foot and ankle injuries

Common Foot and Ankle Injuries in Athletes- Palm Beach Orthopaedic Institute

Injuries are quite common in athletes. This is because of the physical demands that each sport requires. And one of the most abused parts in any sport is the feet. It is constantly exposed to stress from explosive movements such as jumping, running or quickly changing directions. The foot is one of the most robust structures in the body but it too has its limits. And when it is stretched beyond its limits, foot and ankle injuries can occur. 

Pain and swelling are the first indication of a possible injury. Although most of the pain felt could be due to a strained muscle, lingering pain could be a sign of a serious foot and ankle injury. When this happens, consult a podiatrist. Dr. John Schilero is a podiatrist who specializes in helping athletes suffering from foot and ankle injuries.

 Foot and ankle injuries commonly seen in athletes include: 

a. Ankle sprains. This is usually the result of landing on an uneven surface which results to the foot turning in a bad position. This can result to a partial or complete tear of the ligaments responsible for stabilizing and supporting your ankle joint. 

b. Achilles tendon injury. Coined as Achilles tendonitis, this injury to the Achilles tendon. It is often the result of over usage of the tendon. Usually an acute inflammation, the tendon may become ruptured especially if it is already weak.

c.  Plantar fasciitis. This is a condition wherein the tissue that connects the heel to the toes becomes inflamed. Once there is plantar fasciitis, you may feel pain in your heel or in your arch.

d. Stress fractures. A stress fracture is most common in runners. This is an injury to the tendons and ligaments which are located on the inside and outside of your ankle. This can cause stress in your foot bones. Though a stress fracture does not happen in one event, repetitive stress on the bone may cause it to break. As a matter of fact, 5-15% on all running-related injuries are dedicated to stress fractures and 49% of all injuries are usually seen on those people who ran a range of 25 to 44 miles a week. 

e Turf toe. An athlete can also suffer from a turf toe which is best described as a sprain of the main joint on your big toe. It is painful and will result to limited joint movement in your big toe. 

A sport that has relatively high amount of foot and ankle injuries is soccer. Soccer injuries are usually the result of collisions when one player strikes another with a forceful impact. Since soccer can also be an example of a contact sport, a player usually gets a direct blow to his lower leg. This accounts for 20-30% ankle injuries in all of the recorded soccer injuries. 

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people suffering from foot disorders.  To schedule an appointment, call 561-694-7776 EXT. 2112.

 

Diagnosis and Management of Foot Stress Fractures - Palm Beach Orthopaedic Institute

Stress fractures commonly develop in the weight-bearing bones especially those located in the lower foot. This type of injury can be seen in track and field athletes or just about anyone who participates in activities that place too much stress on the foot.

What causes foot stress fractures?

Stress fractures can be the result of repetitive abuse of the foot during jumps or long distance running. It can also be the result of weakened bones due to an underlying disease.

Types of foot stress fractures

There are two types of stress fractures, fatigue and insufficiency fractures. Fatigue fractures are the result of repeated stress on the foot that results to an injury beyond the bone’s natural healing ability. An insufficiency fracture on the other hand is caused by a weakened bone structure like those seen in people suffering from osteoporosis.

Stress fractures remain unnoticed until pain becomes unbearable. This is why early diagnosis is essential to prevent the condition from progressing. A podiatrist is a foot specialist that is highly qualified to identify and treat foot stress fractures. Dr. John Schilero is a podiatrist who specializes in helping people suffering from foot stress fractures.

Symptoms of a foot stress fracture

  1. Foot pain that often manifests itself during physical activities and decrease with rest
  2. Pain that intensifies over time
  3. Swelling and tenderness

Diagnosis of foot stress fractures

Pain is a signal that indicates injury or something abnormal. Foot pain during physical activities can be an indication of foot stress fractures. Consulting with a podiatrist gives you the best chance for early diagnosis and drastically improves prognosis.

Diagnosis starts with a thorough check of your medical history and previous activities. The podiatrist inspects your foot for swelling and tenderness.

A thorough diagnosis involves obtaining a detailed history of your condition and performing an examination of the injury and surrounding area. Stress fractures are not easily identified on X-ray until about 3 weeks after the onset of symptoms. More detailed tests such as MRIs, CT scan or bone scans are performed if a podiatrist suspect a stress fracture even after testing negative on X-ray.

