Author: Foot Doc
Date: 11/12/2006 11:48 am PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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Most of the questions you now ask regarding fracture or dislocation could easily have been answered by a simple x-ray. I don't see any rational reason for your electing not to have one. Moreover, I cannot understand why your doctor has continued to accept your case without your allowing an x-ray. I assume from your "it hurt bloody" remark that you are from the U.K., but in the U.S. a doctor who treated such an injury and did not take an x-ray would place him/herself at risk for ma;-practice litigation should poor results ensue, as perhaps they now have. I think his/her decision not to at least strap the injured toe to the adjacent one nay not have been a particularly good one.
All that being said, there are certainly many more eventualities which can be more severe in such a trauma than would be a fracture or dislocating. Tear of ligaments and injury to tendons, nerves, lymphatics and blood vessels could produce far more dramatic and long-lasting problems.
Dislocations can generally be grossly determined by position, deformity and direction and range of motion. In my opinion, what you need is to stop playing doctor and place your problem totally in the hands of a professional without calling the shots as to what is or is not to be done.
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