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Foot and Ankle Stress Fractures

Foot and Ankle Stress Fractures

Stress fractures are common injuries to the bones of the legs and feet, resulting from repetitive stress rather than sudden injury. These hairline cracks in the bone affect athletes, including runners, basketball players, or dancers. Pain from stress fractures is particularly felt during weight-bearing activities and direct pressure on the bone. They may be difficult to diagnose as the pain often subsides when activity stops. Because they do not always show up on an  X-ray, further diagnostic tests, like CT or MRI scans may be needed. Left untreated, stress fractures in the feet or ankles can worsen, leading to more severe complications. Seeking timely medical attention from a podiatrist is essential for proper diagnosis and treatment tailored to individual needs. This facilitates pain relief, promotes healing, and prevents further damage. If you are experiencing symptoms suggestive of a stress fracture, it is suggested that you schedule an appointment with a podiatrist.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Choosing the Right Running Shoe for Your Foot Type

Choosing the Right Running Shoe for Your Foot Type

Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body.  Selecting the correct running shoe is important for increasing performance and avoiding risk of injury.  Running shoes should be selected based on your foot type.  Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require.  The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes.  Professionals can measure your arch type, stride and gait and help you with your shoe needs.

The design of running shoes is created around the idea of pronation.  Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground.  If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more.  Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy.  Those considered neutral runners pronate correctly and do not need running shoes that help correct their form.  Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types.  However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.

Those who overpronate experience an over-abundance of ankle rolling.  Even while standing, those who severely overpronate display ankles that are angled inward.  It is not uncommon for them to have flat feet or curved legs.  The tendency to overpronate may cause many injuries.  Areas that tend to become injured are the knees, ankles, and Achilles tendon.  If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control.  Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip.  The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.

A less common problem is underpronation.  Underpronation, also called supination, is when the feet are unable to roll inward during landing.  Those who underpronate have feet that lack flexibility and high arches.  This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees.  This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact.  Those who underpronate need shoes with more cushioning and flexibility.  If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.

Considerations for Choosing Running Shoes

Considerations for Choosing Running Shoes

Selecting the right running shoe involves considering several factors to ensure optimal support, comfort, and injury prevention. The first is your foot type, such as flat feet, high arches, or normal arches. You may also have a certain gait pattern, which is how your foot moves when you walk or run. Some people have feet that roll to the outside or inside, and certain shoes address this. Another consideration in choosing running shoes is the type of running you'll be doing. The right shoe should provide adequate cushioning to absorb impact, support tailored to your foot's arch type, and a comfortable fit for natural foot movement. Podiatrists can help you to understand all of the factors in this selection process. With their expertise in foot mechanics and conditions, podiatrists can perform a comprehensive evaluation of your feet to recommend shoes that match your needs. For example, they can conduct a gait analysis to recommend the right shoes for the way you walk. They can also identify any underlying issues that might affect your choice, such as pronation concerns or the need for custom orthotics. If you are in the market for new running shoes, it is suggested that you consult a podiatrist to find shoes that will maintain your foot health and optimize your running performance.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Foot and Ankle Trauma

Foot and Ankle Trauma

Broken Feet

A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.

Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.

Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.

When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones. 

Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sits directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activities. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

Foot Fractures With Soft Tissue Damage

Foot Fractures With Soft Tissue Damage

Fractures of the foot not only affect the bones but can also cause soft tissue damage to the muscles, ligaments, and skin surrounding them. These types of injuries often occur due to high-impact events like falls, sports accidents, or direct blows to the foot. The presence of soft tissue damage can significantly complicate the healing process, as it may lead to increased pain, swelling, and a prolonged recovery period. The treatment for such fractures typically involves more than just addressing the broken bone. It means the soft tissues need to be treated carefully to ensure proper healing. This might include putting the foot in a cast or boot, exercises to restore strength and flexibility, and possibly surgery to repair both the bone and soft tissues. The goal of treatment is to restore as much function as possible while minimizing the risk of long-term complications. Podiatrists can effectively treat foot fractures and soft tissue damage, and it is suggested that you promptly schedule an appointment with this type of doctor if you have endured a foot fracture. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Foot Pain

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Common Diagnostic Tests for Foot and Ankle Pain

Common Diagnostic Tests for Foot and Ankle Pain

Common diagnostic tests for foot and ankle pain encompass a variety of methods aimed at identifying the underlying cause of discomfort and informing appropriate treatment strategies. X-rays are often the initial imaging choice, providing detailed views of bones to detect fractures, arthritis, or bone abnormalities. Magnetic Resonance Imaging, or MRI, offers more comprehensive images, particularly useful for soft tissue injuries, such as ligament tears or tendon damage. Ultrasound scans provide real-time imaging and are effective for assessing soft tissue structures like tendons and ligaments. CT scans may be used to visualize complex fractures or detailed bone structures. Additionally, diagnostic procedures like electromyography, EMG, and nerve conduction studies, NCS, help assess nerve function, aiding in the diagnosis of conditions like peripheral neuropathy or nerve compression syndromes. Physical examination techniques, including range of motion tests and palpation, complement these diagnostic tests, providing valuable insights into the source of foot and ankle pain. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist who can examine you and conduct tests necessary to properly diagnose and treat you.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How to Care for Diabetic Foot

How to Care for Diabetic Foot

Millions of people are affected by diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy, or nerve damage. Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of. Otherwise, the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.

It is very important to always wash and dry the feet thoroughly, especially in between the toes, if you’re a diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain.  You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the dye. Well-fitting socks are also highly recommended.

A diabetic’s physician should always monitor their blood levels to test how well blood sugars are being maintained. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with the diabetic patient’s neuropathy. It is also advised to see a podiatrist if experiencing any feet conditions. Toenails may also need to be taken care of by a podiatrist. This prevents patients from cutting too deeply around their cuticles, which can lead to infection.

A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. Proceed with caution when using tools to remove calluses, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to contact a podiatrist.

On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound becomes too severe to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.

Treating Chronic Diabetic Foot Ulcers

Treating Chronic Diabetic Foot Ulcers

Chronic foot ulcers are a challenging complication of diabetes. Diabetic ulcers may arise from a variety of factors, including impaired blood circulation, nerve damage, and high blood sugar levels. These factors collectively compromise the body's ability to heal and fight infection. There are many therapies that podiatrists may use to combat foot ulcers, such as advanced wound care techniques, infection control measures, and strategies to enhance circulation. One key treatment is debridement, which involves the careful removal of dead or infected tissue to promote healing. A podiatrist may apply specialized dressings and topical agents that foster a moist healing environment and support tissue regeneration. Another treatment, called offloading, involves reducing pressure on the ulcer through custom footwear or casts. These are not the only treatments that podiatrists may employ. If you are suffering from chronic foot ulcers due to diabetes, it is suggested you schedule regular appointments with a podiatrist to monitor and treat the condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Heel Pain in the Morning?

Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

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