fracture

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.

 

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.

Steve Smith - Ruptured Achilles Tendon - John Schilero, DPM

Steve Smith, Baltimore Ravens receiver had to be carried off the field in a game after suffering from a foot injury. The coach of Baltimore Ravens later announced that Steve Smith suffered a ruptured Achilles tendon. Considered as one of the best receivers of his generation, Steve Smith had to be sidelined, which was a big blow to the team.

Foot injuries among athletes and football players in particular is common. With the huge physical stress that the foot undergoes in a game, the likelihood of injury is high. Consult a podiatrist for any signs of chronic foot pain. Dr. John Schilero is a podiatrist who specializes in helping people with chronic foot pain and other types of foot conditions.

What is ruptured Achilles tendon?

Ruptured Achilles tendon is the complete tear through the tendon about two inches above the heel bone.

What are the causes of ruptured Achilles tendon?

  • Achilles tendon can grow weak and thin because of age and lack of use. Rapture usually occurs in the middle-aged athletes
  • Making a forceful push of your of your foot
  • Sudden trip or stumble and your foot are thrust in front to break the fall
  • Falling from a significant height

 

What are the signs and symptoms of ruptured Achilles rupture?

  • A sudden severe pain at the back of the ankle
  • A loud popping or snapping sound
  • A gap may be felt about two inches above the heel bone
  • Swelling and stiffness followed by bruising

How to treat a ruptured Achilles tendon?

Protection is needed to give time for healing. Moving your foot and ankle is advised to prevent the loss of muscle tone. Treatment options are non-surgical and surgical. Both will require a period of six weeks of casting or special braces. Use of heel lifts device followed by a regular physical therapy.

Consultation with a podiatrist to determine the treatment and follow-ups.

  • Self-care for ruptured Achilles tendon
  • You have to rest the injured part.
  • Ice the injury to limit the swelling.
  • Compress the injured area with the use of elastic bandages.
  • Elevate the injured part to reduce the swelling.
  • Over the counter medications are also an option to relieve both pain and inflammation.

How to prevent a ruptured Achilles tendon? 

  • Daily stretching and pre-activity warm up.
  • A continuous level of activity should be maintained especially of you are out of the sport for a long period of time.
  • An overall muscle conditioning will help to maintain a healthy tendon.
  • Wearing appropriate shoes that will support your foot against injury.

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.

Navicular Stress Fracture Sidelines Joel Embiid for a Second Year - Palm Beach Orthopaedic Institute

ther disappointing NBA season, 76er’s fans got another dose of bad news as prized center Joel Embiid undergoes surgery for Navicular stress fracture. A top pick in last year’s NBA rookie draft, the 21 year old center was poised to become a valuable piece in the NBA team’s lineup.

Foot injuries are a special concern for NBA teams. And having this early in his career places doubt in his ability to play injury-free in the future. A Navicular stress fracture was also responsible for ending another NBA center’s career. Yao Ming suffered from recurring foot injuries that he simply had to retire from the game.

Recovery from Navicular stress fracture is good. But when you’re talking about players who are 7 feet tall and more than 250 pounds constantly running up and down the court then the chances of reinjuring the foot is more likely. Other players have shown that it a full recovery is possible. Zydrunas Ilgauskus for example was able to recover and play for ten more years after three foot surgeries.

What is a Navicular Stress Fracture?

A Navicualr stress fracture occurs when a bone in the mid-foot (Navicular bone) suffers and incomplete fracture due to repeated weight bearing or high impact activity. When the force exerted on the bone becomes excessive or goes beyond its load carrying limit, bone damage gradually occurs. Recovery from Navicular stress fracture is greater when the condition is diagnosed early. And visiting a podiatrist gives you the best chance for confirming if you are suffering from a Navicular stress fracture. . Dr. John Schilero is a podiatrist who specializes in helping people with foot disorders and injuries.

Symptoms of Navicular Stress Fracture

A Navicular stress fracture can be suspected when pain is reported at the mid-foot area where the bone is located. This is felt during weight bearing activities, running or jumping. Localized pain in the arch of the feet that goes away with rest or when pressure is lifted from the foot. Swelling and tenderness when the mid-foot is pressed can also indicate Navicular stress fracture.

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