Showing posts with label stress fracture. Show all posts
Showing posts with label stress fracture. Show all posts

Monday, November 19, 2012

Torrance, Redondo Beach, Palos Verdes, CA - Foot Fracture - Podiatrist Robert Anavian, DPM

12.00

Foot Fracture - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

Robet_Anavian_Fractures_.wmv Watch on Posterous

Dr. Robert Anavian discusses the symptoms, causes and treatments for Foot Fracture.

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

Saturday, September 1, 2012

NYC Podiatrist - Foot Fractures and Ankle Fractures - Downtown Manhattan - Jerry Leff, DPM

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Jerry_Leff_Fractures_.wmv Watch on Posterous
NYC Podiatrist - Foot Fractures and Ankle Fractures - Downtown Manhattan - Jerry Leff, DPM

 

Dr. Jerry Leff of Maiden Lane Podiatry discusses the symptoms, causes and treatments for Foot Fractures and Ankle Fractures.

http://maidenlanepodiatry.com

 Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.

Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.

Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.

Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.

 

Visit our website: http://maidenlanepodiatry.com

Monday, August 27, 2012

Foot and Ankle Fracture - Podiatrist in Novi and Brighton MI - John Miller, DPM

12.00 Normal 0 false false false EN-US X-NONE X-NONE

https://www.youtube.com/watch?v=qhh9llSqY_M

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Foot Fracture - Ankle Fracture - Podiatrist in Novi and Brighton MI - John Miller, DPM

 

Dr. John Miller of Associated Podiatrists, P.C. discusses the symptoms, causes and treatments for Foot Fracture or Ankle Fracture.

 

http://www.associatedpodiatristspc.com

Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

 

Visit our website: http://www.associatedpodiatristspc.com

 

[[posterous-content:pid___0]]

Sunday, August 26, 2012

Foot Stress Fracture - Podiatrist Midtown Manhattan NYC - Ernest Isaacson, DPM

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Foot Stress Fracture - Podiatrist in  Midtown Manhattan NYC -  Ernest Isaacson, DPM

Isaacson_Stress_Fracture_.wmv Watch on Posterous

Midtown Manhattan Podiatrist Dr. Ernest Isaacson discusses the symptoms, causes and treatments for Stress Foot Fracture.

http: http://www.doctorisaacson.com

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body's ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist at Foot HealthCare Associates. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

Visit our website: http://www.doctorisaacson.com

Monday, May 14, 2012

Foot and Ankle Fractures - Podiatrist in Cherry Hill, Voorhees and West Deptford, NJ

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Foot and Ankle Fractures - Podiatrist in Cherry Hill, Voorhees and West Deptford, NJ

Amy_Herschkowitz_Fractures.mp4 Watch on Posterous

Dr. Amy Herskowitz of Woodbury Foot Care Centre discusses the symptoms, causes and treatments for foot and ankle fractures.

 http://www.sjfootdoctors.com

 Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.

Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.

Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.

Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.

 

Visit our website: http://www.sjfootdoctors.com

 

Sunday, April 15, 2012

Foot Fracture - Podiatrist in Lake Success, Valley Stream, NY

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Foot Fracture - Podiatrist, Valley Stream and Lake Success, NY

 

 Dr. Haight of Long Island Podiatry Group discusses the symptoms, causes and treatments for Foot Fractures.

http://centralpodiatry.com

 

Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.

Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.

Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.

Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.

Visit our website: http://centralpodiatry.com

 

 

[[posterous-content:pid___0]]

Tuesday, April 10, 2012

Heel Pain - Kingwood and Humble, TX - Podiatrist

12.00 Normal 0 false false false EN-US X-NONE X-NONE

Heel Pain - Podiatrist in Kingwood and Humble, TX

Dr. Michael Wynn of Foot Care Associates of Texas discusses the symptoms, causes and treatments for Heel Pain.

http://www.michaelwynndpm.com

 HEEL PAIN.....WOW!    Now, that is something we see a lot of!

The most common cause of "Heel Pain" is "Plantar Fasciitis". And, you can get more details about that, by clicking on our "Home Page". And, going to the left side where it says "Heel Pain" I believe you will find all you need about "Plantar Fasciitis" there.

Understand, not all heel pain is plantar fasciitis. Treating the wrong problem could be detrimental to your health. I believe, it is better to know what the cause is of your heel pain. Then you will know all the various options, and what is, truly going on. Not all heel pain is treated the same.

Remember, a heart attack can mask itself as indigestion.

Other causes of heel pain can be:

1. Stress Fractures of your heel bone
2. Bone Contusions
3. Reiter's Arthritis
4. Entrapped Nerve
5. Sever's Disease
6. Bone Cysts  / Tumors
7. Achilles Tendon Tears
8. Haglunds Deformity
9. Heel Spur

Just to mention a few........

Also, children under the age of 15, hardly ever have plantar fasciitis.

