Pop Goes the Tendon

Lateral view of the human ankle, including the talus (Photo credit: Wikipedia)

The Achilles tendon is a tough fibrous cord which attaches the calf muscles of the lower leg to the heel bone. When overstretched, the tendon can become inflamed and sore. This is called Achilles tendonitis. In many instances home treatment is successful when done under a doctor’s supervision. If further damage occurs to the tendon, small tears may begin. These tears are also called ruptures, and may be partial or complete. A rupture results in sharp pain and the inability to walk normally. Sometimes there is an audible “pop” when the tendon first ruptures. Other symptoms include:

• Pain and swelling in the heel area, and pain may be severe.
• Unable to bend foot downward.
• Inability to raise up on toes.
• Popping noise when injury first occurs.

Rupture of the tendon usually occurs near the point where the tendon attaches to the heel bone. Ruptures are most frequently caused by increase in physical activity, traumatic injury like falling high up or stepping into a hole.

Men between the ages of 30 and 40 present the greatest risk for Achilles tendon rupture. Also, the likelihood is increased if you participate in recreational sports that involve running, jumping and quick starts and stops. There are also certain types of medicines that can increase the risk of tendon rupture.

Because an Achilles tendon rupture affects your ability to walk, you should seek immediate treatment. Dr. Blaakman has certain tests he can perform to determine if it is your Achilles tendon and the degree of rupture. He may order additional tests like an MRI so he can view the extent of the damage. This is a painless test that creates a computerized image of the tissues in your body.

Both non-surgical and surgical treatment methods are common. Younger more active people may choose surgical repair to try to get back to their routine quicker, while older individuals may choose non-surgical methods.  Non-surgical methods may work equally well, but probably take a bit longer to heal and run a greater risk of the injury recurring. You would be required to wear a boot or cast for a period of time while the tendon mended itself.

Surgical correction is done through an incision, whereby the tendon is sewn back together. As with any surgery, infection is a possible risk. Regardless of the treatment method, a rehabilitative time of 4-6 months is necessary during which time you will undergo muscle strengthening exercises and physical therapy.

Exercises that strengthen the calf muscles can help prevent a rupture. Also alternating activities to avoid overuse is important as well as gradual increase of duration and intensity of exercise. If you have tendonitis or an Achilles rupture, contact Dr. Blaakman at (877) 941-3338. Don’t wait for things to get worse. A little help from Dr. Blaakman and you’ll be right back up and running in no time.

References:

http://www.mayoclinic.com/health/achilles-tendon-rupture/DS00160/DSECTION=prevention

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The Road to Shin Splints

(Photo credit: Wikipedia)

Shin splints is an injury that results from cumulative stress brought on by physical activity without benefit of proper conditioning or warm up. It is characterized by pain usually felt in the outer front of the lower leg. Because of the pain location next to the tibia, shin splints are also referred to as medial tibial stress syndrome. Shin splints are a common complaint of athletes whose rigorous physical activity includes a lot of sudden starts, stops and running like football, basketball or soccer. The pain may tend to cease when you stop exercising and ease up with rest, but eventually it will probably return if not treated. Thankfully, shin splints respond well to:

• Rest
• Ice
• Over-the-counter pain medication

If you have tried conservative treatment methods and your pain has intensified and does not improve with rest, you should see Dr. Blaakman. By questioning you, Dr. Blaakman may find that your shin splints can be traced back to:

• Running downhill or on a slanted or uneven surface
• Running in footwear that lacks the proper cushioning, or is worn beyond usefulness
• Rigorous sports activity
• Running too hard, fast and long to avoid stress overload

Sometimes shin splints can be caused by biomechanical weakness or abnormalities. In these instances, after a complete evaluation, Dr. Blaakman may be able to prescribe custom orthotics that would correct faulty movement, bring your body back into correct alignment and allow you to move pain free. Other treatment options include taping, bracing, stretching and medication.

