snapped my right foot to an almost perfect ninety degree angle towards my left foot and dislocated the Talis bone while playing basketball at the YMCA. During the ambulance ride to the ER all i could think of was how desperate my situation would have been if i had been out hiking alone or even with a friend and suffered the same type of injury. i have a survival manual that gives instruction on how to make crude splints and wraps but i'm here to tell you that it would take one tough s.o.b to reduce a dislocation without anesthesia. the paramedics administered 4mg of morphine on the gym floor, i got another 8mg in the ER and 4mg of Dilaudid and it didn't even come close to touching the pain, only after i was put under and the the bone reduced did the pain begin to subside. my point i guess is that this sucked real bad but it could have been worse.