Stress Fractures Of The Foot And Ankle

by Administrator 14. April 2015 15:03

Stress fracture is common among athletes, runners and sports persons who frequently take part in basketball, soccer and other contact games. It usually occurs due to change in workout surface, increased activities or sudden increase in the intensity of the workout. It is also common among people suffering with osteoporosis, which leads to weakening of the bones. Elderly may get stress fracture while carrying out day-to-day activities. Stress fracture mostly occurs in the second and third metatarsals in the foot but is also seen in the calcaneus, talus, fibula and navicular bones.

Causes

Some of the most common causes of stress fracture include

  • Overuse of foot and ankle
  • Sudden increase in physical activity or workout
  • Running longer distances
  • Walking excessively all of a sudden and without routine practice
  • Wearing worn, uncomfortable or a new style of shoes that do not absorb repetitive force
  • Osteoporosis increases the risk of stress fracture
  • Using improper workout techniques
  • Sudden change in running or workout surface

Symptoms

The symptoms of stress fracture include

  • Pain that worsens with physical activities
  • Swelling
  • Tenderness
  • Inflammation

Diagnosis

If you are suffering from a stress fracture you must visit a foot doctor. He will examine the symptoms and ask for your medical history. The doctor may need information about your activities, diet, medications and type of work to diagnose the cause of the injury. With the help of imaging tests such as X-ray, MRI, CT-scan and bone scan the doctor can determine the extent of damage to the bone.

Treatment

The orthopedic doctor may recommend using the RICE protocol that is rest, ice packs, compression and elevation to get relief from the pain. Anti-inflammatory non-steroid medicines are also effective and can be prescribed by the doctor. The treatment is devised depending upon the location of the stress fracture and the severity. The treatment aims at relieving the pain and accelerating the healing process.

Often the condition is treated non-surgically by modifying the activities and switching to tasks that are less demanding and stressful. The doctor advised to take rest and refrain from any activity that involves heavy use of the foot and ankle. However if the condition does not improve the stress fracture is treated surgically with internal fixation. The process is done using screws, plates and pins to hold the bones in place and promote healing.

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Orthopedic Treatment For Ankle Pain

by Administrator 23. March 2015 07:24

The ankle is a hinge joint consisting of a complex network of bones, ligaments, tissues and tendons. It provides motion to the foot and bears the maximum body weight. As a result, pain and injuries to the ankle are quite common. Ankle pain can be felt on the outer portion, inner part or along the Achilles tendon in the heel. Although the condition can be caused due to various reasons, the most common of them is an ankle sprain.

Mainly, there are 4 different categories of ankle pain:

  • Acute Ankle Pain: This occurs due to a sudden sprain or fracture in the ankle.
  • Medial Ankle Pain: This refers to the pain in the inner part of the ankle.
  • Lateral Ankle Pain: This is when the pain is felt at the outer portion of the ankle.
  • Anterior Ankle Pain: This occurs at the front of the ankle.

Causes

  • Ankle Sprain: This is the most common cause of ankle pain and occurs due to sudden twisting or bending of the joint. As a result, the ligaments and tendons get stretched and torn. Sprains are quite common in sportspersons but can occur to almost anybody.
  • Weak Ankles: This can be due to several reasons such as genetic factors, overuse of the joint, previous injury or excessive body weight.
  • Arthritis: This is a condition that causes inflammation of the joint. As a result, the ankle becomes weak and inflamed.
  • Achilles Tendinitis: This condition affects the Achilles tendon, the band of tissue that joins the heel bones to the calf muscles in the lower leg. People having this condition often feel pain at the back of the ankle.

Symptoms

  • Pain while walking, running or climbing stairs
  • Redness and visible discoloration around the ankle
  • Inflammation and swelling
  • Dull or persistent pain

Diagnosis

The ankle surgeon conducts a thorough physical examination to look for any visible signs of injury in the ankle. He may also recommend certain imaging tests, such as X-rays, CT scans or MRI, to diagnose the exact cause of ankle pain.

Treatment

  • RICE Approach: This is an ideal treatment option for mild to moderate ankle pain. The patient must take proper rest, apply ice pack in the affected area, compress the joint with the bandage and keep it elevated above the heart level.
  • Anti-Inflammatory Medications: The ankle surgeon may prescribe non-steroidal anti-inflammatory medications to help the patient find relief from the pain and discomfort.
  • Ankle Support: Wearing shoe inserts and heel pads may also help to provide support to the ankle and reduce pain.
  • Surgery: If the ankle pain is a result of a severe fracture of other underlying orthopedic condition, the patient may need to undergo surgery.