Many times, a good exam and X-ray can isolate the cause. Then you can be on your way to a cure without risking your health.

So, if you or a loved one is suffering from "Heel Pain", don't wait. Give us a call; we can help you get back to normal!

 

 

Visit our website:  http://www.michaelwynndpm.com

 

Michael_Wynn_Heel_Pain_.wmv Watch on Posterous

 

 

Friday, January 13, 2012

Heel Pain - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

Derick_Ball_Heel_Pain.wmv Watch on Posterous
Normal 0 false false false EN-US X-NONE X-NONE

Heel Pain Treatment - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

Dr. Derick Ball of Far West Podiatric Medical Group discusses the symptoms, causes and treatments for Heel Pain.

 http://farwestpodiatry.com

Heel Pain

Plantar fasciitis commonly traced to an inflammation of the ligament that stretches across the bottom of the foot. The condition can usually be treated effectively with conservative measures, such as use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy.

Heel Pain  

Pain in the arch or heel is one of the most common foot problems, and affects all ages and activity levels.  The most sedentary to the most athletic patients present to our office with this condition. 

Heel and arch pain is most commonly caused by plantar fasciitis, an inflammation of the ligament on the bottom (plantar surface) of the foot.   

Plantar fasciitis pain is most often noticed upon arising in the morning or after a period of rest.  Pain is usually felt in the central heel or arch.  It usually feels better after you have walked a while, and then the pain often returns later. 

A full evaluation by your podiatric physician may include x-rays.  Sometimes a bone spur is present on the heel bone.  You may have heard this referred to as “heel spurs”. 

Plantar fasciitis is most often successfully treated without surgery.  Treatment options include stretching exercises, anti-inflammatory medications, biomechanical orthotics, physical therapy, and occasionally cortisone injections.   Rarely, chronic plantar fasciitis may require surgery or ESWT (extracorporeal shockwave therapy).  We will recommend a treatment plan tailored to your needs. 

The earlier treatment begins, the better the outcome. 

It is important to know that there are other possible, rarer causes of heel pain. These include fractures, masses, arthritis, injuries and others.  It is very important to have a thorough evaluation of your condition by a podiatric physician to rule out these possibilities.

Visit our website: http://farwestpodiatry.com

Tuesday, January 10, 2012

Treatment for Heel Pain - Podiatrist Indianapolis and Franklin, IN

Normal 0 false false false EN-US X-NONE X-NONE

Treatment for Heel Pain - Podiatrist Indianapolis and Franklin, IN    

Jeff_Stevens_Heel_Pain.wmv Watch on Posterous
     

Dr. Jeffrey Stevens of  Indy South Foot and Ankle discusses the symptoms, causes and treatments for Heel Pain.

 http://www.indysouthfootandankle.com

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

Visit our website: http://www.indysouthfootandankle.com

Sunday, December 18, 2011

Foot and Ankle Injuries - Podiatrist in Frederick, Germantown and Hagerstown, MD

Normal 0 false false false EN-US X-NONE X-NONE

Foot and Ankle Injuries - Podiatrist in Frederick, Germantown and Hagerstown, MD

BrennaSteinberg_FootandAnkle_Injuries.wmv Watch on Posterous

Dr. Brenna Steinberg discusses the symptoms, causes and treatments for Foot and Ankle Injuries.

http://www.mynewfeet.com

Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.

Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.

Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.

Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.

Visit our website: http://www.mynewfeet.com

Monday, December 12, 2011

Heel Pain - Chiropodist in East Markham, Unionville and Stouffville, ON

Brian_Cragg_Heel_Pain.wmv Watch on Posterous
Normal 0 false false false EN-US X-NONE X-NONE

Heel Pain Treatment - Chiropodist in East Markham, Unionville and Stouffville, ON

 

Brian Cragg, DCh, BSc (Hons) Podiatric Medicine discusses the symptoms, causes and treatments for heel pain (plantar fasciitis).

 

Heel pain and arch pain are the most common foot injuries that we see at Markham Foot Care Clinic and Orthotics. It is experienced by people of all ages, including children, people who stand all day, athletes, and seniors. Anyone can get heel pain!!

 

Heel pain can be effectively treated and prevented. Do not wait until your heels hurts so much that you can hardly walk. The sooner you treat your heel pain, the faster the pain will go away allowing you to return to your active lifestyle.

 

Visit our website: http://www.markhamfootcare.com

Wednesday, November 23, 2011

Runner’s Feet - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Normal 0 false false false EN-US X-NONE X-NONE

Runner’s Foot Problems - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA   [[posterous-content:pid___0]]           

Dr. Robert Anavian discusses the symptoms, causes and treatments for Runner’s Foot Problems.

http://www.anavianfootcare.com

 

 The Anatomy of a Running Shoe

As all runners know, running begins with a good foundation. And where do we find that foundation? At the ground level where the rubber meets the road.

