Dear Nikki
Hi,
Firstly, when one especially the patient thinks that there is a foreign
body present they are usuallly correct.
Secondly, why cannoy she have two things wrong now. One due to the foreign
body, the second due to the way she has changed her walking stype to
offload the pain she has during walking.
X-Ray is notoriously bad for finding slithers of glass, plastic and bone
china (the thinnest diameter of the foreign body can be in the same plain
that the Xray has been taken). Just because the X-Ray was performed, there
is no evidence that the cas doctor wrote on the request ? foreign body.
Thus the X-Ray would be looked at in the usual fashion. That is : Joint
integrity, fracture, bony defects all in 10 or less seconds. Very often
one has to use a powerful lamp to look for these foreign bodies.
The best and cheapest way to find anything is to send her to a
musculoskeletal radiologist and get an ultrasound.
Here we can look for foreign bodies and any abnormailites than may be
present at the sites of her pains.
The issuing of antibiotics on a whim and without a known reason defies
gravity. This ain't good medicine in any country.
If by chance the antibiotics removed the 'inflammation', there is a very
good chance that there is a foreign body present somewhere.
Good hunting
Paul Conneely.
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