Peroneal Tendinosis: Causes, Symptoms And Treatment

by Administrator 24. April 2017 10:26

Inflammation and irritation in the peroneal tendons that run around the outer and back side of the foot lead to a condition known as Peroneal Tendinosis. The tendons join the muscles to the bones and overusing them can cause too much stress leading to discomfort and pain. Movements involving excessive rolling out of foot can overstretch the peroneal tendon and cause soreness in the foot.


  • Sudden increase in level of physical training
  • Inappropriate footwear
  • Poor training techniques
  • Frequently running along slopes
  • Sports that require quick pivoting movements such as basketball and football
  • Abnormal foot position wherein the heel is turned slightly inwards
  • Recurrent ankle sprains
  • Tightness or weakness in calf muscles


  • Pain around the back and outside of foot
  • Tenderness in the affected area
  • Pain tends to increase with activity
  • Extreme pain in the morning
  • Discomfort while turning the foot inwards


  • The foot specialist will note down the history of the patient and the severity of symptoms
  • Various postures of the heel are observed for proper diagnosis
  • Imaging tests such as X-Rays and Ultrasound might be ordered by the doctor to have a clear look at the tendons
  • Imaging tests can also reveal any abnormal structures or tears in the foot
  • A Magnetic Resonance Imaging (MRI) test can also be conducted for further diagnosis


Most of the cases of Peroneal Tendinosis heal on their own without surgery.

Non-surgical methods

  • Rest is important for proper healing of the injury
  • Application of ice packs or cold therapy can provide temporary relief from painful symptoms
  • Compression and elevation of the affected foot can also help in reducing inflammation
  • A peroneal tendinosis brace can be recommended by the specialist doctor to protect the area and provide warmth to the affected tendon
  • Taping of the ankle can also provide support and protection
  • Non-steroidal anti-inflammatory drugs (NSAIDs) might be prescribed to the patient for reducing pain and inflammation
  • Stretching exercises can also prove to be useful for providing relief from pain associated with peroneal tendinosis.
  • Deep tissue sports massage is another effective technique to reduce tension in the tendon

Surgical methods

  • Surgery may be required if the pain does not go away with rest or any of the above mentioned treatment methods
  • Surgery can involve cleaning and repairing the affected tendon
  • In case of a tear, the foot and ankle surgeon can deepen the groove in the back of the bone of the fibula and provide more space to the tendons for healing
  • In cases where the condition of the tendon is very bad, resurrecting it is the only option left.

For complete treatment of Peroneal Tendinosis, visit Dr. Heier, a renowned orthopedic doctor in Carrollton, TX. To schedule an appointment, call at (972) 492 – 1334.

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Flat Feet: Orthopedic Carrollton

by Administrator 28. April 2016 10:14

Flat Feet is a condition which involves collapsing of the arches inside the feet. As a result, the soles of the feet touch the ground, causing discomfort. The condition may occur as a result of loosening of tendons in the foot when excessive pressure is exerted on it. If left untreated, the condition can lead to misalignment of the knees and legs. People with obesity and genetic foot problems are more likely to develop Flat Feet.


  • Foot injuries including fractures or dislocation
  • Structural deformity of the foot
  • Medical conditions such as Rheumatoid Arthritis, Diabetes, Cerebral Palsy etc.
  • Overstretching or tearing of tendons in the foot
  • Inflammation of the posterior tibial tendon


  • Pain, particularly in the arch and heel
  • Difficulty in walking
  • Swelling 
  • Inward rolling of foot
  • Weakness and numbness
  • Stiffness
  • Difficulty standing on the toes
  • Extreme tiredness


The foot doctor may physically examine the foot and evaluate the symptoms experienced by the patient. He may also check the soles of the shoes for any unusual patterns of wear and tear. Imaging tests such as X rays, MRI, CT scan and ultrasound may be conducted to determine the underlying cause of the condition.

Non-surgical Treatment:

  • Rest: Adequate rest must be provided to the affected area. The doctor may advise switching to low impact activities such as walking or swimming to aid the recovery process.
  • Orthotic devices: The doctor may recommend wearing orthotics or arch supports as it may help in reducing pressure on the foot.
  • Physical therapy: Doing specific exercises as suggested by the doctor can help in improving strength of the foot muscles. Physical therapy may also improve range of motion of the foot.
  • Medications: The doctor may prescribe anti-inflammatory medicines to reduce pain and discomfort. Cortisone injections may be recommended in case of severe pain.
  • Icing or heat therapy: Applying ice packs at frequent intervals can help to reduce swelling. Heat therapy may also be beneficial in relieving the symptoms.  

