This is Tom’s story and his ongoing stiff toe joint painWhen things don’t go to plan what do you need to know? Throughout, clinician comment will elaborate on the story line. Please read the other cases on ConsultingFootPain as these paint a different picture starting with the Introductory article.
I joined Tom two months after surgery in a UK National Health Service Hospital. Tom was 70 at the time of surgery.
It might sound all very obvious, do we get big toe surgery right first time. Indeed yes this does happen.This series covers different patient stories taken from their own words. All had stiff big toe joint pain. Some have worked, others less so. This is Leah’s story.
Medical jargon is often hard to follow but when it comes to surgery and the painful stiff toe it is a good idea to have some background knowledge. What better way than for that information to come from patient’s own reflections.
When a colleague (HFP) sought this question, she was generous and mentioned her surgeon was busy and thought it an oversight. I am both an ex-patient and a foot surgeon, and I’m afraid I have to disagree. We often confuse nice with good, and all clinicians have a blip – but then don’t we all? So we have a patient leaving the hospital after bunion surgery. No post-operative information is apparent, so what does she do? Call a friend! This, in fact, is Facebook and jolly good it is as there is a heap of friendly advice.
It may seem simple to accept a risk from surgery is low in percentage terms but in this article I explore a new phenomena to may patients and that is actual impact should a perceived low risk actually arise. A number of different complications and problems are discussed and the impact this has should it arise is highlighted with examples and supplementary papers.
Our task as clinicians is to prevent worsening of the painful bunion – hallux valgus or stiff toe known as hallux limitus. Long term failure to act means the joint fails to work.
simple protection can be of great assistance in preventing later problems
In this brief introduction we distinguish between hallux valgus and the term bunion.
The breadth of options following qualification is not only considerable but podiatry is a profession with a job at the end of study. There is something for everyone, mature and young, and it is one profession that does not have a gender issue.
Cancer is something which affects any part of the body but being caught out may not always be the doctor’s fault. In this article I am using the abbreviation ‘S.M.ART’ which will be explained at the end. But how could we call be fooled by the story of my father’s sudden death from bowel cancer. Who was to blame?