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Posts for category: Sports Injury

By Varun Gujral
September 02, 2015
Category: Sports Injury

The regular season of the PGA Tour comes to an end in July but the FedEx Cup Championship starts in August—and it starts in Edison, NJ home of your local podiatrists of Affiliated Foot and Ankle Care. Golf is a very leisurely sport but with it can come with major problems, especially related to the foot and ankle. The most common foot and ankle problems golfers complain of are heel pain, metatarsalgia (or ball-of-the-foot pain), and tendinitis.  All of these common ailments can be treated by conservative measures and they are complaints that your local podiatrists are experts in treating.

 There is one common treatment option, which unfortunately does not require the advice of a physician and that is—REST.  Resting any injured part gives your body time to heal by reducing the amount of strain it is used to having on it. Along with rest is ice compression, and elevation…also known as, RICE. This is the go-to treatment option and it’s typically done before patients are even seen in the office. If these measures fail, more aggressive conservative treatments are warranted. Those treatments usually include, in particular order, bracing (for tendinitis), OTC orthotics, custom orthotics (both for heel and foot pain), physical therapy (for all complaints, but mainly tendinitis) and steroid injections (heel and foot pain). Steroid injections are not warranted for tendinitis due to their deleterious effects on tendon strength and healing. There are even more aggressive treatments that can be done but are not usually warranted because these treatments typically cure the pain. For completeness sake, other conservative treatments are cryosurgery and shockwave therapy, both of which are used mainly for heel pain.

The conditions mentioned above are not only experienced by golfers. These are conditions we see every day and are experts in treating them. If you or anyone you know has experienced any of these pains or discomforts, please do not hesitate to call our office and make an appointment. We also have an office in Monroe, NJ as well. Good luck to the golfers as they finish up the start of the FedEx Cup!

 By Varun Gujral

 

By Varun Gujral
June 10, 2015
Category: Sports Injury

Catchers, no matter what level, are seemingly in the most uncomfortable position relative to any other in the sport. If you think about it, they are always squatting which puts a lot of pressure on the knees, ankles and the rest of the foot, and if a catcher plays for ‘x’ number of years all of those joints and/or bones will eventually breakdown. Unfortunately for New York Yankees catcher Brian McCann, he has apparently suffered the longstanding of being a catcher. McCann has been a catcher in the MLB for 10 years (the first eight of those years he served with the Atlanta Braves). So you can imagine, 10 years-worth of squatting can surely take a toll on someone. Another question someone might ask is, “Why doesn’t it happen to all catchers then?” The answer to that is, every catcher has a unique style of catching from where they put their feet to how they squat.

The traditional catching stance—knees out over toes, weight on the balls of the feet, and the backside practically resting on the heels—is probably the most damaging to the joints and bones of the lower leg. The reason this is such a damaging posture—from a podiatrist’s standpoint—is because there is a large amount of strain being put on the Achilles tendon. The Achilles tendon is the longest and strongest tendon in the human body but if put under stress and strain for years on end it will eventually lose its integrity which in turn can cause the rest of the foot to breakdown. Although it seems like it just attaches to the back of the heel bone, it actually continues onto the underside of the foot and becomes part of the plantar fascia. This is important to keep in mind because the plantar fascia is the foundation of the arch of the foot; once the plantar fascia fails, the rest of the foot will too. That’s not to say this is what happened to McCann, but I would venture a guess that it’s definitely related.

McCann will be getting an MRI to assess if there is any damage to the soft tissue (muscles, tendons, ligaments) and joints of his right foot. From everyone here at Affiliated Foot and Ankle Care in Monroe and Edison, NJ we wish him a quick recovery so he is able to get back behind the plate.

By Varun Gujral

Every sport typically has some sort of playoff or tournament to see who the best team really is mainly out of those teams who were their respective conferences or divisions. College football had their inaugural playoff this year as a matter of fact. NCAA College basketball, on the other hand, has had a tournament for over 75 years; first tournament was in 1939. March Madness as it’s termed today is one of the most watched sporting events in the country. It’s also a tournament where every single team lays out everything on the basketball court with no intention of leaving anything behind. With that said, players are at an increased risk for sustaining some sort of injury. Georges Niang of the Iowa State Cyclones knows about that all too well. Niang fractured a bone on the outside of his right foot and now he has to sit out the rest of the tournament. The bone he broke is the most common bone to break in the foot and it’s actually the same kind of break that OKC’s Kevin Durant is rehabbing.

