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A dentist that I play squash with just returned from a trip to Thailand and eagerly awaited my response to his personal 'foot' story.
The day before he left for Thailand (2 weeks ago), he was walking barefoot in his house when he felt excruciating pain under the 'ball' of his right foot. He immediately inspected the site and noticed a puncture wound under his 2nd MPJ. He could not determine the cause of this puncture wound so he proceeded to clean and dress the area.
He arrived in Thailand however the pain was still niggling and so he decided to get some antibiotics (of course over-the-counter in Thailand). He thought it was getting better until some extra walking caused him considerable discomfort. So he mustered up the courage and went to a doctor. The doctor poked around the site for a while and suggested that it 'looked ok'. My fellow dentist normally calm and collected was becoming slightly frustrated as his wife and teenage boys suggested he was a bit 'soft'!
Never any signs of swelling or cellulitis and so at this stage of the story my bet was a piece of glass (as they are difficult to see).
Last night after taking off his socks he noticed something between the 4th and 5th digits. I have attached 2 low quality photos that he sent me.
The first photo shows a 20mm fine nail (not the toenail variety but the ones you use the hammer with) EXITING the foot interdigitally between 4th and 5th and if you look closely enough you will see the entry point under the area of 2 MPJ.
I have never seen anything migrate that far inside the foot!!
My friend got the response he wanted from me only after I asked whether he had a tetanus shot recently.
More importantly he holds this nail in his wallet now as a constant reminder to his family that he indeed can never be called 'soft' again.
Photos are from his iPhone and are low quality.
Anyone else heard of this before?
Regards,
Con
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