Treatment for foot stress fractures

  • Rest – reducing pressure on the feet prevents further injury and buys time for it to heal properly
  • Ice – this reduces swelling and helps relieve pain
  • Pain medications – stick to acetaminophen based pain relievers. Non-steroidal anti-inflammatory pain relievers may interfere with proper bone healing.

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people suffering from foot disorders.  To schedule an appointment, call 561-694-7776 EXT. 2112.

A Closer at Achilles Tendonitis - Palm Beach Orthopaedic Institute

The tendon is a connective tissue that attaches muscles to the bones. And the largest tendon in our body is the Achilles tendon. This is no surprise since the Achilles tendon is responsible for supporting most of the heavy movements in our foot. Which makes it a perfect candidate for injuries especially for athletes.

The Achilles tendon allows us to lift our heel when walking, running or almost every movement in our foot. This is why any injury to our Achilles tendon can have a direct affect in our movements. A visit to a podiatrist can help identify if you are suffering from Achilles tendonitis. Dr. John Schilero is a podiatrist who specializes in helping people suffering from Achilles tendonitis and other foot disorders.  

The inflammation of the Achilles tendon is called Achilles tendonitis. This inflammation is usually the result of overworking the foot or placing too much stress on your Achilles tendon.

Signs and symptoms

  • Pain at the back of theheel
  • Difficulty in walking or running
  • Achilles tendon is swollen, tender and warm

Severity degrees

  • Mild. Pain at the Achilles tendon only occurs during an activity or immediately after a few minutes.
  • Moderate. Swelling of the tendon occurs and sometimes, there is a formation of a hard lump or nodule.
  • Severe. Any type of activities, even simple ones that involves weight bearing will elicit pain from the Achilles tendon. There are also rare cases wherein the tendon may rupture or tear. When this happens, you will feel a "hard whack" on your heel.

Causes

  • Overuse of the Achilles tendon which lead to development of small tendon tears
  • Arthritis
  • Foot problems such as flat feet or hyper-pronated feet which turns inward while walking
  • Wearing shoes such as high heels and those with minimal support
  • Overweight and obesity, since this adds more pressure to your Achilles tendon
  • Intake of quinolone antibiotics since it can be linked to tenosynovitis

Diagnosis

  • Medical history which will include the type of footwear you normally use as well as your regular activities and exercise habits
  • Physical examination done by your doctor to see tenderness and swelling of your Achilles tendon
  • Imaging tests such as x-ray, ultrasound, and MRI scan of your tendon
  • Blood tests may also be done to check for inflammatory conditions

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people suffering from foot disorders.  To schedule an appointment, call 561-694-7776 EXT. 2112.

Ten Tips When Buying Running Shoes - Palm Beach Orthopaedic Institute

If you’re planning to make running a regular activity then getting the right equipment is essential. The most important equipment in a runner’s arsenal is good pair of running shoes. But choosing the right pair is more than getting the right size or brand. You should also consider the type of foot you have. 

Just like shoes, our feet come in a variety of shapes and sizes. And knowing our exact foot type ensures that we get the right type of running shoes needed for the job. Signs that your running shoes need a change include pain and discomfort. You could also get easily tired which interferes with your running program. 

Pain is a clear signal that something’s wrong when you’re running. And when this is felt on the foot, it can be a sign of injury. Visiting a podiatrist avoids long-term foot injuries. Dr. John Schilero is a podiatrist who can help identify your foot type and give you advice on which running shoes works best for you. 

Ten Tips when buying running shoes

  1. Determine your foot size while standing
  2. Try fitting shoes while wearing your socks
  3. Buy shoes later in the day, feet swell up during the day
  4. You might be surprised that your feet are not the exact mirror size of the other. Buy shoes that fit your larger foot.
  5. Look for shoes that are specifically designed for your running discipline. Go for all terrain running shoes if you plan on running outdoors or places with rough surfaces. Running shoes are also available for track runners.
  6. Run with your new shoes for a short distance to get a feel of how it performs before engaging in a long run.
  7. A perfectly fit shoe does not leave too much room between your toes and the shoe tip. Be sure that the shoe does not feel loose when running.
  8. Never compromise price for quality but don’t go overboard by buying the most expensive shoes you’ll find. Search for shoes made from light sturdy materials and those that allow your feet to breathe.
  9. If they don’t feel comfortable at the store it won’t feel good when running either. 
  10. Having an extra pair keeps your running shoes last longer. It would also give you time to clean your shoes without spending downtime from running. This ensures that you will always have a pair of dry shoes even when it’s constantly raining. 