In other words, your shoes, the pieces of leather and rubber that separate your feet from the hard concrete of the road.

Let's look at the anatomy of a running shoe, and the four sections of the shoe that make it complete.

The uppers of the shoe may be made of leather or, for the lighter shoes, a synthetic which is lighter, washable and breathable (to reduce heat from the foot). Another component of the upper is the tongue of the shoe, which should be padded in order to cushion the top of the foot against lace pressure. At the back of the shoe, the ankle collar should also be padded to prevent rubbing and irritation of the Achilles tendon.

The outersole of the shoe is the treaded layer which is glued to the bottom of the midsole. It resists wear, provides traction, and absorbs shock. This is probably the most important layer for the "street fighter" or road runner. The outer sole usually consists of blown rubber, hard carbon rubber, or a combination. The blown rubber is the lightest, but is not durable as pure carbon. The stud or waffle outersoles are excellent for running on soft surfaces such as grass or dirt; they improve traction and stability. On the flip side, the ripple sole is better designed for running on asphalt or concrete surfaces.

The heel counter is the inflexible material surrounding the heel. It must be made of a material that is both rigid and durable to support and stabilize the heel. Just look at any old shoes, and you will see the wear and breakdown of the inner heel counter, which, over a period of time, tends to lose its stiffness. That's why an external counter is typically placed between the midsole and the base of the heel counter. You will also see a wedge that adds height to the heel and enhances the shoe's ability to absorb shock and reduce strain. The advantage to the added heel height is that it will shorten the Achilles and Gastrocnemius-soleus muscle, reducing the strain upon those important posterior running structures. The downside is that the higher heel height may feel less stable, causing reduced flexibility in the tendon structure.

The midsole is located between the outersole and the upper. Many regard it as the most important part of the running shoe. It provides cushioning and shock absorption while concomitantly controlling excessive foot motion (pronation/supination).

The primary materials used in midsoles are ethylene vinyl acetate (EVA) and polyurethane (PU). EVA is a foam that is light and has good to excellent cushioning. The problem is that this material breaks down quickly. In fact, it can break down just sitting in a box in your closet. Compression-molded EVA is one answer, making it harder and more durable. PU is also a foam, usually denser, heavier, and more durable than EVA. PU will stand up longer, but you will give up some of that precious cushioning in return.

Most shoes today are cushioned with gel, foam, or other manufacturer-specific materials that are designed within the midsole. This type of cushioning will extend the life of the midsole while simultaneously adding increased stability and shock absorption. This typically is where you will see the greatest quality difference between the various companies shoes and their models. And this is where the technology wars are being waged.

Remember, shock absorption is related to how compressible the midsole material can be made. The more the material compresses, the more movement within the shoe is seen. The less the compression of the material, the better the shoe's motion control, but there is a tradeoff in shock absorption. In this case, the shoe may feel harder, and not as soft as the first case scenario.

Know Your Foot Type

So how important is it to know what type of foot I have, and how I run?

Very important! You need to know the basics of running gait and foot types.

First, when you run, the heel strikes the ground first, usually on the outside (supination). Next, the foot rolls inward and flattens out along the longitudinal arch-pronation. The foot then resupinates by rolling through the ball and rotating outwards. At this point, the foot becomes a rigid lever as it again prepares to push off the ground.

To find a runner who supinates or pronates just the right amount is rare. Typically, most runners, particularly those who become injured with knee pain, Achilles tendonitis, shin splints, I.T.Band, or heel pain, suffer from either excessive pronation or supination.

So let's look at those terms again, and how they relate on a runner's gait. Everyone thinks pronation is an evil thing. Wrong! Your foot needs to pronate in order to adapt to uneven surfaces. We all have to pronate to a certain degree. However, excessive pronators whose feet roll inwards too much while running are the runners who develop over-use injuries. The overpronator generally has a flattened type of foot (low arches). You can check this yourself by wetting your feet, and walking on a piece of paper. If you see the whole foot print, including the arch, you can bet you're an overpronator. If you check an old pair of shoes, you will see a wear pattern to the inside of your shoes, particularly around the big toe.

Overpronators generally have flexible feet, which creates a very unstable foot. This can lead to many of the overuse injuries previously mentioned. If you are an overpronator, look for a shoe with a lot of motion control, preferably with a board last. A straight-lasted shoe is also recommended for overpronators.

What about you supinators? The supinator's feet typically roll outward, both in the heel and in the forefoot. You're the ones with the high arches. If you want to see if this is your foot type, go ahead and wet your feet and walk on a piece of paper. If you only see a wet spot of your heel and the ball of the foot, you know you over supinate. When you look at an old pair of shoes, you will see that they wear excessively on the outside border of the heel, and on the outside of the forefoot near your little toe. You're not in the majority here in this case. Supinators are definitely in the minority compared to pronators.

