Orthopedic Treatment For Ankle Pain

by Administrator 22. May 2015 13:25

Ankle joint consists of the three bones, the tibia, fibula and the talus, which are held together by ligaments. Ankle injuries are quite common specially among athletes and sportspersons, can occur at any age and are usually painful.

Causes

  • Sprains and strains: Strains in the ankle are caused due to excessive stretching or tearing of muscles and tendons. However forceful twisting or bending of the ankle can also cause sprains.
  • Arthritis: Ankle Arthritis causes inflammation in the joint, pain and swelling. The condition may eventually result in deformity, loss of joint function and disability in walking.
  • Gout: Gout is a complex form of Arthritis and is characterized by severe pain, tenderness and redness in the ankle joint.
  • Fracture: A broken bone can be caused due to a hard fall or bad landing from a jump. People suffering from weak bones are more prone to fractures of the ankle.
  • Achilles Tendon Rupture: Achilles Tendon is the thickest tendon in the human body present in the back of the leg. A rupture or tear in this tendon can cause ankle pain.

Symptoms

  • Burning pain
  • Stiffness
  • Swelling
  • Redness
  • Weakness
  • Instability
  • Numbness or tingling
  • Disability in walking
  • Popping sound

Diagnosis

The orthopedic surgeon physically examines the ankle to determine the extent of the condition. He may also recommend certain imaging tests like an X-ray to rule out the possibility of a fracture.

Treatment

The orthopedic surgeon diagnosis the extent of the condition and accordingly devises a treatment plan.

  • R.I.C.E. therapy: In order to treat sprains and strains the orthopedic surgeon can recommend R.I.C.E. therapy, which is rest, applying ice, compressing by wrapping the injured ankle with a bandage and elevating the foot. This therapy can be helpful in treating mild ankle pains.
  • Medical assistance: Anti-inflammatory medication can also be helpful in managing ankle pain. These help relieve pain and also reduce swelling.
  • Physical therapy and exercise: Stretching exercises can help in improving the flexibility of the ankle, helping in the treatment of ankle pain.
  • Surgical Treatment:In severe cases like fractures, surgical assistance may be required to regain movement in the ankle.

Ankle pain can be mild and severe depending upon the severity of the injury. However it is recommended to consult an orthopedic surgeon for prompt diagnosis and treatment of the condition.

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Foot Pain: Causes, Symptoms And Treatment

by Administrator 16. April 2015 14:04

Foot pain is a common problem that can occur due to an array of causes. Foot is a complex structure made of a number of bones, ligaments, tendons and muscles. Any damage to these components can result in injury and pain. In some cases biomechanical changes or diseases restrict the normal movement of the foot and lead to injury. Foot pain is quite frequent among athletes who jump, run and do various other strenuous activities involving the foot and ankle. This common sports related issue sometimes gets very complicated and severe needing surgical treatment.

Causes

  • Sprains and strains
  • Arthritis
  • Plantar fasciitis
  • Morton’s neuroma
  • Corns and calluses
  • Hammer toe
  • Athlete’s foot
  • Blisters
  • Ingrown toenails
  • Metatarsalgia
  • Achilles tendon injuries
  • Trauma or accidents that causes fracture
  • Diabetic foot problems
  • Fallen arches
  • Wearing tight or high heel shoes
  • Overstretching and overuse of foot muscles
  • Sudden blow and twist to the foot

Symptoms

  • Bruising
  • Swelling
  • Bleeding
  • Numbness
  • Inability to move the foot
  • Burning or tingling sensation
  • Stiffness
  • Joint pain
  • Muscle cramps and strains

Diagnosis

The orthopedic doctor may physically examine the foot to find the cause of the pain. He or she may also recommend certain imaging test to confirm fracture or damage to nerves and muscles.

