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Frozen toe what to do

14 Jun 18

Frozen toe what to do

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          Information on treatment under compulsory medical insurance Medical licenses Order of the Ministry of Health and Social Development No. 406 Free medical care guarantee program Intensive care Principles of vascular operations Risks of vascular operations

          Answered by Korchagin D.V.

          Frostbite 1 tbsp. Dry heat is recommended, protect your hand from cold. Consult a surgeon.

          Correspondence with the doctor | Other questions Ask your question

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          Moscow, Leninsky Prospekt, 102 (metro station Prospekt Vernadskogo)

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          Hello, my aunt’s foot was amputated above the knee! It healed well, but the other one immediately started to hurt. A month later we were taken to the hospital; I couldn’t stand the pain because of the pain, is it possible to save the leg? They told us we needed to clean it.

          Answer: Hello. Your aunt needs to come to us in person for a consultation. If this is not possible, then send a photo of your leg, data from all examinations (especially ultrasound of the arteries) in the “Correspondence with the doctor” section.

          Help with a question

          I wrote the essence of my question above, you answered that surgical treatment is needed, the question is what kind of treatment can be given to older people, please tell me

          Answer: Treatment depends on the extent of the vascular lesion, and it can be either endovascular intervention or bypass. Ultrasound scanning of the arteries of the lower extremities will help answer this question. Age in this case neither.

          My grandmother has a cold and bluish, and sometimes burgundy leg, she is lying in the surgical department, drips of Sulodexide, rhinopolyglucin are dripping, the leg sometimes gets warm up to the foot

          Answer: Your grandmother needs to have an ultrasound scan of the arteries of the lower extremities, and if she has critical ischemia of the leg: pain at rest, cold skin of the foot, trophic changes in the leg, then it is necessary.

          Good afternoon, please help, our dad has a hose instead of an artery, and now he has gangrene, the doctors say to amputate. And on the other leg the joint was replaced, suffering from coxoarthrosis. Help.

          Answer: Good afternoon. Send ultrasound data of the arteries of the legs and a photo of the leg to the “Correspondence with the Doctor” section or by email [email protected] . Or come for an in-person consultation.

          Vertebral artery stenosis

          PA: channel entry level -C6. Deformation of the VA canals with signs of extravasal compression of the VA at the level of C6-c5; c4-C3. Diameter of the RCA - 3.9; LPA-3.0. LPA-ostium with G/d significant stenosis of more than 60% with increased LSC = 220 cm/s is passable.

          Answer: it is necessary to perform an MS CT scan of the arteries of the head and neck, and then assess the degree of compensation of cerebral blood flow

          Hello, my dad has nicrosis on his leg.

          Hello, my dad has nicrosis of the leg of the left lower part of the foot. We were told to urgently amputate, but I understand that you can cure it without amputation, I can’t call you all.

          Answer: Good afternoon. Send a photo of your leg in several projections and the ultrasound result to the “Correspondence with the Doctor” section.

          vessels of the lower limbs

          Hello, I am 27 years old and I was diagnosed with obliterating thrombongitis, now I am worried about my legs, lower limbs, veins, redness, compaction, revenge, blood vessels, it hurts, what do you recommend. I've been taking Xarelto and ketanol for a while now.

          Answer: Good afternoon. Do an urgent ultrasound of the veins: it looks like thrombophlebitis

          Swollen foot after angioplasty

          After angioplasty on the right leg, the foot and toes are swollen and blue-red in color, with severe cutting pain. On the 5th day it became easier, the leg in the morning was almost normal color. After a short walk the leg came back.

          Answer: It is difficult to make diagnoses without seeing the patient. Do an ultrasound of the leg arteries to rule out arterial thrombosis; See the operating surgeon.

          I have been diagnosed with endatheritis of the lower extremities, antiphospholipid syndrome, all the toes on my left foot have been amputated. Concomitant ischemic heart disease, there were 2 strokes, an attack of epilepsy. Sympathactamia was performed on both legs. Left.

          Answer: How is your left leg bothering you? If there are indications, then stenting can be done. But there is no preventative surgery on arteries.

          Hello! Please tell me! My husband had CABG surgery in 2016 and now he had a cold. He had a fever and now he feels good, but red spots appeared on the leg where the vein was taken.

          Answer: Hello. To exclude any pathological conditions, it is necessary to do an ultrasound of the lower extremities (soft tissues, arteries and veins).

          © 2007-2018. Innovative vascular center - vascular surgery at a new level

          Bruised toes: first aid and treatment

          A toe bruise is a common occurrence, which is a closed injury with mechanical damage to soft tissues. Such injuries occur from a blow with a blunt object or due to a fall.

          Most victims seek medical help in the summer, when the entire population wears open shoes, and, consequently, limbs are more injured when something hits or falls on them.

          What to do if you have bruised toes if there is no medical center nearby? Let's try to figure it out.

          Signs and degrees of injury

          There are 4 degrees of injury severity. In the mildest cases, small abrasions may be present on the skin, but the pain is tolerable and does not last long, and the toes heal quickly. No special treatment is required here. A more serious injury is accompanied by hemorrhage and swelling of the toes, and severe pain. The third and fourth degrees of bruises, which occur as a result of a powerful blow, are considered the most severe. Such injuries usually result in a dislocation or fracture. It is worth noting that an injury to the big toe requires special attention, since it takes more time to restore its functions.

