Posts for category: Podiatry
Signs and Treatment for Sprained Ankles
Do you have a sprained ankle? Ankle sprains are among the most common injuries. Ankle sprains sprain occur when the ligaments in the ankle are stretched or torn. Ankle sprains can be very painful and incapacitating. If you have an ankle sprain, it's a good idea to see your podiatrist. Read on to to learn about the signs and treatment for sprained ankles.
Signs You Have a Sprained Ankle
1. Pain: An ankle sprain can be painful and can make it hard to carry out your day-to-day activities. You may also feel discomfort when you place weight on the affected area. The pain may worsen when the area is pressed and during standing or walking.
2. Redness: A sprained ankle can cause warmth and redness around the affected area. If your ankle is warm, red, and swollen, it is inflamed. Warmth and redness is caused by increased blood flow to the area.
3. Swelling: When an ankle is injured with a sprain, inflammation occurs. Swelling is the body’s protective response to an injury. Inflammation occurs because of increased fluid in the tissue. This is a normal reaction of the body and is the start of the healing process. However, sometimes the body produces more swelling that necessary.
4. Bruising: A sprained ankle causes bruising around the affected joint. A contusion, commonly known as a bruise, is made up of blood beneath the skin. A bruise results in a discoloration of the skin. Bruising is a result of injury to the blood vessels in the skin.
5. Stiffness: A sprained ankle causes limited range of motion and stiffness. Inflammation and pain often limit movement after the injury. Your podiatrist may advise against moving the ankle to allow your ankle to heal. Your podiatrist may also design an exercise program to reduce stiffness after the injury.
Treating a Sprained Ankle
1. Rest your ankle: All ankle sprains require a period of rest. Resting your ankle will allow the healing process to begin. Stay off your feet to allow your ankle to heal. Gently exercise your ankle on a regular basis to reduce stiffness. Avoid strenuous activites, such as running and aerobics, until you can walk without it causing any pain.
2. Elevate your ankle: Keep your ankle raised above the level of your chest for several days after injury. Use pillows to keep your foot elevated. Keep your foot elevated for a few hours per day until your ankle stops swelling. Elevation is important after an injury as it helps to reduce the amount of blood flow to the injured area. This helps to reduce the inflammation, bruising, and pain.
3. Ice your ankle: Ice treatment can help decrease pain, swelling, bruising, and muscle spasms. To make an ice pack, fill a freezer bag with ice. Put an ice pack on your injured ankle for 10 minutes every 2 hours. Wrap an elastic medical bandage around the ice pack to hold it in place. You should not use ice for more than 20 minutes at a time. If you have circulation issues or diabetes, talk to your doctor before applying ice.
4. Compress your ankle: Apply a compression bandage from the toes to above the ankle. Wrapping your ankle will help to avoid bruising and swelling. Wrap the bandage around your ankle and foot, and secure it with medical tape. Make sure the bandage doesn't restrict blood flow to your toes or make the pain worse. Do combine compression with elevationa and rest whenever possible.
5. Take a pain reliever: If you have severe pain, a narcotic pain reliever can make you feel better. An OTC pain reliever may also help reduce the pain and swelling. Most medical professionals recommend anti-inflammatory medicines such as naproxen, ibuprofen, or ketoprofen. You can also take acetaminophen for pain, although this medicine does not reduce inflammation. Be safe with medicines. Read and follow all instructions on the label.
6. See a doctor: A podiatrist can diagnose and treat an ankle sprain. Your doctor may order x-rays to determine if you have a broken bone in your ankle. You may receive an ankle brace to keep your ankle from moving and allow ligaments to heal. Your doctor will also give you medications to reduce swelling and pain. Once you can bear weight without increased pain, your doctor will add strengthening exercises to your treatment plan.
Whether your goal is getting back to work, hobbies, sports, the gym, or just enjoying life, a podiatrist can help. If you have an ankle sprain, search for a podiatrist in your area and schedule an appointment. A podiatrist can help you get back on track in no time!
Understanding Claw and Mallet Toes
Think you may have mallet or claw toes? Mallet and claw toes form over years and are common in adults. Mallet and claw toes are among the most common toe problems. If you think you have mallet or claw toes, see a podiatrist right away. If you don't treat the problem right away, you are more likely to need surgery. Here's what you need to know about claw and mallet toes.
What Are Mallet and Claw Toes?
Mallet and claw toes are toes that are bent into an abnormal position. They may hurt or look odd, or both. These toe deformities usually occur in the small toes, not the big toes. Claw toe often affects the four small toes at the same time. The toes bend up at the joint where the foot and toes meet. This causes the toes to curl downward. Mallet toes often affect the second toes, but it may occur in the other toes too. Mallet toes bend down at the joint closest to the tip of the toes.
What Causes These Conditions?
Tight footwear is the most common cause of mallet and claw toes. Wearing tight footwear can cause the muscles of the toes to get out of balance. Less often, these conditions are linked with other conditions, such as rheumatoid arthritis, diabetes, stroke, or an injury to the ankle or foot. Women are affected more often than men because they are more likely to wear narrow shoes or high heels.