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people suffering from foot injuries.  To schedule an appointment, call 561-694-7776 EXT. 2112.

What can trigger a Trigger Toe? - Palm Beach Orthopaedic Institute

Ballet is one of the most demanding dance disciplines. It requires exceptional strength and perfection. A particular move in ballet called the “en pointe” requires dancers to stand at the tip of their big toe while holding the weight of their body. The feet is responsible for supporting our weight and when you concentrate this pressure to a single point, it increases your chance for big toe injury.

Symptoms of Trigger Toe

Chances of non-ballet dancers suffering from trigger toes is small but remains a possibility. This can be triggered if the conditions for developing trigger toes are met. Which makes non-ballet dancers are not immune to trigger toes.   

The first sign of a possible trigger toe condition is pain felt when standing on your toes. Pain which is easily relieved by resting the feet or when weight is lifted from your toes can indicate a trigger toe. Ballet performers may experience pain when performing the en pointe. This can already be a tell-tale sign that the dancer is suffering from trigger toes. 

A clicking sensation or a feeling of the big toes locking can indicate trigger toes. It can also make moving your big toe difficult because of decreased flexibility. In some cases it may require using your hands to release and straighten the toes.

Visit your podiatrist if you observe any of these symptoms. Early diagnosis gives you the best chance of a full recovery without the need for surgery. Dr. John Schilero is a podiatrist who specializes in helping people with trigger toes.

Management of Trigger Toes

 A variety of treatment options can be employed according to the severity of the condition. For those suffering from mild cases, management of the symptom s can be done by employing and ice pack or using NSAIDS to reduce inflammation. Always check with your podiatrist first before treatment.

  • Exercises to strengthen the feet can be done before the dancer engages again in movements such as the en pointe.
  • Dancers may also participate in a weight loss program to decrease the load on their toes.
  • Dancers might also require a weight management program to reduce the weight load on the feet.
  • Surgery is recommended for those suffering from extreme cases of trigger toe. This is to release the tendon and enable the toes to move freely. 

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping dancer’s suffering from foot injuries.  To schedule an appointment, call 561-694-7776 EXT. 2112.

Nikola Pekovic - Achilles tendon injury - Palm Beach Orthopaedic Institute

Minnesota Timberwolves’ center Nikola Pekovic is not immune to the numerous foot injuries suffered during this NBA season. The center will be out indefinitely after undergoing debridement and repair of his right Achilles. His team hasn’t given up on him and they believe that Pekovic will be his old self again once he is fully recovered. But what is an Achilles tendon injury?

The Achilles' tendon allows the foot to extend. It is also one of the most injured tendons affecting both professional and amateur athletes. It is important that you consult with a podiatrist for the first signs of a foot injury. Dr. John Schilero is a podiatrist who specializes in helping people with foot pain and other types of foot conditions.

What causes Achilles tendon injury?

Exposure to strong forces or stress can damage or cause tearing of the Achilles tendon. Activities that may involve a forceful push off with the foot such as football, basketball, tennis, running, and even diving can cause injury. These activities require strong force on the calf muscles that can stress the Achilles' tendon. It can also be damaged by injuries like falling or deep cut at the back of the ankle. There are also times the Achilles tendon itself may weaken making it prone to injuries and rupture. Wearing high heels is also a cause of Achilles tendon injury.

What does an Achilles tendon injury feel like?

  • Pain when stretching
  • Swelling
  • Hearing a snapping or popping sound during the injury
  • Tenderness
  • Stiffness, and
  • Difficulty flexing your foot

What are the treatments for Achilles tendon injury? 

Always check with your podiatrist first before treatment

  • Avoid putting weight on your leg by using crutches
  • Ice your injured foot until the pain is gone
  • When sitting or lying down, elevate your foot using pillows
  • Take anti-inflammatory painkillers to help with pain and swelling
  • Use a heel lift to protect your Achilles tendon from further stretching

How to prevent Achilles tendon injury?

  • Wear an appropriate shoe that fit well and provides proper support
  • Stop exercising if you feel pain on your heel
  • Cut down uphill running
  • Slowly increase the intensity of your physical activity

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people with Achilles tendon injury.  To schedule an appointment, call 561-694-7776 EXT. 2112.