          What symptoms may accompany the damage:

          1. pain – immediately after the injury, sharp, sharp. The pain gradually subsides, but after a few hours it returns due to swelling of the soft tissues;
          2. edema – appears as a swelling on the foot 2-3 hours after injury;
          3. hematoma - occurs as a result of damage to blood vessels. It can appear in the form of slight redness of the skin if the bruise of the toe is minor. Serious injury is accompanied by severe hemorrhage. In this case, the finger becomes purple and swells greatly. All this can lead to nail rejection;
          4. movement is limited. Due to swelling and severe pain, it is almost impossible to move the joint. But the ability to do this is preserved (if there is no fracture), and as soon as the pain and swelling begin to subside, you will be able to move.

          Or maybe it's a fracture or dislocation?

          The first question that worries a person when he is faced with a foot injury is: “How to distinguish a bruise from a dislocation or fracture of a toe?” . This is quite difficult to do, because pain and stiffness in movement characterize any of these cases. We have already looked at the symptoms of a bruise.

          Fractures and cracks are injuries that damage bone tissue, and they have their own characteristics:

          • acute pain;
          • it is impossible to bend the finger at the joint; when you try to stand on your leg, a cutting pain occurs;
          • sometimes you can notice the unnatural position of the phalanges or hear bone fragments crunching;
          • painful sensations, if you do not seek medical help, do not subside in the following days, but only increase;
          • a few days after the fracture, tissue swelling does not go away, as with a normal bruise, but remains or even progresses.

          When a dislocation occurs, you may notice a displacement of the finger in the joint.

          First aid and diagnostics

          Your first steps if you are injured:

          • examine the finger;
          • take a position so that the foot is elevated;
          • apply cold;
          • if necessary, treat with an antiseptic;
          • secure with a bandage.
          • Let's figure out why all this needs to be done. After examining your limb, you can assess the extent of the damage and decide whether to go to the hospital or not.

            If you notice damage to your nails or skin, be sure to disinfect these areas to avoid infection. Elevating the injured leg is required to reduce swelling, as well as to create conditions for normal blood circulation. Make sure that your leg is soft and comfortable, it should be in a calm state.

            A cold compress of ice cubes reduces 3 main problems - pain, swelling and hematoma, as it constricts blood vessels, and this helps stop bleeding. To prevent frostbite on your feet, apply ice wrapped in a towel for 10 minutes. Take breaks of 20 minutes and apply cold again. It is recommended to immobilize the injured finger with a bandage in case of dislocation or fracture. Severe pain is relieved with ointments: Ketoprofen, Diclofenac, or tablets: Analgin, Sedaptin, Ketorol.

            It is almost impossible to distinguish a bruise from a fracture in the first day, so doctors perform an X-ray examination. The bone structure is shown in the image. By maintaining the integrity of the bone tissue, doctors will be able to exclude the formation of a fracture. The dislocation will also be visible on x-ray. But if your fingers are bruised, there will be no changes in the picture.

            What is better not to do if you are injured

            Injuries always happen at the most inopportune times. But despite this, try to just sit down (lie down) and relax, take off your tight shoes and give your feet some rest. Continuing to perform active movements will only aggravate the condition of the finger and cause even greater swelling at the site of the bruise.

            If the pain is tolerable, then it is better not to take painkillers. Especially if you are going to see a doctor. Based on your feelings, a specialist will be able to quickly diagnose and prescribe the correct treatment. Moving a joint with your hands, much less trying to straighten it, is the doctor’s job, but not yours.

            What you definitely shouldn’t do is steam the damaged area or apply a heating pad to it. There are also people who like to rub and massage damaged areas - this is strictly forbidden, you can move the bone if there is a fracture, increasing the hematoma and swelling.

            Methods for further treatment

            In the absence of complications, treatment of bruised toes consists of the following steps:

            1. drug therapy - anti-inflammatory and absorbable ointments, painkillers;
            2. physiotherapy – electrophoresis, UHF, magnetic therapy. This treatment promotes rapid resorption of the hematoma and restoration of damaged tissue. Warming procedures using dry heat can be performed after about 3-4 days, when the swelling of the foot decreases.
            3. Treatment for a fracture will depend on the location of the injury.

              If the big toe is damaged, a plaster cast is applied from the ankle joint to the end of the sore toe. Restoration of bone structures in this case lasts approximately one and a half months.

              To rehabilitate any other toe, you will need a plaster splint and a little less time for tissue restoration, 4-6 weeks. If the area of ​​the nail phalanx is damaged, then you just need to fix it with the adjacent healthy finger using an adhesive plaster. However, before fixing, you need to remove the formed blood from under the nail, if any.

              It happens that more than one finger gets hit. What to do if you hurt several fingers and your leg is swollen? Symptoms indicate a severe bruise, when both the hematoma and swelling spread to the foot. It is better to contact a traumatologist, take a picture and immediately begin treatment.

              Many victims are also interested in what to do if the nail is damaged when the big toe is bruised. First of all, treat the nail plate with a 5% iodine solution or other antiseptic that is on hand. Apply a pressure bandage. Try to relieve swelling as quickly as possible with a cold compress. In order to reduce the area of ​​hematoma growth, speed up the healing process and reduce pain, treat the injured area with Ricinol emulsion.

              When the hematoma grows, it seems to “burst” the skin, leading to rejection of the nail, and increases the pain with its pressure on the nerve endings. To relieve pressure, when treating a bruised toenail, the nail plate is punctured or removed altogether to release the blood. This should be done immediately, before the blood clots, by contacting a medical facility.

              Although a bruised finger may seem like a minor problem, it should be taken seriously.

              It’s good if the injury is minor and will go away on its own.

              But, having received a strong blow to a limb, if you refuse medical help and fail to perform first aid, complications may appear: osteomyelitis, panaritium, purulent inflammation. And complications are much more severe and painful. Remember this, take care of your health.

              Categories : Diagnostics
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