Orthopedic Treatment For Predisclocation Syndrome

by Administrator 24. April 2017 11:35

Pre-dislocation Syndrome or Capsulitis of the second toe is a common problem that affects people of any age group. It affects the joints of the second, third or fourth toe. The ligaments that surround the second toe form a kind of capsule around it and protect it besides enabling movement. Inflammation of these ligaments causes Pre-dislocation Syndrome. Prolonged condition may lead to joint weakening and toe dislocation. The ligaments that support the toes may also begin to thin and wear out. It is a progressive disorder which can greatly affect the daily life of the person.

Causes

  • Tightness of the calf muscles
  • Faulty foot mechanics which puts excessive pressure on the ball of the foot
  • Bunion deformity
  • If the second toe is longer than the big toe, it tends to curl or arch and disturbs the foot structure
  • Flattened foot arch or flat foot makes the person prone to this disorder
  • Inherent weakness in the small sized muscles that form a part of the foot joint

Symptoms

  • Pain in the ball of the foot
  • A feeling of something bunching up under the ball of the foot
  • Barefoot walking may be painful
  • Wearing closed shoes may cause discomfort and pain
  • Swelling above and below the toe
  • The toe may become unstable and override the big toe or the neighbouring toes
  • Hammer Toe formation
  • Callouses form beneath the second toe and on the ball of the foot

Diagnosis

  • Detailed physical analysis of the foot by a foot and ankle surgeon
  • Palpation and moving the toes or foot in different direction to assess the symptoms
  • X-ray imaging may be required
  • Joint stability may be tested
  • MRI may be done
  • Ultrasound

Treatment

  • Application of ice packs on the affected toe can reduce swelling
  • Rest the affected foot and prevent pressure on it
  • Injecting corticosteroids into the foot or toe
  • Use of crutches or a walker to prevent weight bearing
  • The toe may be taped to prevent its drifting towards the other toes
  • Some non steroidal anti inflammatory medicines and pain killers may be prescribed
  • Shoe inserts and supports may be useful. It may help redistribute the body weight evenly on the metatarsals
  • Calf muscle tightness may be rectified using some gentle stretching exercises
  • The doctor may suggest surgical intervention if the toe is deformed and overrides the neighbouring toe. The bone is cut and reshaped and then fixed in correct position using pins and wires
  • Surgical reduction of bunions and hammertoes
  • Surgical lengthening of tendons and ligaments
  • The foot is secured in a cast boot post surgery

For know more about the treatment options available for Predisclocation Syndrome, visit Dr. Desai. To schedule an appointment with the Plano, TX based orthopedic surgeon, call at (972) 985 – 1072.

Tags: ,

Tarsal Tunnel Syndrome: Causes, Symptoms And Treatment

by Administrator 27. March 2017 03:22

Tarsal tunnel encompasses nerves, arteries and tendons that provide movement and flexibility to the foot. The tibial nerve passes through this narrow passageway and provides sensation to the bottom of the foot. The condition when the tibial nerve gets compressed, is referred to as Tarsal Tunnel Syndrome. It is commonly observed in adults.

Causes

  • Flat feet or fallen arches that put strain or compress the tibial nerve
  • Diseases such as Diabetes, Arthritis, Overpronation, Tenosynovitis etc.
  • Swelling due to an ankle sprain that lays pressure on the nerve.
  • A varicose vein ( veins become dilated, enlarged  and filled with blood)
  • Ganglion Cyst
  • A swollen tendon or a bony spur
  • Fusion of two of the tarsal bones.

Symptoms

  • Pain and numbness
  • Tingling or a burning sensation
  • Affliction worsens while running or standing for prolong periods
  • Difficulty in bearing weight on the foot

Diagnosis

The doctor may begin by conducting a thorough physical examination. In this he may apply pressure on the affected area. If the patients feels pain and tingling, it is considered a positive sign for the condition. To have a clearer picture of the problem, doctor may ask for imaging tests like MRI or Electromyography.

Treatment

Conservative Treatment

The doctor may recommend conventional mode of treatment to eliminate the symptoms. He may ask the patients to take rest and avoid activities that cause pain. The doctor may prescribe anti-inflammatory medicines, painkillers and icing to reduce inflammation. Rehabilitation exercises that strengthen the foot muscles may also be recommended by the doctors. 

