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Posts for tag: 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

 

NBA big men have recently been touted as being “injury-prone” secondary to current and past players being injured so often. From Greg Oden to Bill Walton, forwards and centers just can’t seem to catch a break. And now, the number 3 overall pick in the 2014 NBA draft, Joel Embiid is projected to miss his second straight season due to a stress fracture he suffered prior to draft day in his right foot. Embiid is scheduled to have surgery which will cause him to be sidelined for the 2015-16 season.

Usually, foot surgeries do not sideline players for an entire season. However, the Philadelphia 76’s want to make sure Embiid is 100% for the following season. Stress fractures can be caused my numerous things but most commonly they’re caused by overuse. It’s unknown what part of the foot Embiid injured, but the most common bones injured by stress fractures are the 2nd and 5th metatarsal bones. The metatarsal bones are the bones that attach to your toes and are essentially in the middle of your foot. Lots of force is transmitted through this area and that is the reason why stress fractures are commonly found here. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ see and treat many stress fractures. Depending on the severity of the fracture they can sometimes be treated conservatively with proper offloading and RICE. However, for displaced, intra-articular fractures surgery is definitely warranted and depending on the type of patient, the recovery period is at the discretion of the surgeon. In Embiid’s case it will be at the discretion of his contract AND surgeon.

Fractures of the foot are common and can be extremely difficult to heal mainly because it’s hard to keep the patient off their injured foot.  Typically patients are off their foot for 6-8 weeks because that’s how long it takes bone to fully heal. Embiid is unfortunate that this is the second time he is having surgery and that he will be out for a second consecutive season. The 76’s are in dire need of Joel’s presence seeing as how he was the Pac 12 defensive player of the year.

By Varun Gujral

For an athlete, it’s one thing to injure yourself in the offseason of your particular sport. But it’s another thing to injure yourself again during the season…with the exact same injury! Right now, that’s exactly what University of Michigan junior guard Caris LeVert is going through. LeVert has reportedly suffered a complete fracture of his 5th metatarsal on his left foot. The 5th metatarsal bone is one of the most commonly fractured bones in the foot and recurrence of this injury is also fairly common—especially in high-level athletes.

 

Your metatarsal bones are the longest bones in your foot and are found more-or-less in the middle of your foot. Your 5th metatarsal bone is on the outside—far left or far right—of your foot. You can find it by feeling the outside of your foot for a bone that “sticks out” more-so than the rest of that part of your foot. This is termed the ‘styloid process’ of the bone and this as well as other parts of the bone close to it are often where fractures occur. Treatment for these types of fractures range anywhere from conservative therapy by immobilization in a CAM walker for six weeks or surgical intervention. A lot of the treatment is dependent upon the patient and the surgeon. Whether you’re a normal, everyday person or a college athlete, your local podiatrists at Affiliated for and Ankle Care located in Monroe and Edison, NJ are highly trained specialists and can diagnose and treat any fracture of the foot or ankle. Signs to look for if you think you have fractured your foot are: bruising, swelling, pain, redness, and warmth around the area. If you notice any of these signs and have experienced a traumatic event (such as twisting your ankle), please do not hesitate to call our office.

 

Caris LeVert is a projected first round draft pick and we hope this does not hinder his chances of going to the NBA. He is expected to have a full recovery so we do wish him the best.

 

By Varun Gujral

 

With the NBA regular season tip-off two weeks away, teams are currently playing their exhibition games. Although it is still preseason, head coaches still want their star players on the court. While they only play limited minutes it’s important that they’re on the court in order to mentor the rookies, get a feel for how the team is playing relative to practice, and because--probably the main reason--they don’t like sitting on the bench! But there is always that risk of injury (with any sport) and that’s something coaches and players have to take into consideration. With that said, reigning MVP Kevin Durant suffered a fracture on the outside of his foot on Saturday...during practice! Of course, any professional player can sustain an injury during any point-in-time during their career it’s just very unfortunate that it had to happen while practicing. An upside to him fracturing it now is that he will be back with ample time left in the season so it shouldn’t hinder the Thunder’s chance for a playoff berth.

 The injury Durant suffered is called a Jones fracture. A Jones fracture is a fracture of the fifth metatarsal (on the outside or lateral side of the foot) approximately 3/4-inches from the base. There is a debate as to whether or not fractures should be treated conservatively or surgically and it all depends on the severity of the fracture, the “type” of patient (i.e., professional athlete vs. regular patient), and the surgeon. In Durant’s case, he is a professional athlete who needs to be back on the court as soon as possible and the Thunder’s medical staff is leaning towards surgical intervention (because that’s what they feel will get him back on the court the quickest). However, there have been other professional athletes who have sustained fractures that were treated conservatively and the results were just as good. Surgical and conservative treatment options both have positives and negatives each of which will be measured properly by medical professionals.

 The fifth metatarsal is the most common fractured metatarsal and the fracture can occur at many different points within the bone. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are highly trained surgical specialists who are able to diagnose and treat any type of fracture in the foot. So if you experience pain on the outside of your foot and there was some type of trauma associated with it, odds are it is a fracture, so please don’t hesitate to call our office and make an appointment. We wish Kevin Durant a speedy recovery and hope he returns without any complications!

 By Varun Gujral

 

There were many saves during the final match of the World Cup, but unfortunately the US were unable to save enough time to come out on top. United States goal keep, Tim Howard, set a new world record of 15 saves but it wasn’t enough to keep Belgium from advancing. Soccer is a unique sport compared to others. Why? Everything is done with their feet (and to some extent, their head)! Given, 95% of sports played today are played while on your feet, but what’s different with soccer is you cannot use your hands--other than the goalie, of course. That being said, soccer players rely solely (no pun intended) on their feet and legs--much like boxers rely on their hands and arms--so they need to make sure their lower extremities are protected. This is accomplished by the use of shin guards and proper taping techniques.

Ankle sprains are one of the most common sports injuries. In fact, according to USAsoccer.com and other related research it is “estimated that ankle injuries account for 10 to 30% of all sports related injuries in young athletes and from 16 to 29% of all soccer specific injuries.” That means, almost 1 out of every 3 young athletes coming to Affiliated Foot and Ankle Care in Monroe and Edison, NJ with a sports-related ankle injury is from playing soccer. The bad news about ankle sprains is that they can occur very easily and it doesn’t take much. Therefore, it is very important that you warm up and stretch properly prior to engaging in any physical activity; especially soccer. It also wouldn’t hurt to have a certified athletic trainer or physician tape your ankle to add some extra support. There is, however, controversy regarding ankle taping and preventing ankle sprains, but that will be for another blog topic.

We just want to congratulate the United States of America on their amazing run this year in the 2014 World Cup. We look forward to them returning to Russia in 2018 with a chip on their shoulder and hopefully advancing farther and winning The Cup. Happy Independence Day!

By Nrupa Shah