Tag Archives: club foot specialist

How to Handle a Peroneal Tendon Injury

A tendon is a band of tissue that connects a muscle to a bone. A peroneal tendon attaches to the outer part of the mid-foot, while another peroneal tendon runs under the foot and attaches near the inside of the arch.

(image by summitmedicalgroup.com)

The peroneal tendon is supposed to stabilize the foot and ankle and protect them from sprains.

Peroneal tendon injuries may occur suddenly or develop over a period of time. Peroneal tendon injuries often happen to individuals who participate in sports that involve repetitive ankle motion. Also, people with higher arches are at risk for peroneal tendon injuries.

Symptoms of peroneal tendon injuries include pain, swelling and warmth to the touch.

Because peroneal tendon injuries are sometimes misdiagnosed and may worsen without proper treatment, so you should have a foot and ankle doctor examine your injury.

To diagnose a peroneal tendon injury, a foot and ankle specialist will examine the foot and look for pain, instability, swelling, warmth, and weakness on the outer side of the ankle. An x-ray or other advanced imaging studies may be needed too. The foot and ankle doctor will also look for signs of an ankle sprain and other related injuries that sometimes accompany a peroneal tendon injury.

Treatment by your foot and ankle specialist depends on the type of peroneal tendon injury. Some options for treatment may include:

  • A cast or splint may be used to keep the foot and ankle from moving and allow the injury to heal.
  • Oral or injected anti-inflammatory drugs may help relieve the pain and inflammation.
  • Ice, heat, or ultrasound therapy may be used to reduce swelling and pain. As symptoms improve, exercises can be added to strengthen the muscles and improve range of motion and balance.
  • foot and ankle doctor may provide a brace to use for a short while or during activities requiring repetitive ankle motion. Bracing may also be an option when a patient is not a candidate for surgery.

In some cases, surgery may be needed to repair the tendon or tendons and perhaps the supporting structures of the foot. A foot and ankle doctor will determine the best procedure for the patient’s condition and lifestyle. After surgery, physical therapy is an important part of rehabilitation.

Remember, any type of foot pain is never normal. A foot and ankle doctor can examine your feet and give you the best course of action. Please call 626-447-2184 (Arcadia) or 310-551-1711 (Century City) to speak to a foot and ankle specialist about your foot and/or ankle needs.

How Do You Know If You Have a Broken Toe?

Did you know that you have 26 bones in your foot? That’s more than other part of the body. Of those 26 bones in your foot, 19 are toe bones and metatarsal bones (the long bones in the mid foot).

(image by zazzle.com)

Fractures of the toe and metatarsal bones are common and require evaluation by a foot and ankle specialist. Even if the patient has been to the ER, he or she should still see a foot and ankle doctor.

Fractures (a break in the bone) can be divided into two categories: traumatic fractures and stress fractures.

Traumatic fractures are caused by a direct blow or impact, such as seriously stubbing your toe. Signs and symptoms of a traumatic fracture include:

  • A sound at the time of the break.
  • “Pinpoint pain” at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.
  • Crooked or abnormal appearance of the toe.
  • Bruising and swelling the next day.
  • It is not true that “if you can walk on it, it’s not broken.” Evaluation by a foot and ankle doctor is always recommended.

Stress fractures are tiny, hairline breaks that are usually caused by repetitive stress. Stress fractures often happen to athletes who rapidly increase their activity. They can also be caused by an abnormal foot structure, deformities, or osteoporosis.

Improper footwear may also lead to stress fractures. Stress fractures should not be ignored. They require proper medical attention to heal correctly. Symptoms of stress fractures include:

  • Pain with or after normal activity.
  • Pain that goes away when resting and then returns when standing or during activity.
  • “Pinpoint pain” (pain at the site of the fracture) when touched.
  • Swelling, but no bruising.

Another type of break, a Jones fracture, happens behind the little toe. It is often misdiagnosed as an ankle sprain, and misdiagnosis can have serious consequences since sprains and fractures require different treatments.  A foot and ankle doctor can correctly identifying these conditions as well as other problems of the foot.

Treatment of fractures depends on the type and extent of the fracture, but may include:

  • Sometimes rest is the only treatment needed to promote healing.
  • Avoid the strenuous activity.
  • Crutches or a wheelchair are sometimes required to give the foot time to heal.
  • Immobilization, casting, or rigid shoe to protect the fractured bone while it is healing.
  • Some fractures require surgery. Physical therapy, exercises and rehabilitation may be included.

Any type of foot or toe pain is never normal. A foot and ankle doctor can examine your feet and give you the best course of action. Please call 626-447-2184 (Arcadia) or 310-551-1711 (Century City) to speak to a trained foot and ankle specialist about your foot and/or ankle needs.