The high-arched, supinators feet are more rigid, and cannot absorb shock as well as an overpronator's feet. Therefore, it stands to reason that with a rigid type of foot the supinator will be subject to more lateral ankle sprains, stress fractures, and pain on the outside of the shin and knee. Supinators should look for a shoe that has better than normal cushioning for added shock absorption, as well as flexibility. Many supinators feel more comfortable with a semi-curved or curved last, due to the shape of their foot.

Shopping Tips

So what are some tips for selecting a good running shoe? Both the American Running and Fitness Association and the American Academy of Podiatric Sports Medicine make the following recommendations:

  • Try on both shoes, because your feet may not be the same size and the shoes may not be made symmetrically. Walk and jog around the store for a few minutes; climb stairs, or try jogging on a treadmill if available.
  • Try on a couple of different models and sizes so you can make a good comparison. Don't rush your selection.
  • The lacing area and tongue should be padded, especially if you have a bony bump (met-cuneiform) on your instep.
  • Be sure the sole flexes easily where your foot flexes. Buy shoes with removable insoles so you can modify or replace them with orthotics.
  • Allow a half-inch in front of your longest toe when you stand up. Fit shoes in the afternoon or after a workout, when your feet are larger. Feet swell as much as a full size during a good workout.
  • The key to finding the best shoe is comfort, not price or brand name. Don't rely on a break-in period;. Shoes should feel good the day you buy them.
  • The toe box should allow your toes room to move around. The mid-part of the shoe when laced should hold your foot snugly so that it doesn't slide forward and jam your toes with each step. If the shoe feels tight across your instep, start the laces on the second pair of eyelets.
  • The heel counter should fit snugly so your heel won't slip and rub.
  • Check the quality control of the shoes. Put them on a flat surface near eye level. The mid-line of the heel counter should be perpendicular to the surface.
  • Try on shoes with the socks, inserts, or orthotic devices you plan on wearing.

It is always suggested that when looking for a good running shoe, first select a good specialty running shoe store with competent salespeople. They are the ones who know the latest in shoe design and performance. Typically, these "fitters" are runners like yourself. They have been hired because of their love of running and their interest in their fellow runners. So search them out, and develop a relationship with a store and a person who has been fitting shoes for a period of time. If you have had a history of injury due to a shoe or a biomechanical problem, seek out a podiatrist in your area. He or she will be able to detect what your problem may be, and the right shoe or shoes to look for.

To extend the life of the shoe, wear them only for running, and let them dry out slowly when wet.

 

Visit our website: http://www.anavianfootcare.com

 

Monday, November 7, 2011

Treatment of Heel Pain - Cheyenne, WY Podiatris

Normal 0 false false false EN-US X-NONE X-NONE

Heel Pain Treatment - Cheyenne, WY Podiatris

MoreHeelPain.wmv Watch on Posterous
t

http://www.ftdoc.com

Dr. Michael More discusses the symptoms, causes and treatments Heel Pain.

Heel Pain

Heel Pain Has Many Causes
In our pursuit of healthy bodies, pain can be an enemy. In some instances, however, it is of biological benefit. Pain that occurs right after an injury or early in an illness may play a protective role, often warning us about the damage we've suffered.

When we sprain an ankle, for example, the pain warns us that the ligament and soft tissues may be frayed and bruised, and that further activity may cause additional injury.

Pain, such as may occur in our heels, also alerts us to seek medical attention. This alert is of utmost importance because of the many afflictions that contribute to heel pain.

Heel Pain
Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.

The heel bone is the largest of the 26 bones in the human foot, which also has 33 joints and a network of more than 100 tendons, muscles, and ligaments. Like all bones, it is subject to outside influences that can affect its integrity and its ability to keep us on our feet. Heel pain, sometimes disabling, can occur in the front, back, or bottom of the heel.

Heel Spurs
A common cause of heel pain is the heel spur, a bony growth on the underside of the heel bone. The spur, visible by X ray, appears as a protrusion that can extend forward as much as half an inch. When there is no indication of bone enlargement, the condition is sometimes referred to as "heel spur syndrome."

Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity.

Plantar Fasciitis
Both heel pain and heel spurs are frequently associated with an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot. The inflammation is called plantar fasciitis. It is common among athletes who run and jump a lot, and can be quite painful.

The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where it attaches to the heel bone.

The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area, and by the chronic irritation that sometimes accompanies an athletic lifestyle.

Resting provides only temporary relief. When you resume walking, particularly after a night's sleep, you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk, the heel pain may lessen or even disappear, but that may be just a false sense of relief. The pain often returns after prolonged rest or extensive walking.

Excessive Pronation
Heel pain sometimes results from excessive pronation. Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern.