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

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Ankle Fracture: Orthopedic Treatment In Plano, TX

by Administrator 18. February 2015 12:31

Ankle fracture is a common injury among sports persons and athletes who put constant pressure on their ankle. The ankle joint consists of three bones Tibia, Fibula and Talus along with many other ligaments that support the joint. Any injury, fall or accident can damage ligaments and twist the bones causing an ankle fracture. It can also be caused due to breakage in one bone or multiple bones, which can make the ankle deformed.

Causes

An ankle fracture results when the ankle joint is forced beyond its normal range of motion. It occurs due to a direct blow or injury to the joint. Some of the common causes of ankle fracture include:

  • Twists
  • Falls
  • Powerful collisions
  • Blows
  • Bone diseases
  • Stepping wrong on uneven ground
  • Ageing
  • Incorrect landing while jumping

Certain risk factors that increase the probability of suffering from an ankle fracture include osteoporosis, decreased muscle mass and being overweight.

Symptoms

  • Pain in ankle, which can be quite severe
  • Swelling
  • Bruising
  • Tenderness when touching
  • Deformity in ankle
  • Bone poking out of the skin
  • Inability to walk and put weight on foot
  • Cracking sound

Diagnosis

The orthopedic surgeon will examine the symptoms and diagnose the injury. The doctor may also recommend certain imaging tests such as X-rays, CT-scan or an MRI scan to determine the extent of damage.

Treatment

Depending upon the severity of the fracture the doctor will decide the line of treatment. He may use a cast, screws, metal plates and a rod to hold the bone together and heal the fracture. The use of devices depends upon the severity of the fracture. The patient is advised to take rest and keep the injured ankle elevated to assist with the healing. You may be required to walk with aids to avoid putting pressure on the injured ankle. The doctor may also prescribe certain medicines to offer relief from inflammation and pain.

For rehabilitating the treated ankle, the patient is advised certain stretching, strengthening and balancing exercises. A physiotherapist can help the patient gain strength, flexibility and movement in the ankle. You can prevent ankle fracture by avoiding any trauma to the ankle and building strong muscles. You should wear protective gear while participating in any sports activities and use seat beats while driving. If you suffer from a bone disease you should get it treated to reduce the chances of being afflicted with an ankle fracture.

For treatment of ankle fracture, visit Dr. Desai, a leading foot and ankle surgeon parctising in Plano, TX. to schedule an appointment, call at (972) 985-1072.

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Hammer Toe: Orthopedic Treatment In Plano, TX

by Administrator 21. January 2015 09:12

Hammer Toe is a deformity of toe that causes it to bend downwards instead of pointing forward. The toe starts resembling a hammer and the condition often occurs along with other toe problems. Hammer Toe often occurs over time due to ill-fitted shoes, Arthritis or can be present at birth. The condition can affect any toe, which can either be stiff or flexible.

Causes of Hammer Toe

The toe is made of two joints that help it bend at the middle and bottom. The dislocation of the middle joint causes Hammer Toe.

  • Arthritis
  • A toe injury
  • Muscle imbalance that puts pressure on the joint
  • Wearing Ill-fitted shoes
  • Pointed, high heeled shoes
  • A high foot arch
  • Tightened tendons or ligaments in the foot
  • The condition may be congenital

Symptoms

  • Pain
  • Discomfort while walking
  • Curling or claw-like toes
  • Thickening of skin above and below affected toe
  • Corns or calluses
  • Inability to flex your foot
  • Redness and swelling in the toe joint

Diagnosis

The orthopedic doctor will physically examine your toe and recommend imaging tests such as X-rays, MRI, etc. to determine the extent of dislocation of the joint. He may also ask you some questions related to the cause of the muscle, bone or ligament injury in your toe.

Treatment

Depending upon the severity of Hammer Toe, there are different treatments available that can help in correcting the bent toe. If the reason is wearing ill fitted shoes, then the problem can be corrected by wearing shoes with the right fit. In case the cause is high arch, then Hammer Toe can be treated by wearing insoles in the shoes or toe pads. The pads shift the position of the toe and assist in correcting the appearance of the toe. In case there is too much pain and deformity, then the orthopedic physician recommends surgery. The surgery is performed on outpatient basis and the deformed or injured bone is removed surgically.

