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If you have a severe dental emergency which requires immediate care them please visit your local accident and emergency at the nearest hospital to you which if you live in Euston is UCLH, you can visit their website here.
If your dental emergency is not life-threatening and can wait until you see a dentist then we would be happy to see you at  The Dental Centre London. Whilst we do offer a drop-in emergency service it is always preferable if we have a specific appointment book for you. The first thing to do is to clean the  area thoroughly and floss between the teeth to remove any trapped food. If you are absolutely sure about the way the tooth fits back into the socket then you can gently reinsert it, however it is possible to do more damage so it’s best not to reinsert tooth unless you are absolutely sure and confident to do so. If this is outside of surgery hours then the best thing to do would be to  go to your local accident and emergency hospital. Generally speaking this would not be considered a dental emergency unless the tooth itself is bleeding. Our dental team are registered with and abide by the guidance and regulations of the General Dental Council.
The Dental Centre London acknowledges the requirement of many local patients around the Euston area for cosmetic dentistry and so we offer all of our patients the latest dental technology and techniques including dental veneers, teeth whitening, white fillings and dental implants.
We realise that living and working in the centre of London can be stressful so we provide an emergency dental service with walk in appointments preserved throughout the day for patients with dental emergencies in Euston or surrounding London W1 and WC1 areas.
During the past couple of months CPCC Security and the Environmental Health and Safety Department have been working together to implement an Emergency Evacuation Point sign. I was thinking about my Achilles tendon rupture, and I don’t think it was necessary for me to go to the Emergency room. If I made sure that I didn’t move my foot and stayed in bed the entire weekend until I could make an appointment with an orthopedic surgeon, I think I would have been fine. What was your experience, and do you think it’s necessary to go to the emergency room? I’m very blessed and fortunate in knowing an ortho surgeon - I called him on a Tuesday night right after it happened. I ended up going to a different ortho next day and actually got the surgery two days later.
I have had surgery on my knee before (meniscus, cartlidge) and I think the surgeon I used is very good. In retrospect I’m still comfortable with my decision to visit the ER based on the day of week, excellent health insurance($25 ER copay), and my need for pain relief. I never had surgery and feel reading from others that this is an option that should be offered, no scar injury to worry about. The ER then put me in an air cast, (yes, an air cast) and said to keep it moving and see an ortho in 7-10 days.
If I had known the consequence of not going to Accident & Emergency then I would have gone straight there. I went to a walk-in-centre and saw junior doctor and nurse who, diagnosed immediately that it was achilles rupture, but their advice was wrong. I was told to keep off the leg as much as possible and just to use hot and cold compresses. 2 weeks later I eventualy saw a specialist who operated the next day, as a matter of urgency. I went to the ER on the night of my injury and, in hindsight, I really didn’t need to.
When calling the ortho, be sure to stress the emergent nature of your injury so that you will be seen immediately and not when they have their first available appointment.
I never went to the hosp , had an MRI or x-ray and if you have this injury there is no need for these expensive tests.
This surgery is relatively routine so you realy don’t have to search high and low for someone who can do it well. I was scared stiff to of having the operation because you hear of all the possible side affects. I went straight to the emergency department, where they asked me to stay overnight, and put a drip in my arm. In hindsight I should have waited until the next morning, gone to my local general practicioner and then been referred to an orthopedic surgeon (a referral is required in Australia).
The First Time - I knew immediately it was torn because I took 8+ years of sciences and was premed but apparently didn’t know about the application of medicine or the way the medical system works. Lucky to live in OZ where ER and ortho follow up is free (although I also have private insurance so I can skip the wait for elective procedures). Rawz, the decision to avoid the surgery is fine, but the only good studies that show success without surgery, use a rehab protocol that is faster and more modern — and more convenient! You’ve got to get into a boot NOW, and start wiggling your foot around and doing PT around now, too!
As long as you can get in a reaonable protocol that resembles the ones that were tested in the 4 modern studies, the evidence says you’ll very likely be just fine. Your angle adjustment is faster than most or all of the studies (which may be risky for the non-surgical cure), and the rest seems way too slow.
As far as testing it to make sure it’s healing, I often tell the joke about the farmer who liked to uproot all his carrots to double-check that they were growing well.
As fate would permit, I was almost a thousand miles away from home attending a business conference when my supervisor and I decided to engage in a game of geriatric basketball in the indoor basketball facility provided by the hotel. I fell off my pony on a Friday faternoon, landed on my hands and knees, but when I stood up I couldn’t push off the ball of my foot.