As you walk, the heel contacts the ground first; the weight shifts first to the outside of the foot, then moves toward the big toe. The arch rises, the foot generally rolls upward and outward, becoming rigid and stable in order to lift the body and move it forward. Excessive pronation—excessive inward motion—can create an abnormal amount of stretching and pulling on the ligaments and tendons attaching to the bottom back of the heel bone. Excessive pronation may also contribute to injury to the hip, knee, and lower back.

Disease and Heel Pain
Some general health conditions can also bring about heel pain.

  • Rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint, can cause heel discomfort in some cases.
  • Heel pain may also be the result of an inflamed bursa (bursitis), a small, irritated sack of fluid; a neuroma (a nerve growth); or other soft-tissue growth. Such heel pain may be associated with a heel spur, or may mimic the pain of a heel spur.
  • Haglund's deformity ("pump bump") is a bone enlargement at the back of the heel bone, in the area where the Achilles tendon attaches to the bone. This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe, and can be aggravated by the height or stitchng of a heel counter of a particular shoe.
  • Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendonitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.
  • Bone bruises are common heel injuries. A bone bruise or contusion is an inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
  • Stress fractures of the heel bone also can occur, but these are less frequent.

Children’s Heel Pain (Calcaneal Apophysitis)
Heel pain can also occur in children, most commonly between ages 8 and 13, as they become increasingly active in sports activity in and out of school. This physical activity, particularly jumping, inflames the growth centers of the heels; the more active the child, the more likely the condition will occur. When the bones mature, the problems disappear and are not likely to recur. If heel pain occurs in this age group, podiatric care is necessary to protect the growing bone and to provide pain relief. Other good news is that heel spurs do not often develop in children.

Prevention
A variety of steps can be taken to avoid heel pain and accompanying afflictions:

  • Wear shoes that fit well — front, back, and sides — and have shock-absorbent soles, rigid shanks, and supportive heel counters.
  • Wear the proper shoes for each activity.
  • Do not wear shoes with excessive wear on heels or soles.
  • Prepare properly before exercising. Warm up and do stretching exercises before and after running.
  • Pace yourself when you participate in athletic activities.
  • Don’t underestimate your body's need for rest and good nutrition.
  • If obese, lose weight.

Podiatric Medical Care
If pain and other symptoms of inflammation—redness, swelling, heat—persist, you should limit normal daily activities and contact a doctor of podiatric medicine.

The podiatric physician wiil examine the area and may perform diagnostic X rays to rule out problems of the bone.

Early treatment might involve oral or injectable anti-inflammatory medication, exercise and shoe recommendations, taping or strapping, or use of shoe inserts or orthotic devices. Taping or strapping supports the foot, placing stressed muscles and tendons in a physiologically restful state. Physical therapy may be used in conjunction with such treatments.

A functional orthotic device may be prescribed for correcting biomechanical imbalance, controlling excessive pronation, and supporting of the ligaments and tendons attaching to the heel bone. It will effectively treat the majority of heel and arch pain without the need for surgery.

Only a relatively few cases of heel pain require more advanced treatments or surgery. If surgery is necessary, it may involve the release of the plantar fascia, removal of a spur, removal of a bursa, or removal of a neuroma or other soft-tissue growth.

 Visit our website: http://www.ftdoc.com

Thursday, October 27, 2011

Help Prevent Sports Injuries with Stretching Exercises - Toronto Podiatrist

Normal 0 false false false EN-US X-NONE X-NONE

Sports Injuries and Stretching Exercises - Toronto Podiatrist  

Eye_On_Toronto_3_Sports_Stretching.wmv Watch on Posterous

Dr. Sheldon Nadal discusses the symptoms, causes and treatments for sports injuries.

http://www.footcare.net

Before beginning any exercise regimen, proper stretching is essential. If muscles are properly warmed up, the strain on muscles, tendons, and joints is reduced.

Stretching exercises should take 5 to 10 minutes and ought to be conducted in a stretch/hold/relax pattern without any bouncing or pulling. It is important to stretch the propulsion muscles in the back of the leg and thigh (posterior) as well as the anterior muscles.

Some effective stretching exercises to prepare the foot and ankle for exercise include:

  • The wall push-up. Face a wall from three feet away, with feet flat on the floor, and knees locked. Lean into the wall, keeping feet on the floor and hold for 10 seconds as the calf muscle stretches, then relax. Do not bounce. Repeat five times.
  • The hamstring stretch. Put your foot, with knee straight and locked, on a chair or table. Keep the other leg straight with knee locked. Lower your head toward the raised knee until the muscles tighten. Hold to a count of 10 then relax. Repeat five times, then switch to the other leg.
  • Lower back stretch. In a standing position, keep both legs straight, feet spread slightly. Bend over at the waist and attempt to touch the palms of your hands to the floor. Hold the stretch for 10 seconds and repeat 10 times. Do not bounce.

