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The response to the question below was authored by Marc Mitnick DPM
top of foot injury from kicking
I injured my foot playing soccer 3 weeks ago. The injury was from making a tackle and impacting with ball and person very hard with the top of my foot. I played the rest of the game as it didn't really hurt. After the game after cooling down, it started to hurt and swell up. I limped around for the next 2 days with a very sore foot, slightly swollen, no visible bruising. Swelling went down after a couple of days, and pain decreased. In the mornings, pain is minimal, at the end of the day after some walking around it is quite sore. When I apply pressure to the area(shown in pic) it is sore. I am walking normally 90% of the day.
Is my injury more likely bone or tissue related, and who is the best practitioner to see regarding my foot. I can't really afford to see multiple people and pay for multiple therapies.
Any advice, direction, diagnosis you could give would be much appreciated
The only way to know for sure if there a fracture of any kind is to have an x-ray. There is no way any doctor can just look at a foot and tell.
In terms of the doctor you should see, a podiatrist or an orthopedist are your best bet. Quite frankly, any other type of doctor would basically be a waste of time particularly if there are complications of any sort.
Your narrative is more suggestive of bruising and soft tissue injury than a fracture, but keep in mind I am just guessing.
The reason I think the foot may just be bruised rather than broken is because you state that the pain is not too bad early on in the day but by the end of the day, after you have done some degree of walking, the foot will hurt more.
Usually in a fracture the foot will hurt from step one in the morning and hurt all day long. Yes, the pain will worsen during the day as well, but the point to be made is that the foot will also hurt significantly early in the day as well.
Looking at your picture and the area that you circled I would be inclined to think you may have done some damage to the tendons that bring your toes upward, as well as bringing your foot upward.
So, early in the day there may not be to much pain in the foot, but as the day progresses and you continue to walk, you are probably overworking these injured tendons, so by the end of the day your pain is more significant, due to the fact that the tendons have become more inflamed.
Your injury occurred three weeks ago and that concerns me in the sense that if you all had was a soft tissue injury, by now it should have at least greatly improved (although not totally resolved) and this time element may suggest the possibility of a more severe injury than just damage to your extensor tendons. I should point out that sometimes soft tissue injuries in the foot may take longer to heal than injuries elsewhere in the body for the simple reason that as you walk on the foot you are essentially re-injuring the injured tissue and this can delay the healing process.
Even though I am leaning towards a soft tissue injury over a fracture, the length of time that this has been going on does concern me and therefore, I would suggest you seek medical attention.
Marc Mitnick DPM
Johns Hopkins Medicine
University of Rochester Medical Center
American Academy of Pediatrics
Penn State Medical Center
National Institutes of Health
Columbia University Department of Rehabilitation
Stanford Health Care
Illinois Bone and Joint Institute
Mount Sinai Hospital
Institute for Chronic Pain
University of Florida Health
American Family Physician
University of Maryland Medical Center