Fat Pad Contusion: Foot Injury Carrollton

by Administrator 26. October 2016 08:25

The heel bone, also known as calcaneus bone, bears constant pressure throughout the day due to various activities like standing, walking and running. It also acts a shock absorber and provides cushioning to the foot. When this bone receives excess pressure or strain due to repetitive activities, it may lead to a condition called Fat Pad Contusion. Commonly known as Bruised Heel, the injury requires medical attention by an orthopedic doctor.

Causes:

  • Improper Footwear: Wearing poorly cushioned or worn-out shoes may cause pressure on the heel bone.
  • Excessive Body Weight: Being overweight may place additional strain on the heel bone, which increases the risk of developing Fat Pad Contusion.
  • Age Factor: The bones tend to get brittle with increasing age, which makes elderly people more prone to bone-related injuries.
  • Sports Injuries: Athletes involved in contact sports like football, rugby or basketball can suffer the injury due to heavy landings and falls. In addition, running on hard surfaces may also increase the chances of suffering from Fat Pad Contusion.

Symptoms:

  • Pain and swelling in and around the heel area
  • Pain may increase while walking, running or jumping
  • The affected area may be tender to touch

Diagnosis:

An orthopedic foot doctor may first perform a visual inspection of the injured foot. He may then ask the patient questions regarding the mode and time of the injury. Clinical examination such as palpation, X-ray as well as MRI may be conducted to confirm the condition. Accordingly, a treatment plan may be devised.

Treatment:

Conservative Treatment Methods

  • RICE Therapy: This therapy may help to reduce swelling as well as pain. It may include:
  1. Rest: Adequate rest must be provided to the affected area. This may help to reduce swelling as well as pain.
  2. Icepacks: Applying ice packs at frequent intervals may be beneficial in alleviating pain and swelling.
  3. Compression: An elastic bandage may be used to reduce inflammation.
  4. Elevation: Keeping the foot above the level of heart may help to improve circulation.  
  • Supportive Shoes: Wearing cushioned shoes may provide support to the feet and relieve the pressure from the heel. It may help to stabilize the foot and decrease discomfort.     
  • Rehabilitation Exercises: The doctor may recommend specific exercises which may help to promote healing. These exercises can reduce stiffness and improve the range of motion.  
  • Medications: Non-steroidal anti-inflammatory medications may be prescribed by the doctor. In case of severe pain, cortisone injections may be administered.

For comprehensive treatment of Fat Pad Contusion, visit Dr. Heir. To schedule an appointment with the foot and ankle surgeon in Carrollton, you can call at (972) 492 – 1334.

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Ankle Arthritis: Causes, Symptoms And Treatment

by Administrator 24. May 2016 06:30

The human foot comprises of 28 bones and 30 joints which enable it to move, stabilize the body and absorb external shocks. The bones are further supported by strong tendons, ligaments, muscles, cartilage and fluid filled lining called the synovium. Degeneration of the bones, cartilage and other constituent parts of the joint may lead to Ankle Arthritis. There are three main types of Arthritis that may affect the ankle joint.

  • Osteoarthritis- It is a painful condition caused due to wearing out of the protective cartilage with age. It causes the bones to rub against each other and may lead to the development of bone spurs.
  • Post-Traumatic Arthritis- injuries that cause severe damage to the joint surfaces may lead to the development of Arthritis over the years
  • Rheumatoid Arthritis- It is a chronic condition which occurs when the immune system attacks the body’s tissues.  It characteristically affects both the joints at the same time

Causes

  • Genetic factors
  • Obesity
  • Infections that may lead to auto-immune disorders
  • Ageing
  • Direct injury or trauma to the joint
  • Stretching or tearing of ligaments and tendons
  • Post-surgical effects
  • Ankle dislocation or fractures

Symptoms

  • Stiffness
  • Swelling
  • Pain which may aggravate during movement and weight bearing
  • Visibly deformed joint
  • Restricted range of motion
  • Change in gait and posture
  • The joint may feel tender when pressed
  • Redness and warmth

Diagnosis

  • Detailed clinical evaluation of the affected joint
  • Analysis of gait and range of motion
  • Assessment of patient’s medical history and previous ankle injuries
  • X-ray imaging may be done to check bone placement and structure
  • CT scan and MRI may help diagnose soft tissue and ligament damage
  • Blood tests may be recommended to diagnose the type of Arthritis

Treatment

  • Avoiding any activity that aggravates discomfort
  • Performing exercises that strengthen the supporting muscles
  • Anti-inflammatory medicines may be prescribed to relieve pain
  • Physical therapy may help to improve flexibility of the joint
  • Use of ankle-foot orthosis or a removable brace to provide support to the joint
  • Walking stick may be used to avoid weight bearing
  • Arthroscopic Debridement to remove bone spurs or damaged cartilage and synovium
  • Arthroplasty- surgical replacement of the ankle joint with an artificial implant
  • Arthrodesis or surgical fusion of the bones using pins, screws and rods to restrict movement between them and reduce pain

Dr. Heier provides complete diagnosis and treatment for Ankle Arthritis. To schedule an appointment with the foot and ankle specialist in Carrollton, TX, you can call at (972) 492 – 1334.

