Wednesday, October 28, 2009

Stress Fractures

An incomplete break in the bone caused by overuse is known as a stress fracture. Symptoms include pain, swelling, and redness. Up to 15% of all sports injuries are stress fractures. A podiatrist needs to perform an examination and look at X-rays of the injury in order to diagnose a stress fracture. Treatments include immobilization of the foot with the use of a cast, medications, and in some cases orthotic devices to prevent further injury.

Tuesday, October 06, 2009

Plantar Fasciitis in the Public Eye

Eli Manning, the quarterback for the New York Giants football team, has been diagnosed with plantar fasciitis after injuring his right heel in the fourth quarter of the Giants' win over Kansas City. He has been reported to have pain, and inflammation/swelling around his heel.

Plantar fasciitis is the inflammation of the plantar fascia, the tendon which connects the heel to the toes along the bottom of the foot. This injury is common not only for athletes. It is often the result of overuse, acute trauma (like in Manning's case), wearing footwear without adequate supports, and working/standing/walking on hard surfaces. The condition is usually conspicuous through symptoms like pain in and around the heel and bottom of the foot, tightness in the arch of the foot, and swelling and inflammation of the heel and tendon. Often people experience the pain from this injury in the morning, and it subsides as the tendon stretches out during the course of the day. It is also common to experience pain after sitting (resting) and getting back up after being on your feet for extended periods.

There are a number of treatments for plantar fascia. Taping can help relieve the pressure on the tendon, as can wearing a night splint over night to avoid tightening of the tendon. Often a stretching program or physical therapy can help strengthen the plantar fascia. Orthotic inserts for the patient's shoes are a very common treatment as well, and they tend to be effective even in difficult cases. Cortisone shots are also recommended frequently. Our office also offers APC (autologous platelet concentration) injections and ESWT (electronic shock wave therapy) to aid in sever cases of plantar fascia. The APC injection helped Hines Ward return from a knee injury just in time to aid the Steelers in their 2009 Superbowl win. One or a combination of these treatments could help Manning return to good playing condition and reduce his pain throughout the season.

If you are experiencing pain from plantar fascia, or any foot pain, do not hesitate to contact our office. Many people delay the treatment of this condition because they think they need to just bear the pain. This is not true. There is no reason to suffer when we can help you find relief.