Sometimes when a patient steps onto a pointed object, part of it may be lodged into the foot. This foreign body can be the cause of an infection because along with the foreign body you have dirt and debris from the outside embedding inside the foot. Some signs that you may see in the foot are pain, fever, swelling, drainage and redness around the puncture site. When a patient comes into our office we want to do a proper history and physical. It is important that we know what the patient has stepped on, what they were wearing on their feet and where he or she may have stepped on the object. This will play a part in the treatment of the wound. In the office we will perform an xray to see if we can identify and locate the foreign body.The foreign body may be removed in the office if it is superficial. If the foreign body is deep inside the wound or if there are already signs of an infection the patient will need to have surgery in the operating room. In addition the patient will need a tetanus shot if their immunizations are not up to date and will need a course of antibiotics after. The patient will be monitored closely until the infection and wound have resolved. Please call our office if you have a puncture wound to schedule an appointment with one of our experienced board certified doctors.