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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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.

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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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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.

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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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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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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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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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Fracture Of The Talus: Causes, Symptoms & Treatment

by Administrator 20. November 2013 13:38

The talus is an odd humped-shaped bone located between the two lower bones of the leg and the heel bone at the ankle joint. The talus also serves as the connector between the heel and the bones of the foot, at the subtalar joint, which is pivotal to walking on an uneven ground. High-impact injuries are the most common causes of injury to the talus, which can result in a fractured talus. Since the talus is a primary connector between the bones of the ankle, any injury to it results in severe limitation to the ability to walk and bear weight.

Causes:

  • Motor vehicle accidents
  • Injuries resulting from falls from a height
  • Snowboarding injuries- there is a greater risk of a talus fracture resulting from a snowboarding accident when a soft boot is used instead of boots that are rigid enough to protect the ankle.
  • Symptoms:
  • Intense pain
  • Swelling
  • Bruising
  • Inability to put weight on the ankle
  • With the symptoms of an ankle sprains being similar to those of talus fractures, it is important to get an early diagnosis to confirm the presence of a fracture.

Treatment:

To prevent initial swelling of the joint, wrap the area in ice immediately following the injury, and seek medical attention as fast as possible. You might consider seeing a foot and ankle surgeon in Plano to get yourself professionally treated for the fracture.

  • Treatment for a talus fracture depends on the extent of damage caused to the bone. If the fracture is small and the bones are in proper alignment, immobilization with a cast or boot is needed for several weeks, during which the fracture will heel on its own.
  • However, if you have undergone a more severe talus fracture that has resulted in the breaking of the talus bone into pieces, you might need to undergo surgery to realign the bones and hold them in place with screws or pins. It is advisable to get the procedure done from an experienced ankle surgeon to prevent any post-operative complications. 
  • Some serious outcomes of a talus fracture include the development of arthritis in the ankle joint, and the development of osteonecrosis or avascular necrosis, which require additional treatment.

It is also important to monitor blood supply to the talus while the fracture heals, as it is highly possible that a disruption in blood supply results in the death of the bone.

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