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.

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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.

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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.

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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.

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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).

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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.

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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.

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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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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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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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