Fifth metatarsal fractures are very common but are also very difficult to treat depending on the extent and location of the break. On top of that, high-level athletes make the rehab process a little more daunting too because of their need to get back to the sport as soon as possible. Your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ are highly trained foot and ankle surgeons who know just what it takes to treat these types of fractures. If the fracture is minimal and there is no displacement of the fractured piece they can usually be treated conservatively in a walking boot. However, if the fracture is large and it is displaced then surgical intervention is warranted. After surgery the patient will be non-weight bearing in a boot for about 4-6 weeks. It’s the time after surgery that is most crucial for the bone to heal properly. Any sort of motion (or micro-motion) will inhibit healing and will cause the patient to be off their feet for an extended period of time and this is why non-weight bearing is so important.  From everyone here at AFACare, we want to wish Niang a speedy recovery and to stay off his foot!

 By Varun Gujral

 

Professional football players are in the “middle of the pack” when it comes to salary contracts. Most probably disagree with that statement, but it’s true—it has to be. They don’t play 82 games like basketball players. They don’t play 162 games like baseball players. Professional football players play a whopping 17 games, and most of the time that’s one game per week maybe two! So for them to sign extraordinarily high salaries like baseball players would be uneconomical. But, that’s not to say there aren’t contract signings out there that won’t make your heart skip a beat. You probably guessed it, Darrelle Revis, touted as the second best cornerback in the NFL, recently signed with his old team, the New York Jets. His contract is worth $70 million dollars over 5 years with 39 million guaranteed. Now, if you average that out per game per season (assuming one season=one year), that comes out to an astronomical $460K/game…and that’s just with the money that is guaranteed to him. If you use the numbers of his full contract, the dollar amount sky-rockets to $820K/game. I don’t know about you, but I would be happy just playing one game!

According to the Professional Football Player’s Association, the average age of a professional football player is 35 years. Revis is currently 30 years old, is probably at his peak in terms of performance, and his contract will end at the current average age. I think he has the deal of all deals for any athlete in sports right now. Surprising, though, is Revis tore his ACL while playing for the Jet’s which is why he was traded to the Buc’s in 2012-13. Now the tides have turned and the Jet’s offer him this ridiculously high salary. Do you think the management is worried about his ACL tear? I wouldn’t be. Although a very devastating injury to most, surgical treatment and therapy now-a-days is so sophisticated that athletes usually come back as strong as or stronger than they were previously.

So the next time you think an injury may hinder your favorite player’s chance at playing again (and playing for a max contract) think back to Darrelle Revis and the new deal he has coming up…congrats Mr. Revis!  If you sustain an injury while playing sports, please don’t hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

By Nrupa Sha

By Nrupa Shah
January 28, 2015
Category: Sports Injury

Every time your star player is sidelined it diminishes your team’s chances of moving forward. Fortunately for the Oklahoma City Thunder they have a deep bench and an even better starting five. One of those starters is 2014 MVP Kevin Durant. KD suffered a sprain to his big toe yesterday. A toe sprain, also known as ‘turf toe’ can actually be very debilitating to any athlete at any level.

Turf toe is caused by forced dorsiflexion of the big toe joint. Dorsiflexion is movement of the big toe in an upward fashion. When this happens to the toe, the tendons and the ligaments get strained which is where the majority of the pain comes from. Treatment options are fairly limited, however, so it needs to be instilled quickly. Treatments consist of the typical rest, ice, compression, and elevation or RICE. RICE is of utmost importance in these types on injuries. Additionally, anti-inflammatory medications (i.e., Motrin) can be used to help relieve some of the inflammation that may be associated with the injury. If all else fails, surgery is warranted. Surgery for turf toe is typically not needed but it depends on the severity of the injury at hand. If you have sustained this type of injury and don’t know whether or not you need surgery please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

Kevin Durant is one of the most versatile basketball players in the NBA so with him being out is detrimental to the team and to the entire NBA organization. Turf toe can be very detrimental but can also heal very quickly given the proper treatment. Again, please don’t hesitate to call our office if you have any questions or concerns.

 By Nrupa Shah