Treatment

Consistent pain can lead to disruption of daily routine activities, as you may not be able to put weight on the foot. In order to treat swelling the doctor can recommend the R.I.C.E treatment, which includes rest, ice packs, compression and elevation. You may also find relief from swelling and pain with the help of non-steroidal anti-inflammatory drugs. However you may need crutches to walk to avoid putting weight and pressure on the concerned foot. Treatments vary depending upon the cause of the pain and in severe cases such as fractures; surgery becomes essential to repair the bones and ligaments.

The orthopedic surgeon may also refer you to a physiotherapist who will help you do proper exercises that aim at regaining the strength and flexibility. As foot pain is preventable you should avoid wearing ill fitted shoes, put excess pressure on the foot muscles, overuse of foot and do proper warm up sessions. Taking rest at regular intervals and wearing the proper equipment when playing a sport will assist in avoiding foot pain.

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Mid-Foot Injury: Orthopedic Treatment In Carrollton

by Administrator 23. March 2015 07:19

Midfoot consists of a number of small bones that form an arch in the middle of the foot. Midfoot or Lisfranc injuries result due to breakage of these bones or tearing of ligaments that support these bones. Depending upon the number of bones affected, the condition can range from mild to severe. People often tend to ignore midfoot injuries considering it as a sprain. However, it needs immediate medical attention as severe injury can take months to heal and may even require surgery. If not treated, the injuries lead to increase in stress at the joints, flatfoot and arthritis. Midfoot injuries include ligament tears, strains, dislocations and fractures.

Causes

The midfoot injuries occur due to

  • Fall from a height
  • Twisting of foot
  • Stumbling over the top of foot while playing football or other game
  • Direct trauma or accident, which often leads to multiple fractures

Symptoms

Some common symptoms of midfoot injuries include

  • Swelling
  • Inflammation
  • Tenderness
  • Pain  that worsens with walking or standing
  • Discoloration on the bottom of the foot
  • Bruising on both bottom and top of the foot
  • Inability to walk

As the symptoms are often similar to sprain so you can try the R.I.C.E rest, ice, compression, elevation treatment. However if it does not work, then you should consult an orthopedic surgeon.

Diagnosis

After discussing your concerns and your symptoms, the orthopedic surgeon will examine your foot as well as yjr ankle. The doctor may twist; move your heels and toes to check the extent of pain. The doctor may also ask you to stand on single foot and come on toes to see the affect on the midfoot. After all these tests and examination, the surgeon may recommend imaging tests to confirm the diagnosis. These tests include X-ray, CT Scan, MRI, etc.

Treatment

Once the injury is diagnosed, the surgeon decides the line of treatment depending upon the severity of the injury. In case there is no fracture or dislocation and the ligaments are partially torn, then non-surgical treatments may be sufficient. This requires you to wear a non-weight bearing cast for almost 6 weeks. You may be advised to avoid putting weight on the injured foot. The physician may recommend another X-ray after sometime to see if the injury is healing properly.

If the bones do not heal non-surgically, then you may have to undergo a surgery. During surgery, the joints are realigned and broken bone is set to normal position. The injury may take a few months to heal after surgery. In certain cases, if the joint cannot be repaired, it is fused to heal into a single piece. The rehabilitation may take a few months and a physiotherapist can help you strengthen the ligaments in the foot.

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Lisfranc Injury Of The Foot: Treatment In Carrollton

by Administrator 18. February 2015 12:14

A Lisfranc injury can be defined as damage to the bones, ligaments and tissues connecting the forefoot and the mid-foot. Although it a rare condition, Lisfranc injury can lead to many significant problems if not treated in time.

Lisfranc injuries can mainly be divided into three categories:

  • Fractures: A crack or break in the tarsal or metatarsal bones in the Lisfranc joint can be an avulsion fracture (a part of the bone tears off) or an open fracture.
  • Sprains: It causes injury to the ligaments in the Lisfranc joint
  • Dislocations: The bones in the Lisfranc joint may be forced to displace from their normal positions.