 

Recovering from a Talus Fracture - Palm Beach Orthopaedic Institute

Bones are some of the hardest and most resilient structures in the body. However, even this has its limits and injury can occur anytime. A talus fracture in particular is one which occurs when there is a bone breakage in the ankle.

Bone healing can be a lengthy process especially for bones that have suffered a severe fracture. This is often caused by high impact accidents such as vehicular accidents or direct application of force to the ankle. Surgical treatments can be very difficult and recovery even more complicated. This is why recovering from a talus fracture should not be taken lightly.

Visit a podiatrist if you suspect a talus fracture has occurred. This is for proper diagnosis and treatment of your foot condition. Dr. John Schilero is a podiatrist who specializes in helping people with Talus fractures.

Immediate treatment

Contact your podiatrist for advice. Rest the foot if you suspect an injury. This is to prevent further injury to the ankle. Applying ice over the area could help reduce swelling. Pain medications such as Non-steroidal anti-inflammatory drugs or NSAIDs stops swelling while giving immediate pain relief. Immobilize the feet to prevent further injury.

Simple exercises to strengthen the foot and ankles

Prolonged inactivity weakens the muscles and only makes the recovery period longer. Try moving your feet as soon as your podiatrist has cleared you. Below are a few foot exercises to help you strengthen those foot muscles. Always consult with your podiatrist first before exercising.

  • Moving your foot and ankle up and down. Do this exercise for about 10 to 20 times repeatedly. Stop the exercise when pain is felt.
  • Moving your foot and ankle in an in and out motion. Again, do this 10 to 20 times repeatedly and stop if pain is felt.
  • Move your foot and ankle in a circular motion and repeat 10 times in a clockwise motion. Repeat this 10 times in a counter clockwise motion.

Consult a podiatrist for proper diagnosis and treatment.  At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people with Talus fractures.  To schedule an appointment, call 561-694-7776 EXT. 2112.

 

Ben Roethlisberger Suffers Lisfranc Injury - Dr. John Schilero


NFL player Ben Roethlisberger, quarterback of Pittsburgh Steelers suffered a foot injury and had to be carted off the field. It was later confirmed that he suffered from a Lisfranc injury. He later underwent rehabilitation and missed some games during the season.

A Lisfranc injury occurs when a ligament or the joints of the middle foot are damaged or broken. This may be a result of an accident or from a simple fall. This injury can be mistaken as a sprain, and not obtaining proper treatment can lead to significant problems. The injury can range from mild to severe. Consult a podiatrist for any type of foot injury. Dr. John Schilero is a podiatrist who specializes in helping people with chronic foot pain and other types of foot conditions.

The three types of Lisfranc Injury are:

  • Dislocations - when the bones are forced from its proper position
  • Sprains - the stretching of ligaments that causes instability
  • Fractures - broken bones in the Lisfranc joints

What are the symptoms of Lisfranc injury?

  • Swelling on top of the foot
  • Bruising
  • The foot is distorted
  • Putting weight on the foot is very painful
  • Widening of the foot
  • Coldness, numbness, and pain in the foot
  • Grey, blue, and black colors are appearing on your toenails

What are the causes of Lisfranc injury?

  • The injury may be a result of a slip and fall
  • Participation in contact sports
  • Past foot or ankle sprains
  • Twisting injury
  • Poor flexibility and strength
  • Direct trauma to the middle of the foot
  • Improper position of foot when landing

What are the treatment options?

If the ligaments or bones are not severely injured, a non-surgical treatment can be successful. If the bones or ligaments are seriously damaged, a surgery may be necessary to restore the anatomy of the foot.

Ice - with the use of an ice pack or an ice massage, apply ice on your injured foot every 2 to 3 hours that will stay for 15 minutes.

Medication - anti-inflammatory drugs can help to ease the pain. Use drugs prescribed by your doctor depending on your needs.

Contact your podiatrist for immediate help when the pain, tenderness, or swelling gets worse.

 How Lisfranc injury can be avoided? 

  • Wear equipment that fit and are properly padded
  • Before the activity, it is advised to do a warm up and stretch properly
  • Wear cleats or spikes to provide your toes extra protection
  • Maintaining physical fitness is a must
  • Protect your vulnerable toes with braces, high top athletic shoes, and elastic bandages. 

At Palm Beach Orthopaedic Institute located in West Palm Beach, Palm Beach Gardens, Jupiter and Wellington, we specialize in helping people suffering from chronic foot problems. To schedule an appointment, call 561-694-7776 EXT. 2112.