Foot and ankle injuries are among the most common in athletes at all levels and in nearly all sports. Whether it be football, baseball, basketball, hockey, track and field, gymnastics, figure skating, distance running, lacrosse or tennis, athletes can be sidelined from a variety of foot and ankle ailments.
One of the best examples in recent years has been Yao Ming formerly of the Houston Rockets. His career was hampered by a recurring bone fracture that caused him to miss many games each season and ultimately cut short his promising career. He repeatedly fractured his 5th metatarsal bone in an area (called a Jones’ fracture) that has a difficult time healing in a regular sized person, let alone someone who is well over 7 feet tall. Non healing bone causes chronic pain that can bring even the toughest player down.
Another example is Peter Forsberg, who was one of the best players in the NHL. He was born with poorly aligned ankles which caused many missed games and forced an early retirement. Hockey skates in the best of circumstances are very hard on a person’s feet, but are particularly harsh on those with poorly aligned feet and ankles. To compound matters, professional athletes have endorsement deals with shoe (or in this case skate) companies for footwear that may not be the best for their feet. For more on Forsberg’s ankle issues click here: http://www.denverpost.com/avalanche/ci_26950768/peter-forsberg-had-unique-mix-elite-skills-physical
Arguably the most common injury (and one of the most overlooked and undertreated) injuries in all of sports is the ankle sprain. There are far too many examples to discuss but overall they are usually dismissed and played through. An ankle sprain is a partial (or complete) tearing of the ligaments in the ankle, which causes instability of the joint that is already poorly designed for stability. A minor sprain is fairly stable and can heal quickly, allowing a safe return to activity in a matter of a few weeks. However, a major sprain, where more than one ligament is damaged, can lead to chronic instability in the joint which can been career ending.
A specific type of major ankle sprain is the high ankle sprain. In a high ankle sprain, the ligament that holds the two leg bones together (the tibia and fibula) is torn which causes them to spread apart, leading to severe instability. In some cases this needs to be surgically repaired but at minimum needs to be treated with a boot or cast and non-weight bearing for several weeks. If left untreated, a high ankle sprain can lead to early arthritis, chronic pain and can end careers. A great example of this was Rob Gronkowski, the leading tight end in the NFL in 2012 when he tried to play through a high ankle sprain and said they “aren’t easy to shake off”. Read more here: http://www.cbssports.com/nfl/story/17043284/gronkowski-says-hell-play-but-high-ankle-sprains-arent-easy-to-shake-off
Whether you are a professional, college, high school, middle school or little league player, these injuries can affect your game and should be promptly and professionally treated. The doctors at advanced foot and ankle center have extensive education and experience in treating athletes at all levels from elementary school to the pros. Call for an appointment today!
Eric Silvers, DPM, FACFAS
Robert Hadfield, DPM, AACFAS
Dustin Lloyd, DPM, AACFAS
Washington Redskins all-pro defensive back DeAngelo Hall accidentally gave his orthotic away along with his cleat to a young fan after a practice session. He realized when he began his next practice that his feet didn’t feel right and he was having pain. He took to Twitter to find the fan, who happily sent the orthotic back and in return the lucky fan got a game-worn jersey. Hall tore his Achilles tendon last season and has since used custom orthotics which have helped him a lot.
Most professional athletes wear custom orthotics to optimize their performance and help prevent injuries in a variety of sports including: football, baseball, basketball, hockey, track and field, lacrosse, tennis, distance running, figure skating and many more.
The doctors at Advanced Foot and Ankle Center have extensive training and experience making custom orthotics. No matter what your sport, we can help make a difference in your performance and reduce your pain. Call for an appointment today!
Plantar Fasciitis is the medical term for inflammation of the plantar fascia which is the long band of tissue that runs from the heel to the ball of the foot. Many times patients complain of pain in the heel or arch with the first steps in the morning or at the end of the day after activity. Important treatments for this heel pain are proper shoes with orthotics to improve your foot’s function and stretching. Typically, we have very tight muscle groups and this can lead to plantar fasciitis. In this blog we will discuss some of the common stretching exercises to improve flexibility and hopefully kick your plantar fasciitis goodbye.
1- Towel Stretch
- Sit on the floor with your legs strait out in front of you.
- Loop a towel or theraband around the ball of your foot (it’s important to stretch on both even if only one of your feet are hurting).
- Pull the towel towards your nose keeping your back strait up without leaning forward until a stretch is felt across the bottom of your foot and up your calf.
- Hold for 30 seconds then relax and repeat 10 times on each foot.