Surgical Treatment – 

In case the patient does not gets relief from conservative mode of treatment, the orthopedic surgeon may recommend a surgery. To begin the procedure he may putt a compression band above the ankle to prevent excessive bleeding. He may then and make a small incision at the back of the ankle to isolate the laciniate ligament, which relieves pressure from the nerve.  At last, the wounds are closed with sutures and bandages.

Prevention Tips –

  • Warm up before a strenuous workout
  • Wear proper fitted shoes and sports equipment
  • Exercise daily to maintain the muscle strength.

For complete diagnosis and treatment of Tarsal Tunnel Syndrome, visit Dr. Desai. To schedule an appointment with the foot and ankle surgeon in Plano, TX, you can call at (972) 985 – 1072.

Tags: ,

Turf Toe: Orthopedic Treatment In Plano

by Administrator 26. October 2016 08:18

The bones of the toes and the base of the foot connect together through soft tissues (ligaments) and the joint that they form is called the metatarsophalangeal joint. Stress caused to the ligament that lies right beneath the big toe of the foot is medically termed as a Turf Toe. Flexing the foot, particularly the toes, in an unnatural position stretched the ligaments way beyond their capacity. As a result, some fibers of the tissue may fall apart or the entire ligament may be torn. In severe cases, the bones and nerves around the ligament may also be damaged.

Causes

  • Excessive upwards bending of the big toe stretches the ligament and causes it to snap
  • Wearing soft shoes does not give adequate support to the toes and they are at a greater risk of being bent in the wrong way
  • Indulging in activities such as martial arts which involve swift foot movements pose a risk of injury to the big toe
  • Running or playing a game on hard rigid surfaces such as artificial turfs causes this injury
  • Ballet dancing which focuses the entire body weight on the toes

Symptoms

  • Pain
  • Swelling
  • The toe may be tender when touched
  • Redness, discoloration or bruising
  • Loss of flexibility in the foot and big toe
  • In case of sudden injury, the symptoms develop immediately and tend to aggravate within a few hours
  • A popping sound at the time of injury

Diagnosis

  • X-ray imaging of the foot to assess the level of damage and check for broken bones if any
  • The doctor may ask about the patient's lifestyle, physical activities, shoes that they wear, time and mode of injury
  • The injured foot is clinically examined and compared to the uninjured foot to draw conclusions
  • MRI, CT scan or a bone scan may be additionally required

Treatment

  • Cold therapy- applying ice packs at regular intervals for two days controls the pain and swelling
  • Anti inflammatory medicines and pain killers may be used as prescribed
  • Soft compression using a bandage can help support the injured toe. However this should be done for a short duration at a times as it may restrict the blood flow to the lower extremities
  • Use of crutches to prevent weight bearing is recommended
  • Firm soled shoes should be worn to avoid further injury of bending of the big toe
  • Specific foot exercises are generally prescribed to keep the foot flexibility intact
  • A special technique known as the turf toe taping may be used to promote healing
  • The foot should be kept elevated while resting
  • Immobilization using a cast or walking boots may be an alternative

Surgery may be required if the ligament is badly damaged and there may be additional injury to the bones or nerves around it.

Dr. Desai, a renowned orthopedic doctor in Plano, TX offers diagnosis and treatment for various ankle and foot conditions. For an appointment, feel free to call at (972) 985 – 1072.

Tags: ,

Ankle Arthritis: Treatment In Plano, TX

by Administrator 25. April 2016 12:37

The ankle joint comprises of three bones, tibia, fibula and talus, which enable the movement of the foot. Ankle Arthritis is a condition which involves inflammation of the cartilage in the joint.  It results in wearing out of the cartilage causing the bones to rub against each other, leading to pain in the ankle. The condition is more commonly seen in the elderly.

Types Of Arthritis 

Causes

  • Injury: Sudden trauma or injury to the ankle can lead to the condition. It can also be caused by repetitive ankle sprains.
  • Genetic factors: People having a family member suffering from Ankle Arthritis are more likely to develop the condition.
  • Deformity: Bone spurs or any other deformity in the ankle joint can also be a reason for Ankle Arthritis.

