Symptoms of debilitating bone disease osteoporosis explained

Tamzin Outhwaite, 50, is an actress, presenter and narrator. Since coming to national notice for portraying the role of Mel Owen in the BBC soap EastEnders, the star has gone on to make even more of a name for herself by starring in a number of theatre and television productions, including army series Red Cap and crime drama New Tricks. It was during one of her theatre productions which Tamzin suffered a serious injury which left her career in doubt.  

The star was waiting for her results after a CT scan to find out if she had any hairline fractures.

She said: “I really did just think it was going to be an infection.

“We were all dancing and having a brilliant time, I did a run through in front of the producers and halfway through I was in a lot of pain.

“It kept swelling up and then I couldn’t get through the run-through.

“I just said that and was almost crying in pain.”

Tamzin’s X-rays confirmed the bad news of a fracture on her metatarsal bone.

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The fracture left the actress needing to use crutches and sadly had to pull out of her performance in Stepping Out.

“This brilliant cast are doing their 1st preview tonight,’ she wrote on Instagram.

“They are all amazing and am heartbroken not to be up there with them. Have a ball my friends.”

Producers also confirmed the injury in a statement on Twitter, in which they said: “Anna-Jane Casey Steps In for Tamzin Outhwaite. 

“In an unfortunate twist of fate, Tamzin has to hang up her tap shoes.”

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The structure of the foot is complex, consisting of bones, muscles, tendons and other soft tissues.

Of the 28 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot).

The metatarsals are located in the forefoot, between the tarsals and phalanges.

Each metatarsal has a similar structure.

They are convex dorsally and consist of a head, neck, shaft, and base (distal to proximal).

Whether you can walk on a broken foot depends on which bone is broken (and whereabouts along its length), whether the fracture is displaced, how supportive your shoes are, and your personal tolerance to pain.

A fracture is a break in the bone. Fractures can be divided into two categories: traumatic fractures and stress fractures, said Foot Health facts.

The health site continued: “Traumatic fractures (also called acute fractures) are caused by a direct blow or impact, such as seriously stubbing your toe.

“Traumatic fractures can be displaced or nondisplaced. If the fracture is displaced, the bone is broken in such a way that it has changed in position.

Signs and symptoms of a traumatic fracture include:

You may hear a sound at the time of the break.

Pinpoint pain (pain at the place of impact) at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.

Crooked or abnormal appearance of the toe.

Bruising and swelling the next day.

Pain is usually felt over the injured area and tends to develop over a few weeks.

The NHS adds: “It is typically worse when putting weight on the injured area and better when resting.

“As it gets worse, the pain can start to be present when at rest and at night.

“The involved bone may be tender to touch and there is often some swelling. However, it is important to remember not all stress fractures have these typical symptoms.”

If you experience these symptoms, go to your nearest accident and emergency (A&E) department.

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