Excessive tightness of the calf muscles can contribute to many foot and some knee problems. A key point of injury is the Achilles tendon, which attaches the calf muscle to the back of the heel. When the calf muscle tightens up, it limits the movement of the ankle joint. 

Calf muscle stretching is very useful in the prevention and treatment of many foot problems. Two typical methods for stretching your calf muscles include the wall push-up (described above) and this technique: Standing approximately two feet from a wall. While facing the wall, turn your feet inward ("pigeon toed") and lean forward into the wall, keeping your heels on the floor and the knees extended. Keep your back straight and don't bend at the hips. Hold the stretch for 10 seconds and do the stretch 10 times in a row.

 

Visit our website: http://www.footcare.net

Wednesday, September 7, 2011

Sports Injury to the Foot - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

AtlanticPodiatryGreenSportsInjury.wmv Watch on Posterous
Normal 0 false false false EN-US X-NONE X-NONE

Foot Sports Injuries  - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 Dr Andrew Green of Atlantic Podiatry discusses the symptoms, causes and treatments for Sports Injuries to the Foot.

http://www.atlanticpodiatry.com

Many sports are hard on the feet because of quick repetitive movements, constricting footwear, and/or increased exposure to injury or trauma. Following is a brief overview of some of the most common injuries that result from particular sports.

Martial Arts and Kick Boxing
Injuries commonly seen as a result of martial arts and kick boxing include plantar fasciitis, Achilles tendonitis, sesamoiditis, and ankle sprains. Stretching is recommended to help prevent injury; specifically, a minimum of 15 minutes of stretching before performing any kicking or punching.

Aerobics
Impact forces from aerobics can reach up to six times the force of gravity, which is transmitted to each of the 26 bones in the foot. That is why proper shoes are crucial to successful, injury-free aerobics. Shoes should provide sufficient cushioning and shock absorption to compensate for pressure on the foot many times greater than found in walking. They must also have good medial-lateral stability.

Team Sports
Activities such as football, baseball, basketball, soccer, field hockey, and lacrosse often lead to ankle injuries as a result of play on artificial surfaces, improper footwear, and/or inadequate stretching.

 

Visit our website: http://www.atlanticpodiatry.com

Tuesday, August 30, 2011

Reconstructive Foot Surgery - Podiatrist in Chandler, Sun Lakes and Phoenix, AZ

DiscontReconstructiveSurgery.wmv Watch on Posterous
Normal 0 false false false EN-US X-NONE X-NONE

Reconstructive Foot Surgery - Podiatrist in Chandler, Sun Lakes and Phoenix, AZ

Patient of Podiatrist Alan Discont discusses Reconstructive Foot Surgery.

http://www.chandlerfootandanklecare.com

Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons.

Foot and ankle surgeries address a wide variety of foot problems, including:

  • Sprains and fractures.
  • Arthritis and joint disease.
  • Benign and malignant tumors.
  • Birth deformities.
  • Bunions.
  • Calluses and warts.
  • Corns and hammertoes.
  • Flatfeet.
  • Heel or toe spurs.
  • Ingrown toenails.
  • Neuromas (nerve tumors).

Many kinds of foot surgeries require you to have your foot immobilized after the procedures with such things as a bandage, splint, surgical shoe, cast, or open sandal. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. After sufficient healing time, most patients can resume wearing their usual footwear.

In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices (foot supports), and special footwear.

Visit our website: http://www.chandlerfootandanklecare.com

 

Sunday, August 28, 2011

Work Related Foot or Ankle Injury - San Francisco Podiatrist Union Square CA

Normal 0 false false false EN-US X-NONE X-NONE

Work Related Foot or Ankle Injury - San Francisco Podiatrist Union Square CA

MetaxasWorkInjuries.wmv Watch on Posterous

Dr. Bill Metaxas discusses treatment plan for Foot or Ankle Injury.  

http://www.footankleinstitutesf.com

ABOUT US

The doctors and staff of The Foot and Ankle Institute of San Francisco provide comprehensive care of the foot, ankle, and lower leg. Our practice philosophy emphasizes both conservative and surgical care, with all conservative options being exhausted prior to surgical intervention.

Podiatric Foot and Ankle Surgeons are Doctors of Podiatric Medicine (DPMs) who specialize both medically and surgically in the diagnosis, care, and treatment of patients with disorders of the musculoskeletal system of the foot and ankle and associated structures.

This includes the bones, joints, ligaments, muscles tendons, nerves, and skin. Podiatric foot and ankle surgeons use medical, physical, and rehabilitative methods as well as surgery to treat patients of all ages.

The highly qualified foot and ankle surgeons of the Institute consult with a variety of specialists in the fields of renal/endocrine, rheumatology, pediatrics, vascular, orthopedics, and plastic surgery, to develop a comprehensive treatment plan for patients.

