Find out the best ways to manage symptoms and promote faster healing.
Have you worried that the pain and swelling you are experiencing in your foot or ankle could be the result of a fracture? If so, then it’s time you turned to our Aurora, CO, podiatrists Dr. Robert Anderson and Dr. Erik Thelander, for a proper diagnosis. Once we determine that you have a fracture we can create a treatment plan that will work best for you.
Once you’ve placed a call to our Aurora foot doctors for diagnosis and treatment, we know the next most important step is to keep pain and swelling to a minimum until you can come into our office for care. In a lot of cases, the RICE method is a great rule of thumb for addressing your symptoms and making sure the issue doesn’t get worse.
Rest: This is probably one of the most important things you can do when you have an injury. After all, the last thing you want to do is make the problem worse or exacerbate your symptoms. Also, avoid physical activities until the fracture has fully healed.
Ice: Icing is a great way to keep both swelling and pain to a minimum. Even if you aren’t experiencing pain in the moment, it’s never a bad idea to ice your foot or ankle for 10 to 15 minutes at a time a couple times a day for at least the first 24 to 72 hours after injury. This can help keep swelling and discomfort at bay.
Compress: Lightly wrapping or bracing the injured foot or ankle can also provide it with additional support and stabilization, particularly if you are walking or putting weight on the foot. Plus, this is just another way to reduce swelling. Just make sure not to wrap the foot or ankle too tightly that it cuts off circulation.
Elevation: When you are kicking back and taking it easy it’s a good idea to also elevate your foot at or above your heart when you can. Elevating your feet throughout the day can also combat swelling and inflammation.
Of course, we know that for some people, symptoms of a more serious foot or ankle issue can be unbearable and will need a lot more than ice to manage symptoms. If this is the case, taking over-the-counter or prescription pain relievers can at least provide you with the temporary relief you need when symptoms start to flare-up.
While these are easy at-home measures that you can take, if you have a fractured foot or ankle this shouldn’t take the place of a proper doctor’s visit. Those with more severe fractures may require immobilization or even surgery (in more extreme cases).
Centennial Foot and Ankle Specialists in Aurora, CO, is here to provide you with the comprehensive footcare you need whenever you need it. Think you have a fractured foot or ankle? Dealing with bunion pain? Then pick up the phone and give us a call.
Find out some surefire tips for preventing foot problems from happening to you.
If you are someone who participates in sports, or if your child or teen is active, it’s important that you take safety precautions now to prevent foot and ankle injuries in the future. While sports-related foot injuries are fairly common, they don’t have to happen to you or your little one. Our Aurora, CO, podiatrists, Dr. Robert Anderson and Dr. Erik Thelander, are here to offer up some tips on how to protect your feet from game-related injuries.
Wear the Right Shoes
The shoes you choose to wear could be the difference between protecting your feet and experiencing serious issues. Don’t just buy the first pair of sneakers you see. If you are an avid athlete, it’s important that you find the proper footwear to accommodate your activities.
Shoes need to offer ideal stability, support and cushioning depending on the sport or sports you play. Turn to a sporting goods store to help you choose the shoes that will provide support and to perform a proper shoe fitting.
Toss Out Old Shoes
Just as an old toothbrush isn’t going to get your teeth as clean as a new one, old shoes aren’t going to be able to give you the ample support your feet need. Whether you are a runner or someone who plays football, it’s important that you know when to retire your shoes and get new ones.
If you are a runner, a good rule of thumb is to get rid of those shoes anywhere around the 350 to 500-mile mark. Even after just 100 miles your shoes won’t offer the same shock absorption they used to, so keep that in mind. If the treads have worn out on your shoes, it’s time to ditch them!
Train Your Feet Year Round
Just like you condition the rest of your body prior to sports season, you should also condition your feet, too. After all, they have muscles, ligaments, tendons and other soft tissues that could weaken if they aren’t trained properly. Weak muscles can lead to imbalances within the foot, which can leave you prone to injuries.
Luckily, there are a plethora of foot exercises you should be doing daily to keep feet strong, and our Aurora foot doctors would be happy to show you. From towel pulls to heel drops, there are many ways to keep your feet ready for action.
Whether you have questions about the safety tips above or you want to talk to us about custom orthotics, the sports medicine specialists of Centennial Foot and Ankle Specialists in Aurora, CO, are here to serve you. Call us today!
The treatment of chronic heel pain or plantar fasciitis can be very frustrating for patients. Typically the vast majority of people with plantar fasciitis and heel pain are able to resolve it through conservative care of physical therapy, stretching, icing, custom orthotics and anti-inflammatory management short-term.
Heel pain and plantar fasciitis originate from strain to the plantar fascial band that leads to microscopic injury and inflammation of the plantar fascia. Some patients with chronic heel pain not responding to typical conservative management may have developed what we term plantar fasciosis or fasciopathy. Fasciosis or fasciopathy is a conversion of the type of tissue of the plantar fascia from a rather healthy plantar fascial tissue to something that is more similar to scar tissue from longer term chronic inflammation that doesn't resolve.
In these patients, a procedure may be the answer to resolving the battle with this chronic heel pain. Radiofrequency Coblation and the use of platelet-rich plasma or PRP, is one procedure that can be considered by the patient.