Shin splints can be avoided or prevented from returning by paying close attention to the surfaces you walk or run on, the condition of your shoes and adequate warm up activity. If running is the cause of your shin splints, there is no need to completely give up the activity. Limit the time spent and intensity of running. Change to a more mild form of aerobic exercise such as swimming or bicycling until you are healed enough to resume regular activity. Return to normal routine slowly and with proper conditioning and take a couple of days off running and do some strength training, including a workout for your toes. Slowly rise up on your toes, and slowly lower to the floor. Repeating this ten times can gradually build up strength.

Call Dr. Blaakman at (877) 941-3338 if your pain persists. He has great treatment options just right for getting you off the round-a-bout of pain and on the road to recovery.

References:

http://www.upstatefootcare.com/new-patients/video-library/
http://www.mayoclinic.com/health/shin-splints/DS00271

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Football and Soccer Cleats - Prepare Now for Autumn Sports

F50.9 TUNIT (Photo credit: Wikipedia)

It may seem like school just let out, but time is fleeting and the beginning of the school year is closer than you think. If you have a young student that participates in football or soccer, take a little time out and begin to prepare. Chances are you will need to consider new cleats, specific to their sport. Seldom can a growing youngster or teen get two seasons out of a pair of shoes. They grow too fast!

Any concerned and involved parent is going to be concerned with the safety of their child. Shoes are a major consideration. They go a long way to protect the foot and ankle regardless of the sport. For football, shoes that allow for running, the proper amount of side to side motion as well as flexion are important. Prior to investing money, make sure you are in synch with the regulatory agencies that govern safety for the age group or divisions your child plays in. You may wish to consult a coach or school official for information, but consider the following:

• Purchase new shoes. You may think hand me downs or used will save you money. They may look good on the outside, but be completely worn on the inside. If the cushioning and inner structure is lacking support, it is a wiser decision to go with new shoes.

• Make sure that the cleats or cleat patterns are in compliance and are appropriate for the surfaces your youngster will be playing on.

Purchasing the best quality cleats available is not going to make anyone a star. It’s not about the money. Shoes that fit snug, but not tight are important. A sport store that specializes in what you are outfitting for has knowledgeable staff familiar with fitting shoes. If shoes do not fit appropriately or if they hurt the feet, it can prevent the athlete from playing up to their potential. Leather shoes are usually preferable, but in wet conditions they become weighty and burdensome. Cleat lengths vary, so you need to carefully consider the surface. Consult a local professional for recommendations.

If your child experiences an injury, consult with Dr. Blaakman at (877) 941-FEET. His knowledge and experience can guide you and help to maintain foot health and safety.
 
References:

http://www.livestrong.com/article/14240-choose-soccer-cleats/

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Here Come the Summertime Warriors

Marahon shoes (Photo credit: Wikipedia)

With the first 90 plus degrees of the summer, it’s great to be out there to reacquaint yourselves with the outdoors and get back into shape. Constant beach weather is just around the corner, so you’ll want to get rid of that mid-line flab and show off those six packs. It doesn’t matter what your favorite outdoor pursuit is - just do it!

However, it’s important to start slow and gradually condition yourself. You don’t have to run a race this week, and while you might have quite a ways to go, you have don't have to rush your conditioning. It is impossible to emphasize enough the importance of a slow and reasonable pace when it comes to starting any exercise program. You can’t just start out making outrageous demands on the body without risking a serious injury.  Regardless of the exercise you choose, there are certain to be pre-requisites for consideration. 

Do you have the appropriate footwear to take you where you want to go? 

Whether you are cycling, kayaking, running or swimming, there are shoes designed to meet your specific needs. Even within the sport you choose, there may be options for shoes. You need to make sure you are purchasing footwear at a dealer who specializes in that sport. They have the product knowledge and expertise to guide and fit you.

