A bunion--that's what your grandmother had on her foot. Certainly, that's not the painful bump you have at the base of your left big toe, or is it? At Centennial Foot and Ankle Specialists in Aurora, Dr. Robert Anderson and Dr. Erik Thelander see and treat scores of bunions and can tell you if that's your foot issue.
Your aching foot
Hallux valgus is the medical term for the red, sore bump at the base of the big toe. Given time and enough pressure on this bunion, it may cause other deformities such as claw-like hammertoes and a crossing of the second and even third toes over the adjoining toes.
How do bunions form? Heredity seems to play a role as do tight shoes, high heels, overuse (are you a nurse or a dancer?) and being overweight. Additionally, women suffer from bunions more than men do, particularly with advancing age. Also, most people who develop bunions have flat arches and/or overpronate their feet, turning them inward as they ambulate
Diagnosis and treatment of bunions
When you come to Centennial Foot and Ankle Specialists in Aurora, Dr. Anderson or Dr. Thelander will inspect your suspected bunion and take digital X-rays as needed. With a confirmed diagnosis, he'll discuss a comprehensive treatment plan to relieve the pain and stop further foot deformity.
Harvard Health states that conservative treatments give many bunion patients significant relief from the discomfort and friction associated with this podiatric disorder. Surgery to remove the bony bump--also called a bunionectomy--is usually the last choice in treatment. While Dr. Anderson and Dr. Thelander are board-certified podiatric surgeons, they are more likely to try these interventions first:
- A change in shoes to ones with low heels, good arch supports and wide toe boxes
- Corn and callus removal (they form because of friction between the bunion and shoe)
- Shoe padding and customized orthotics (shoe inserts) to relieve pressure on the joint
- Night time splints, to correct joint alignment
Do you have a bunion?
If you suspect one, please contact Centennial Foot and Ankle Specialists for the best treatment in the Aurora area. Call the office team today to schedule your consultation: (303) 632-3668. Feel better, and keep those feet moving!
Find out if the symptoms you’re experiencing could mean you fractured your foot or ankle.
From a skiing holiday to a car accident, there are many situations in which you could find yourself dealing with an injury. If you are dealing with sudden pain, swelling or other symptoms in your foot or ankle after an incident, then you may be wondering if it warrants a trip to see our Aurora, CO, podiatrists, Dr. Robert Anderson and Dr. Erik Thelander. Learn how to pinpoint the telltale signs of a fractured foot and ankle.
A fracture means that a bone has been broken in either the foot or the ankle. If you have a fracture the most common symptom is sudden and often intense pain. If the fracture is the result of an accident, fall or sports injury you may have heard a pop or cracking sound when the injury occurred. This is also a telltale sign that you could have fractured your foot or ankle.
Other signs that you fractured your foot and ankle include swelling, bruising, tenderness, a deformity (the foot or ankle may look like it's out of place) or numbness. If you find it difficult to move your foot or ankle without experiencing severe pain this is also indicative of a broken bone. If you can’t put weight on the foot or ankle this means that you need to visit our Aurora foot doctors right away.
While pain and swelling are also common in sprains and strains, it’s important to recognize that there is a difference between a fracture and a sprain. A sprain means that the ligaments or tendons around a bone have been stretched further then they should, which can result in pain, stiffness, and inflammation. Of course, the symptoms won’t be nearly as intense as they will be if you have a fracture. Most minor strains and sprains can be treated from the comfort of your own home with rest, ice and, over-the-counter pain relievers.
If you suspect that you have a fractured foot or ankle it’s important that you seek proper medical attention to ensure that your injury heals properly. If the fracture isn’t treated it could lead to chronic ankle weakness and instability. Turn to the experts at Centennial Foot and Ankle Specialists in Aurora, CO, right away if you think you have fractured your foot or ankle.
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.
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