There have been others who did not have insurance when they ruptured their Achilles, so you can read about their experiences, as well as contact them to see how they were able to get medical care. Hi Crystal, when I did mine I could wiggle my toes and had some foot movement but this was due to other muscles doing the work. It’s the Mercedes Benz of boots, all the bells and whistles and 2 or 3 times more expensive than the rest.

What I really think I want is a ROM boot to safely accelerate the transition to 2 shoes when I go back to work in week 8.
Dan - interesting the doctors argued with each other but didn’t bother asking what you wanted.
We  routinely schedule places in the diary each day for walk in dental emergencies with our emergency dentist. If you can cope with the situation for a while we would prefer that you call us on the number above to book an appointment.
You can then wash your mouth thoroughly with warm salted water and call the emergency dentist as soon as possible to make an appointment. We recommend that you always handle the tooth by the crown, or the top part  that is usually visible. This would indicate that the pulp chamber has become exposed, this certainly is a dental emergency.
This would always be considered an extreme dental emergency and you should go to visit your local Hospital in Euston, London as soon as possible. If you do have a complaint please send it in the first instance to the name and address above so that your concerns can be addressed. The signs have been strategically placed on each campus to give building occupants a safe place to go in the event of a fire or other emergency that requires the building to be evacuated.
Found out today I have to have surgery on Thursday if I call in the morning and make the appointment.
They set me up with a splint and crutches, but my first call should have been to an ortho (that was my first call the following day).
My ortho saw me the day I called and had me in surgery on his next operating day (2 days later). Don’t fret too much about the delay, some people seem to go undiagnosed (or misdiagnosed) for weeks. Gunner and mikek753 are too, and they made this work and they’re healing well, as am I.
Your Doc’s move to 90 degrees is 1 week faster than the study protocol, but everything else is way slower.
I had three USs at 1-week intervals on this (my second) ATR (to guide PRP injections, not for diagnosis), and I think I got 3 different stories about (a) the size of my ATR gap and (b) what kind of rupture it was (complete, partial, or partial-but-multiple)! But that means getting out of those casts about NOW and getting into a boot, and getting into physio. I raised up on my toes and swished a basket from the free throw line and felt a whack on the back of my right calf. He can still decide to skip the surgery 6 weeks from now, if he’s happy with his progress. I was on the ground looking up at everyone and wondering why they were so tall after trying to get up and falling back down I crawled to the side of the court. Like most on this great site i Ruptured my achillies, the date was December 20 2012 & i had surgery on the 22nd. My boot is a big black thing sold by several boot makers with a base cast from the same mold. I partially tore mine playing basketball and didn’t go to the doctor for 3-4 weeks, thinking the same thing as you. This way we can be sure that we have exactly the right amount of time to see you and get you out of pain.
The roots are rather delicate and so it is preferred that you do not touch these if at all possible. If a small amount of tooth has chipped off and there is no pain and no bleeding then it will normally be okay to wait until the next day for you come to see us.
During programmed fire drills building occupants will have the opportunity to learn their appropriate evacuation point area.
Met with ortho consultant a week later who operated that day.Now one week since op glad i had it was in pain firstfew days. It hasn’t hurt as much this time because I was able to manage the swelling almost immediately and maybe because my pain tolerance has gone up. I waited a minimum time (given I arrived about 8.30pm on a Monday) to be seen by the ER resident who consulted with ortho by phone.
I mention to him that I had a vacation coming up in 7 weeks and would not go on vacation in cast using crutches.
I was playing basketball today and I went for a drive when I felt like someone threw a rock at the back of my right foot. And just like most, I drove myself to the E.R because it felt different than a twisted ankle. You should be starting PT at around 2 weeks, and a few weeks after that, your physio might start gently squeezing your calf to see if anything happens.
I wish I had looked for information on my own, because finally I am ultrasounded, will have an MRI and surgery in 2 weeks, on December 14th. It is a partial rupture, but the Dr is very concerned about the chance of that turning into a full rupture.
Look it up online, but essentially, put your knee on a chair and let your foot dangle off the edge of the chair. I suppose for now i’ll settle for bookmarking and adding your RSS feed to my Google account. I had felt the bang on the back of my heel and at first thought my foot had detached from my leg (can that happen?). Since I was sitting down I was feeling both my right and left foot to compare what could be wrong. Another thing to bear in mind is that the roots can easily be damaged if you try to clean the tooth, so if the tooth has come out completely simply pick it up place it in a sterilised pack  or carton of milk and then come to see the emergency dentist. Typically we can repair the tooth and build it back up to its original shape using instant dental veneers or direct tooth bonding.