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Clubfoot: Orthopedic Treatment In Carrollton

by Administrator 23. November 2015 12:53

Clubfoot (Talipes Equinovarus) is a foot deformity that affects nearly 1 out of every 1000 children in the USA. In the condition, the foot twists inwards and the toes point outwards. The tissues that connect the foot muscles to the bone are shorter than usual. Clubfoot can affect one or both feet and is usually congenital. It is recommended that the condition should be treated soon after the birth to avoid permanent foot deformities.

Causes

Clubfoot is idiopathic that is often the cause is not known. The abnormality may result due to following reasons:

  • Drugs or smoking during pregnancy
  • Spinal deformities or neuromuscular diseases
  • Less amniotic fluid during pregnancy

Symptoms

  • Top of the foot is twisted downward and inward
  • Toes pointing downwards
  • Tightening of the Achilles tendon
  • Abnormal shape of the foot
  • Rigidity in the foot
  • Inability to move the feet
  • The calf muscles remain underdeveloped
  • Affected leg is shorter than the normal leg
  • Tightening of the Achilles tendon

Diagnosis

An orthopedic doctor may perform a physical examination to check for the symptoms. The shape and positioning of the infant’s feet may help the doctor to identify Clubfoot. He may also suggest X-ray and other imaging tests to confirm the disorder.

Treatment

Clubfoot can be corrected surgically soon after the birth. The procedure involves moving the foot to the correct position and immobilizing it with the help of a cast. It is easy to reshape the foot soon after the birth, so there should not be any delay in the treatment. The surgeon stretches and casts the foot after regular intervals to improve the condition.  Once the foot is in positioned, the child may have to wear special brace for a few months. If the Achilles tendon is tightened, the surgeon will release it surgically.

In case of bone deformity, the surgeon may perform osteotomy that involves cutting the bones and fusing them to stabilize them. The surgery is often done once the child is ten years old.
Physiotherapy is important as it can help in correcting the foot by simple manipulations and exercises.

For diagnosis and treatment of Clubfoot, consult Dr. Heier in Carrollton, TX. To schedule an appointment with the foot and ankle surgeon, you can call at (972) 492 – 1334 or visit 4780 N. Josey Lane, Carrollton, TX 75010.

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Achilles Tendinitis: Causes, Symptoms And Treatment

by Administrator 26. October 2015 13:32

Achilles tendon is the largest tendon in the body that connects the calf muscle at the back of lower leg to the heel bone. Achilles Tendinitis occurs due to overuse or degeneration of this tendon. Athletes who participate in sports activities such as running, gymnastics, football, tennis etc. are at higher risk of developing this condition.

Causes:

  • Strenuous activities
  • Bone spurs
  • Tightening of calf muscles
  • Wearing high heels
  • Symptoms
  • Pain along the back of the foot
  • Tenderness
  • Swelling
  • Stiffness
  • Difficulty pointing your toes

Diagnosis:

The doctor may perform X-rays to determine the severity of the condition. He may also conduct an MRI scan to check for any tear in the Achilles tendon.

Non-surgical Treatment:

  • Rest: A doctor may recommend the patient to take rest to provide relief from pain. He may also advice to avoid any vigorous activities such as running, jumping etc. until the condition improves.
  • Ice:  Applying ice at regular intervals on the affected area may help in reducing the swelling.
  • Compression: Using an elastic bandage can provide support and help in minimizing inflammation.
  • Elevation: Elevating your leg using a pillow may also help in the fast recovery of the condition.
  • Medication Anti-inflammatory medicines may be prescribed by the doctor to reduce pain and swelling.
  • Inserts: Wearing inserts in shoes can help your Achilles tendon from further stretching and help in fast recovery. Orthotics devices such as heel lifts reduce the strain on this tendon.
  • Strengthening Exercises: A physical therapist may recommend some specific exercises to increase flexibility and strength of the muscles.

Surgical Treatment

In severe cases of Achilles Tendinitis, the doctor may recommend any of the following surgical procedures to repair the damaged tendons:

  • Gastrocnemius Recession: The procedure involves lengthening of the calf muscles with the help of small incisions using an endoscope. This surgery is performed to treat patients who have difficulty in flexing their feet. It is done to provide flexibility to the ankle.
  • Debridement and repair: In this method, the surgeon removes the damaged Achilles tendon and repairs it with stitches.

Prevention

  • Reduce uphill running as it can pressurize the Achilles tendon
  • Wear shoes with good support
  • Increased the intensity of exercises gradually
  • Avoid exercising, if you feel pain at the back of your calf

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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.

Causes

  • 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.

Symptoms

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

Diagnosis

 

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.

Treatment

  • 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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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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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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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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