Symptoms 

  • Pain 
  • Tenderness
  • Swelling 
  • Stiffness in joint 
  • Difficulty in walking 

Diagnosis

The doctor may physically examine the ankle and evaluate the symptoms. Imaging tests such as X-rays, CT scan and MRI may be conducted to determine the severity of the condition. Blood tests may also be recommended to diagnose the type of Arthritis.  

Treatment 

  • Assistive devices: Using assistive devices such as a brace and orthotics shoe insert can provide support to the foot. Customized shoes with stiff soles can also be worn to reduce pressure on the foot.
  • Medications: Anti-inflammatory medications may be prescribed by the ankle specialist to relieve pain and discomfort. He may also recommend if the pain does not subside by medications.
  • Rest: Sufficient rest may be provided to the affected area. The doctor may advise avoiding the activities that may aggravate the condition. 
  • Physical therapy:  The doctor may suggest specific exercises to strengthen the foot and ankle muscles. Physical therapy may also help in improving flexibility of the ankle joint.     

Surgical treatment 

  • Arthroscopic debridement: In this procedure, the surgeons may make small incisions to remove loose cartilage as well as bone spurs from the ankle joint to provide relief from pain. 
  • Arthrodesis: The surgeons may fuse the bones of the ankle joint to eliminate movement and reduce pain. Metal pins, plates and rods may be used to hold the bones together till they fuse.
  • Arthroplasty- It involves using artificial implants to completely replace the damaged cartilage. This procedure may help to restore the functionality of ankle joint. 

For comprehensive treatment of Ankle Arthritis, visit Dr. Desai. To schedule an appointment with the foot and ankle surgeon in Plano, TX, you can call at (972) 985 – 1072.

Tags: ,

Flat Feet: Causes, Symptoms And Treatment

by Administrator 23. November 2015 08:15

Flat Feet, or Fallen Arches is a painful disorder, in which the foot arch collapses and flattens. The sole of the feet touches the ground without creating any arch. The condition is usually not a problem, but it may lead to intense pain in the feet, leg, ankle, hips or lower back. Overpronation (rolling of feet inwards) can lead to injuries and also cause joint misalignments. Flat Feet is common among young children, however, they may develop arch as they grow.

Causes

  • Torn or stretched tendons
  • Inflammation or damage of the Posterior Tibial Tendon (PTT)
  • Missing arch since birth
  • Genetic factors
  • Dislocated or broken bones
  • Nerve issues
  • Rheumatoid Arthritis and other health issues
  • Other factors such as pregnancy, Diabetes, obesity and aging

Symptoms

  • Intense pain, particularly in the arch or heel
  • Aching feet after prolonged walking, standing or playing sports
  • Swelling at the bottom of the feet
  • Difficulty standing on the toes
  • Leg and back pain
  • Toes pointing outward while walking
  • Foot deformity

Diagnosis

The physician may ask the patient to stand to assess the formation of arch. He may check if the entire feet touch the ground without forming any arch. If an arch is formed while sitting, then the patient may have Flexible Flat Feet. The orthopedic doctor may recommend certain imaging tests like X-ray, CT scan and MRI to confirm the condition.

Treatment

Usually, people do not require any treatment for Flat Feet; however, if the condition is painful, the orthopedic physician may suggest the following treatment options:

  • Using Arch support: To relieve pain, the physician may recommend the patient to use orthotic devices, such as arch support. One can get customized arch support that is molded to the contours of the feet.
  • Supportive shoes: The patient may have to wear orthotic shoe inserts or special shoes if the Flat Foot deformity is rigid.
  • Stretching exercises: The orthopedic physician may refer the patient to a physiotherapist who will suggest certain stretching exercises to ease the symptoms. Flat Feet is often accompanied by shortened Achilles tendon, so stretching exercises may also be needed.

Surgery

Surgery may be required to repair the tendons and fuse the joints in the foot. Surgery is usually not required; however, in severe cases, it may help in reducing pain and improving foot function.

