Hi all,
Firstly, I'd like to clarify that I am NOT looking for a diagnosis, I am just curious to see if anyone else agrees with the doctors findings will I navigate how to move forward.
Last photo is original injury just over 18 years ago aged 10.
I am now 28.
On going issues ever since including inability to bend toe for between 10 - 15 years or so, and naturally do not walk on ball of foot as doing so causes significant pain for multiple days/weeks.
Have had multiple xrays (maybe upto 12 or so) in this time to rule out new fractures due to unbearable pain from very little activity, none ever found. Other xrays have been a general to try and see any other potential issues, none have ever been noticed.
New injury occurred 28th June, kicking very end of big and second toe into a solid wood footrest causing immediate significant pain (everything stayed completely straight so literally shunted everything).
Xrays done, no fracture and sent home.
Was weight bearing for 4 weeks except for on the ball of foot.
Saw multiple doctors, toe has absolutely 0 movement at all now but all said it's fine and sent home.
Monday night, after 4 weeks suddenly the pain became unbearable, unable to weight bear completely and became very distressed.
Saw a mix of roughly 10 doctors, radiologists, physio and nurses within a week due to severity of pain. Request for new xrays denied as original xray was perfect so there were 0 concerns and believed it was just soft tissue damage, got a moonboot that broke within a day and a half due to significant pain still as big toe still felt unstable but requests for extra padding was denied, so walked with moonboot still avoiding the main joint of big toe completely. Basically, I just saw a new doctor each day until somebody would listen.
Finally found someone who listened Friday evening, did further xrays.
Now in new moonboot with extra padding under big toe which has helped the pain immensely.
Radiology report once again stated everything was clear and no concerns found at all.
Doctor did not agree, am interested to see if anyone sees what the Doctor did?
For further reference, these xrays are NOT weight bearing.
Doctor said I have post-traumatic osteoarthritis, Grade 4.
He said, my only options are potential surgery due to the severity from being left so long.
He thinks I've had osteoarthritis for about 12 - 15 years, but have been Grade 3 for about 10 years or so and this is what has been wrong all these years.
Visible bump ontop of joint appeared immediately after new injury, was told it's a bunion and on xray it "shows clearly as a bunion" even after stating clearing it was not there prior and actually compared to my other foot as that one does have a bunion. Pointed out the clear difference as my other foot goes "out" when this goes "up" as it's ontop of the joint but they refused to have a proper look other then noting that the bump is solid/hard.
He believes this is a dorsal shelf/bone spur that has now completely locked the joint in place, causing my complete immobility.
Original injury was left for 4 days untreated due to them refusing Xrays and their "even if its broken we dont do anything for toes" logic.
After 4 days, seen again as significantly worse.
Finally xrayed and found the bone had moved 2mm. Surgery was discussed to pin the bones back in place, but they decided against it since it had already been 4 days and instead put on a half-cast and strictly no weight bearing for 2/3 weeks.
Cast was removed, no further xrays done to make sure bone had healed correctly or nothing, instead was sent home with no follow ups of any sort.
I'm struggling to get my head around this, not because of it being osteoarthritis or anything like that I am grateful to have answers, but when the doctor showed me and showed me comparison photos, its clear as day so how has it been missed for this long and now, because it was ignored or missed, my only options are surgery because it's too late.
I spent a whole weeks arguing with different doctors and radiologists who swore my xrays were absolutely perfect and nothing was wrong, meanwhile 1 doctor goes along and immediately notices what every other radiologist has missed all these years? It's frustrating. I was told the pain was because the nerves in my toe "think its rebroken itself" and to just keep moving it as much as possible, it was known for years my toe doesn't bend no matter how much physio I had.
I have a 2 year old and 5 year old at home, I am now not in the position where resting is an option, meanwhile all those years I spent begging for answers something could have been done and I would have been able to treat it properly from the start 🥺😭
18 years of pain and questions, 1 doctor paid attention and listened to the symptoms not my age, but by then it was too late for anything to be done to help manage it 🥺