In these instances the patient awakens from surgery with severe pain traveling down one leg. I have had several surgeries unfortunately that involved hardware in my foot.
A screw is always a foreign body and in some cases it causes pain due to lack of space and movement of tendons and muscles or rubbing onto neighboring structures.
Screws in foot causing pain. Surgical hardware like screws and plates are designed to spur healing and stabilize bones but they dont always produced the intended effect. Inserting hardware is an imperfect science because everyone displaces stress differently on their feet so what might work. A screw is always a foreign body and in some cases it causes pain due to lack of space and movement of tendons and muscles or rubbing onto neighboring structures.
Discuss with your surgeon and go for an X-ray and take a decision. Certainly pressing on that spot would also cause pain as well simply because there is virtually no fat in that part of the foot so you are pressing the skin directly into the screw. The deep ache and feeling of a pop may very well be due to the fact that the bone never healed.
You may have what is known as a non-union which as the name implies means the surgically broken bone never healed. If the growth of her leg bones were stunted at all by the plate or screws this could lead to a malalignment of the joint and thus be a focal point for pain. So not only should the hardware in her ankle be evaluated for removal but the overall alignment of her ankle needs to be examined.
Broken Screws in foot Broken Ankle pain that wont go away Ankle Fractue 4 Months and 4 screws later for lisfranc surgery lisfranc injury need to hear some happy endings screws in for my lisfranc Broken Femur My Horrifying Lisfranc Injury broken femur causing really bad hip and back pain I suspect I have had 30 plus surgeries and a left. Sometimes the discomfort can be addressed by adjusting padding around the parts. Wearing thicker socks or adding cushions around the foot or ankle can relieve pressure on prominent hardware.
If this does not help relieve the discomfort you may need to consider an additional procedure to remove the plates and screws inside. I would like to share my story. May 5 2018 I fell 15 feet and suffered a compound fracture.
I broke my ankle and shattered my heel. I started with 35 screws and two plates. I had some screws removed from the right side of my ankle because they were protruding and causing pain.
Yes I had surgery in 2009 on my foothad a plate and 6 titanium screws put in. I kept getting that burning pain stabbing painespecially when the weather was warmer etc. Had it checked out by the surgeon and was told my foot was swelling from the inside to the outer edge and when this happened the screws were putting pressure on the nerves.
He is also putting in a rod and screws to bring my foot forward and help with stabilization. I have severe fibromyalsia so cold does make my pain worse. A lot of my family and friends think I shouldnt let him put a rod in my leg because they believe it.
I can relate to almost everything you stated. Pushing on the screwsplate does not offer any pain relief. The doctor offered surgery to remove the screws and plate with no guarantees of easing my pain.
I initially scheduled the surgery for 4 months into the future and i eventually canceled the surgery. Youll be in your feet again like moms cafe I have the same thing on me 7 screws on the ankle and 2 9n my foot I still limp and still hurt and get swollen but I can manage pain without pills they get me sooooooo constipated that an enema was need it I didnt know what was worst the surgery or the enema so I definitely recomend miralax my doctor recomendé 3 times a day for me. The screws are stable yet are still causing pain and swelling with movement.
I am told the procedure is very simple. Some people respond differently to foreign objects in their bodies for different reasons. Personally I would rather not have the screws in.
The screws can be removed which relieves the problem in about 85 of cases. Most people never have any issues with these screws but some bodies see the screws as a foreign object and cause pain and inflammation response My initial thought was that this was screw pain as I had never had any issues or pain in this area prior to surgery. The fracture seems to be united and you need removal of those 3 screws and rod.
This will provide much relief from the pain and numbness. Numbness can also be due to vitamin B12 deficiency. Get its blood levels checked and start on vitamin supplements depending upon the results.
If the screw is the source of your pain one implication is pain relief. If only a single screw is to be removed that couldshould be done as a day-case under local anaesthetic. You are likely to be able to walk full weight bearing immediately after the screw removal assuming the bone has healed likely after three years.
The incidence of late pain overlying the distal tibial and fibular plate or screws is not insignificant. Although pain is generally decreased after hardware removal nearly half of patients continue to have pain even after hardware removal. Functional outcome scores are poorer for patients with pain.
Removal may be indicated if there are signs of metal irritation including pain and pressure at the insertion site. Your healthcare provider would need to determine whether the screws are causing the problem or if there is some other cause. You note that one screw inadvertantly went into the disc space at L4-L5.
This typically will not cause back or leg pain but can increase the chance of degenerative changes of the L4-L5 disc. I am not sure that removing the screw from the disc space if it is not irritating a nerve will help you. I have had several surgeries unfortunately that involved hardware in my foot.
I have always had to take it out because I get pain around the hardware. I had surgery two months ago and now have two screws in my midfoot. It is too soon to feel if they are bothering me as I am still pwb but if history is correct these will probably come out too.
There was glass everywhere Strictlys Katie McGlynn slices open her foot and is left in severe pain after kicking the Glitterball trophy in filming gaffe. The screw passes through a part of the bone called the pedicle red arrows. When the screw is positioned poorly it can compress or pass through a nerve blue arrow causing permanent damage.
What are the symptoms of a screw malposition. In these instances the patient awakens from surgery with severe pain traveling down one leg. Ive been in pain ever since.
I have a plate and 10 screws. 2 screws are broke and inside the bone. I have one screw that goes from the inside of my ankle through the bone and attaches to the plate on the outer side of my ankle.
This is the screw that has been causing me terrible pain since it was put in. I had minimally invasive bunion surgery on a mild bunion right foot 8 weeks ago with 2 screws inserted. The right screw has shifted drastically and is laying next to and almost overlapping the left screw causing my foot to click every time I take a step.
Ortho doc says the click is the 2 screws rubbing together.