How Are They Diagnosed?
Your podiatrist will take a detailed medical history and ask about your daily activities and footwear. A physical examination comes next, in which the level of deformity and scope of pain will be assessed. Diagnosis of these claw and mallet toes is usually obvious from the physical exam. To further evaluate the joints and bones of your feet and confirm a diagnosis, your podiatrist may order x-rays or other imaging tests.
How Are They Treated?
Buying shoes with more room in the toes, filing down calluses and corns, and padding the toes most often relieve the pain. If you have pain, your doctor may put a splint or pad on the toe. A custom orthotic device may be placed in your shoe to help control the muscle/tendon imbalance and alleviate your pain. This keeps the toe from rubbing on the top of the shoe. Corticosteroid injections are sometimes used to ease pain and inflammation. If these steps don’t work, you may need surgery to straighten the toes.
Podiatric medicine a branch of science that is devoted to the study, diagnosis, and treatment of conditions of the ankle, foot, and lower extremity. Podiatrists diagnose and treat various foot problems, including claw and mallet toes. They offer a variety of treatments for claw and mallet toes. If you think you may have claw or mallet toes, a podiatrist in your area can help you achieve real relief.
A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.
During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.
However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.
Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.
Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.
If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:
- Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
- Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
- Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
- Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
- Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.
If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.
The Achilles tendon is the strong band of tissue that connects the calf muscle to the heel bone. This lower leg tendon enables you to walk, jump, stand on your toes and climb stairs. You rely on it virtually every time you move your foot.
When the tendon is stretched beyond its normal capacity, a complete or partial tear may occur. Most Achilles tendon ruptures occur as a result of sport-related injuries when forceful jumping or sudden accelerations of running overstretch the tendon and cause a tear. Individuals with Achilles tendinitis -- weak and inflamed tendons -- are also more susceptible to tendon tears.
Signs of a torn Achilles tendon include:
- Sudden, sharp pain in the back of the ankle and lower leg
- Snapping or popping sensation at the time of the injury
- Swelling down the back side of the leg or near the heel
- Difficulty walking or rising up on the toes
The best treatment for a torn Achilles tendon is prevention. Avoiding this injury could save yourself months of rehab and extended time away from your game. Help prevent injury to your Achilles tendon by:
- stretching your calf muscles regularly
- limiting hill running and jumping activities that place excess stress on the Achilles tendons
- resting during exercise when you experience pain
- maintaining a healthy weight
- alternating high impact sports, such as running with low-impact sports, such as walking or biking
- wearing appropriate, supportive shoes with proper heel cushioning
If you suspect a ruptured Achilles tendon, visit our practice as soon as possible. Until you can seek professional care, avoid walking on the injured tendon and keep it elevated. Ice the affected area to reduce pain and swelling and, if possible, wrap the injured foot and ankle. For partial tears, swelling and pain may be less severe, but prompt treatment should still be administered.
Treatment for an Achilles tendon rupture can be surgical or non-surgical. Surgery to reattach the tendon is generally recommended, followed by rehabilitation, especially for individuals who want to return to recreational sports. Our pracitce can evaluate the severity of your tear and suggest the best treatment plan. With proper care, most people return to their former level of performance within six months.
An ankle sprain is one of the most common injuries to the ankle, resulting from a fall or a sudden twist that forces the ligaments out of their normal position. It’s no wonder so many athletes suffer from ankle sprains every year.
The severity of an ankle sprain depends on whether the ligament is stretched, partially torn or completely torn. Look for the following symptoms if you think you have sprained your ankle:
- Immediate pain at the site of the tear
- Immediate swelling
- Hearing or feeling something tear, pop or snap during the twist
- Pain and difficulty moving the ankle
- Inability to walk or bear weight on the ankle
Treating Your Ankle Sprain
Early treatment of a sprained ankle can improve the recovery time and minimize symptoms. The following steps will reduce swelling and help alleviate pain until you can get into our office.
- Rest: Stay off your ankle as much as possible. This will ease pain, as well as reduce the swelling.
- Ice: It’s critical to ice your injured ankle throughout the day for the first 24 hours or until the swelling goes down.
- Compression: Elastic wraps, such as an ACE bandage, will help reduce swelling.
- Elevation: Rest with your ankle above the level of your heart to keep swelling to a minimum.
Preventing Injuries to the Ankle
With extra care, you can help avoid ankle injuries.
- Wear appropriate shoes for each activity
- Throw out old, worn out shoes
- Be cautious of wet, slippery floors at work or at home
- Wear ankle braces or have your ankle taped during sports activities for increased stability
If you’ve injured your ankle and are experiencing pain or difficulty walking, come into our office for an examination and proper diagnosis. If an ankle sprain is not treated promptly with the necessary attention and care, chronic problems of pain and instability may result. Our podiatrists can recommend a treatment plan based on the severity of the sprain to ensure proper healing and a fast recovery.