Posts for tag: Stress Fractures

There are many different types of athletes in the world--runners, swimmers, basketball and football players, ballerinas and the list goes on and on. But running can be incorporated into ANY sport; for the most part. Your every day runner may disagree by saying it is its own sport, but that’s for another discussion. Alan Webb, world record holder of the 1-mile run (at 3:46.91) recently stated that he is going to transition from track and field to triathlon running.

A triathlon competition consists of the athlete completing three tasks in succession of one another and it usually starts with a swim followed by cycling and is completed by a long-distance run. As podiatrists, we are highly concerned with the long-distance running. Any type of running over long periods of time always puts athletes at higher risk for such things as shin splints, ankle sprains, and even more commonly stress fractures. Stress fractures are seen mostly in the metatarsal bones of the foot. There are many things; however, the athlete can do to prevent any of these from occurring with the most important being proper training. It’s extremely important that an athlete gradually increases their training (or mileage) rather than starting off running a triathlon for their first part of training. Many athletes sadly do this and can sustain the aforementioned injuries. If any of these injuries have happened to you please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Treatment of these conditions consists mainly of rest, ice, compression, and elevation. Sometimes athletes may need to be put in a walking boot for an extended period of time to make sure the fracture is healed completely. Very rarely will surgery be performed as these injuries prove to be fairly benign.

The first modern triathlon event was the Hawaiian Ironman Triathlon which consists of a 2.4-mile swim, a 112-mile bike, and a marathon run of 26.219 miles. While Mr. Webb did not say in his interview which type of triathlon (sprint, intermediate, long, or ultra) he is planning on doing, I’m sure either of them will be extremely challenging.

By Varun Gujral

By Varun Gujral
August 06, 2014
Category: Sports Injury

There’s a lot of people out there who hear the word “run” and instantly moan and groan because they don’t like to do it and they continue these efforts until the “run is over--and that is just the warm-up run! Is it possible, however, that those people would be more inclined to run if they knew they were adding years to their lives? Would they be more inclined to run if they knew all they HAD to run was that warm-up run and that’s it? I think so! As podiatrists, we stress healthy eating and exercising to most, if not all, of our patients and of all the exercise regimens we recommend, running is definitely part of it...because after all, you have to use your feet!

A study that was recently published in in the Journal of the American College of Cardiology has stated that “running at a slow speed for just 5-10 minutes a day can significantly reduce mortality risk...any longer may actually do more harm than good”. The study also found that those who participated in the study were 45% less likely to die from cardiovascular causes compared to those who didn’t run. Cardiovascular disease is the most common cause of death among diabetic patients so this statistic is remarkable in the fact that such a little of an exercise can decrease mortality by almost half! Along with continuous running though, increases the chances of stress fractures throughout your foot so it’s imperative to wear proper shoe gear. It has been found that running increases a person’s body weight by 250% per heel strike. That is a lot considering a person’s foot is so small. If you have any questions at all about shoe gear or if you are experiencing any sort of heel pain due to running, please call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

Running is not always the most pleasurable of activities and, at times, it can even cause more harm than good but if helps decrease mortality rates and increase the number of years you get to spend with your family, why not give it a try?

By Varun Gujral

Of all the sports now-a-days, horse racing, in my opinion, is the last that comes to my mind when one is talking about injuries. It’s just rare, for example, to hear about the winningest jockey, Russell Baze to be out for the season due to a hip or foot injury. While this is not true, it is still common that jockeys get injured...and to quite an extent. Some often require hip surgery due to the repetitive standing in the stirrups while whipping the horse down the backstretch. With that said, foot position in the stirrups has caused some debate in the horse racing world. A topic that has recently gained some attention is whether it’s safer to have just the ball of the foot in the stirrups or to have your weight supported by the arch of the foot?

It has been proclaimed that the manufacturing of the stirrup has two flaws. One being the size of the stirrup. If it is too large for the rider, the foot has an increased chance of slipping through causing the jockey’s foot to be wedged in. This is extremely dangerous in that if the rider falls he/she will be trapped and potentially dragged by the horse. Second, the stirrup in general affects the health of the human foot. It’s said that at times, the entire weight of the human body is held up by the stirrup. Subsequently, this can cause a lot of strain to be applied to the lateral side of the foot; more precisely to the base of your fifth toe which is the site where two tendons attach to. Enough strain to this particular area increases the rider’s chances of getting stress fractures or even avulsion fractures. If you ride horses and if this happens to you, do not hesitate to make an appointment with your local podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

From basketball and lacrosse to horse racing and polo, there are injuries in every single sport being played today. Although it may be uncommon to hear about them, it’s still very important that all injuries are addressed the same no matter the sport. So, with the Triple Crown wrapping up in Elmont, New York this week on June 7th, if you’re in the area, try and stop by Belmont Park and place a bet...who knows, it just might be your lucky day!

 By Nrupa Shah


The Chicago Marathon was held this month; thousands of runners from all over the country went to windy city to participate! For people who don’t run marathons it is crazy to think about running that many miles at once, how can the body handle that? And how can the body handle all the training required to compete in one of these races?!

Your body has a hard time dealing with the amount of stress that running a marathon puts on it; a lot of athletes leave races with stress fractures, shin splints or a multitude of other injuries. Some athletes unfortunately don’t even make it to the race due to injuries in the grueling training required to compete in a race like this.

So what can you do to prepare safely? One of the biggest things is to rest! Don’t run every day! Your body needs a break sometimes, injuries occur when the body is tired and you continue to push it. Another tip is to vary your run length, don’t make each run an extremely long distance, change it up from time to time. Also do other activities that aren’t running! Lifting weights will strengthen your muscles in ways running can’t, and will make them more capable to handle the stress of running. Also changing up your type of cardio, maybe do something like zumba! It’s fun and will still give you the good workout you need!

If you are preparing for a marathon or a race of any length and feel that your feet and legs may not be handling the training, then don’t hesitate to make an appointment with your local podiatrist at Affiliate Foot and Ankle Care in Edison and Monroe NJ today.  Your feet will be well taken care of!

By Varun Gujral


In your second, third and fourth toes there are three “toe joints” along the bones that make up each toe; sometimes this third joint or the joint farthest from the tip of your toe can become irritated and become very painful. This injury is known as metatarsalgia,or more commonly forefoot pain. (That’s so much easier to say!) Activities such as running or jumping can cause this, along with wearing shoes that are too small. This injury isn’t very serious; however it can be very painful and can put many athletes on the bench due to the pain. This injury is common to basketball players, like Lebron James or Mason Plumlee, due to the amount of running and jumping they do every day.

Some common signs of this injury are gradual pain in the forefoot, pain when bending the toes downward and sometimes excessive buildup of skin on the bottom of the foot due to the extra pressure. The common causes of this are running and jumping, but other causes can include a high arched foot, having a shortened toe bone and stress fractures of this toe bone.

Since this injury isn’t too serious the steps to relieve the symptoms can be done at home! Rest, ice and anti-inflammatory medications will help relieve the pain and tenderness of the joint within a week or two. Custom gel cushion shoe inserts can also be very helpful to absorb shock while walking or running to prevent pain and future injury. When the pain is very severe, steroid injections can be used to relieve the symptoms.  Always remember that an injury should never be taken lightly, if you are experiencing any of these symptoms go talk to your local podiatrist at Affiliate Foot and Ankle Care in Edison and Monroe NJ, to get proper treatment for your feet!

by  Varun Gujral