Ankle Sprains - Podiatrist - Novi and Brighton MI - John Miller, DPM

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

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https://www.youtube.com/watch?v=Fq8qiLdyhWk

 

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

 

http://www.associatedpodiatristspc.com

 Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems.

 

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

 

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Ankle Sprains - Podiatrist, Valley Stream and Lake Success, NY

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Ankle Sprains - Podiatrist, Valley Stream and Lake Success, NY

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

Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems.

Primary symptoms of ankle sprains are pain following a twist or injury, swelling, and bruising.

Treatment includes resting and elevating the ankle and applying ice to reduce swelling. Compressive bandages also may be used to immobilize and support the injury during healing. Serious ankle sprains, particularly among competitive athletes, may require surgery to repair and tighten the damaged ligaments.

To prevent ankle sprains, try to maintain strength, balance, and flexibility in the foot and ankle through exercise and stretching, and wearing well-fitted shoes.

 

Visit our website: http://centralpodiatry.com

Ankle Sprain - Philadelphia, Norristown, PA - Sprain Ankle Treatment by Podiatrist

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Ankle Sprain - Philadelphia, Norristown, PA - Sprain Ankle Treatment by Podiatrist

Dr. Albert Giagnacova of Center for Foot and Ankle Excellence discusses the symptoms, causes and treatments for Ankle Sprain.

http://www.centerforfootandankle.com

Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems.

Primary symptoms of ankle sprains are pain following a twist or injury, swelling, and bruising.

Treatment includes resting and elevating the ankle and applying ice to reduce swelling. Compressive bandages also may be used to immobilize and support the injury during healing. Serious ankle sprains, particularly among competitive athletes, may require surgery to repair and tighten the damaged ligaments.

To prevent ankle sprains, try to maintain strength, balance, and flexibility in the foot and ankle through exercising, stretching, and wearing well-fitted shoes.

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

 

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Sprain Ankle Treatment - San Francisco Podiatrist Union Square CA

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Sprain Ankle Treatment - San Francisco Podiatrist Union Square CA

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

http://www.footankleinstitutesf.com

SPRAINS

Injuries to the outside of the ankle associated with rolling of the foot are known as ankle sprains.

The ankle ligaments provide stability to the ankle by helping to hold the ankle bone within the ankle joint. The ankle ligaments usually involved in an ankle sprain are also known as the lateral collateral ligaments of the ankle. The lateral collateral ligaments of the ankle are comprised of the anterior talofibular ligament, the calcaneofibular ligament and the posterior talofibular ligament.

The lateral ligaments provide stability to the ankle throughout the gait cycle as the foot bends up and down. Therefore total lateral stability of the ankle is provided by these three ligaments.

The most anterior (front) and most frequently injured of these ligaments is the anterior talofibular ligament. This ligament is intracapsular, or blended and contiguous with the lining of the anterior lateral aspect of the ankle capsule (joint). It can be seen as a fibrous thickening of the lining of the joint and courses from the front of the fibula to the front of the lateral surface of the talus.

The main function of the anterior talofibular ligament is the prevention of axial or rotational instability of the ankle. During gait as the heel is coming down, the foot is held in a dorsiflexed (up) position. Essentially the foot is pivoting on the edge of the heel only. Any irregularity in the ground, or laterally directed force, will cause the foot to twist in or out depending on the orientation of the force. Similarly, when we push off, the foot is in a plantar flexed (down) position. As the foot is plantar flexed, the position of the foot increases the long axis of the leg and increases the torque on the ankle region. Any ground irregularity or laterally directed force will cause the foot to twist in or out depending of the orientation of the force.

Classification of Injury

Rolling in of the foot (inversion), with the sole of the foot towards the opposite leg, is defined as a lateral ankle sprain. There are several classifications of this injury. A simple definition of injury breaks the injury down in terms of physiologic injury: sprain, strain or rupture which define the extent of stretching and A second classification of injury of the lateral collateral ligaments of the ankle is known as Grades 1, 2, or 3. This classification describes the functional loss of the ankle and the resultant grade or level of injury.

The end result of injury of one or more of the lateral collateral ligaments of the ankle is ankle instability. This instability can show up initially as a result of the severity of the injury or later as a result of chronic ankle instability.

During the moment of injury, due to the instability caused by the injury, movement and twisting of the Talus (ankle bone) in the ankle joint resulting in bone to bone compaction and twisting of other ligaments, tendons and nerves may occur. Injuries beyond the level of the ligaments themselves can occur and will occur depending of the level of injury. MRI, CT scans, bone scans and electro-diagnostic testing may be recommended to evaluate for these secondary injuries.

Chronic Ankle instability occurs much later than then original injury. Once the lateral collateral ankle ligaments are injured, they no longer provide the ability to stop ankle twisting and to hold the Talus within the ankle joint. As you walk or run with an unstable ankle, the talus can twist within the joint and partially come out of the joint. This movement is unnatural and abnormal and redirects force to the outside of the joint. With an increase in joint load to the outside, the foot will roll to the inside producing further tearing of the ligament and further injury.

Treatment

Conservative treatment for this condition depends on the necessity to stabilize the foot to restore the anatomical position of the ankle ligaments. The often noted RICE formula (rest, ice, compression elevation) is the standard initial treatment. Any treatment provided is to allow the ligaments to heal in the correct position and at the correct length. Depending on which ligaments are injured and to what degree the ligaments are injured, your doctor can provide you with the best ankle brace to stabilize your ankle.

Supplemental treatment for secondary injuries incurred at the time of injury will be diagnoses and treated at the same time as the treatment for the ankle ligaments.

Surgical Treatment

Surgical treatment of the ankle ligaments or associated injury conditions are performed when instability develops later or the injury is severe enough initially that stabilization must be done to allow for proper healing.

 

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

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

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

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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

Non-invasive Vascular Testing - NYC Podiatrist Manhattan and White Plains, NY

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Non-invasive Vascular Testing - NYC Podiatrist Manhattan and White Plains, NY

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Dr. Jeff Adler discusses Diagnostic Procedures - Non-invasive Vascular Testing.

http://www.adlerfootcare.com

 (1). Digital Plethysmograph - Plethysmograph is a measuring instrument for measuring changes in volume (usually resulting from fluctuations in the amount of blood in the toe). This device is applied to a digit of the foot to measure skin blood flow

(2). Duplex Ultrasound Arteriograh - A duplex ultrasound is a test to see how blood moves through your arteries and veins. The test combines traditional ultrasound with Doppler Ultrasonography. Regular ultrasound uses sound waves that bounce off blood vessels to create pictures. Doppler ultrasound records sound waves reflecting off moving objects, such as blood, to measure their speed and other aspects of how they flow in the ankle as compared to the arm.

(3). Venous Reflux Examination - A noninvasive test that is used to test the valves in the veins of the legs. A small sensor will be taped to your leg. The technologist will ask you to pump your foot up and down several times. The pumping action pushes blood up the leg toward the heart. The sensor measures how quickly the blood returns down to the ankle. From these measurements, the technologist can determine if the valves are working properly (venous valvular insufficiency). What kind of symptoms might I experience if I have venous valvular insufficiency? There are many signs and symptoms that you may experience such as:

• Chronic lower leg/ankle swelling
• An ulcer (or sore) that won't heal
• Skin discoloration of the lower legs or ankles

 

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