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Foreign Body Removal Treatment in Houston TX.

Quite a few objects can penetrate the foot skin to cause the embedment of a foreign body. This is quite common in podiatry, where the patient may or may not recall the incident. Of the many objects that can penetrate the foot, a sewing needle is the most common. Others in the list include glass shards, cloth fibers, hair, toothpicks, sand, silica, insect stings and sticker burrs from plants.

Anything penetrating the foot is dirty, poses a threat and can remain in the foot for a long time, even years. It is the body that usually sees the foreign body and encapsulates it using immune tissue response. Consequently, it is the foreign body response that causes pain and requires foreign body removal.

Diagnosis

It is only through early foreign body removal that the degree of infection and abscess is reduced. The doctor will require a full history of the injury including when, where and how it occurred. Once the foreign body is removed, treatment follows with appropriate antibiotics

Many a time, the patient removes only part of the foreign body while leaving a part of the foreign body behind. It is based on the type and placement of the foreign body that the doctor decides on the right treatment.

Penetrations in joints are considered surgical emergencies and will require hospitalization with removal of the foreign body. The best way to exam the foot penetration injury is through an x-ray.

Treatment

Usually, a single setting is sufficient for foreign body removal. However if there is some systematic infection more measures will be required as treatment. It is important that tetanus immunization of the patient is up to date.

If the patient was given the tetanus toxoid booster within 10 years, no additional booster is required. However if more than 10 years have passed or if the penetrating injury is severe, the patient has to be given 0.5ml of tetanus toxoid.

In case of deeply penetrated bodies, the wound has to be opened and treated to prevent abscess and sepsis. The cleanliness of the foreign bogy material also determines the severity of the injury. Aggressive treatment is required when dirty nails or needles penetrate the feet or if the penetration was in dirty environments.

In case of deep penetrating wounds, an open incision with drainage and IV antibiotics may be required. In case of joint penetration injuries, there will be a need for prolonged IV antibiotics to prevent osteomylitis.

Other Podiatry Conditions Treated

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