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Doctor insights on: 1st Metatarsal

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How long does a titanim rod in your 1st metatarsal last?

How long does a titanim rod in your 1st metatarsal last?

Indefinitely: If you had a 'titanium rod' placed in your foot, the internal rod will remain throughout your lifetime. If there is loosening of the fixation then it may need to be removed but titanium is a great metal that does not react to the human body and wear down. ...Read more

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What to do if i dropped a 5lb weight on my 1st metatarsal, what have i done?

What to do if i dropped a 5lb weight on my 1st metatarsal, what have i done?

Contusion: Have an xray to rule out a fracture. If there is lots of pain when walking, get off your foot. ...Read more

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I'm having my 1st metatarsal shortened, and they're going to put 2 screws in it. How often do the screws cause later problems or pain?

I'm having my 1st metatarsal shortened, and they're going to put 2 screws in it. How often do the screws cause later problems or pain?

Screwy situation.: I think you'll find that this phenomenon varies from surgeon to surgeon. It would probably be best to ask the surgeon just what his fixation complication rate is. ...Read more

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I have a fixator that was used to distract my 1st metatarsal 17mm. Stopped lengthening 5 weeks ago. 1 of the 4 pins was removed (infection). Will the fixator be of use when i go weight bearing with it?

Fixator metatarsal: While the fixator has lost strength because the pin was removed, it will still help to maintain position while you begin gradual transition to weightbearing. Your physician should be able to tell you how much weight to place on the foot depending on the type of fixator and size of pins that were used. ...Read more

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1st metatarsal head painful to touch, but there is no bump, redness, or swelling. Why would this be hurting?

We're on the bone : Is it painful? If on the bottom a sesamoid injury or plantar plate injury is possible. If on the side a tight shoe could of been a culprit. If on top, it is possible a tendon is irritated......sometimes underlying tissue can be irritated without there being lots of swelling.... ...Read more

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What does this mean, regarding shoe fit? The break in shoe must be at 1st metatarsal joint. It should'nt be able 2 "dish rag" in the center of shoe.

What does this mean, regarding shoe fit? The break in shoe must be at 1st metatarsal joint. It should'nt be able 2 "dish rag" in the center of shoe.

Shoe fit: The 'break ' of a shoe refers to where the bend is at the forefoot and it should be near the big toe joint. The dish rag test refers to the torsional strength of a shoe. You should not be able to grab the shoe at the toe and heel and twist as if wringing out a wet cloth. Good luck. ...Read more

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Very sharp pain when pointing my right big toe. Same (sharp shock) type pain when touching 1st metatarsal or highest boney area on top of foot?

Very sharp pain when pointing my right big toe. Same (sharp shock) type pain when touching 1st metatarsal or highest boney area on top of foot?

Neurogenic pain.: Sharp, shocky type pain located in and around the toes are almost always due to a nerve being irritated. The goal is to identify the exact location of the irritation and eliminate it. The cause could be underlying bone or cyst causing irritation to the nerve and the irritation has reached the point that pain is caused for protection. Seeing a specialist is the first step toward relief. ...Read more

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Just got home from WATCHING track meet.and my foot is really hurting right in my 1st metatarsal.didnt hurt it but hurts to move foot.not really bruise?

Knowing what part: Of the bone hurts would help. The head of the bone at the joint? The shaft? The bottom of the head. Lots of possibilities: is it the sesamoid area? Is there swelling? Is there redness? Try and be as specific as possible.... Gout, stress fracture, sesamoid it's or fracture are all in the differential diagnosis. ...Read more

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I have a bone bruise on the base of my foot (1st metatarsal confirmed by bone scan) how long will it take to heal?

I have a bone bruise on the base of my foot (1st metatarsal confirmed by bone scan) how long will it take to heal?

Hard to say: Bone contusions can be treated in a variety of fashions depending on location, symptoms, etc. Usually, we will treat these with a cast boot to immobilize and rest the foot, ice, antiinflammatories and limited standing/walking. In severe cases, non weightbearing (crutches) may be needed. Follow the instructions of your foot care physician. Dr. L. ...Read more

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What to do if I have no clue how ive done this but my big toe and the extensor hallucis longus - there is a bit of my foot where aparently its the 1st metatarsal?

What to do if I have no clue how ive done this but my big toe and the extensor hallucis longus - there is a bit of my foot where aparently its the 1st metatarsal?

Big toe and ehl: I'm sorry , but your question really makes no sense . The ehl tendon runs on top of the first metatarsal for all humans and inserts just before the growth center of the nail on the hallux . ...Read more

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I'm 26 weeks preg. I think I have a stress fracture in my 1st metatarsal for 3 months & not healed yet. No pain but red & swollen when i try to walk/use?

I'm 26 weeks preg. I think I have a stress fracture in my 1st metatarsal for 3 months & not healed yet. No pain but red & swollen when i try to walk/use?

Need a podiatrist: You probably need to immobilize the foot for a while. A podiatrist (or an orthopedist) might be able to fit you with a boot/brace to help you heal. This is a tough time to have your activity limited! and the extra pregnancy weight is not helping the healing process. I'm sorry! but proper care now might help avoid a longer term problem. Good luck! ...Read more

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When I flex my foot I feel a popping sound in my ankle and when I point my foot I feel pain at my 1st metatarsal by my big toe. Pain when walking?

When I flex my foot I feel a popping sound in my ankle and when I point my foot I feel pain at my 1st metatarsal by my big toe. Pain when walking?

May be tendon: You may have tendon issues. The popping could suggest that you have increased flexibility with hypermobility sometimes known as Ehlers-Danlos Syndrome. This is a mechanical issue with increased elasticity of your tissue. Exercise is one of the best therapies for this ...Read more

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I am trying to decide between fusion or screws between my 1st and 2nd metatarsal for a lisfranc injury. Been told fusion is too new- what do you think?

I am trying to decide between fusion or screws between my 1st and 2nd metatarsal for a lisfranc injury. Been told fusion is too new- what do you think?

NOT NEW: Fusion is not new. There are definitely two camps regarding screw repair vs. fusion. Depending upon the extent of the injury, fusion might be better. And, there is a certain percentage of people who had screw repair, who eventually need a fusion b/c of arthritis following the repair. ...Read more

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Where is the distal first metatarsal?

Where is the distal first metatarsal?

Foot: The metatarsals are the long bones in the midfoot which end just before the toe begins. The first metatarsal is the bone which attaches the big toe. The distal portion of the bone is just before the joint where the big toe begins. ...Read more

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How painful is the surgery and recovery to shorten the first metatarsal?

How painful is the surgery and recovery to shorten the first metatarsal?

Pain: If you have broken a limb before the pain would be similar. Although the trauma is controlled under surgery, you will still experience the pain, swelling and discomfort of a bone healing. ...Read more

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What do you do for a non-healing first metatarsal, broken for 4 months, swollen, very painful?

Bone stimulator: First i assume the fracture was immobilized in a cast or surgical shoe for an adequate period of time and you have stayed off of it as much as possible. You may have a delayed or non union fracture. First i would try a bone stimulator- there are many types. If that fails there are surgical procedures. ...Read more