All our staff has completed surgical residency programs in different parts of the country, bringing their expertise in elective, reconstructive and traumatic surgery. Other areas of expertise include sports related injuries, pediatric deformities and surgery (flatfoot, club foot, etc.), rheumatoid surgery, and diabetic limb salvage with charcot reconstruction.

Visit our website: http://www.footankleinstitutesf.com

Friday, August 26, 2011

Foot and Ankle Fracture Treatment - San Francisco Podiatrist Union Square CA

Normal 0 false false false EN-US X-NONE X-NONE

Foot and Ankle Fracture Treatment - San Francisco Podiatrist Union Square CA

MetaxasFootAnkleFracture.wmv Watch on Posterous

Dr. Bill Metaxas discusses the symptoms, causes and treatments for Foot and Ankle Fracture.  

http://www.footankleinstitutesf.com

FRACTURE REPAIR

The structure of your foot is complex, consisting of bones, muscles, tendons, and other soft tissues. Of the 26 bones in your foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones are common and require evaluation by a specialist. A foot and ankle surgeon should be seen for proper diagnosis and treatment, even if initial treatment has been received in an emergency room.

What is a Fracture?

A fracture is a break in the bone. Fractures can be divided into two categories: traumatic fractures and stress fractures.

Traumatic Fractures

Traumatic fractures (also called acute fractures) are caused by a direct blow or impact-like seriously stubbing your toe. Traumatic fractures can be displaced or non-displaced. If the fracture is displaced, the bone is broken in such a way that it has changed in position (dislocated). Treatment of a traumatic fracture depends on the location and extent of the break and whether it is displaced. Surgery is sometimes required.

Signs and symptoms of a traumatic fracture include:

  • You may hear a sound at the time of the break.
  • "Pinpoint pain" (pain at the place of impact) at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.
  • Deviation (misshapen or abnormal appearance) of the toe.
  • Bruising and swelling the next day.
  • It is not true that "if you can walk on it, it's not broken." Evaluation by the foot and ankle surgeon is always recommended.

Stress Fractures

Stress fractures are tiny, hairline breaks that are usually caused by repetitive stress. Stress fractures often afflict athletes who, for example, too rapidly increase their running mileage. Or they may be caused by an abnormal foot structure, deformities, or osteoporosis. Improper footwear may also lead to stress fractures. Stress fractures should not be ignored, because they will come back unless properly treated.

Symptoms of stress fractures include:

  • Pain with or after normal activity
  • Pain that goes away when resting and then returns when standing or during activity
  • "Pinpoint pain" (pain at the site of the fracture) when touched
  • Swelling, but no bruising

Is it a Fracture, or a Sprain?

Sprains and fractures have similar symptoms, although sometimes with a sprain, the whole area hurts rather than just one point. Your foot and ankle surgeon will be able to diagnose which you have and provide appropriate treatment. Certain sprains or dislocations can be severely disabling. Without proper treatment they can lead to crippling arthritis.

Consequences of Improper Treatment

Some people say ,"the doctor can't do anything for a broken bone in the foot." This is usually not true. In fact, if a fractured toe or metatarsal bone is not treated correctly, serious complications may develop. For example:

  • A deformity in the bony architecture, which may limit the ability to move the foot or cause difficulty in fitting shoes.
  • Arthritis, which may be caused by a fracture in a joint (the juncture where two bones meet), or may be a result of angular deformities that develop when a displaced fracture is severe or hasn't been properly corrected.
  • Chronic pain and long-term dysfunction.
  • Non-union, or failure to heal, can lead to subsequent surgery or chronic pain.

Treatment of Toe Fractures

Fractures of the toe bones are almost always traumatic fractures. Treatment for traumatic fractures depends on the break itself.

Treatment of Metatarsal Fractures

Breaks in the metatarsal bones may be either stress or traumatic fractures. Certain kinds of fractures of the metatarsal bones present unique challenges.

 

Visit our website: http://www.footankleinstitutesf.com

Diagnostic Ultrasound - San Francisco Podiatrist Union Square CA

Normal 0 false false false EN-US X-NONE X-NONE

Diagnostic Ultrasound - San Francisco Podiatrist Union Square CA

MetaxasDiagnosticUltrasound.wmv Watch on Posterous

Dr. Bill Metaxas discusses how Diagnostic Ultrasound is used for foot problems.  

http://www.footankleinstitutesf.com

ULTRASOUND IMAGING

What is diagnostic ultrasound?

Diagnostic ultrasound or musculoskeletal ultrasound is a non-invasive test used to evaluate the soft-tissues (tendons, ligaments, nerves, muscles, etc.) of the foot and ankle. It is similar to sonar used on submarines by the military and fetal ultrasound used by OB-GYN doctors to evaluate the developing baby. In experienced hands, the images and information obtained from the ultrasound can provide as much information as much more expensive and time-consuming tests such as MRI and CT-Scans.

