Jogie Joshua A, King David, Rampersad Donna, Karim Danielle, La Rosa Tounesha
Occupational Health Unit, St. James Medical Complex, Port of Spain, TTO.
Internal Medicine, St. James Medical Complex, Port of Spain, TTO.
Cureus. 2025 Jun 10;17(6):e85695. doi: 10.7759/cureus.85695. eCollection 2025 Jun.
Approaches to foot injury care depend on a range of clinical steps that promote proper healing and function. We present a case of a 48-year-old plumber who injured his left foot when a metal object fell on it at home. Initial management involved irrigation, suturing, antibiotics, analgesia, and a plain foot X-ray, which was normal. Follow-up at the Occupational Health Unit (OHU) addressed persistent swelling, pain, and numbness. Further evaluation ruled out a fracture, but the patient required extended sick leave and restrictions on weight-bearing tasks. He received nonsteroidal anti-inflammatory drugs (NSAIDs), topical agents, vitamin supplements, and physiotherapy. Laboratory tests revealed elevated cholesterol, prompting statin therapy. Over four weeks, he progressed to resuming duties with restrictions. After seven weeks, continued monitoring by a multidisciplinary team supported his return to full duties without restrictions. This case illustrates the value of thorough wound care, tailored pain control, and coordinated care among multiple services. The prompt detection of comorbidities such as hyperlipidemia enabled early intervention. Ultimately, a stepwise combination of medical treatment, rehabilitation, and workplace adaptations restored the patient's full function and ability to perform his usual work.
足部损伤的护理方法取决于一系列促进伤口妥善愈合和恢复功能的临床步骤。我们报告一例48岁水管工的病例,他在家中被金属物品砸伤左脚。初始处理包括冲洗、缝合、使用抗生素、止痛以及足部X线平片检查(结果正常)。在职业健康科(OHU)的随访中,关注了持续的肿胀、疼痛和麻木症状。进一步评估排除了骨折,但患者需要延长病假并限制负重任务。他接受了非甾体抗炎药(NSAIDs)、外用药物、维生素补充剂和物理治疗。实验室检查显示胆固醇升高,于是开始他汀类药物治疗。四周内,他逐渐恢复工作,但仍有限制。七周后,多学科团队的持续监测支持他无限制地全面恢复工作。该病例说明了全面伤口护理、个性化疼痛控制以及多科室协调护理的价值。高脂血症等合并症的及时发现使得能够早期干预。最终,药物治疗、康复治疗和工作场所调整的逐步结合恢复了患者的全部功能以及从事日常工作的能力。