Forefoot pain after prolonged or strenuous exercise

Introduction Patients with fatigue fractures of the tibia often have forefoot pain after prolonged or strenuous exercise, and disappear after a few seconds of rest. In the subsequent training, the pain occurred earlier and more severely, so that it could not be exercised. Even in bed, there was pain, and touching the swollen part caused pain.

Cause

1. Chronic injury and long-term concentrated stress are the conditions for fatigue fracture.

2. This patient found in the X-ray film that most patients had a short first tibia and a relatively long second metatarsal. In addition, the clinical examination revealed that the bone structure between the first and second metatarsal bones was loose. In this way, the negative focus of the foot is transferred from the first metatarsal head to the second metatarsal head, but the first metatarsal trunk of the second metatarsal shaft is slender and thin, so fatigue fracture is prone to occur.

an examination

Related inspection

Bone and joint plain film of limbs

X-rays usually do not show fractures, and even after 2 to 3 weeks, the callus is formed. Usually the bismuth diphosphate bone scan is helpful for diagnosis. Forefoot pain usually occurs after prolonged or strenuous exercise, and disappears after a few seconds of rest. In the subsequent training, the pain occurred earlier and more severely, so that it could not be exercised. Even in bed, there was pain, and touching the swollen part caused pain.

Differential diagnosis

'Foot pain' is pain in the lower part of the ankle joint, including foot pain, back pain, and toe pain.

1, foot pain: common symptoms of ankylosing spondylitis include heel pain, foot pain, intercostal muscle pain.

2, heel pain (calcanodynia), pain on one or both sides of the heel, not red and not swollen, inconvenient to walk. Also known as heel pain. It is a disease caused by lesions in the bones, joints, bursae, and fascia of the heel. Commonly known as fasciitis, often occurs in long-standing or walking workers, caused by long-term, chronic minor injuries, manifested as fascia fiber rupture and repair process, the fascia at the medial side of the calcaneus And tenderness, the lateral X-ray film shows the calcaneus of the calcaneus. However, there is not necessarily a heel pain in the bone spur, and sacral fasciitis does not necessarily have a spur.

3, toe pain: gout toe pain occurred in middle-aged men, often acute onset, toe, sputum and other joints redness and heat pain patients mostly.

4, radiation pain of the foot: lumbar disc herniation of lower extremity radiation pain, 80% of patients with this disease, often appear after the relief or disappearance of low back pain. It is manifested by radioactive stimulation or numbness from the waist to the thigh and the back of the calf, reaching the bottom of the foot. The severe one can be a severe pain from the waist to the foot, and often accompanied by numbness. Those with mild pain can walk and are in a state of limp; those who are severe need to rest in bed, prefer to bend, bend their hips, and bend their knees.

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