Surgical treatment

If non-surgical treatments are ineffective, the doctor may recommend surgery.

  • Arthrodesis: The surgeon may fuse the foot and ankle bones together by using bone grafts.
  • Excision: The procedure involves removing bony growths or spurs in the foot to relieve pain and discomfort.


The condition can be prevented by wearing comfortable shoes that provide stability to the heel. You should avoid activities that puts excessive stress on the foot.

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

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Bunion: Non-Surgical Treatment In Carrollton

by Administrator 18. September 2015 13:54

A Bunion, also known as Hallux Valgus, is a condition that forces the metatarsal bone of the bone to protrude and causes the big toe to bend inwards while putting pressure on the toe next to it. Bunion can also lead to the development of a bursa over the joint and inflammation of the adjacent tissues. The condition causes deformity at the base of the big toe and can be formed due to genetics, aging, medical conditions such as Arthritis, foot structure or wearing ill fitted shoes. The orthopedic surgeon may physically examine the foot to determine a Bunion and devise a treatment plan after determining the severity of the condition.

Here are some non-surgical treatment options for Bunions:

  • Proper Shoes: Wearing comfortable shoes that have a wide toe area, low heel and proper arch support, can assist in relieving excessive pressure from the Bunion. It also provides space to the toes and offers comfort.
  • Orthotics: Wearing bunion pads or arch supports can assist in distributing the body weight evenly, realigning the bones and removing pressure off the big toe. Splints, worn over the toe, can assist in straightening it and prevent the Bunion from worsening. Toe spacers can also help to reduce the pain caused due to a Bunion. You can also consider wearing a splint during nighttime to keep the toe properly aligned and ease pain.
  • Patches: Wearing a felt patch or moleskin around the pressure area protects the affected toe from rubbing against the shoe. This, when placed on the Bunion, offers relief from pain.
  • Medication: The doctor may prescribe anti-inflammatory medication to offer relief from pain and swelling. Steroid injections may also be recommended to relieve severe Bunion pain.
  • Ice: Applying ice packs to the affected area can help to relieve pain and inflammation. It is recommended to apply ice packs for at least 10 to 20 minutes every hour or as directed by the foot doctor.
  • Physical Therapy: Exercises performed under the supervision of a physiotherapist can also reduce the symptoms of the Bunion. Physical therapy improves mobility and flexibility of the toe. The patient can grab a ball with the toes and perform a ‘grab and release’ motion.

For comprehensive diagnosis and treatment of Bunion, visit Dr. Heier. To schedule an appointment with the foot and ankle doctor in Carrollton, TX, you can call at (972) 492 – 1334.

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Common Risk Factors For Bunion

by Administrator 12. August 2015 11:04

A Bunion is the enlargement of the joint at the base of the big toe. In this condition, the big toe pushes itself onto the other toes and a bony lump is visible right next to it. People who develop a Bunion may experience difficulty in playing sports, walking, running and exercising. The common causes for this condition are genetics, wearing wrong shoes and Arthritis.


  • Deformity: In cases of advanced bunion, the big toe may look severely deformed. It may lie over or under the second toe due to being inwardly pushed by the Bunion. In such cases, pain may be felt after wearing shoes and sometimes even walking may prove to be uncomfortable.
  • Exostosis: There may be growth of an additional bone or lump, called exostisis, right next to the big toe.
  • Pain And Redness: This condition may cause pain and redness in the affected toe. There may also be some inflammation with the thickening of the overlying skin.
  • Inability To Walk: There may be extreme discomfort while walking.

Risk Factors

  • Heredity: The condition is usually passed on in generations. Thus, if there is someone suffering from Bunion your family, you are more prone to acquire it.
  • Wearing Wrong Shoes: Bunion may be seen in people who wear narrow or high heeled shoes for long periods. Ballet dancers are more susceptible to the condition because of their differently shaped shoes that keep the feet in an unusual position and puts pressure on the big toe.
  • Arthritis: Certain degenerative conditions, such as Osteoarthritis or Rheumatoid Arthritis, may also increase the risk for a Bunion. When inflammation affects bones, one might have difficulty in walking which may lead to the development of this condition.
  • Age: As age progresses, chances of developing bunion may increase.
  • Nerve Condition: A nervous system disorder may also cause bunion to appear.
  • Gender: Bunions are more common in women than men, may be because wearing heels is one of the most common causes for it.

