Posts for: August, 2019
Some of our patients present to the office with a self diagnosis of "arthritis" or "old age." Arthritis is a general term for an inflamed joint - it can be due to "wear and tear", inflammation, and even a high uric acid level. Did I lose you? The first two we hear about all the time, but the last - uric acid? What exactly is that?
When we think of bunions, hammertoes and other foot problems, we usually don't associate them with fancy celebrity types. However, don't think that fame and wealth exclude them from the same problems as the rest of us.
5th Metatarsal Avulsion Fracture
Nutcracker Fracture of Cuboid
As the summer winds down and fall sports step to the forefront many people are getting excited for football season. Those closely following the NFL may have noticed a curious story that has been circulating in the news involving a prominent player sustaining a rather bizarre injury to his feet. Oakland Raiders wide receiver Antonio Brown suffered a frostbite injury to the bottom of his feet after undergoing a treatment know as cryotherapy. Whole body cryotherapy is a treatment meant to aid in recovery and healing. It involves exposing an individual to cold air for a period of 2-4 minutes either in an enclosed room or a chamber. The cold temperature is achieved with the use of liquid nitrogen or refrigerated coiled air. While it is used by many professional athletes and celebrities the jury is still out in terms of it being supported by scientific research. It is extremely important for those undergoing the treatment to be aware of the necessary precautions prior to undergoing the treatment. Proper shoes, gloves, and sometimes face masks are needed to mitigate risks of injury to the cold and the fumes produced. The treatment should always be done under the supervision of a medical professional.
Now while the average person may not be heading to a cryotherapy chamber on a regular basis there is a take home point here for all of our patients. That point is that even though your exercise, treatment, or training regimens have benefits for your overall health, ensure that you know your risks and prepare yourself before hand. Stretching before and after a work outs, warming up, staying hydrated, wearing the proper shoes and attire for the activity, and using proper form when stretching and exercising are all ways to ensure that you stay injury free as you exercise. So whether you are gearing up for a leisurely hike to enjoy the colors of fall or preparing for another grueling season as an elite professional football player make sure to prepare yourself appropriately for your activities. Enjoy the rest of the summer and take great care of yourself!
Freiberg disease is an osteochondrosis of the metatarsal heads. It most commonly affects the 2nd metatarsal head, although the other metatarsal such as the 3rd and 4th may also be affected. This condition mainly affects females between the ages of 10-18 years with a male to female ratio of 1:3.
Clinically these patients present with pain on weight-bearing with swelling and tenderness.
The cause of Freiberg infraction is controversial and is probably due to several factors.
The two most popular theories re from trauma and vascular compromise. Trauma can be associated with either acute injury or something that is repetitive in nature, such as dance. Vascular compromise can be due to an elongated 2nd metatarsal. Since this is mainly seen in women, particularly during adolescence, high-heeled shoes have been theorized as a possible causative factor.