Foot Problems And Diabetes

It may come as a shock to many people, but an undetected blister on the foot or toe could lead to a health emergency or even amputation for many of the 25.8 million Americans in the U.S. with diabetes.

The American Orthopedic Foot & Ankle Society (AOFAS), in conjunction with American Diabetes Month (November), is urging people with diabetes to perform daily self-foot checks.

(picture by diabetesfeet.org)

Ulceration, infection and gangrene are the most common foot and ankle problems of the diabetic patient.  More than 60,000 non-traumatic lower-limb amputations are performed annually in the U.S. in patients with diabetes, but many amputations may be prevented with diligent foot care.

Foot problems are exacerbated in diabetic patients because of nerve damage that causes loss of feeling in the feet and affects 60-70% of diabetics. Diabetics should perform daily foot checks to identify cuts, scrapes, blisters which could become infected. An infection may spread quickly with little warning. If the diabetic patient is visually impaired a spouse or caregiver should perform the daily check.

The AOFAS suggests the following daily foot care routine and infection prevention tips for individuals with diabetes:

  • Daily examination of feet is essential. Look for signs of swelling, redness, blisters or cuts in the skin.
  • Monitor foot sensation by brushing the foot with a feather or facial tissue to test its ability to feel light touch.
  • Wash feet daily in lukewarm water, never hot.
  • Dry feet thoroughly and gently between toes.
  • Trim toe nails straight across with a nail clipper.
  • Choose footwear with cushioned soles and uppers made of soft, breathable material such as leather, not plastic.
  • Wear protective shoes to prevent injuries to feet and toes.
  • Never walk barefoot.
  • Wear cotton or natural fiber socks; avoid tight socks or shoes.
  • Break in new shoes gradually to avoid blisters.

In addition to daily foot checks, diabetic patients should be evaluated routinely by an experienced foot doctor. For the diabetic patient, taking responsibility for good foot hygiene, wearing sensible footwear, and careful daily inspection of feet are life-long steps to help prevent and avoid foot complications.

If you have diabetes or another foot condition, then you need to see a foot and ankle specialist as soon as possible. A foot doctor can examine your feet and teach you how to check your own foot or teach you how to check your children’s feet.  Please call 626-447-2184 (Arcadia) or 310-551-1711 (Century City) to speak to a trained foot and ankle specialist about your foot and/or ankle needs.

How to Tell If Your Child Has Bunions (And What to Do)

Does your child have juvenile bunions?  What exactly is a bunion? A bunion is a bump  at the base of the big toe – the joint that connects the toe to the foot.  The bump becomes enlarged and sticks out.

While bunions are most common among adult women, they also tend to occur among young teenagers, especially girls between the ages of 10-15.  Bunions can become progressively larger, to the point where wearing any type of shoe is painful. The pressure from the big toe could force the second toe out of alignment, sometimes overlapping the third toe.

What is the best treatment for bunions? Bunions, particularly those that affect teenagers, are most often managed by switching to shoes that fit properly and don’t compress the toes. A  foot and ankle specialist can give you information about proper shoe fit and the types of shoes that would work best for your child.

The following are some general rules to follow when selecting shoes for your teenager:

  • Judge the shoe by how it fits on your child’s foot, not based on the size of the shoe. Sizes vary among shoes styles and brands.
  • Select a shoe that conforms as nearly as possible to the shape of your child’s foot.
  • Have your child’s foot measured regularly and have both feet measured. The shoe you choose should fit the largest foot.
  • Have your child stand during the fitting process and check that there is adequate space (about 3/8 of an inch) for the longest toe at the end of each shoe.
  • Make sure the ball of your child’s foot fits well into the widest part (ball pocket) of the shoe.
  • Do not purchase shoes that feel too tight, expecting that they will stretch over time to fit.
  • Your child’s heel should fit comfortably in the shoe with a minimum amount of slippage.
  • Walk in the shoe to make sure it fits and feels right.
  • Stretching the areas that put pressure on your child’s toes can modify some shoes.
  • Your child’s foot specialist may recommend splints to reposition the big toe and orthotics (special shoe inserts shaped to your feet) to help relieve pain.
  • Your child should wear these shoes at all times, or else risk the bunions coming back.

Surgery is not recommended for teenagers with bunions unless your child experiences sever foot pain that limits everyday activities, and if that pain won’t subside with non-operative measures. There are a number of different types of surgical procedures used to treat bunions. To learn more please contact our foot pain specialist today. Please call 626-447-2184 or 310-551-1711 to speak to a foot and ankle specialist.