One must take precautions to reduce the chances of getting a bunion. This may be done by wearing wide toed, comfortable shoes that do not put undue pressure on the feet.

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

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Talus Fracture: Causes, Symptoms And Treatment

by Administrator 20. July 2015 07:21

The Talus is a small bone present right above the heel bone that makes up the lower part of the ankle joint. A high-energy force applied to the ankle can lead to a crack in this bone, causing Talus Fracture.

Types of Talus Fracture:

  • Displaced Fracture: In this fracture, the bone breaks and parts of it are moved from their anatomic positions.
  • Open Fracture: When the bone breaks through the skin, it is known as an open fracture.


  • Accidents: Certain motorcycle accidents or car collisions can cause trauma to the ankle and put pressure on the Talus bone. This can cause displacement of the bone.
  • Intense Injuries: Falling from a height or twisting of the ankle can lead to fracture in the talus bone.
  • Regular Activities: Application of high pressure on the anklebone can lead to the wear and tear, thus causing a fracture.
  • Weak Bones: Certain underlying health conditions such as Arthritis, which reduce bone strength, can also lead to a Talus Fracture.


  • Sharp and intense ankle pain
  • Limping
  • Inability to bear weight
  • Immobility
  • Swelling
  • Bruising
  • Numbness



The ankle doctor may diagnose a Talus Fracture by asking about the patient’s medical history and nature of injury. He may also perform a physical test, by examining the movements and intensity of the pain in the affected joint. The doctor may also ask the patient to undergo certain imaging tests such as X-ray, MRI or CT scan in order to determine the position of the bones and severity of the fracture.


  • Medication: The patient may be prescribed anti-inflammatory medications to minimize pain and inflammation in the affected joint. These can also help in reducing numbness and stiffness caused due to the injury.
  • Immobilization: The doctor may suggest the patient to rest the ankle for a period and use a cast to hold the bones in place. The patient may be recommended to avoid movement of the affected joint as resting can assist in speeding up the healing process.
  • Physical Therapy: Certain stretching exercises can help regain movement in the injured joint. The physiotherapist can minimize stiffness and assist the patient in returning to daily activities.
  • Surgery: In severe cases, the patient may be advised to undergo a surgical procedure to restore movement in the ankle.

For comprehensive diagnosis and treatment of Talus Fracture, visit Dr. Heier in Carrollton, TX. To schedule an appointment with the ankle doctor, call at (972) 492-1334.

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Hammer Toe: Orthopedic Treatment In Carrollton, TX

by Administrator 19. June 2015 04:12

Hammer Toe, also known as a contracted toe, is a common deformity in the three middle toes, which makes them appear to be bent. This may begin as temporary mild deformity and can develop into a permanent and more painful condition. Although it can be present at birth, the condition can develop over time.

Types of Hammer Toe:

  • Flexible Hammer Toe: It is a less severe form of the condition and the toe can still be moved at the joint.
  • Rigid Hammer Toe: This is a severe form of the condition and requires surgery. In this the tendon in the toe becomes rigid and presses the joint out of the alignment.


  • Ill-fitted shoes
  • Genes
  • Arthritis
  • Nerve injuries
  • Toe injury
  • High foot arch
  • Tightened ligaments or tendons in the foot
  • Pressure from a bunion

Risk factors

  • Age
  • Family history
  • Female gender
  • Diabetes
  • Arthritis
  • Calluses
  • Bunions
  • Corns
  • Toe length


  • Pain and discomfort in toes
  • Curling toes
  • Disability in wiggling toes
  • Swelling in the toe joint
  • Pain on the ball of the foot under the bent toe
  • Claw like toes


The orthopedic doctor may physically examine the toe to diagnose Hammer Toe. He may also recommend imaging tests such as an x-ray to get more information about the condition.


The treatment of Hammer Toe depends upon the stage that it has reached. The doctor can recommend any of the following treatment methods depending on the severity of the condition.

  • Proper shoes: If the toe is still flexible, the doctor may advice to wear proper shoes with room for the movement of toes. He may suggest wearing shoes with heels less than 2 inches and soft insoles to relieve pressure on the toes. He may also ask to protect the affected joint with felt pads or corn pads.
  • Exercises: Gentle stretching of the affected toes can be helpful to regain flexibility in the toes. Exercises can be effective in treating the initial stages of Hammer Toes.
  • Medications: The doctor can prescribe anti-inflammatory medications to reduce swelling and pain. Other medications and creams may be prescribed to remove corns.
  • Surgery: In severe cases, when the toe becomes stiff and there is no movement in the joint, the orthopedic surgeon may recommend surgery.

