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: ,

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: ,

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: ,

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: ,

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.

Tags: ,