Stretching the toes can help relieve pain and reposition the affected toes. By wearing properly fitting shoes, you can avoid Hammer Toe. You should wear shoes that are longer by at least half an inch and fit comfortable. You should flatten your toes regularly and wear toe-friendly shoes to prevent developing the condition.

For diagnosis and treatment of Hammer Toe, visit Dr. Desai in Plano, TX. To schedule an appointment with the foot and ankle surgeon, call at (972) 985-1072.

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Tips For Preventing Foot and Ankle Sports Injuries

by Administrator 21. November 2014 09:54

Runners and athletes often suffer from foot and ankle injuries during their training routines and while performing in the field. These injuries can be prevented if the athletes follow some precautionary measures and take extra care.

  • Warm up: The chances of foot and ankle injuries increase if the athletes and players start running without warming up. Warming up the muscles is crucial for anyone before exercising and you can do that by jogging, stretching and doing little exercise. Even after workout you must cool down for a few minutes.
  • Gradually build muscles and condition them: Athletes should make sure they slowly increase their activity or workout and gradually build up the muscles. The amount of time that you spend on the activity should not be abruptly increased; rather, you should increase the time over a period.
  • Wear comfortable and fitting shoes: If you regularly do running and fitness training make sure you get yourself a comfortable and well-fitted pair of athletic shoes. You should use shoes that are particularly designed for the sport. Also, it is crucial that you change your shoes after regular intervals.
  • Avoid uneven surfaces: While running you should make sure that you run carefully on rough terrains and avoid bumping on tree stumps, roots and holes. Always train on the surface that you will eventually run on and choose a surface to run. Be extra careful while running on hills to avoid any injuries during training.
  • Use a brace or tape: For preventing recurrent ankle injuries you should use a brace or tape for support. Try wearing protective gear during sports activities such as skating, soccer, etc. To reduce the risk of injury you can also use supportive splints.
  • Use correct technique: Whatever sport you choose you should make sure that you choose the right technique as using a wrong technique can put you at risk of an injury.
  • Avoid overusing the muscles: If you feel pain in your foot and ankle you should stop using your muscles and take some rest as overusing the muscles can lead to injuries. You should consult the foot surgeon to understand the reasons of pain and follow the instructions.

It is important that you stop the activity or modify it to avoid any foot and ankle pain and in case of injury, consult an orthopedic doctor and follow the period of rehabilitation and training before resuming the sports activities. Walking regularly improves circulation, reduces fatigue, increases flexibility, and leads to bone and muscle development.

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Orthopedic Treatment For Bunions

by Administrator 22. September 2014 11:13

A bunion is an abnormal, bony bump that develops at the joint that connects the big toe to the foot. When this occurs, the big toe digresses in the direction of other toes forcing the joint to swell and push out. The visible bump is a reflection of the changes in the bony structure of the joint between foot and toe.

Bunions generally develop gradually beginning with a leaning of the big toe and progressively altering the angle of the bone. Over the years, the bump becomes sore and gets increasingly noticeable.

Causes   

Bunions mainly develop as a result of uneven pressure, due to shifting or bearing your weight, on the tendons and joints of the feet. This disproportion in pressure leads to the joint of the toe being unstable, and, eventually framing the joint parts into a hard lump that bulges out of the normal structure of the foot. Some other causes of bunions include:

  • Foot injuries
  • Congenital deformities of the foot
  • Wearing high heeled , tight or narrow pointed shoes
  • Inherited shape of foot
  • Rheumatoid Arthritis

Symptoms

  • A protruding bump on the exterior of the joint between the toe and foot
  • Stiffening of the skin at the base of the big toe
  • Redness, soreness and swelling around the joint
  • Intermittent and persistent pain
  • Burning sensation
  • Possible numbness
  • Difficulty while moving the big toe
  • Calluses or corns- these are often seen at the point where the first toe joins with the second toe.

Treatment

Treatment options may vary depending upon the severity of the symptoms.

Non-surgical options:

  • Medications: Anti-inflammatory drugs may be prescribed to reduce the pain and distress caused due to bunion.
  • Changing shoes: Wear shoes that are comfortable, roomy and provide sufficient space for your toes.
  • Padding or splinting: The orthopedic doctor may suggest padding your foot in the normal position to reduce strain on the bunion.
  • Ice packs: Applying ice on the bunion can also help to get rid of inflammation and soreness.
  • Shoe inserts: Inserting padding inside the shoes can help to distribute pressure evenly, thus, reducing the pain and preventing the bunion from worsening.

