24 hour Walk Swollen and Bruised Toes

Mr Singh is an ex-athlete and junior walking coach who participated in the 4th Malaysia International 24-hour walk at Dataran Merdeka on the 11th August. He came back with a pair of swollen feet with both big toe badly bruise when I saw him on the next day.

It is common for marathon runners to have such lesion after competition. I advised him to keep his feet elevated, have them iced, use the lysozyme tablets (for swelling) and NSAIDS (for pain and swelling). He would need to have the subungual hematoma (blood accumulation under the nailbed) relieved by the doctor using a sterile needle. Surprisingly he only a few small blisters.

He told me today that his feet were perfectly fine after doing the RICE treatment.