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Little toe numb after being stepped on

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Hello, I have a quick question, it's been about two weeks since my little toe was stepped on really hard by a girl dancing beside me, and I still feel a little numbness in that toe. Is it normal for it to be numb for this long? There hasn't been much discoloration besides a little darkness on top. I'm on my feet all day at work, and I have a big sized foot with shoes that might not be the best fit. Should I be ok?

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Category: Family Physician-GP
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Expert:  Dr. John Monheit replied 4 Days ago

Hello, the symptoms described by you are probably suggestive of an injury to the little toe. It is relatively common condition characterized by damage or tearing of the connective tissue such as ligaments, cartilage and joint capsule of one or more toe joints. Each toe comprises 3 small bones known as phalanges. These small bones join to each other at the IP joints and to the bones of the mid foot at the MIP joints. During stubbing a toe, injury to the joints may occur. It involves damage to the cartilage or tearing to the connective tissue surrounding the joint. This results in a sprained toe and may affect one or more IP or MTP joints. Sprained toes are commonly seen in sports such as dance, gymnastics, athletes and football. It may result in pain, bruise or swelling of the area involved and even numbness at times. A thorough physical examination and X ray to rule out any fracture .MRI can diagnose these conditions or CT scan will confirm the diagnosis. Regarding the treatment, if there is pain, you can table ibuprofen twice a day after food for a week. Application of ice packs can reduce the swelling. If there is a fracture, the fractured toe is splinted in place with surgical tape until the bone mends which takes about 6 weeks. Some fractures require surgery to stabilize the fracture fragments and realign the toes. I would suggest you to get an X ray and review the reports with the orthopedician. Hope this helps. Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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