This procedure uses what is called a Topaz wand which in day surgery is inserted through small puncture wounds in the skin overlying the chronic plantar fascia. The Topaz wand is an instrument that provides a radiofrequency to vaporize some of the chronic plantar fascial tissue. This provides a controlled "reinjury" to the chronic plantar fascial tissue. This stimulates regenerative repair of this chronic fascia.
To augment this process, the use of platelet rich plasma or PRP is also a part of this procedure. At the time of the procedure a small vile of the patient's blood is drawn and then spun down in a centrifuge to isolate the platelet portion of the blood. Platelets have what is called platelet derived growth factor. These are naturally occurring proteins that stimulate new vessel ingrowth and healing.
After the Coblation part of the procedure is performed this platelet rich plasma is injected into the area to augment the healing process and stimulate new vessel ingrowth and repair of the chronic tissue.
This procedure is performed on an outpatient basis in a surgery center setting. Patients are weight bearing following the procedure and in a Cam Walker boot immobilizer. The dressing applied at the time of surgery is removed in 2 days and there are no incisions or sutures.
The nice thing about this procedure over more traditional fascial releases is that it's less invasive and patients are weight bearing immediately.
If you are struggling with chronic heel pain that has not responded to conservative care please make an appointment with us so we can discuss whether or not you are a good candidate for this procedure.
If you were to examine your feet for a second you would be able to tell if you had a bunion or not? A surprising amount of people have bunions but they don't even notice the issue because it so minor and insignificant that it doesn't cause problems. Of course, this isn't the case for everyone. A bunion or what is medically called hallux valgus, is a malangulation of the great toe joint. It is largely genetic but can be affected by shoe gear. The lateral deviation of the great toe at the joint causes the discomfort in the joint. It is not so much a bump of bone but instead a poorly angulated joint. Basically people inherit a foot type that is biomechanically prone to develop this. They can be symptomatic in early teens and throughout life. For the most part, there is not much one can do to prevent the development of this deformity if you have the genetics for the biomechanics that produce this deformity. If you're dealing with bunion related pain and discomfort, our Aurora Colorado podiatrists, Dr. Robert Anderson and Dr. Erik Thelander, are here to help you tackle your symptoms.
Wear the right shoes
One of the worst things you can do is to put on shoes that are too tight and put too much pressure on your bunion. This is certain to lead to pain and swelling. When choosing shoes look for ones that allow your toes enough room to move around comfortably. There should be minimal pressure placed on the deformed joint. Also look for shoes that provide proper support particularly for your activity level. Avoid high heels or shoes with pointed toes if possible.
Consider orthotic inserts
Prescription orthotics can also be one way to improve the support and stability your shoes offer you. These orthotics are custom made to fit your foot and arch and are a prescription device made through our office.
Other options to consider include cortical steroid injections, and nonsteroidal anti-inflammatory drugs.
In some circumstances patients will need surgery to alleviate the deformity and the discomfort. The foot experts at Centennial Foot and Ankle Specialist in Aurora, Colorado are ready to help you manage your symptoms and determine the proper treatment for your situation.
Prompt treatment is the key to straightening your toe if you have a hammertoe. Dr. Robert Anderson and Dr. Erik Thelander of Centennial Foot and Ankle Specialists in Aurora, CO, discuss treatment options and explain what you can do to ease your discomfort.
Wearing roomy shoes
Tight shoes press on your toe, worsening pain and causing corns and calluses to form on the top of your toe. Look for shoes that offer taller, wider toe boxes to prevent the problem.
Cushion your hammertoe
Corns and calluses can add to the pain of a hammertoe. Cushion your toe by applying corn and callus pads to reduce friction and pressure when you wear shoes. You may also want to reduce the size of the corn by gently filing it with a pumice stone. Don't attempt to treat the corn yourself if you have diabetes, as this can lead to an infection. Instead, call our Aurora office to make an appointment.
Try toe exercises
Straightening your bent toe may be possible when it's still flexible. If you don't take steps to address your problem during this phase, the toe may eventually become so rigid that it will be impossible to bend it. Exercises don't require any special equipment and can be completed in just about 10 minutes.
Prescription orthotics may also be helpful if you have a hammertoe. The custom-made shoe inserts redistribute the weight of your foot, which may increase your comfort.
Surgery may be recommended if other treatments aren't helpful. Although the type of surgery will depend on your condition, your podiatrist may suggest one of these procedures:
- Tendon Transfer: A tendon transfer can be helpful if your hammertoe is still flexible. During the surgery, the tendon that runs underneath your toe is moved to the top of your toe, which allows the toe to straighten.
- Joint Resection: Joint resection may be used if your hammertoe is fixed. The surgery involves cutting the ligaments and tendons in your toe and removing the end of the bone. Pins may be used to hold your toe in the correct position while you recover.
- Joint Fusion: During the joint fusion procedure, the bent part of your bone is removed and ligaments and tendons are cut to allow your toe to straighten. Eventually, the two pieces of bone fuse together.
Are you concerned about a hammertoe? Call your Aurora, CO, podiatrists, Dr. Anderson and Dr. Thelander, at (303) 632-3668 to schedule an appointment.
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