Posts for: November, 2018
Repeated stress like the continuous pounding of running, sports, exercise, or dance can cause a tiny break in the bone, also known as a stress fracture. The metatarsal bones, which make up the front part of the arch, are a common area for stress fractures with the second and third metatarsal's being affected most often.
The pain is typically felt at a specific and localize spot, usually on the top portion of the bone. Sadly, your stress fracture might not be obvious at first, which puts you at risk for making it worse. The pain may be milder first, but he can intensify with time if you don't take care of it.
Stress fractures take about 6 to 8 weeks to heal and are routinely treated with rest, ice, compression, and elevation. Rest is key here, ice and anti- inflammatory medication may assist in the early days, but the fastest path way to healing is through relative offloading of the fracture site. That means no running or high impact exercise until your doctor says so. We, at Advanced Podiatry, often prescribe a Walking Boot to help take some load off the affected area. A stress fracture can turn into a full break if you aren't careful.
It's best to buy shoes later in the day when feet tend to swell. Do not rely on the size of your last pair of shoes since manufacturers sizing differs. Get both feet measured and buy for the larger foot. It is important to try on shoes with the socks or the hose that you expect to wear, as well as any orthotic devices that have been prescribed, since these can alter the fit and comfort of a shoe.
Some important things to look for involves rear foot support including deep seats and firm heel counters. A flared heel is best with higher heel shoes. Good cushioning, and arch support is important whether it's a sneaker, loafer, or oxford. Avoid flip-flops except for short periods of time at the pool, or the beach as they can exacerbate arch and heel pain.
The Princess and her bunions
To cut or not to cut, that is the question. Not that it was a question. Maybe it was rhetorical.
Unlike other parts of the body, the foot is subjected to stress well in excess of normal pressures from the loading weight of the patient. It is estimated that the additive force of gravity, the body habitus of the patient, the type of foot the patient has and the ground reactive forces all play a role in amplifying the pressure subjected to the structures of the foot. Don’t forget loyal reader, the bones of the foot are some of the smallest in the body, so it is no wonder that if a condition arises that further amplifies the force on the foot, a patient shows up looking for answers.
When a patient presents to the office for a consultation, the first thing we do is examine the foot when weightbearing and non-weightbearing. I mentioned above the type of foot the patient has helps determine the additional forces that the bones and supporting structures of the foot are subjected to, and this is where we start to gather information that helps determine where the problem came from.
Usually, conservative measures are all that are needed to help the issue calm down. When I say conservative measures, I am referring to all non-surgical treatment. These treatments can range from some simple rest and ice to cortisone injections and advanced therapies like extracorporeal shockwave therapy and physical therapy. A custom orthotic device is the best way we can support the foot and ankle. This is my favorite way to rehabilitate a patient.
We do everything that we can to keep patients out of the operating room, but the truth of the matter is that sometimes surgery is the only option. We always provide a detailed plan and counsel our patients on the etiology of the problem and all the ways it can be fixed including the downtime associated with each procedure and what the patient can expect during recovery. We are a team from the start to the finish, so we can tailor a plan that works best for your situation.
The best way to know is to come in so our friendly staff and extraordinarily good looking doctors can let you know your options. We look forward to seeing you!