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Toe, Foot, and Ankle Injuries


Topic Overview

Bones of the foot At one time or another, everyone has had a minor toe, foot, or ankle injury that caused pain or swelling. Most of the time our body movements do not cause problems, but it's not surprising that symptoms develop from everyday wear and tear, overuse, or an injury.

Toe, foot, or ankle injuries most commonly occur during:

  • Sports or recreational activities.
  • Work-related tasks.
  • Work or projects around the home.

In children, most toe, foot, or ankle injuries occur during sports, play, or falls. The risk for injury is higher in sports with jumping, such as basketball, or sports with quick direction change, such as soccer or football. Any bone injury near a joint may injure the growth plate (physis) in a child and needs to be evaluated.

Certain athletes, such as dancers, gymnasts, or soccer or basketball players, have an increased risk of toe, foot, or ankle injuries.

Older adults are at higher risk for injuries and fractures because they lose muscle mass and bone strength (osteopenia) as they age. They also have more problems with vision and balance, which increases their risk of injury.

Most minor injuries will heal on their own, and home treatment is usually all that is needed to relieve your symptoms and promote healing.

Sudden (acute) injury

An acute injury may occur from a direct blow, a penetrating injury, or a fall, or from twisting, jerking, jamming, or bending a limb abnormally. Your pain may be sudden and severe. Bruising and swelling may develop soon after your injury. Acute injuries include:

  • Bruises (contusions)Click here to see an illustration.. After an ankle injury, bruising may extend to your toes from the effects of gravity.
  • Puncture woundsClick here to see an illustration.. Sharp objects, such as nails, tacks, ice picks, knives, teeth, and needles, can all cause puncture wounds. Puncture wounds increase your risk of infection because they are hard to clean and they provide a warm, moist place for bacteria to grow. The bacteria Pseudomonas is a common cause of infections when a puncture wound occurs through the sole of an athletic shoe.
  • Injuries to ligamentsClick here to see an illustration. that support your joints.
  • Injuries to tendons, such as ruptured tendons in your heel (Achilles tendonClick here to see an illustration.). Young boys ages 8 to 14 may have a condition known as Sever's disease, which causes injury to the growing bone where the Achilles tendon is attached. This usually occurs during activity and is relieved with home treatment.
  • Injuries to your joints (sprains). If a sprain does not appear to be healing, a condition known as osteochondritis dissecans may be present, causing persistent symptoms.
  • Pulled muscles (strains). Muscles of the foot and ankle can be strained and can also rupture.
  • Broken bones (fractures), such as a broken toe.
  • A bone moving out of place (dislocation).
  • A crushing injury, which can lead to compartment syndrome.

Overuse injuries

Overuse injuries occur when too much stress is placed on your joint or other tissue, often by "overdoing" an activity or repeating the same activity over and over. Overuse injuries include:

Treatment

Treatment for your toe, foot, or ankle injury may include first aid measures (such as the application of a brace, splint, or cast), a special shoe (orthotic device), physical therapy, medicine, and, in some cases, surgery. Treatment depends on:

  • The location, type, and severity of your injury.
  • When the injury occurred.
  • Your age, your overall health condition, and your activities (such as work, sports, or hobbies).

Check your symptoms to decide if and when you should see a doctor.

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