- Perform this stretch at least twice a day.
2- Wall Stretch (This is my favorite and try doing multiple times throughout the day)
- Stand facing a wall about 2 feet away and place your hands straight out on the
- Take a step back with your affected foot keeping your heel flat on the floor.
- Move the other leg forward and slowly lean into the wall.
- Stop when you feel a stretch through the calf.
- Hold for 30 seconds then relax and then alternate to the opposite foot to stretch.
- Perform this stretch 5 times on each foot.
3- Step Stretch
- Stand with the balls of your feet on the edge of a step holding the railing for balance and your heels off the step.
- Slowly lower your heels until a light stretch is felt. (This stretch is easy to do too much so it shouldn’t be very painful.
- Hold for 30 seconds then relax and repeat 5 times at least twice a day.
4- Water Bottle Roll
- Roll your bare foot back and forth from the tip of the toes to the heel over a frozen water bottle.
- Repeat multiple times in both direction
- Keep the ice water bottle on the painful heel for 20 minutes after performing the stretch.
These 4 stretches are just the beginning to ridding yourself of plantar fasciitis. Each one of these is not a quick fix and consistency is the key. You can never stretch too much. Many times simple stretching does not provide complete relief of your pain. To be fully evaluated and make sure you really are dealing with plantar fasciitis we advise you to make an appointment with one of our plantar fasciitis experts to help resolve your heel pain and get you back to the activities you love. Call today 972-922-6943 for your complete evaluation to see Dr. Silvers, Dr. Hadfield, or Dr. Lloyd.
The child’s foot and ankle, like the adult, can be susceptible to injury. Kids bones are more resilient than an adults bone and are less prone to stress fracture but may break due to acute stresses as a result of injury. Since the child’s foot is still growing, open growth plates are susceptible to injury after a traumatic event. “Consultation with a trained and experienced pediatric foot and ankle specialist is imperative if a child injures his or her foot or ankle,” states Dr. Eric Silvers of Advanced Foot and Ankle Center. “Realigning a growing bone in a timely fashion will lessen any problems as a result of a fractured child’s bone such as non union, malunion or avascular sclerosis,” Silvers says.
The Stonebridge Foot and Ankle Podiatrists at Advanced Foot and Ankle Center have years of training dealing with pediatric foot and ankle conditions. “We see it all,” states Dr. Robert Hadfield. “From warts, to ingrown toenails to extra toes and mishapened feet, we have the training and experience to treat it all.” Pediatric foot and ankle pathology not only consists of trauma, but also skin conditions such as dermatitis, warts, ingrown toenails, insect bites and foot and ankle infections. The Podiatrists at the McKinney Foot and Ankle office also treat foreign bodies and puncture wounds and lacerations to the foot and ankle.
“We see a lot of kids with flat feet of varying degrees,” states Dr. Dustin Lloyd. “We often dispensed prefabricated orthotics or make impressions for custom molded foot orthotics and foot and ankle orthotics for children that have foot and ankle alignment problems. We have our own in office physical therapy department that does a stellar job working with our pediatric patients.”
Advanced Foot and Ankle Center has also partnered with area surgery centers that are equipped to handle pediatric surgery.
From ingrown toenails and warts to congenital foot and ankle deformities, Drs. Silvers, Hadfield and Lloyd are the experts in pediatric foot and ankle care.
For an appointment, please call our office at 972-542-2155. We have two convenient locations in McKinney and Prosper, Texas to serve you.
Have you checked your feet lately? With the sunshine out, the rain is gone and summer if full swing everyone is ready to head to the lakes and pools and work on that summer tan. Remember skin cancer has the ability to develop anywhere on your body including the tops and bottoms of your feet. While most skin cancers are a result of sun exposure there are others that are common on the feet that don’t require any sun exposure at all. Typically skin cancer starts out painless and unless you are paying close attention to those toes might go overlooked at your regular doctor appointment. It’s always wise to check your feet regularly for any changes you may notice and get them examined by one of the Podiatrists at Advanced Foot and Ankle Center in McKinney or Prosper to decide if a biopsy is needed to ensure the lesion is non cancerous. There are 3 main types of cancers that typically effect the feet including basal cell carcinoma, squamus cell carcinoma and malignant melanoma.
Basal Cell Carcinoma typically develops as a results of too much sun exposure thus more common on the tops that bottom of the feet. It typically does not spread elsewhere in the body and stays localized to a single area of the skin. This type is also the easiest to treat when caught early enough. It typically shows up as the white bump on the foot similar to a callus.
