that a reason not to be concerned? No it is not. If there is even a small piece of lead in the area it could become infected.

Most infections occur 36 to 72 hours after introduction of a foreign body and I know by your narrative that at least 48 hours have passed.

If the yellow heart shape discoloration you mention is not from the liquid bandage then it might signify a reaction to a foreign substance in your foot.

You and your friend can probe all you want with a needle, but I would say a foot specialist would be much better adept at probing the area and removing a foreign body if one exists.

If there is a small piece of lead in your foot, your probing may end up pushing it further into your foot and if there is no lead in your foot, you may just make matters worse and end up with an infection.

My suggestion would be to put some antiseptic on it like Neosporin or Bacitracin, cover it with a bandaid and make an appointment with a podiatrist.

Marc Mitnick DPM
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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

MY PRODUCT RECOMMENDATIONS(items I prescribe in the office)

Orthotics for multiple types of foot pain best buy in a pre-made orthotic click link below

Orthotics for heel and arch pain for those who must wear dress shoes click link below

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(location unknown)

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Regards,

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South Africa

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Mansfield Ctr, CT

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Unknown location

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New Zealand

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Sincerely

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Poland

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South Carolina

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location unknown

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location unknown

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Bre

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anonymous

Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

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Seattle, WA

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location unknown

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New Jersey

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location unknown

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location unknown

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Evansville, IA

Dear Marc

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Jackie

San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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Albany, NY

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location unknown

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Whichita, KS

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Boston, MA

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....Keep up what your doing. Your a life saver.

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Colorado

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Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

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by: Max

location unknown

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Canada

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location unknown

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown

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Renae

North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown

Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

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Lenoir, NC

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Bellevue, WA

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Jodi

location unknown

Lead pencil struck my foot

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