Causes

  • Slip and fall accidents
  • Automobile accidents
  • Direct or indirect blow to the foot
  • Something heavy falling on the foot
  • Falling directly on the toes
  • Playing contact sports
  • Poor muscle strength and suppleness

Symptoms

  • Swelling in the foot
  • Inability to bear body weight
  • Visible bruising or signs of injury in the mid-foot
  • Pain in the middle of the foot while applying pressure
  • Unusual broadening of the foot
  • Numbness and tenderness
  • Pain increases while walking or standing

Diagnosis

Lisfranc injury is often mistaken for an ankle sprain and therefore, it is very important that it should be diagnosed properly. The orthopedic doctor may suggest certain imaging tests such as X-rays, CT scans and MRIs to evaluate the extent of the injury. He may also physically examine the foot to look for any bruising or swelling.

Treatment

Depending upon the type and severity of the Lisfranc injury, the orthopedic doctor may recommend the following treatment options:

  • RICE Approach: The patient should give rest to the affected foot, apply ice pack, compress with an elastic bandage and keep it elevated, above the hip level. It can help to ease pain in the mid-foot.
  • Medications: The orthopedic doctor may prescribe certain non-steroidal anti-inflammatory medications to reduce the pain and inflammation caused due to the injury.
  • Immobilization: The patient may also need to wear a cast to restrict the movement of the foot. Crutches may also be used to avoid putting weight on the foot while walking.
  • Physical Therapy: Once the pain and inflammation have receded, physical therapy may help to restore the normal strength and flexibility of the foot.

Surgery might be recommended in severe cases of Lisfranc injury. During the procedure, the orthopedic surgeon restores the joints in their normal positions and secures the correct alignment of the foot.

For treatment of Lisfranc injury in Carrollton, TX, you can consult Dr. Heier. To schedule an appointment with the foot and ankle surgeon, you can call at (972) 492 – 1334.

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Tips To Prevent Bunions

by Administrator 21. January 2015 09:48

Bunion is a foot condition that causes the feet to turn inwards towards the toe joint. While in some cases, a bunion is a genetic condition passed down from your family in others it could be an occupation hazard or choice of footwear. There are certain preventive measures that should be followed to avoid Bunions.

Prevention Tips:

  • Low Heels: You should wear low heels that give your feet a better support. You must avoid wearing narrow, pointed, high-heeled and tight shoes.
  • Comfortable shoes: Walk in comfortable shoes or sneakers, particularly when you are travelling or have to walk for a long time. You can still wear heels but only when you do not have to walk or stand for a long time. If your work requires you to be on your toes you should definitely consider wearing comfortable shoes. This will help release tension from your feet and protect from developing Bunions.
  • Choose shoes with wide area: You should choose shoes that have a wider area around the toe. Overlapping toes increase the chances of being affected by the condition.
  • Feet exercises: You should be regular in doing feet exercises in order to strengthen the muscles around your leg, knee and feet.
  • Take sitting breaks: For those who have to stand for long hours, try giving your feet some rest by sitting for some time in order to keep your feet away from Bunions.
  • Avoid exerting pressure: If you see signs of a Bunion, you should try your best to not to aggravate this condition. You should avoid physical activities such as exercising, jogging and running, as that would exert pressure on your foot, particularly on the big toe. You must also seek immediate medical attention at the first sign of a Bunion.
  • Bunion pads: In the event you experience a mild or a severe pain in your foot or around your toes, try wearing Bunion pads that will reduce the pain.
  • Orthotics: Placing orthotics inside your shoes can also help your bones realign.
  • Ice pack: Apply ice pack on the affected area to reduce pain and swelling. It is important tat you avoid direct contact of ice with your skin and instead wrap it in a piece of cloth or towel.

To know more about Bunions and its prevention tips, contact Dr. Heier, a leading foot and ankle doctor in Carrollton, TX. To scedule an appointment, call at (972) 492 - 1334.

