Welcome to SP!  -
Areas & RangesMountains & RocksRoutesImagesArticlesTrip ReportsGearOtherPeoplePlans & PartnersWhat's NewForum

Foot punctures

Discussion of medical or rescue topics related to climbing and mountaineering.
 

Re: Foot punctures

Postby Tonka » Wed May 16, 2012 8:45 pm

I had a good buddy on my vollyball team cut his planters last summer on a piece of glass in the lake. The big issue he ended up having was as it healed everything on the outside seemed fine and he could comfortably walk so after a few weeks he rejoined the team. The very first time he went up at the net and came down he dropped to the ground in horrible pain. He says pain on a level he had never felt before. The PF takes a long time to heal so really take it easy. His was a cut not a puncture so hopefuly you'll heal faster but he could not do anything athletic for the rest of the summer outside of walking.
User Avatar
Tonka

 
Posts: 1278
Joined: Thu Aug 05, 2004 12:24 pm
Location: Spring Park, Minnesota, United States
Thanked: 81 times in 62 posts

Re: Foot punctures

Postby e-doc » Fri May 18, 2012 11:21 am

Sierra Ledge Rat wrote:Cored: cutting a conical shaped hole in the bottom of your foot up through the puncture tract, i.e., cutting out the core of the wound tract.

I would have been very aggressive: coring the wound, placing your leg/foot in a splint, crutches with no weight bearing, antibiotics, etc.

Are you mad?

A simple puncture should heal rapidly. You don't need to throw antibiotics at every wound.
After a few days you likely only have point tenderness but the chance of infection; Pseudomonas, Staph, Strep or other is low. This is provided free of charge from someone who has a medical license. (BTW, I didn't get to all the posts, I got swimmy headed reading everything.) Cheers.
User Avatar
e-doc

 
Posts: 950
Joined: Sun May 08, 2005 7:24 am
Location: Timberlake, North Carolina, United States
Thanked: 7 times in 6 posts

Re: Foot punctures

Postby MoapaPk » Fri May 18, 2012 5:20 pm

Amputation of the foot may be effective. The foot with the puncture, that is.
User Avatar
MoapaPk

 
Posts: 7712
Joined: Fri May 13, 2005 7:42 pm
Location: Las Vegas, Nevada, United States
Thanked: 773 times in 505 posts

Re: Foot punctures

Postby SeanReedy » Fri May 18, 2012 6:47 pm

Well, I hope the verdict is that Lionel gets to go on the big hike or at least can get back to hiking soon.

My uncle, the doc/hospitalist in Tuscon (previously in Silver City), also cautions against overuse of antibiotics. My sister in law, the local vet, takes her kids to an old traditional doc who seems to prescribe antibiotics to them often for stuff my kids tough through without prescription medication. Sometimes it seems to me like some folks place an overemphasis on attempting to remove minor suffering from the human condition...Not that any of that really means much coming from someone who is not a doctor.

While not as often as some have described, I too have allowed some hard to remove splinters to puss their way out. Also, I suffered a small surface cut on the bottom of the arch of my foot while walking barefoot at some hot springs Monday. I have simply tried to keep the area clean and put some A+D ointment or antibiotic ointment on it every once in awhile. There is still a lot of point tenderness today. Fortunately/unfortunately, I think it is just a painful area to injure and Lionel's injury sounds much worse than mine. Surely it is less painful than watching this Vegas video while recovering from foot amputation (assuming & hoping there was no serious infection).