Dr. Desai is a renowned foot and ankle surgeon serving the residents of Plano, TX. He provides comprehensive treatment for Flat Feet and other foot conditions. To schedule an appointment, you can call at (972) 985-1072 or visit 4031 West Plano Parkway, Suite 100, Plano, Texas 75093.

Tags: ,

Drop Foot: Orthopedic Treatment In Plano, TX

by Administrator 26. October 2015 11:24

Drop Foot is a neuromuscular disorder characterized by an inability to lift the front part of the foot. The condition causes the individual to drag the toes along the ground while walking. It can be seen in people of all ages and may affect one or both feet at the same time. Although Drop Foot weakens the muscles responsible for flexing the ankle and toes, it is usually a symptom of some underlying medical condition

Causes

  • Nerve Injury: Drop Foot is caused due to an injury to a branch of the sciatic nerve, known as the peroneal nerve. It wraps from the back of the knee to the front of the shin. The peroneal nerve can be damaged or compressed easily due to sports injuries, Diabetes, hip or knee replacement surgery, sitting cross-legged for long hours, constant squatting, childbirth and severe weight loss.
  • Brain or Spinal Disorders: Neurological conditions such as stroke, Multiple Sclerosis, Cerebral Palsy, Charcot-Marie-Tooth disease can cause Drop Foot.
  • Muscle Disorders: Conditions such as Muscular Dystrophy, Amyotrophic Lateral Sclerosis and Polio can progressively weaken the muscles and lead to Drop Foot.

Symptoms

  • A high steppage gait
  • Dragging of foot and toes while walking
  • Scraping of toes across the ground
  • Uncontrolled spanking of toes against the ground
  • Dorsiflexion
  • Pain and tingling sensation in foot
  • Muscle weakness
  • Numbness in the shin
  • Loss of foot functionality

Treatment

  • Lightweight Braces: The orthopedic foot doctor may suggest the patient to wear braces to provide support to the leg.
  • Orthotics: Shoe inserts can also ease walking and offer relief from pain.
  • Physical Therapy: The orthopedic doctor may advise physiotherapy to strengthen foot and leg muscles as well as improve the patient’s ability to walk properly.
  • Surgery: In severe cases of Drop Foot, surgery may be recommended. During the procedure, the surgeon repairs or releases compression from the damaged nerve. In cases where Drop Foot is a long-term condition, the surgeon may fuse the foot and ankle joint together in a straight position to facilitate proper gait.

Dr. Sarang Desai specializes in providing comprehensive diagnosis and treatment for Drop Foot. To schedule an appointment with the foot and ankle surgeon in Plano, TX, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, Texas 75093.

Tags: ,

Tips To Prevent Ankle Injuries

by Administrator 16. September 2015 11:32

The ankle joint connects three different bones – tibia, fibula and talus. Several ligaments and tendons hold these bones together and allow the foot to move upwards as well as downwards. The ankle supports the weight of the entire body and assists in activities such as walking, running, jumping etc. Ankle injury can be caused due to a fall, overuse, direct impact or trauma to any of the structures within the joint. It can lead to symptoms such as bruising, swelling, pain, visible deformity, protruding bone, numbness and tenderness.

Here are some tips to avoid an ankle injury:

  • Warm Up: Before participating in any strenuous activity, it is essential to perform warming up and cooling down exercises. It helps to prepare the body for the intense activity and prevent ankle injuries. Light stretching exercises or jogging can loosen your muscles and avoid sprains.
  • Proper Shoes: Wearing the right type of shoes provides comfort, support and protection to the ankles. They can prevent falls, slips and twists. The shoes should be of the right size and suitable for the type of activity. Sports such as football, basketball and golf require certain specific type of shoes to be worn.
  • Appropriate Weight: Being overweight puts excessive pressure on the ankle and increases the chances of injuring the ankle. It is beneficial to maintain a healthy weight to avoid straining the ankle.
  • Protective Gear: It is essential to wear protective gear to prevent falls, strains and sprains during strenuous activities. These can include an ankle brace, bandage, shin guards etc. The gear holds the ankle in the correct position and helps prevent any injury to the joint.
  • Surface Conditions: You should avoid walking on slippery or uneven surface, difficult terrains and loose gravel to reduce the chances of slipping or falling. Also, do not walk barefoot as wearing shoes provide support to the ankle and protect it from damage.
  • Rest: When playing a sport or doing a job that requires continuous walking, one must take regular breaks. This will allow the ankle muscles to relax and avoid sprains or strains.
  • Improve Balance: It is essential to indulge in activities that improve body balance and reduce the chances of a fall or injuring the ankle.