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Orthopedic Treatment For Calcaneus Fracture

by Administrator 21. November 2014 04:42

The Calcaneus, also known as the heel bone, is a large bone located at the back of the foot. It is responsible for shifting weight bearing strengths from the ankle to the ground while walking, standing or running activities. Performing certain actions, such as rolling the ankle or landing from a height, can put stress on the Calcaneus bone. When this stress is sudden and beyond the tolerance level of the bone, a break may occur which is termed as a Calcaneus Fracture.

Causes

The main cause of a Calcaneus Fracture is a sudden weight bearing force on the foot such as falling from a ladder or landing from a height on the heel. Other causes may include sports injuries or automobile accidents.The Calcaneus bone may also sustain stress fractures due to overuse associated with a prolonged marching or running activity.

Symptoms

  • Sudden and intense pain in the heel
  • Unable to bear weight on the injured heel
  • Bruising and discoloration on the heel and ankle
  • Swelling
  • Visible deformity in the heel
  • Difficulty in walking
  • Pain increase while touching the ankle or walking
  • Numbness or tingling sensation in the toes, foot or ankle

Diagnosis

To diagnose and evaluate a Calcaneus Fracture, the foot and ankle doctor will physically examine the heel bone and ask the patient about how the injury occurred. He may also recommend an X-ray or certain other imaging test to analyze the severity of the damage and the nature of the injury.

Treatment

Treatment options for Calcaneus Fractures depend upon the type and level of the injury. Non-surgical options for mild to moderate injuries may include:

  • RICE: Taking proper rest helps the fracture to heal and ice eases pain and swelling. Compression with an elastic bandage while keeping the foot elevated above the heart level also helps to restore the foot’s normal functioning.
  • Immobilization: The patient may also be recommended to use a cast or brace to hold the foot in position and prevent the fractured bone from moving. Crutches can help to avoid putting weight on the foot while walking.

In severe cases, the ankle surgeon might suggest the patient to undergo surgical treatment in order to reconstruct or fuse the joint. However surgery is always kept as the last resort.

For consultation regarding the treatment options for Calcaneus Fractures in Carrollton, TX, contact Dr. Heier. To schedule an appointment with the foot and ankle specialist, you can call at (972) 492 - 1334.

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Orthopedic Treatment For Plantar Fasciitis

by Administrator 22. September 2014 09:02

Plantar Fasciitis (PF) is a painful foot condition which is a common cause of heel pain in adults. It is an overuse injury that causes severe pain in the foot. Planar Fasciitis is a small band of tissue stretching from the heels to middle foot bones that helps in absorbing shock and provides cushioning to the arch of the foot. The ligaments in Plantar Fasciitis can get injured due to wear and tear of the foot and too much pressure can result in damaging the ligaments.

Causes:

Plantar Fasciitis is commonly caused by wear and tear which can be due to:

  • It can be caused due to excessive pressure on the feet while walking, running or standing.
  • Wearing shoes that have poor cushioning or poor arch support.
  • Repetitive impact activities like sports can impact the feet negatively resulting in plantar fasciitis.
  • People who are overweight or obese can put extra pressure on their feet.
  • Pregnant women can also experience plantar fasciitis during late pregnancy.
  • People who have active jobs that involves being on feet like factory workers or a restaurant server may also develop this condition.
  • People suffering from foot problems like high arches or flat feet can also develop this condition.

Symptoms:

Plantar Fasciitis is accompanied with pain and stiffness in the bottom of the heel. Some other symptoms include:

  • Pain in the foot develops gradually and can affect one or both feet.
  • The pain can be dull or sharp, with burning sensation or ache at the bottom of the foot extending outwards from the heel.
  • Severe pain in the foot when you take first steps in the morning or when no weight is placed on the foot for long periods of time.
  • Great pain after exercising or any physical activity.

Diagnosis:

A foot and ankle surgeon will examine the feet and check for symptoms of Plantar Fasciitis. The doctor will carefully examine the feet for tenderness and high arches. The doctor may also ask you to flex your foot while pushing the Plantar Fasciitis to see if flexing worsens the pain. Signs of swelling and inflammation are also noticed and if the cause of pain still remains uncertain, diagnostic tests like X-Rays and MRI scans help in determining the exact cause behind the pain.

