Posts for: December, 2018
An ankle sprain occurs when the foot rolls or twists to the point where a ligament inside stretches beyond its normal capacity. Ankle sprains are extremely common, with an estimated 25,000 sprains happening in the United States every day. Athletes and people who work outdoors or on uneven surfaces are at a higher risk for spraining their ankle. Regular wear of high-heeled shoes is also a risk factor.
Sprained ankles are diagnosed by degree; that is, the severity of the sprain and the symptoms it produces. Grade 1 sprains are the mildest, with minimal swelling and tenderness due to a slight ligament tear. Usually, Grade 1 sprains still allow for weight to be put on the ankle. Grade 2 sprains have a more significant injury to the ligament and, while walking may still be possible, it is painful. Grade 3 sprains are diagnosed when the affected ligament has sustained a complete tear and the ankle cannot bear weight. Grade 3 sprains typically display obvious bruising and swelling around the ankle.
The grade of an ankle sprain will determine the treatment. The tried-and-true RICE method - rest, ice, compression, and elevation - is usually sufficient for Grade 1 sprains. Refraining from walking, keeping the ankle elevated for the first two days, stabilizing the ankle with a compression dressing, and applying ice to reduce swelling helps the sprain resolve within 2 to 4 weeks. Grade 2 sprains also respond well to RICE treatment, although healing typically takes longer and a firmer immobilization device, like a splint, is typically recommended. Grade 3 sprains often require similar treatment used for ankle fractures; a cast or brace may be needed and surgery may be considered for some patients.
To ensure proper healing, it is important to follow the recommendations of your podiatrist. Attempting to return to normal activity too soon could result in a repeat injury or permanent ankle instability.
What is Sesamoiditis?
Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.
Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.
Symptoms of Sesamoiditis
Symptoms of Sesamoiditis may include:
- Pain under the big toe or ball of the foot
- Swelling and/or bruising
- Difficulty in bending and straightening the big toe
- Resting and stopping any activity that could be causing pain and inflammation
- Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
- Icing the sole of the foot
- Wearing soft-soled and low-heeled shoes
- Cushioning inserts in the shoes
If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!
Welcome to the Blog of Norfolk Office
Whether you are an existing patient or searching for a podiatrist in the Norfolk, VA area, we’re excited you are here. With the podiatric industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.
As we move forward with our blog, we hope to promote good foot health as a vital part of your healthy lifestyle. Here you will find a variety of articles and topics including podiatry news, advancements in podiatric treatments, practical foot and ankle health advice and updates from our practice.
We hope you find our blog to be helpful, engaging and informational to ensure your best foot and ankle health
As always, feel free to contact Norfolk Office with any questions or concerns.
-The Podiatry Team
Heel pain is one of the leading problems that sends patients to visit their podiatrist, and it’s no wonder. The relentless ache in the bottom of your foot or the sharp pain as you step out of bed in the morning is often enough to persuade even the most stubborn patient to make an appointment with his or her podiatrist.
Because there are many potential causes of heel pain, such as a stress fracture, tendonitis, nerve damage or arthritis, it’s important to have your foot examined by a podiatrist with expert training in heel pain. Our practice will examine your foot, determine the underlying source of your heel pain, assess your symptoms, make a proper diagnosis and recommend a treatment plan based on your individual case. Early diagnosis and treatment can help prevent more serious problems.
Plantar fasciitis is the most common cause of heel pain, occurring when the thick band of tissue (plantar fascia) that connects the heel to the toes becomes irritated and inflamed. When the plantar fascia is strained over time beyond its normal extension, tissues of the fascia may tear or stretch, which leads to pain.
Faulty foot structures, such as flat feet or high arches, are common causes of plantar fasciitis. Non-supportive shoes and increased weight or strain may aggravate the condition as well.
Common symptoms of plantar fasciitis include:
- Bottom of the heel pain
- Pain that intensifies after sitting for extended periods of time and subsides after a few minutes of walking
- Pain that worsens over a period of months
Most types of heel pain, once properly diagnosed, can be successfully treated with conservative measures, such as use of anti-inflammatory medications and ice, rest, stretching exercises, orthotic devices, footwear modifications and physical therapy. The longer heel pain is allowed to progress, the longer treatment can take. When plantar fasciitis doesn’t respond to conservative care, your podiatrist may recommend surgery as a last resort. Always seek care from our office for heel pain in its earliest stages for proper treatment.