Conversation: The conversation between human and AI assistant.
[|Human|] In February, I developed a pathological fracture of my fifth metatarsal closest to the toe. The md placed me in a plaster cast followed by a boot. I was out of work for about a month. I returned to work in March wearing the boot. However, I am on my feet quite a bit (walking, standing,etc./ I am a nurse), and the pain and swelling increased over the next month. The MD decided to do surgery. I had surgery on April 28th, where the MD found that I actually had two fractures present with bone fragments which he removed. About two weeks after the stitches were removed, the incision opened up. I was placed on antibiotics for two weeks. After the first two weeks, the incision was still not healing, so the MD decided to debride it in the office and place me on a second round of antibiotics. The incision appears to be healed now, however, it is very sensitive and I continue to have swelling, muscle spasms, and pain in the toe and side of my foot. I have had a bone scan which showed hot spots in the area of the fracture and the ankle, which the MD said were from surgery. I just had an EMG performed today, because the MD feels the pain in my foot is being caused from my back. I have also, been seeing a chiropractor, who feels the two are not connected. Now the MD wants me to see a vascular surgeon because he thinks I may have Raynaud s that is causing my pain. I feel like we are just grasping at straws and I am very frustrated, exhausted, and depressed. Please help!
[|AI|]  Dear Sir/Madam have gone through your query and read your symptoms. In my opinion,first you fail to tell what was the pathology behind your fracture. Secondly what was the surgery done, was any grafting done, or ant wire put, also has the fracture healed now, your skin can be sensitive due to small nerve that become sensitive due to surgical trauma, I would also warn you towards developing CRPS where in the skin becomes hypersensitive, swollen and shiny, this occurs because of sympathetic overactivity. If pain is your main concern, I suggest you to consult a Pain specialist. If you can provide me answers I can help you out. I hope that answers your query. If your want any more clarification, contact me back. Chat Doctor.