Many people experience pain not only to the bottom of their heel, but they also experience pain to the back of their heel bone. This pain is sometimes associated with a prominent bump to the back of the heel known as a Haglund’s Deformity or “pump bump”. This bump is positioned where the Achilles tendon inserts onto the heel bone. This area can become irritated, swollen and painful. Often times, patients complain of irritation from their shoes.
Causes of this “pump bump” include: a high arched foot type, a tight Achilles tendon, and improper walking technique. Symptoms include a painful bump to the back of the heel, swelling, and redness of the area due to the irritation and rubbing in shoes. Treatment is both conservative as well as surgical. Some conservative treatment includes anti-inflammatory medication, icing, stretching, heel lifts, custom orthotics, shoe modification, and often physical therapy. Surgically, the treatment would be shaving down the prominent bump.
If you are experiencing pain to the back of your heel bone, do not hesitate to follow with your podiatrist. Call us at Worthington Foot & Ankle if you have questions!
“I sprained my big toe joint!”
School is starting and with that comes the start of the football and soccer seasons. This is when we, as podiatrists, begin to see many new types of injuries. One of these injuries is “Turf Toe”. Turf Toe is a sprain of the ligaments around the big toe joint. Over extending the great toe causes this injury to the ligaments. It is most commonly seen in athletes playing on artificial surfaces.
Symptoms of turf toe include pain, swelling, and limited motion at the joint at the base of the big toe. There are three grades for this injury from least problematic, to increased severity. A Grade I injury is a sprain of the ligaments, athletes are typically able to return to play as tolerated. Grade II injury is a partial rupture of the ligaments and the athlete typically needs upwards of 2 weeks to recover. A Grade III injury is a complete rupture of the ligaments and requires up to 10 to 16 weeks to recover.
The initial treatment for treating turf toe is a combination of rest, ice, compression, and elevation (RICE therapy) as well as oral anti-inflammatories. Taping may be beneficial to limit the motion of the joint. At times, a rigid insert that minimizes the flexion of the joint is the most useful option.
It can take two to three weeks for the pain and inflammation along the joint improve. The patients must be cautious as this injury can recur if not treated aggressively at first. Long term use of inserts or other adjustments to their athletic wear is warranted. If you sustain an injury this sports season, do not hesitate to call us at Worthington Foot & Ankle, we’d be happy to help!
Worthington Foot & Ankle’s 1st annual Ladies’ Night Out is a little over a month away (SEPT 28).
Our confirmed vendors are:
1. Rodan & Fields
2. India Hicks
5. Royally fluffed tutus
6 Amy Weimer photography
7. Bushel and a Peck Treats
9. Handwritten Forward
Get a head start on your Christmas shopping as well as meet the doctors and staff of WFA, enjoy some cocktails and snacks, and meet new friends!
Ladies Night Out
Grab your friends for Worthington Foot & Ankle’s 1st annual Ladies Night Out. Enjoy an evening planning your holiday wish list with our vendors, have some snacks and drinks and meet the doctors of Worthington Foot & Ankle.
Mark your calendars for September 28, 2016 from 6-8pm.
Address is: 37 E. Wilson Bridge Rd, Worthington, OH 43085
*Watch for details closer to the date*
In the recent weeks, I have seen quite a few patients who have presented with a condition called plantar fibromatosis. Many people who experience this condition, complain of a painful lump along their arch, which can cause pain to the heel as well. This painful nodule/lump is called a plantar fibroma. These lumps can be especially painful with walking.
I have seen this condition occur most in the middle-age population, but can occur at any age. The true cause is unknown, but some possibilities can include: trauma, genetics, and some medications. Treatment can be both conservative as well as surgical. Conservative treatment can include: stretching, padding, orthotics to offload the area, topical medications which have helped tremendously in some patients, or physical therapy. Surgically, the fibromas can be removed. With surgical removal, there is a chance the nodules can return. If you have noticed a painful nodule to the bottom of your arch, please call us at Worthington Foot and Ankle, we can help!
Many patients experience muscle injuries, especially those runners and athletes during the summer. These injuries can be acute due to increased activities or chronic repetitive incorrect technique. There are many ways to treat these injuries, which are commonly related to inflammation in the injured site.
Nonsteriodal anti-inflammatories (NSAIDs) are the most commonly prescribed medication for musculoskeletal injuries. They are useful for their analgesic and anti-inflammatory properties. Oral/systemic NSAIDs do have adverse side effects, specifically to the heart and stomach. There have been many newer topical NSAIDs brought to the market to treat the injuries. Topical NSAIDs are used to treat the area locally and produce high enough concentrations without the high systemic levels typically associated with common side effects.