Making sure you have appropriate footwear is almost half the battle. It can save a lot of pain and problems for your feet.  But remember that conditioning and warm up are just as important. You need to plan 10 minutes of stretching and warm up exercises prior to your chosen activity. This is your opportunity to talk to your body and advise it on what you are going to ask it to do. Warm and gently stretched muscles are far less likely to become injured than cold tight muscles. So take the time and get loose.  You also should modify your program if the heat index reaches 90.  Take frequent water breaks or save exercise for the early morning, or evening, when the temperature is a bit more agreeable.

If you find that you have somehow caused an overuse injury, call Dr. Blaakman at (877) 941-3338. If you are in pain, rather than give up the exercise program, let Dr. Blaakman put his experienced hands to work. Remember to ask him all of your questions about conditioning for your favorite sport. He can help you avoid the strains, sprains and fractures commonly associated with ramped up physical fitness programs.

Also, you can like us on Facebook for more updates on foot and ankle news! Check out our Duncan office and Gaffney office Facebook pages!

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It Used To Be Wet Shoes Were Ruined Shoes

Canoe-kayak-marathon (Photo credit: Wikipedia)

Years ago it used to be a kid had one pair of shoes. Two pair perhaps if they were from an affluent family, one pair for the work week and one for Sunday worship.  No wonder it was so often heard, “Don’t get your shoes wet.”  Wet shoes meant cracked leather and that shortened the usefulness of a pair of shoes.

Time marches on and things change. Now a person probably has five or six pair available to them or perhaps more. Shoes are becoming highly specialized. It’s almost like there is a pair for every function and keeping shoes dry is a thing of the past because there are shoes designed specifically to get wet - water shoes. Even water shoes are becoming specialized to the point where they may have multiple pair. Water shoes are designed with specialized mesh linings for quick drying and channeling systems that allow water to flow out of the shoes. Under what circumstances would you choose water shoes?  Well, to wear around the deck of a pool. This may be done for different reasons such as foot protection from injuries, traction to prevent slip and fall injuries or hygienic purposes. There are even shoes designed with specific water sports in mind, such as kayaking.

When kayaking, you should consider the weather and performance demands of the shoes.  A water sandal is good if the weather is warm because they allow for drainage and quick dry, while providing some protection for the foot. They have a snug fit and not a lot of straps to get tangled. Water booties are a better choice if the water is cold. They help keep the feet warm, have zippered or hook and loop closures to adjust for a snug fit. Serious kayakers may choose water boots that offer protection from water and cold all the way up to your knees.

If you need a shoe to take you close to the pools edge, you may wish to try something like Crocs. It gives you a little something to prevent slip, falls and keep your feet off the pool deck so your feet are away from fungus.  However, if you are in the pool for an aqua class and are going to be moving a lot, try a sneaker type shoe that offers a bit of support, stability and protection from impact. Then, hit the water’s edge. There isn’t anything more refreshing than a quick dip, when the mercury rises.

Water shoes offer protection at times when other shoes aren’t appropriate, but if an accident or injury occurs, contact Dr. Blaakman at (877) 941-3338. He provides caring and compassionate full service podiatric care to help keep you active.

References:

http://www.galttech.com/research/sports/best-water-shoes.php
http://www.livestrong.com/article/427103-good-water-shoes-for-kayaking/

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Swimming and Your Feet - Watch Out for Dangers!

Image via WikipediaWhether you’ve been a swimmer for years or have just recently started to learn, you know that your feet play a very important role.  Since we’re not fish or some other type of water dwelling creature, we don’t have fins, obviously, so the closest thing we have to fins is our feet.  So you want to make sure that you take extra care of your feet at all times, especially in the swimming pool. 

