Yao Ming retires due to multiple foot injuriesduring his career.
“The 7-foot-6-inch Yao, the No. 1 pick in the 2002 NBA draft, told a news conference in Shanghai he had considered retirement since fracturing his left ankle during the last game he played in November against the Washington Wizards. It was at least the fifth fracture in his legs and feet since 2006, according to the state-run China Daily newspaper. “
Foot injuries as in the case of Yao Ming can be devastating to an athlete. Prompt treatment by a board certified foot and ankle specialist is advised.
The office of Dr. Eric Silvers and the staff at Advanced Foot and Ankle Center see all types of athletes with foot injuries and problems.
Traumatic Nails- Trauma can occur to the toenail as a result of chronic trauma or from acute injuries. Chronic or low grade trauma can be caused by tight shoes that place pressure on the toenail or from running with improper shoes. This can injure the toenail and may cause the nail to form a blister under the nail plate which can lead to a paronychia. This can be a painful condition and may necessitate the need to have the toenail taken off.
Acute trauma often is the result of dropping an object onto the toe or stubbing the toe against something that forces the nail plate to become separated from the nail bed. Blunt trauma can cause a subungual hematoma which is a collection of blood from under the nail plate. This can cause pain and also can lead to infection. If a subungual hematoma develops, the collection of blood will need to be drained by either creating a hole in the nail plate by using a needle, cautery or a laser or by removing the toenail. If it is not drained, the pressure will continue to build up and cause pain to the toe.
Blunt trauma can also lead to laceration of the nail bed that would warrant repair. In addition, blunt trauma can cause a fracture to the underlying bone (distal phalanx) that would also require treatment. If the nail bed is traumatized along with a fracture to the distal phalanx, it is classified as an open fracture.
Dr. Eric Silvers is a highly-trained foot and ankle surgeon specializing in the treatment and resolution of toenail pathologies.
An infracalcaneal exostosis is a term that describes a large bony prominence or spur on the bottom of the heel bone or calcaneus. In some patients, this bone spur can actually be large enough to be felt on the bottom of the heel.
The bone spur is caused by traction or pulling on the heel bone or calcaneus by tiny muscles on the bottom of the foot. Many people correlate “heel spurs” with plantar fasciitis. This is a false statement. The plantar fascia in actuality, inserts just lateral to the plantar heel spur.
Most patients have 1 – 1.5 inches of fat pad on the bottom of the heel that aids in cushioning and shock absorption for the calcaneus. In older patients who have experienced atrophy or thinning of the fat pad, the bone spur can be prominent and very painful.
Treatment includes cushioning of the infracalcaneal exostosis, wearing appropriate shoe gear to soften the impact of the heel with walking or running.
For those patient who cannot find relief cushioning, padding or shoe therapy, surgery is a viable option. Surgery involves removing the plantar heel spur or infracalcaneal exostosis and making the bottom surface of the heel bone flat and smooth. A extended period of non-weightbearing is suggested due to possible risk of stress fracture with early weight bearing following the surgery.
If you have a prominent heel spur on the bottom of the heel, please visit our office for a clinical evaluation. Call 972-542-2155 for an appointment today.