pain Archives | Orthoped

Still sore after fracture months ago

(3 discussions)

Hello, maybe you can advice?
I fractured my big toe in late August, seemed to show the fracture re united about 6 weeks later. Now I am still getting that sharp pain in my big toe if I bend it under?
If I sit and relax and turn my toe under my foot and push the sharp pain is there, that type of pain that makes you let out a sudden yell.
This is the same if someone bumps my toe inwards or under. Any suggestions, last X-ray shows proximal phalanx (spelling might not be correct) was re united. Very mild swelling but hard to notice, toe is fine providing I continue to be careful.
Would appreciate any views
Thank you

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Candidate for Total Knee Replacement?

Who decides whether you will have a total knee replacement operation? Curiously enough, you are the boss, you decide!

  • Your surgery depends principally on your willingness to comply with the long, demanding post-operative physical therapy and rehabilitation program that follow the surgery.
  • All other considerations (your age, disease character, etc.) are secondary.
  • The decision to have the operation of a damaged knee joint is a highly personal matter, and only you can make that decision, together with your surgeon.


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Concerns before Total Knee surgery

1. Preoperative anxiety

You have had no previous experience with total knee replacement operation and it is only natural that you are anxious. Feeling of anxiety and depression before the total knee operation is usual for all patients. (Curiously enough, patients with previous experience, people with the other knee already operated on, are anxious too).
The preoperative anxiety disappears during the week after the operation when you have realized that the surgery has succeeded and all is well. Your preoperative anxiety will be replaced be feelings of relaxation and relief.

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Back Pain In Athletes

Back pain

The lifetime incidence of mechanical back pain of some type or another is approximately 60% in human beings living in a western culture, with or without a sporting interest. While sportsmen can clearly suffer degenerative and mechanical problems unrelated to their sporting endeavours, there is a series of clinical syndromes and pathological processes that are seen specifically, but not exclusively in sportsmen.

Increasingly, in a leisureoriented culture, not only do these back pain problems afflict professional and top-level amateur sportsmen, but there are many recreational sporting injuries in the general population.

It is important to exclude significant underlying pathology in any patient or sportsman with back pain. The list of red flags popularized in the Clinical Standards Advisory Group document is a very useful guide to screening such patients for significant underlying pathology. (more…)

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