Podiatrist (Foot and Ankle Specialist) Questions Wounds And Injuries

My foot still hasn't healed after I fell last month. What should I do?

Last month I tripped over a stone and my foot was injured. The wound on my foot still hasn't healed. Why could this have happened? What should I do?

17 Answers

The reason for this would likely be that there is deeper soft tissue or bony injuries. I recommend for you to have evaluation with a wound specialist. call the local podiatrist or hospital that has a wound center. good luck on healing.
Wounds usually don’t heal well if they are not properly treated or there is some circulation issue going on. I would have to see it in person to give you a definite answer
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Unfortunately, I cannot offer medical advice online. That being said, a wound for a month should definitely be evaluated by a podiatrist or wound care specialist.
Most definitely to see a doctor if you are not planning to lose your foot!!
You may have partially torn a ligament or have a stress fracture. This will progress and get worse if left untreated.
Hello,

If the wound has not healed in over a month and you are not diabetic, it is most likely infected. The tissue under the wound, if infected, will not facilitate closure. You should see a doctor for a strong antibiotic ointment and put that in daily. You may even need antibiotic tablets.

Dr. Patel
You should visit a specialist. That might be a sign of diabetes. When wounds do not heal after a month, it is a sign of bigger problems.
There could be many reasons why your foot has not healed. You may have an infection, you could have some dirt within the wound, you could have a problem like diabetes that slows healing, you could have poor circulation. You need to consult a podiatrist or wound care specialist to evaluate your wound.

Kathleen Neuhoff, DPM
It’s probably a Sprained Ankle! Which was not treated properly. Remember the word Rice, Rest, Ice, Compression and Elevation. But remember true elevation is above the heart. Also Advil 800 Mgs if you don’t have high blood pressure helps!
The wound could be infected. Seek medical attention.
You need X-rays to start.
Typically, within a month, a wound should heal. If it has not healed, there may be other underlying factors such as infection, or proper wound care has not been performed. Would recommend evaluation by a physician as soon as possible to see why it is not healing.

Jonathan M. Kletz, DPM
As a certified wound care specialist, I can tell you there may be several complicating factors interfering with your healing. I agree with you that under normal wound healing, you should have healed by now. Your delayed healing is telling me there are complicating factors you may not be aware of with your health, possibly that are significantly reducing your healing ability.
Seek professional help.
Well, first off, I’d seek immediate medical attention, especially if you’ve had any flu-like symptoms or increased warmth or redness or an increase in pain in the area as these can all be signs of infection.
Hello. There can be many reason for a non-healing wound ie. Circulation, pressure, neuropathy ect. A physical exam and review of your medical history would help determine the etiology of your wound. I would recommend you seek medical attention. If you would like to be seen please do not hesitate to contact the office. Good luck and God bless.
Wound healing is a complex cascade of cellular activity that promotes initially hemostasis or bleeding control followed by presentation of growth factors and other signaling events to advance laying down of collagen and ultimately advancement of cells to promote wound closure. After acute healing of the wound there is an ongoing remodeling process. There are
many factors that may interfere with wound healing. Mechanical factors such as repetitive stress to a wound that does not allow for appropriate maturation. This can occur over areas of excessive skin mobility or joint motion. It can also occur in areas of pressure loading on the sole of the foot. Our skin is a primary barrier of infection to the body. We colonize many
microorganisms on our skin that once this barrier is breached can then result in contamination and ultimately infection. Infection can retard the normal healing process and so it is imperative that it is resolved with local antiseptic care or systemic antibiotics. Intact vascular standing is also absolutely critical for appropriate wound healing particularly to the lower extremities and feet. Impairment of blood flow can slow healing as it impacts the ability for the previously mentioned signal factors and cells to migrate to the area. Individuals who
misuse tobacco products impact small vessel flow particularly to the skin and this can be a critical factor in delayed wound healing. Nutritional deficits and metabolic disorders also play a role in wound healing. Vitamin deficiencies and disease states such as diabetes can influence timeliness of healing. As I am uncertain as to what is meant by my foot wound has not healed and what it represents currently I cannot tell you whether it is appropriately recovering at this time. In an otherwise healthy individual superficial wounds will again heal with initial clotting and hemostasis for blood control followed by overlying eschar or scab with gradual contraction and loss of this eschar with new skin growth. If there remains a persistent open wound that is draining or failing to show contraction and closure then I do believe it would be best that this be medically evaluated and assessed for some of the common reasons if otherwise healthy as an individual to include persistent infection, failure to adequately protect the area from excessive stress or strain and potentially there may be a retained foreign body if in fact there was external forcible injury from a rock.