There are side effects associated with topical NSAIDs, with the most common adverse reaction a skin reaction occurring in 1 to 2 percent of patients. This can present as redness, itching and irritation. There is evidence that supports that topical NSAIDs are effective and safe for sports injuries.
If you are unable to take oral NSAIDs, but have had issues with recurrent sports injuries, topical NSAIDs may be a treatment option for you. Let us a Worthington Foot & Ankle help!
Recently, I have seen quite a few patients with pain to this inside of their ankle and heel. Heel pain is just not always just identified on the inside of the heel or arch. It can also occur along the inside of the ankle along the tendon known as the Posterior Tibial Tendon. This tendon helps to support the arch. At times, this tendon can become inflamed, swollen and painful. This is known as Posterior Tibial Tendonitis.
Overuse of the tendon causes dysfunction of the tendon, leading to inflammation and the pain. Symptoms are usually seen after activities such as running, hiking, or climbing. Patients often complain of pain along the inside of their ankle coursing towards their arch. The area is not only painful, but can be found to be swollen as well.
Patients may relate having flatter arches, and this is due to the tendon not functioning to help support the foot correctly.
Treatment can be conservative as well as surgical. Conservatively, patients can try orthotics, bracing and immobilization, physical therapy and medications such as anti-inflammatories. Surgery is often indicated when conservative attempts have failed. Surgical procedures often include repair of the tendon.
If you have had chronic pain radiating to your arch from your ankle, you may not have the common plantar fasciitis, it may be due to dysfunction of your tendon. The podiatrists at Worthington Foot & Ankle can help diagnose and treat you correctly!
Sever’s Disease/Children’s Heel Pain
With the fall sports season approaching, many kiddos are going through conditioning or finishing up their summer seasons and can notice heel pain. There are several causes of heel pain in young athletes with the most common being Sever’s Disease or calcaneal apophysitis.
Inflammation of the growth plate of the heel bone can cause discomfort to the heel, mild swelling and difficulty walking. The condition usually presents itself between the ages of 8 and 14 with a higher incidence in boys than girls. Sever’s Disease is being diagnosed more frequently in girls due to their participating in an increased amount of sports such as soccer, basketball and softball.
There are many factors that can cause an athlete to have calcaneal inflammation. The majority of patients will present with a tight heel cord or a flatfoot. Treatment should focus helping the biomechanical changes the child is undergoing during maturity.
Rest and anti-inflammatories often help with pain. Daily icing to the affected heel can help with the initial phase of treatment. Once the initial inflammation is addressed, treatment should focus on increasing the strength and improving the biomechanical factors that have contributed to the calcaneal inflammation. Often children respond well to heel lifts in their shoes to offload the Achilles tendon and/or orthotics to control the excess motion of the foot.
If you child has heel pain while participating in sports, do not hesitate to contact us at Worthington Foot & Ankle. We can help get your child back to the field.
Here’s some information for all of you summer runners out there about Shin Splints
Many people experience pain to their shins following a run or light jog. This pain can be called by shin splints caused by irritated and swollen muscles. This irritation can be due to overuse and incorrect biomechanics. The pain associated with shin splints, also known as tibial stress syndrome, occurs just behind the long shin bone. Too much force can cause inflammation along the area.
Symptoms can include tenderness or pain along the inside of the lower leg as well as swelling to the lower leg. Treatment for shin splints varies but can include: Rest, ice, over the counter anti-inflammatories, proper shoe gear as well as custom orthotics. If you have chronic shin pain, or have developed pain to your shins following exercise, do not hesitate to contact us at Worthington Foot & Ankle.
We will be starting a new blog series. Check our facebook page and this news feed for some general podiatry information. Feel free to put in your requests and questions!
Many runners have returned to “barefoot running” as they feel this is the most beneficial and natural way to run. Many runners believe, that running on their balls of their feet is best as this is the natural shock absorber. Traditionally, running shoes provide extra cushion to the heels to allow for shock absorption but this disperses forces to the legs and knees. Many barefoot runners believe the best way to learn good running, is to allow your feet to feel the ground as you are running, and this is done with minimal support.
Research has shown, that by running barefoot, you allow more of your foot to contact the ground. You are no longer heel striking, but utilizing your entire foot. You actually take more strides, causing a more smooth running style.
If you feel you would be better adjusted to running in the barefoot style, do so gradually. Do not attempt your typical running mileage the first time. If you have further questions regarding running barefoot, or exercise in general, please contact us at Indiana Podiatry Group. We would be happy to discuss proper footcare for running and exercising.