Treatment:

Non-Surgical:

The pain caused due to Plantar Fasciitis is generally self-limiting and subsides with time. If the ligaments have been injured it may take several months to heal. However, conservative treatment methods are also beneficial in providing relief from the pain. Resting the affected area and avoiding all activities that strain the foot can help in reducing the pain. Rubbing ice helps in easing the inflammation and relieves pain and anti-inflammatory medicines prescribed by your foot surgeon can also help in reducing the pain and inflammation. Physical therapy helps in easing the tight muscles in feet and calves which also reduces the pain. Heel pads help in providing support to the feet by elevating and cushioning the feet.

Surgical method:

Surgery may be required if the pain continues to occur after non surgical treatment. The surgical procedure for planar fasciitis involves separating the plantar fascia where it connects to the bone although surgery is considered as a last resort.

For diagnosis and treatment of Plantar Fasciitis, visit Dr. Heier in Carrollton, TX. To schedule an appointment, you can call at (972) 492-1334.

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Tips To Find The Right Shoe Fit: Ankle Doctor Carrollton

by Administrator 22. August 2014 11:51

Our feet are prone to a lot of wear and tear. Since they bear the whole weight of our body, they are susceptible to a number of problems related to feet, ankles, hips and spine. These can slowly turn into more serious disorders like arthritis, nerve and circulatory disorders. Wearing shoes that are too tight, loose and don’t have proper support can be detrimental in the long run. Therefore, it is important to understand the importance of finding the right shoe fit in order to keep your feet in good shape.

According to foot and ankle doctors, shoes that are selected for daily use should be of proper size that provides comfort from long periods of standing or walking. Below are some tips that can help in selecting the right shoe size:

  • It should not be assumed that you can fit into the same size of shoes as the previous ones. Even if the shoes are from the same company and model, they should be tried before purchasing to see if they are comfortable.
  • To ensure that the shoes fit properly, they should be bought towards the end of the day as your feet swell up to 8% throughout the day.
  • While shopping for shoes, you should spend adequate time in making the choice. They should not be bought in a hurry. Since most outlets have a few shoes of the many shoes in the market, it is not compulsory to buy shoes from the first shop itself.
  • Shoes should be tried on both feet to check for comfort. You should walk a few steps on a hard floor and even try a larger size to decide on the best fit.
  • Comfort should be the only criteria while purchasing shoes. The shoes that feel good right away are the right shoes for you.
  • If possible, shoes that have different widths should be tried. Shoes that are wide enough allow for fitting the ball of the foot in the widest part of the shoe.
  • If the foot needs to be stretched by a salesperson, it should not be bought.
  • Pointed shoes cause discomfort causing the toes to crowd. Square and round shape toe box have more room and comfort, allows the toes to lay flat. Therefore, these shapes should also be kept in mind before buying any kind of shoes.
  • There should be ½ inch space between the longest toe and shape of the shoe. Wearing shoes that are too long can cause blisters as the foot keeps moving towards the shoe front.

The material of the shoe should be considered to see if it is comfortable against the skin.  One should not tell you which shoes are right for you. You should try several pairs to see which shoes are the best and provide cushioning to your feet. Choosing the right shoes can keep a lot of foot problems away and also provide support to other parts of the body. If you want any consultation regarding foot and ankle problems, please contact Dr. Heier at (972) 492-1334.

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Ankle Sprains: Causes, Symptoms & Treatment

by Administrator 21. July 2014 08:31

Ankle sprain is one of the most common orthopedic problems that people suffer from these days. Ankle sprains make walking difficult and the swelling thus incurred may even make it difficult to stand on one's feet. It is estimated that ankle sprains have the potential to cause more chronic problems and this is why they must be treated before they become severe.