For treatment of Hammer Toe, visit Dr. Heier at OrthoTexas, Carrollton. To schedule an appointment with the foot and ankle surgeon, call at (972) 492-1334.

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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.


  • 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


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


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.


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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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.


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.


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.


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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Orthopedic Treatment For Bunions

by Administrator 21. April 2014 08:54

Bunions are a common condition involving the bone which many people face. Bunions are a bump of bony protrusion forms on the basal region of the big toe. These are caused most often due to bad footwear and incongruous walking habits. They can be a cause for major inconvenience by not only making walking an awkward activity but also by causing the toe to bend towards the other toes and causing a painful condition called hallux valgus. With proper treatment it is possible to get lasting relief from bunions and also to prevent their recurrence.


Bunions are caused mostly due to an imbalance or lack of alignment of the bones which make up the frontal portion of the foot while standing and walking. This lack of alignment can cause regular stress and put pressure on the area surrounding the big toe. Moreover there is inflammation of soft tissue in the region which can be a cause for extreme pain and loss of mobility. It is seen as a condition which is most likely to affect women and older people.


During its initial stages a bunion manifests as a protrusion rising out of the base of the big toe. As the protrusion becomes more apparent and the area becomes inflamed you can start experiencing pain and discomfort while walking or standing. With time the growth starts pushing the big toe towards the other toes and eventually forces it to come to rest directly above or below the second toe. This condition is called a hammer toe and can be particularly debilitating.


In its early stages the development of bunions can be arrested with a change in footwear. Footwear that give a wide space to toes and provide good arch support can arrest the development of bunions and even help them to heal naturally. Also regular application of ice packs and use of over-the-counter anti-inflammatory drugs can help you deal with the pain. In case of more serious bunions, which cannot be healed by common courses of treatment, a foot injury surgeon in Carrollton might consider the option of surgical removal of the bunion and realignment of the bone to achieve recovery.


According to foot doctors, the best way to prevent the onset of bunions is to choose your footwear wisely. Any footwear which constricts the space available to your toes, bunches them up, has an unnatural slope that makes walking uncomfortable or does not provide support to your toe arches can be a potential culprit for bunions.

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Pilon Fractures Of The Ankle

by Administrator 17. December 2013 11:49

Pilon fracture, also called plafond fracture, is a serious medical condition affecting the bottom of shin bone. According to foot and ankle surgeons in Carrollton, these injuries are usually the result of high-energy trauma which causes the shin bone to break into several pieces. In severe cases, pilon fracture may also be accompanied by fibula fracture and severe injuries to the nearest tissue and bones.

Causes and risk factors:

  • Accidents: Vehicle collisions may cause high impact on leg which may cause shin bone to fracture. Activities like skiing and jumping off a great height may also result in pilon fracture.
  • Contact sports: The players associated with contact sports like soccer, football, basketball are more likely to have pilon fracture.
  • Other: Sometimes, situations like missing a step on staircase or stepping into a hole while running may suddenly twist the ankle which may result in pilon fracture.
  • Age: It is believed that people in the 35-40 years age group are more susceptible to pilon fracture and other ankle related injuries.
  • Weak shin bones: People with weaker shin bone and ankle joints are more likely to cause pilon fracture.

It is advisable to consult an ankle doctor in Carrollton if the following symptoms are observed:

  • Popping sound at the time of injury
  • Grating or rubbing sensation when the foot is moved
  • Intense pain in the ankle
  • Swelling and bruising around the affected area
  • Tenderness when touched
  • Skin discoloration
  • Inability to put weight on the injured foot
  • Limited range of motion
  • Ankle appears to be crooked or angled

The treatment for pilon fracture depends on the severity of symptoms and diagnostic report. Following are the most common treatment options in Carrollton:

  • Nonsurgical Treatment: The ankle doctors in Carrollton may recommend the use of splints and short leg casts. These devices are used to support and immobilize the injured ankle. Once the swelling goes down and the ankle is completely healed, you may be referred to physical therapists to help you with bone strengthening and motion exercises. Physical therapists may also recommend hydrotherapy to regain your muscle strength and improve motion.
  • Surgical Treatment: In case of serious pilon fracture, surgery may be recommended by the ankle doctor. The surgical treatment involves the use of metal implants such as plates and screws.

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