We provide the highest quality general and family dental healthcare with regular dental checkups visiting our dentists and hygienists to ensure that you keep your teeth and gums as a healthy foundation to keeping your teeth for life. I’m glad I got it done and over with but now I feel like I may be experiencing some shortness of breath? Today my toes see to get cold and need to keep wiggling them and also calf is aching a bit for first time. Fortunate for me, my PCP trusts that I know what a torn achilles is and gave me a referral to the same surgeon as before, without having to see me. He told me if we do the surgery that night I’d be in a removable boot by my vacation. And I’d smooth out the sudden withdrawal of the 3cm heel lifts, over a week, rather than on the day you hit 6 weeks. My surgeon, Dr Holmes at University of Michigan,said that he would remove the tendon that connects my big toe and use that as a bridge to connect the 2 ends, which are 5cm apart. There are also quite a few bloggers here who are happy with their non-op results, and a few who regret getting the surgery. I went to the ER on Easter(two days after my injury) almost a month ago, and they told me I had a just had mildly sprained ankle and sent me on my way not even bothering to give me anything for pain except for a few pills to take home. If anyone has experience going through this transition with a ROM boot I would like to hear how you thought it helped, or didn’t. Our regular scale and polish treatments ensure your teeth are healthy and that dental extractions are kept to an absolute minimum. Even though I have very little pain, it is much more comfortable wearing the cast as it prevents the foot flopping around, and distributes pressure on the calf muscle which is quite tender. I can understand your fear of anasthaesia, but I’m sure the doc will be able to reassure you that your son is fit and well enough. Funny thing is, there was no pain, but when I moved my foot up and down, my calf muscles didn’t respond.
Since I had traveled via automobile to the conference site with others and we were only on day two of a four day conference, I toughed it out in my hotel room swallowing pain killers until I could return home to see a doctor.
I would’ve never been able to deal with the pain I was experiencing without pain meds. I also had a feeling it wast my ankle because I didn’t really feel any pain like you normally would if you broke your ankle.
I already had a boot from an earlier injury that was almost identical to the one he was going to sell me so I passed on his.
Plus, ER is good if you don’t have a pair of crutches (or old walking boot) in the closet, like me. Alternatively, he might be able to opt for a nerve block or epidural rather then a general anasthesia.
This kind of worried me so I’m wondering if anyone here has any suggestions about cost effective ways of finding out whether I need surgery or not. In electing to forego a visit to the emergency room and deciding to self medicate and elevate in my hotel room, it appears I did not exacerbate the injury. The ortho is pretty sure that I tore it worse at the point when I was trying to walk on it due to what the ER doctor said. Based off the thompson test i was sure i had a ruptured it Well urgent care took X-rays and told me all was ok. I later called his office and asked if they would give me a script for the Vacocast and was told no. In my experience (I played soccer for 17 years and in that time had to have several knee surgeries) the ER doesn’t do much for soft tissue injuries. Quite honestly, I’m not sure having a partial tear is much more of a blessing than a full . As usual they threw is a snarky comment to my question saying he is familiar with it and thinks it is a gimmick. He’ll need lots of help and support but he has you and you care enough to find a web site and get typing so he is in good hands!
Unfortunately a lot of the ER doctors go with the x-ray it, it’s not broken, you just have a mild sprain approach.
I think that is sad, because a lot of times soft tissues injuries (such as ATR) end up being worse, especially if not treated promptly. I am now in a cast and in 3 weeks I will get my walking boot - and can’t wait to be able to walk again!! I drove back home climbed three flights of stairs one step at a time because there is no elevator and lucky me I live on the third floor. I’m in a short leg cast most of the pain has gone away now it just the discomfort of the cast that bothers me. Also, there’s a lot of talk around here about ibuprofen not being the best for tendons, most of us use Tylenol instead. Half an hour later I had big dark bruises behind my leg and my roommate couldn’t stand seeing me limp around anymore and decided to take me to the ER. I basically say in a cold room for two and a half hours only being checked upon twice just for them to tell me I sprained my ankle, get some pain reliever and to get an air cast. I could bear weight and as I’m getting ready to leave a nurse comes in and starts opening crutches for me.
Uh no thank you I have several pairs of crutches at home not necessary but she forced me to take them home regardless. The following week, I flew back home and I was taken to the doctors because my bruises and limp didn’t get any better. He could not believe that I knew what was wrong with my foot, told the ER workers what was wrong with my foot, beat his youngest patient by 7 years and the fact that they diagnosed me wrong.

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