Causes -

Ankle sprains may be caused when the ankle joint is twisted beyond its ability to withstand force causing the outer ligament of the ankle to tear. It also happens when the whole weight of body presses down on it while playing or running. Sprains may occur due to -

  • Running/Walking on rough or uneven surfaces
  • Falling awkwardly
  • Sudden impacts like car crash
  • Colliding with another person while playing
  • Sudden change of direction
  • Wearing high heels

Symptoms -

An ankle sprain usually causes a sudden pain, with a sound of “pop” if it is a severe sprain. The affected area becomes too tender to touch and causes acute pain in the ankle. Symptoms associated with ankle sprain are -

  • Mild or severe pain in ankle
  • Swelling of the foot
  • Bruise development
  • Ankle feels unstable
  • Inability to move the ankle
  • Difficulty walking

Diagnosis -

The foot and ankle surgeon first determines the severity of the sprain by checking your foot, knee and leg to see if some damage to some other bones has occurred too. To determine if you have broken a bone somewhere the doctor may suggest an x-ray.

Treatment -

  • An ankle sprain is treated depending on the severity of the injury. Some sprains require a little time to heal, while others may need rigorous treatment.
  • The first and foremost treatment for a minor ankle sprain is R.I.C.E. which is short for Rest, Ice, Compression and Elevation. Rest prevents further injury and stress to the ankle while ice helps to reduce the pain and decreases swelling. Compression helps prevent inflammation and by elevating the ankle at a height above heart level, the body absorbs the fluid that has leaked into the tissue.
  • Severe sprain cases have to be treated by immobilizing the ankle with a cast or a splint which may need to be worn for certain duration as determined by the orthopedic ankle surgeon.
  • Anti-Inflammatory pain killers on doctor's recommendation can help to reduce the swelling and the doctor may advise strengthening and stretching exercises to return the range of motion to the ankle. 

It is advised to complete the rehabilitation program that fully recovers the injury or else the sprain may become chronic. Minor injuries to ankle must be attended promptly before they become severe. Effective treatment and following your doctor's advice with adequate rest can make a sprained ankle as good as new in a few weeks time.

 

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Orthopedic Treatment For Claw Toe

by Administrator 15. May 2014 08:24

Claw toe is the bending of the toe like a claw and this can be extremely painful and debilitating, and should be treated right away. A claw toe is a condition which usually results from regular use of wrong or ill fitted footwear which cramps up the space available for the toes. The condition of claw toe causes toes to take a claw-like shape which results in pain and the formation of calluses. The condition can also a major impairment for people who usually are mobile and active as it causes loss of mobility, range of motion and inhibits regular use of the affected foot. If left untreated the deformity might remain and go on to become permanent problem. To avoid this it is advisable to seek prompt orthopedic treatment for claw toe.

Causes

Claw toe can be caused by a number of different factors. Usually, the condition is found in people who regularly use improper footwear. Shoes that do not allow enough space for your toes and constrain their movement can be a sure cause behind a claw toe, as are shoes which have too high heels. Other factors include any condition that weakens the foot muscles and causes nerve damage. Alcoholism and diabetes have been found to be two of the most common causes behind claw toe in many people.

Symptoms

Claw toe is a condition which exhibits itself clearly with a set of symptoms that are unmistakable. There might be an upward bend or extension of the toe in the middle joint region, accompanied by a downward bend or flexion of the end point of the toe, giving it the claw-like appearance which is common in people affected by claw toe. In extreme cases, corns and calluses can form under the toe and contribute to the pain.

Treatment

The root cause behind claw toe must be firmly established before treatment can commence. If nerve disease is ruled out by an orthopedic surgeon, the condition can be tackled effectively with the use of proper footwear and exercise. For more advanced cases, use of specially made footwear and supportive pads can be of great help. Orthopedic doctors might also advocate the use of a splint or a special tape to hold the toes in their proper positions during treatment. Chronic cases where the deformity has hardened might need corrective surgery for the problem to go away completely. In either case you should consult an orthopedic surgeon to get your problem diagnosed promptly and efficiently.

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