For comprehensive diagnosis and treatment of ankle injuries, call Dr. Desai at (972) 985 -1072 (Plano) and (214) 618 - 5503 (Frisco TX).

Tags: ,

Orthopedic Treatment For Plantar Fasciitis

by Administrator 15. July 2015 14:38

Plantar Fasciitis is an overuse injury that is characterized by pain in the heel of the foot. The plantar fascia is defined as a thick layer of connective tissue that begins from the heel and extends up to the undersides of each toe. The fibrous tissue absorbs shock and supports the arch of the foot during walking, running or other activities. If you suffer from Plantar Fasciitis, you can experience irritation and inflammation under your foot. The degenerative condition is common among women and people who have flat feet. Even people who walk or stand on hard surfaces as part of their jobs are more susceptible to suffer from Plantar Fasciitis.

Causes

  • Overweight
  • Prolonged standing or walking
  • Overtraining
  • Repetitive stress
  • Improper distribution of load on the fascia

Symptoms

  • Tears in the fascia
  • Pain in the heel
  • Intense pain after exercise
  • Inflammation
  • Tenderness
  • Body’s inability to heal itself
  • Change in the way you walk

Diagnosis

The orthopedic surgeon may diagnose the condition on the basis of your symptoms and physical examination. He may recommend some imaging tests such as plain X-ray to rule out heel spurs, stress fracture and bone malformations. You may also be advised to go for an MRI test to rule out any soft tissue disease.

Treatment

The condition can be treated both non-surgically and surgically depending upon its severity.

Non-surgical treatment

The orthopedic doctor may recommend rest and ice packs to offer relief from inflammation. You may be prescribed certain non steroidal anti-inflammatory medicines to offer relief from pain and swelling. Exercise can also be effective in relieving pain as it improves flexibility and mobility.

The physician may advise you to wear orthotics (shoe inserts) and supportive shoes. Cushioning with soft silicon heel pads and using inserts greatly reduces the stress on the fascia and thus, offers relief. You can also use night splint to get relief from morning pain.

Physiotherapy is also helpful in reducing inflammation. Your physiotherapist may design a special program for you comprising specialized ice treatments, medication, and massages and stretching exercises.

Surgical treatment

If the non-surgical methods fail to work, then you may be advised to undergo surgery. During surgery, the length of calf muscles is increased surgically, which increases the movement of the ankle. In other case, the plantar fascia ligament is partially cut to release tension in the tissue. This surgery is done endoscopically. If you are overweight, the physician may suggest you to reduce weight and avoid aggravating activities.

For comprehensive treatment of  Plantar Fasciitis, consult Dr. Desai in Plano, TX. To schedule an appointment with the ankle surgeon, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, Texas 75093.

Tags: ,

Heel Spur: Causes, Symptoms And Treatment

by Administrator 18. June 2015 05:19

Heel Spur, also known as Osteophytes are a pointy, bony outgrowth on the bottom of the heel. They are calcium deposits at the end of the heel bone which is caused due to repeated strain. This condition is often confused with a related condition known as Plantar Fasciitis which causes pain in the same part of the foot. Heel Spurs can also make it difficult to walk, run or stand barefoot on hard surfaces. This condition can occur to anyone but are more often found in middle aged people.

