Left medial cuneiform - Advice please
Just past week 2 since the injury (left medial cuneiform fracture) and going into week 3.
Got a backslab done at A&E 1 day after the injury.
1 week later, saw a doctor who did a weight bearing x ray. Doctor then removed the backslab and ordered a boot and told me to partial weight bear with crutches. Was informed I don’t need to wear the boot unless weight bearing. Told to do ankle pumps and toe scrunches. Went home in boot.
Wore boot till evening when I removed it to shower and didn’t put it back on. Have been NWB since then, moving around on crutches to get to bathroom etc but spending most of my time in bed with the leg on pillows.
Since week 2 started and I came home with the boot, (aka for the past week) I’ve been getting numbness in the injured foot. It is constant except for when I’m asleep. It’s like the numbness wakes up with me. Numbness was originally focused on front of the foot but it has shifted to mainly the big toe these 2-3 days. It gets better if I twitch the toe but then comes back almost immediately. I have also just started feeling some tightness over the top of my foot where the fracture is particularly when doing the toe scrunches. The area of the fracture has also been twinging now and then since a day ago. I’ve previously not had pain aside from day 1 and 2. I’ve also experienced random muscle spasms.
My concerns are:
- How much weight is needed in a weight bearing x ray to rule out lisfranc? My heel barely touched the ground because I had spent a week in a cast and the x ray was the first time I put my foot down since. I’m worried it wasn’t enough to show a lisfranc injury if there was one.
- Is the numbness/twinging/tightness
/spasms
- normal?
- Was the doctor perhaps jumping the gun when advising to weight bear in the boot? Could the x ray have showed more progress than there was given that the first x ray was non weight bearing and the weight bearing x ray possibly didn’t have enough weight to show potential lisfranc? Am I potentially setting myself up for trouble for not wearing the boot and elevating my leg in bed instead?
I’m sorry for the essay, the doctor literally left no “return if…” instructions and this is my first broken bone. I’m a dancer so my foot is really important to me! My next review is in 4 weeks. The doctor has ordered another set of x rays to be done then. I’m not sure if I should call in to have the appointment earlier.