So what dangers lurk in the swimming pool or rec centers that swimmers go to every day?  Some are obvious while others are hidden from our eyes.  The first tip is to make sure that you swim in a pool that is cleaned regularly.  This goes beyond just swimming in dirt and grime, but if you swim in lakes or pools that aren’t monitored closely, you might end up cutting your foot on something at the bottom of the water.  Remember that even though you might not see anything from the surface of the water, that doesn’t mean there isn’t a glass bottle or glass shard laying in wait.  If the pool is maintained regularly and there’s a strict no glass rule, you should be fine.

Another danger is one that you can’t see with you eyes.  It is the danger lurking in the areas around the pool, in the locker room and especially in the shower.  This danger is Athletes Foot.  It might not seem like that big of a deal, but if you have Athletes Foot and don’t get it properly treated, it can stay underneath your skin and thrive for years and years, even if you don’t notice it at times. 

If you have athletes foot or have any other kind of foot injury, you should see a podiatrist so they can help you fix the problem.  Schedule an appointment with Upstate Footcare so you can get the foot problem fixed asap!

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To Treadmill or Not to Treadmill

Image via WikipediaWith tons of people resolving to exercise more this year, one thing becomes more popular every year is running.  But one debate that comes to mind is what is better: to run on a treadmill or to capture running outside?

Running on a treadmill can be a great experience.  You won’t have to face the cold weather outside, especially if you like to run early in the morning or late at night.  You can change the difficulty to whatever you’re comfortable with, or you can challenge yourself to push harder.  Since you’re running on a machine, it’ll absorb some of the shock on your feet, thus helping prevent pain and injury.  By watching your favorite television program, the time might the time seem to go faster because you’re not focusing so much on working out.  The downfalls of running on a treadmill are the cost, the space it takes up, you don’t get fresh air, and you might have to fight with people at the gym to get a spot.

Running outside in the fresh air, seeing the sights and hearing the noises is truly something special.  You can’t get that from a treadmill.  If you’re training for a 5k or any type of race that’s outside, you need to train outside.  Outside you face random challenges that you can’t control, which challenges you to push further and harder than you could on a treadmill.  The downside is that you will have to face the weather and obstacles that will hinder your workout.

The choice is up to you, or you could always ride the fence and do both.  Saving the treadmill when you don’t want to face the weather or obstacles of everyday life.  Either way, make sure to do all you can to avoid injury so that you can enjoy your running habit.  Contact Upstate Footcare if you have a sports injury in your feet or ankles today to set up an appointment so that you can take measures to heal and get back to running!

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Skiing and Snowboarding - Be Ready!

Image via WikipediaImage via WikipediaAs we come to the skiing and snowboarding season, if you enjoy these sports, one thing you need to make sure of is that you are actually ready to hit the slopes.  How does one prepare themselves for skiing or snowboarding if they can’t actually go skiing or snowboarding?  Well it’s simple.  First of all, don’t wait till the opening of the slopes to get your muscles in shape.  Now I don’t mean that you have to be a body builder in order to enjoy these sports, but your muscles do need to be kept up. 

Now skiing and snowboarding use a lot of the muscles of the whole body (if you don’t believe that, you haven’t skied or snowboarded), but the main muscles you need to focus on are the legs, hips, the stomach and for skiers, the arms too.  So make sure to get those muscles warmed up and ready at least a couple weeks before you go.  If you don’t get your muscles ready, you won’t last very long on the slopes, which you have spent a lot of money on, and you’ll pay for it in soreness later too. 

With your feet in skiing and snowboarding, because they are protected inside the hard ski boots or the softer snowboard boots, you might think that you don’t need to keep them fit.  I’m sorry, but you’re mistaken.  Now granted if you are walking a lot or running to keep in shape, your feet will be better prepared to take on the hills, but you should make it a habit to stretch your feet and ankles just to keep them loose and less prone to injury. 

Lastly, if you end up going and haven’t kept in shape, after you crawl off the mountain, you’ll definitely benefit from soaking in the hot tub at the lodge for a while.  It will help relax and loosen stiff and sore muscles that you will have.  If you have any questions, give Upstate Footcare a call or contact us via the web.

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