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.

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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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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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