Edit: Lionel, glad to hear the good news! At least you'll have a detailed story to think back on and laugh about on your next big hike!
User Avatar
SeanReedy

 
Posts: 827
Joined: Tue Jul 26, 2005 8:37 pm
Location: Garlic, California, United States
Thanked: 435 times in 343 posts

Re: Foot punctures

Postby MoapaPk » Fri May 18, 2012 8:01 pm

I have a friend who got the broken tip of an agave leaf -- a sharp spike 2-3 cm log -- stuck in his shin in 2009. Perversely, this was a trip down Moapa Peak, while on the cliffs, so we really couldn't just stop. He got down the cliffs, but the muscle action in that time worked the spine deeper into his leg. I tried for about 10 minutes to fish the spine out with sterile tweezers, but I could see that the process was painful, so I stopped and just bandaged the wound. We still had about 2 miles to get back to the car, all on rough terrain, and the spine worked in further. He went to the doc that eve, and the doc just gave him antibiotics. There is still a hard lump there, but the spine seems to have been resorbed by the body -- for the most part (the silica is probably still there).
User Avatar
MoapaPk

 
Posts: 7712
Joined: Fri May 13, 2005 7:42 pm
Location: Las Vegas, Nevada, United States
Thanked: 773 times in 505 posts

Re: Foot punctures

Postby RayMondo » Fri May 18, 2012 11:00 pm

Punctured my foot right through my boot and into the ground with a garden fork, when I was a kid. There was less awareness in those days. Didn't cause me any problems and hardly hurt. Lucky, maybe. Though, seeing as the puncture was top down (clean side), and the dirt cleaned off the fork when I pulled it back through the boot, maybe no dirt or bugs entered.
Consuming Tiger Parts Causes Impotence
User Avatar
RayMondo

 
Posts: 349
Joined: Thu Sep 03, 2009 10:24 pm
Location: United Kingdom
Thanked: 139 times in 115 posts

Re: Foot punctures

Postby Tonka » Sat May 19, 2012 6:19 pm

MoapaPk wrote:I have a friend who got the broken tip of an agave leaf -- a sharp spike 2-3 cm log -- stuck in his shin in 2009. Perversely, this was a trip down Moapa Peak, while on the cliffs, so we really couldn't just stop. He got down the cliffs, but the muscle action in that time worked the spine deeper into his leg. I tried for about 10 minutes to fish the spine out with sterile tweezers, but I could see that the process was painful, so I stopped and just bandaged the wound. We still had about 2 miles to get back to the car, all on rough terrain, and the spine worked in further. He went to the doc that eve, and the doc just gave him antibiotics. There is still a hard lump there, but the spine seems to have been resorbed by the body -- for the most part (the silica is probably still there).

I had an ex girlfriend lodge a bass fishing lure into my leg and I'm sure glad the doc didn't take this approach :)
User Avatar
Tonka

 
Posts: 1278
Joined: Thu Aug 05, 2004 12:24 pm
Location: Spring Park, Minnesota, United States
Thanked: 81 times in 62 posts

Re: Foot punctures

Postby MoapaPk » Sun May 20, 2012 12:03 am

Tonka wrote: I had an ex girlfriend lodge a bass fishing lure into my leg and I'm sure glad the doc didn't take this approach :)


That's why you should never go fishing with ex-girlfriends; they are just waiting for a chance to get even.
User Avatar
MoapaPk

 
Posts: 7712
Joined: Fri May 13, 2005 7:42 pm
Location: Las Vegas, Nevada, United States
Thanked: 773 times in 505 posts

Re: Foot punctures

Postby Sierra Ledge Rat » Sat May 26, 2012 5:28 pm

I just performed another core on another plantar puncture, opened it up and drained some pus, pulled out a small foreign body that wasn't on the x-ray.

I should've just prescribed some antibiotics instead.
User Avatar
Sierra Ledge Rat

 
Posts: 1136
Joined: Mon Jan 01, 2007 9:14 am
Location: Appalachia, United States
Thanked: 248 times in 163 posts

Re: Foot punctures

Postby Sierra Ledge Rat » Sun May 27, 2012 2:11 pm

Lionel wrote:What was the foreign body?


Looked like flecks of wood.
User Avatar
Sierra Ledge Rat

 
Posts: 1136
Joined: Mon Jan 01, 2007 9:14 am
Location: Appalachia, United States
Thanked: 248 times in 163 posts

PreviousNext

Return to Mountain Medicine & Rescue

 


  • Related topics
    Replies
    Views
    Last post

Who is online

Users browsing this forum: No registered users and 0 guests

© 2006-2013 SummitPost.org. All Rights Reserved.