What is involved?

Diagnostic ultrasound is quick and painless. The entire process can usually be completed during your regular office visit and involves simply placing some gel over the areas to be inspected and using a small probe to explore the tissues. Since the ultrasound waves are harmless (otherwise they would not be used on developing babies) this test never causes any pain at all.

What is diagnostic ultrasound used for?

We use this test to evaluate and document problems such as tendonitis, heel pain, pinched nerves and neuromas, puncture wounds caused by stepping on glass or wood, and deep infections in the foot and ankle regions.

We utilize diagnostic ultrasound to visualize soft tissue problems that cannot be seen on x-ray, generally prior to ordering an MRI.

What is Diagnostic Ultrasound Imaging?

Ultrasound imaging is the use of sound waves to visualize the body. An ultrasound image is very effective way to examine the musculoskeletal system of the body to detect problems with muscles, tendons, ligaments, joints and soft tissue. Ultrasound images occur in real time, so they can often show movement, function and anatomy, as well as enable our doctors to diagnose a variety of conditions and assess damage after an injury. Ultrasound is very safe and does not involve ionizing radiation.

What can be diagnosed with ultrasound?

Ultrasound images can be useful in diagnosing:

  • Plantar fasciitis, plantar fibroma, and Tear of plantar fascia
  • Neuromas
  • Achilles tendontendonitis or rupture
  • Posterior tibialis tendon dysfunction or rupture
  • Bone injuries-fractures-stress fractures
  • Ankle sprains- strains
  • Retrocalcaneal bursitis
  • Ganglions
  • Cystic masses
  • Rheumatoid arthritis- capsular erosion- nodules
  • Foreign bodies – glass or wood

What procedures can the ultrasound be used for?

Because the structures of the foot and ankle can often be small, Ultrasound can be used to precisely guide a needle when injections. Ultrasound guided injections allow for such precise placement of medication that a lower dose of the medication is may often be used. Some areas where we use guided injections include:

What are the risks and benefits?

  • Ultrasound scanning is noninvasive and painless
  • Ultrasound is much less expensive than MRI, CT scan or bone scans
  • Unlike x-rays, ultrasound imaging uses no radiation
  • Ultrasound provides real-time imaging, making it a great tool for guiding injections or aspirations of fluid in joints or elsewhere. This allows our doctors to place injections more precisely in order to achieve better outcomes and avoid potential complications.
  • Unlike the magnetic field of MRI units, ultrasound is not affected by cardiac pacemakers or implants within the body.
  • Ultrasound may actually have advantages over MRI in seeing tendon structure, which is better appreciated by ultrasound than MRI at a fraction of the cost.
  • For diagnostic ultrasound there are no known harmful effects on humans.

What are the limitations of ultrasound imaging?

Ultrasound does not penetrate bone well, so only the outer surface of bone can be visualized.

Visit our website: http://www.footankleinstitutesf.com

Thursday, August 25, 2011

Children's Feet - San Francisco Podiatrist Union Square CA

Normal 0 false false false EN-US X-NONE X-NONE

Children's Feet - San Francisco Podiatrist Union Square CA

MetaxasChildrenFeet.wmv Watch on Posterous

Dr. Bill Metaxas of San Francisco discusses pediatric foot care and why foot pain is not normal.

http://www.footankleinstitutesf.com  

PEDIATRIC FLATFOOT

Pediatric flatfoot occurs in children where there is a partial or total collapse of the arch of the foot.

Although the exact incidence of flatfoot in children is unknown, it is a common finding. All children have only a minimal arch at birth. This condition is not painful and generally resolves without treatment; very rarely is corrective casting necessary. Most children who present to a podiatrist for evaluation of flatfoot will have a flexible flatfoot that does not require treatment.

Common Signs and Symptoms:

  • Pain when walking or running for any length of time
  • Outward position of the heel while standing
  • Awkwardness when walking or running
  • Pain in shoes

The examining podiatrist must rule out the difference between "flexible" and "rigid" flatfoot. A flexible flatfoot is one that collapses while the child is standing, but the arch is visible when not standing. A rigid flatfoot is present whether or not the child is standing and often indicative of a more serious condition. Many infants have a "fat" foot and are mistaken to have flatfeet.

Diagnosis

Your podiatrist will examine the child while standing and take x-rays to determine the severity of the condition.

Treatment

Most often, if the flatfoot is asymptomatic, treatment is not required. At that time it is best to wait and observe. Custom made orthotics may be helpful in mild cases to prevent further problems from developing.

Surgical management is rarely indicated for a true flexible flatfoot. In severe cases, surgery may be necessary to relieve the symptoms and to correct the foot function. There are a variety of techniques to treat the painful pediatric flatfoot, depending on the foot type and degree of deformity.

 

Visit our website: http://www.footankleinstitutesf.com