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Posts for tag: Affliated Foot and Ankle Care

 

It’s that time of year again! Our favorite baseball players have started reporting for spring training and it is a little over a month until opening day! While they are back in action, these players need to take care of themselves and their feet so they are not benched for the season.  A very common injury for baseball players is Achilles Tendonitis.  Although tendonitis is commonly thought of as a “minor injury”; this injury can bench professional ball players for weeks.

So what exactly is this injury? On the back of your ankle there is a tendon connecting the muscles of the back of your leg to your heel bone, this is the Achilles tendon. Tendonitis is when this tendon becomes inflamed and irritated. If the inflammation goes on long enough the tendon can begin to degenerate or wear away, this is called tendonosis. This is also why it is so imperative to treat the tendonitis right away before the tendon can start to degrade.

The common causes of this injury are overuse and increase in repetitive activities. This results in tiny fibers of the tendon being damaged and painful because the body cannot heal them quickly enough! Players like Miguel Cabrera and Joey Votto need to make sure to properly warm up and cool down after each practice to ensure that their Achilles tendon doesn’t become too stressed so they can play this season.

The symptoms to watch for include pain on the back of the leg, ankle and heel, along with tenderness when the sides of the tendon are squeezed, and increased pain with continued activity. If any of these symptoms appear, it is important make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care to get proper treatment so the injury doesn’t progress to tendonosis. We are located in Edison and in Monroe, NJ. The usual treatment for this is rest and ice, sometimes your podiatrist will recommend a cast or walking boot to relieve stress from the tendon, and a night splint may also be recommended.  Preventing this injury is always the best option! By wearing proper fitting shoes and stretching before and after exercising, it will greatly reduce the risk of developing this injury!

By Nrupa Shah

 

In the middle of your foot there is an area called the Lisfranc joint complex, this is the top of the arch of your foot. In this area there are many tiny bones and ligaments connecting the bones of the front of your foot to the bones of the middle of your foot. However, between the bones of your first and second toes there is no connective tissue supporting the ligament connecting these toe bones. Connective tissue is a structure that supports and reinforces these ligaments, and without it the ligament can be torn or the bones can pop out of place if the foot is twisted the wrong way.

This injury is very common in football and soccer players, it usually happens when the player’s foot is bent downwards and they stumble over it. Last year Houston Texans star player Matt Schaub got this injury and it ended his season. The injury is usually mistaken for a sprain and many people think they can just walk it off, however this injury is far more serious than a simple sprain. The common symptoms of this injury are swelling and bruising on the top and bottom of the foot on the same side as the big toe. The pain normally worsens when standing or walking.

A podiatrist should be seen immediately if these signs are present as this is an injury that shouldn’t be ignored. A doctor will order X-rays and MRIs to look for torn ligaments and broken bones in this area. Depending on what is found the treatment can be surgical or non-surgical.

If there are no broken bones, dislocations or if the ligament is only partially torn non-surgical treatment is the best route. This includes a non-weight bearing cast for 6 weeks, and it is very important to place no weight on the foot while it is in the cast, this could make the injury worse. After the 6 weeks weight bearing will be increased as time goes on and shoe inserts may be prescribed.

If the bones are broken, dislocated or the ligament is torn surgery will be required. In this surgery the bones will be set back into place and hardware (screws and plates) will be put in to hold the bones in place. This is usually left in place for 3 to 5 months then it is removed and rehabilitation is required.

This is a very serious and devastating injury for athletes, despite the success of the surgery it is very difficult for athletes to get back to their pre-injury activities. The best way to keep this injury from becoming very serious is to be seen right away by your podiatrist.

By: Nrupa Shah