Squamous Cell Carcinoma is the most common type of cancer to develop on your feet. If it is not caught early and left untreated it can be more aggressive over time and spread to other parts of the body. It typically starts as a small bump that appears inflames and sometimes appears to bleed and form a scab that does not resolve. Many times people assume that they have a wart or foot fungus because it can be itchy and raised.
Malignant Melanoma is one of the most dangerous types of cancer due to the fast rate of spreading and high mortality rate associated with it. In fact we lost a music legend Bob Marley to Melanoma that started on his feet. As the melonoma worsens it can spread through the body via blood vessels. It typically appears as a brown or black spot and many times simply look like a mole.
The best way to lower your risk of skin cancer is to decrease the exposure your body has to sun, always wear sunscreen on your feet and any lesion that you are unsure of have checked out by a Podiatrist who is trained in dermatology specific to the foot and ankles.
For a foot and ankle skin cancer screening call our office at 972-542-2155 and set up an appointment to be evaluated by Dr. Eric Silvers, Dr. Robert Hadfield, or Dr. Dustin Lloyd. They are specifically trained in dermatology of the foot and ankle to evaluate you today.
Rheumatoid arthritis is a common disorder that affects many joints of the body, in particular the joints of the hands and feet. It is an autoimmune disease, meaning the immune system attacks the body as though it is a foreign invader. When the immune system flares up, it causes inflammation in the small joints leading to increasing arthritis, swelling and pain.
There are several symptoms associated with rheumatoid arthritis:
1-Joint stiffness for more than 6 weeks
2-Joint stiffness in the morning for more than 30 minutes
3-More than one joint is affected
4-Small joints are affected (thumb, wrist, fingers, toes, foot joints)
5-The same joints on both sides are affected
6-Dry, painful, red and sensitive eyes
7-Dry mouth and gum irritation
8-Small lumps under the skin over joints, especially in the hands
9-Anemia, which is a lower than normal number of red blood cell count, that can lead to fatigue
Rheumatoid arthritis affects the feet and ankles in many ways. It causes chronic inflammation in the joints, especially in the toes and the joint where the toes meet the foot which can get progressively more severe over time. The degeneration of these joints is accelerated by rheumatoid arthritis if it is not treated and it is very important to have a multi-disciplinary approach to treatment, meaning that several specialists must be involved for best results: these include primary care physicians, rheumatologists and extremity joint specialists (such as podiatarists and hand specialists).
Rheumatologists are specialists in the diagnosis and treatment of joint disorders such as rheumatoid arthritis, psoriatic arthrits and reactive arthritis. They perform diagnostic testing to confirm the proper diagnosis and prescribe medications to control the inflammation caused by these disorders.
Treatments for the foot and ankle issues associated with rheumatoid arthritis are numerous and there are both conservative and surgical options for care. It is important to start with a proper diagnosis for best results. Xrays, blood testing and various other scans can help aid in the proper diagnosis. The severity of the arthritis in the joints of the foot and ankle determines the treatment course and prognosis.
The main treatment options for issues in the foot and ankle related to rheumatoid arthritis are medications, orthotics and surgical correction. Medication therapy is a joint effort with your podiatrist and rheumatologist and it can be tailored to fit your individual needs. There are two main varieties of orthotics, which is an insert that goes in the shoe that helps to correct instability or abnormality in the joints of the foot: prefabricated and custom orthotics. Prefabricated orthotics range from those that can be purchased at the pharmacy to ones that are dispensed by a doctor and are specifically selected to fit your particular foot type. Custom molded orthotics are inserts that are made exactly for your foot: a mold is taken of your foot and a prescription is added to them to help put your foot in the most optimum position for walking.
TO LEARN MORE ABOUT CUSTOM ORTHOTICS CLICK THE LINK BELOW
Surgical intervention for joints severely affected by rehumatoid arthritis are various and are aimed at alleviating the chronic inflammation that causes the pain. The selection of surgical procedures is based on your particular foot and xrays and an evaluation by you podiatrist is need to determine what is best. In general these procedures include fusion of arthritic joints, replacing the joint with an implant, or removing bone from the joint to decrease the inflammation caused by it. These procedures, when indicated, are very successful in reducing the debilitating pain caused by rheumatoid arthritis.
The doctors at Advanced Foot and Ankle center have specialized training and experience in treating all issues of the foot and ankle related to rheumatoid arthritis. Call for an appointment today.
Dr. Eric Silvers, DPM
Dr. Robert Hadfield, DPM
Dr. Dustin Lloyd, DPM