Causes

  • Walking abnormalities: Walking improperly can place excessive stress on the heel bone and ligaments. It can also strain the nerves near the heel and lead to an injury to the nerves. Repeated strain to the foot muscles and tissues can lead to the deposition of calcium at the end of the heel bone.
  • Improper shoes: Improper shoes can result in overstressing particular areas of the feet. Wearing shoes which lack support can exhaust the tissues of the heel and may lead to the development of Heel Spurs.
  • Injuries: Injuries to the muscles and tissues of the foot can be caused by abnormal stretch in the band of tissue, which connects the heel and ball of the foot, also known as Plantar Fascia. Repeated injuries can also lead to such outgrowths as the body’s defense mechanism.
  • Excessive weight: Overstraining of the muscles in the feet, specially the muscles in the heel can be caused due to excessive weight. It can also harm the Plantar Fascia.
  • Running or jogging: Excessive jogging or running on hard surfaces can also damage the muscles and tendons of the feet and harm the tissues which can lead to Heel spurs.

Symptoms

  • Pain while walking, running or standing
  • Pain in the bottom of the heel
  • Inflammation below or on the side of the heel
  • Tenderness in the adjacent tissues
  • Pain increases after exercise
  • Mild pain while getting out of bed

Diagnosis

The foot doctor may diagnose the condition with the help of physical examination. The patient may be asked to walk barefoot on a hard ground and describe the pain. The doctor may suggest imaging tests like X-rays or ultrasounds to view the bone spur closely and confirm the diagnosis.

Treatment

The doctor generally recommends the patient to perform stretching exercises in order to strengthen the muscles and tissues near the heel. If any exercise causes pain, application of ice is suggested. He may also prescribe anti-inflammatory medicines to reduce pain and tenderness.

Tags: ,

Ankle Injuries: Orthopedic Treatment In Plano

by Administrator 21. May 2015 09:16

The ankle joint is responsible for the movement of the foot and consists of three bones, the tibia, fibula and the talus. Ankle injuries are common especially among athletes and sportspersons. They can occur at any age and are painful. Ankle injuries interfere with performing daily activities, walking driving etc. and an orthopedic surgeon must be consulted for proper diagnosis and treatment.

Some of the common ankle injuries include:

  • Achilles Tendonitis
  • Calf Muscle Tear
  • Strain
  • Pinched nerve sprain
  • Anterior Ankle Impingement
  • Overuse injuries
  • Shin Splints
  • Plantar Fasciitis
  • Arthritis

Causes

  • Twisting of ankle joint too far out of its normal position
  • Walking on uneven surface
  • Walking in high heel shoes
  • Wearing loose fitting footwear
  • Falling or tripping
  • Rolling the ankle
  • Landing awkwardly after a jump

Symptoms

  • Sudden and severe pain
  • Swelling
  • Bruising
  • Inability to bear weight on ankle
  • Inability to walk
  • Stiffness
  • Tenderness
  • Instability
  • Weakness

Diagnosis

The doctor may physically examine the ankle and ask details about the nature of the accident or injury. In order to rule out fracture or bone displacement, the doctor can recommend imaging tests such as X-ray, MRI or bone scan.

Treatment

The orthopedic surgeon devises the treatment plan after determining the extent of the condition.

Non-surgical treatment:

  • The patients can find relief with the help of R.I.C.E therapy, which includes rest, ice, compression and elevation.
  • To avoid further damage to the injured ankle, the patient can be advised to keep weight off the ankle and take rest.
  • The patient can also be prescribed anti-inflammatory medicines to reduce pain and swelling.
  • The doctor can prescribe using cast or braces to immobilize the ankle joint and promote healing.

Surgical Treatment:

In case the non-surgical treatments do not offer relief or the ankle is fractured and has severe damage, the ankle is treated surgically. The surgical treatment involves using metal plate and screws to hold the bones while they heal. Surgical treatment is followed by rehabilitation and postoperative care.

The orthopedic surgeon can recommend physical therapy to assist with rehabilitation. The therapist helps in gait training, strengthening and improving balance. The patient is helped regain normal functioning of the ankle joint by performing mobility and stretching exercises. The recovery time varies depending upon the severity of injury to the ankle. However the patient is advised to regularly follow up with the orthopedic surgeon after the surgery.

For comprehensive treatment of ankle injuries, consult Dr. Desai in Plano, TX. To schedule an appointment with the ankle surgeon, you can call at (972) 985 – 1072 or visit 4031 West Plano Parkway, Suite 100, Plano, Texas 75093.

Tags: ,