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Posts for tag: Foot fracture

By Nrupa Shah
April 01, 2015
Category: Fractures

We have written a lot about Kevin Durant recently mainly because he is—or was—the most dominate basketball player in the NBA and a recent MVP. Interestingly enough, he also has one of the most common foot fractures among athletes or even the general population. Currently, it is said that he will be done for the regular season but, optimistically, he may come back for the post season—if the Thunder can make it that far. Now the reason he is said to be out indefinitely is not because he broke his foot again, it is because of increased soreness of his foot that he cannot tolerate. Some of you may think he is over-reacting but with his type of injury and at his level of athleticism, he is doing the best thing possible by sitting out. As I have stated in previous entries, any type of micro-motion with these injuries greatly decreases the chance of healing and markedly increases the chance of non-union and increased pain. As foot and ankle surgeons, those are the two things we try to control the most—healing and pain control.

 Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ know exactly what it takes to increase healing potential and decrease pain. If, however, you sustain this type of injury and are diagnosed with a non-union there are many different modalities that can be used to help increase healing. One of the most common treatments is the application of a bone stimulator. Bone stimulators help by increasing the electrical field (almost like an electrical stimulator for soft tissue injuries) around the fractured site which in turn increases the healing factors around the bone itself. Another treatment commonly used is the addition of supplements like vitamin D and calcium. Vitamin D and calcium are very important in the production and restoration of bone. Lastly, medications called bisphosphonates have also been known to help increase healing time by decreasing the activity of cells that resorb or breakdown bone.

Kevin Durant is one of the most versatile players to date and the game I not the same without him. We wish him a speedy recovery and hope to see him on the court, healthy and healed, soon!

 By Nrupa Shah

 

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

 

By Nrupa Shah
January 14, 2015
Category: Fractures

Justin Beiber started off the New Year on the wrong foot! While vacationing in Turks and Caicos, Beiber apparently broke his foot while playing soccer. There is no more information about how the 20-year old pop star is doing but he was witnessed going into the gym and working out (while on crutches of course) so appears to be doing fine. Furthermore, there is no relation as to what part of the foot he broke nor the complexity of the break.

Breaking your foot, although extremely painful, can almost be better than spraining your foot. Why? A broken bone can be “fixed”, say, through surgery. A sprain, on the other hand, can’t necessarily be fixed right away. A sprain is more of a self-limiting condition that takes a lot of ice, compression, and conservative treatment before being fully healed. Although both a sprain and a break take about 4-6 weeks to fully heal, a sprain can tend to be more bothersome to patients because of the extra work that goes into caring for them. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are exceptionally skilled at treating lower extremity injuries such as sprain and breaks. Foot and ankle surgeons are able to use radiographic imaging (or x-rays) to help track the progress of the patients who have broken any part of their foot. Depending on the severity of the break, surgery may or may not be considered. In some cases, conservative treatment such as casting will work just fine. As mentioned earlier, sprains are usually treated with RICE (rest, ice, compression, elevation) for a period of 2-4 weeks and then the patient is re-evaluated.

Whether you have a sprain or a break, your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison NJ are exceptionally trained to treat either. Please do not hesitate to call our office and make an appointment because the sooner these conditions are treated the better results you will have in the future. Maybe you can be like Justin Beiber and workout the next day, who knows?!

By Nrupa Shah

For all of you horse racing fans out there, you are all familiar with trainer Bob Baffert and his Kentucky Derby winning horse Orb. You are probably aware that his preferred jockey, Joel Rosario, fractured his left foot and wasn’t able to ride Orb in the Travers competition or Game on Dude in the Pacific Classic. Each race would have paid the winner of the race 1 million dollars!

Rosario broke his foot when he fell off Casual Elegance in the 7thrace at Saratoga a few weeks ago. No reports indicate exactly which bone/bones he broke in his foot, but Rosario will not be able to compete for at least 6 weeks!

Podiatrists are very concerned with fall prevention, this is because when you fall and land on your feet it puts so much stress on the foot and ankle bones, and usually leads to fractures of one or more bones. When it comes to doing any activity whether it’s a sport, work around the house, or just walking down some stairs it is always important to be very careful and mindful of your balance and keeping yourself from falling. This probably isn’t something many of us are worried about while playing sports or doing a basic activity, but it is so simple to take a wrong step or jump and fall on our feet.

Our feet are designed to handle a lot of shock and stress, but they can only handle so much. When we do something that pushes our feet past their limit the bones will break, and can take a good amount of time to heal. In any event that you have fallen and hurt your foot or ankle it is best to go see your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ to get your injury looked at!

Your podiatrist will most likely x-ray the injured area to look for fractures and if one if seen, depending on the severity, immobilization or surgery may be required. For stress or simple fractures immobilization is the best thing for the bones to heal. For more complicated breaks involving multiple bones, surgery is usually required to get the bones back to their normal position.

To prevent any likelihood of a fracture be mindful with what you are doing and take precautions to prevent falls!

By Nrupa Shah

  

 

The Jones’ always have everything, they even have a foot fracture named after them! This is when the bone of your pinky toe breaks, but not at the toe, the fracture is at the end of the toe bone near the ankle. You can fracture this bone by your ankle being above your foot, while your foot is facing inward and downward. Seems like a weird and unimaginable position, but it is common for athletes to manage to get their foot into this position and break this bone. One sport this is very common in is soccer, if you talked to Mia Hamm she would tell you that getting your foot into this position isn’t as difficult as you would think, and the resulting fracture can bench a player for months.

What are the specific symptoms of a Jones fracture? There will be sudden pain in the fifth toe near the ankle, with possibly deformities seen through the skin. There will be an inability to wear shoes and put any pressure on the foot. This is a serious injury and will require treatment from a podiatrist to fix the fracture. 

It can be fixed with a technique called immediate fixation, which is when the foot is set and casted for 6-8 weeks, with no weight bearing. This is the preferred fix for athletes because it allows a quicker return to the sport; however re-fracture is a lot more likely with this than with the surgical fix. The surgical fix for this injury includes going in and placing plates and screws to heal and stabilize the fracture, so the chances of a re-fracture are far less than with the immobilization. After both the surgery and immobilization fix physical therapy is required to rebuild the muscle strength in the foot.

If you injure yourself playing sports, do not hesitate to call one of offices located in Monroe and Edison, NJ and make an appointment for a complete evaluation

By: Varun Gujral