Surgical options

If conservative treatments fail to provide relief, surgery might be needed. Surgical procedures for the treatment of bunion are performed to:

  • Straighten out the big toe by removing the bone part.
  • Remove the enlarged tissue from the joint of the big toe.
  • Connect the affected join bones perpetually.

While selecting the correct treatment option for your problem, the orthopedic surgeon might consider various factors such as the extent of the disfigurement, your activity level, age and the like. Complete recovery may take up to weeks or months. 

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Orthopedic Treatment For Claw Toe

by Administrator 21. August 2014 09:25

Claw Toe is an orthopedic condition that causes the toes to bend in the shape of a claw. This problem can be either evident at the time of birth or the feet may bend at a later age. Although claw toe in itself does not cause much discomfort but it is a cause of grave concern if the condition is triggered due to some underlying disorder such as diabetes or stroke. When suffering from claw toe one must seek medical assistance in order to prevent the condition from deteriorating.

Causes

Claw Toe is usually caused as a result of weak feet muscles. The wearying of these muscles can also be a side effect of some neurological condition such as:

  • Osteoarthritis or Rheumatoid Arthritis
  • Diabetes
  • Tumor of spinal cord
  • Alcoholism
  • Charcot Marie Tooth Disease
  • Stroke
  • Polio

The root cause of claw toe is the tightening of the toe tendons and ligaments. This, in turn, causes the toe joints to clasp and tilt upwards. Subsequently, shoes can hurt as they rub over the lifted toe which causes painful calluses and corns. If not treated properly, the toe may get perpetually rigid and fixed.

Symptoms

The affected toes develop a claw shaped malformation. Some other common symptoms of claw toe are:

  • Pain on the top of the curved toe while placing the foot in a shoe
  • Corns appearing over the joints of the toe
  • Swelling and redness in the toe joint
  • Pain under the curved toe in the ball of the foot
  • Difficulty and pain while trying to move the bent toe

Treatment

Claw Toe can be successfully treated provided that medical help is sought at an early stage. Some of the conservative measures to cure this condition include:

  • Wearing shoes that have room which should be no less than ½ inch more in length than the longest toe.
  • Firming up the muscles with exercises like stretching and picking marbles with toes.
  • Widening the upper portion of the shoe to help moderate the pain.
  • Wearing soft and cushiony pads within the shoes over calluses and corns.

However, if the claw toe position has become rigid, surgery might be needed in order to realign the toe to its original position. The orthopedic foot surgeon may suggest cutting, enlarging or of the tendons to get the toe back to its original position.

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Plano Orthopedic Treatment For Ankle Sprain

by Administrator 14. July 2014 06:50

An ankle sprain is a common injury that can occur to anyone at anytime. It affects the muscles and ligaments of the ankle, which are thick elastic bands of tissue and are responsible for keeping the anklebones in place. It occurs due to changing speed, direction, falls or collisions with an object. It is common among sports persons who indulge in strenuous activities all the time.

Causes

A sprain is caused when the ankle is twisted suddenly and the foot rolls on to the outside or inside of ankle. The injury is caused due to tearing and stretching of one or more ligaments in the ankle joint. The twisting can occur while walking, jumping or doing any physical activity that involves a sudden fall, collision or turn. Ankle sprain ranges from mild to severe sprain depending upon the damage to the ligaments.

Symptoms

  • Some of the common symptoms of ankle sprain include
  • Pain in ankle
  • Inflammation
  • Tenderness
  • Bruising
  • A popping sound at the time of spraining
  • Cool and pale foot
  • Inability to move the ankle
  • Inability to put  weight on the ankle

Diagnosis   

An orthopedic surgeon examines the ankle to determine the cause of the injury and observes the symptoms. Besides clinical examination, the doctor often recommends certain imaging tests such as X-rays, CT scan, etc, to measure the extent of injury and decide the line of treatment.

Treatment

  • The patient should prevent walking on sprained ankle and should immediately consult an orthopedic surgeon in case of severe pain.
  • Minor ankle sprains can be easily treated at home by using self-care techniques such as protection, rest, ice, compression and elevation, which is commonly known as PRICE therapy.
  • The patient should immobilize the ankle with the help of a brace or splint and take proper rest.
  • For a few days, the patient should use the ice packs which greatly reduce the swelling and keep pillows under the ankle to keep it elevated. They can also use compression bandages to get relief.
  • In severe cases, the doctors recommend braces and crunches to offer protection and strength to the ankle.
  • Non steroidal anti-inflammatory drugs are also administered for reducing pain and swelling.
  • Your ankle doctor can also suggest rehabilitative exercises to restore the strength and motion in the sprained ankle.
  • People can prevent spraining of ankle by wearing appropriate shoes for varied activities, warming up before exercising, stretching after exercise and regularly doing strengthening and flexibility exercises.

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Orthopedic Treatment For Achilles Tendon Injury

by Administrator 15. May 2014 12:13

The Achilles tendon is the largest and one of the strongest tendons of the body, connecting muscles in the calf region to the heel bone. These tendons provide support and strength to the legs and are responsible for much of the mobility we possess. Although it is one of the strongest tendons found in the body, the Achilles tendon can be vulnerable to injury, especially for people who are in the sporting profession. Any injury to the Achilles tendon can result in extreme pain, loss of mobility and stability and debilitation. In such cases, orthopedic treatment should be sought immediately.

Causes

Achilles tendon injuries can be caused by a variety of different reasons like impact damage, wear and tear from overuse, and poor leg alignment. Mostly, cases of Achilles tendon injury are seen among athletes and sportsmen who use their legs heavily. Among common people, these injuries can occur as a result of flawed exercise routines, wrong posture or damage resulting from impacts like bumps and falls. Wearing footwear which stresses your feet out can also be a cause of a damaged Achilles tendon. People who have flat feet or over pronation can also be increasingly susceptible to this problem.

Symptoms

The most usual symptom associated with Achilles tendon injury is a sensation of acute pain in the heel region of the foot. This pain can become extreme after long periods of inactivity or exercise such as walking or running. There can also be instances of inflammation in the region and cases of loss of balance and mobility and a general weakening of the foot. You might also feel some sluggishness in the affected leg, resulting in difficulty in standing and walking.

Treatment

Orthopedic treatment for Achilles tendon injuries generally starts with a proper diagnosis of the problem. This can be achieved with the help of a thorough physical examination accompanied by procedures such as x-rays. In mild cases, prescribed treatment is usually non-surgical and may contain rest, immobilization through the use of casts and stints, application of ice packs and over-the-counter anti-inflammatory medication. Patients might also be prescribed by an orthopedic surgeon to use crutches for support while walking. In more serious cases like when the tendon gets ruptured the only option is to go for a tendon repair surgery, which can be followed by a detailed post-operation rehabilitation and pain management procedures. In certain cases, physical therapy can also prove to be a great help for people affected with Achilles tendon injury.

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Plano Orthopedic Treatment For Ankle Injuries

by Administrator 21. April 2014 10:22

Ankle injuries can be very painful and debilitating and can markedly reduce motor functions. Although ankle injuries happen mostly to sportsmen and people who practice athletics, anyone can fall victim to this painful affliction. It does not take a lot to pick up a bad ankle injury. Even walking on a surface that is uneven can result in a bad sprain of the ankle. Ankle injuries can affect people of any age and gender and usually come from sprains and damage to tendons or ligaments. There are a variety of treatments available based on the nature and extend of the injury which allows people to be free from this debilitating condition.

Causes

According to orthopedic surgeons in Frisco the most common causes for foot and ankle injuries are stress or impact related damage to the ligament or tendon and fracture. The ankle is a meeting point for bones, tendons and ligaments and can be a vulnerable area for damage. A ligament can get sprained if it gets more flexed than it should. This can result in tears along the ligament or in extreme cases a complete breakage. Tendons can get damaged or inflamed due to overuse. They can also rupture or get torn off taking away the stability that the ankle provides. Ankle sprains are accompanied with excruciating pain. Usually ankle injuries are caused while walking, falling, running, twisting the ankle or during accidents.

Treatment

Ankle injury treatment is usually decided taking into account the nature of the injury and the extent of the damage that a person has faced. The first steps usually involve completely resting the ankle and making it immobile. This can be done by the application of a compression bandage. Ice can also be applied if the pain is too much to bear. After careful diagnosis of the situation by an orthopedic surgeon there can be a number of different courses of treatment. Minor fractures can be treated by immobilizing the ankle with a splint or a cast and allowing the bones to heal naturally. Serious fractures can be treated with surgery. Sprains and strains are usually treated with rest and immobility with optional medication for the pain and swelling to subside. More serious cases can be treated simultaneously with physical therapy to improve strength and range of motion. Orthopedic doctors might suggest the use of a support or brace to lend added support and stability to affected areas while the treatment is in process.

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