Tuesday, 03 October 2023 00:00

Understanding an Achilles Tendon Injury

The Achilles tendon is the largest tendon in the body and connects the calf muscles to the heel bone, allowing us to walk, run, and jump. An Achilles tendon injury occurs when the tendon is strained, stretched, or torn. Typically, injuries manifest through pain and stiffness along the back of the leg, near the heel or calf area. Individuals with an Achilles tendon injury may experience localized swelling, tenderness, or warmth around the affected area. In some cases, a noticeable snapping sound may accompany the injury, indicating a severe tear. Pain can worsen during physical activity, particularly when pushing off the foot or standing on tiptoes. Understanding these symptoms is vital for timely medical intervention and appropriate rehabilitation to ensure a swift recovery and regain the functionality of the Achilles tendon. If you have endured an Achilles tendon injury, it is suggested that you are under the care of a podiatrist who can effectively treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

Inflammation
Dull to severe pain
Increased blood flow to the tendon
Thickening of the tendon

Rupture Symptoms

Extreme pain and swelling in the foot
Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

Thorough stretching of the tendon before and after exercise
Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 03 October 2023 00:00

The Causes, Types, and Treatments of Achilles Tendon Injuries

Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking.

Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.

Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.

The two most common Achilles tendon injuries are tendonitis and ruptures. Tendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.

Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.

An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.

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Tuesday, 26 September 2023 00:00

Plantar Fasciitis Is a Common Pickleball Injury

Pickleball, a popular sport combining elements of tennis, badminton, and table tennis, has gained a dedicated following in recent years. However, like any physical activity, it carries the risk of injuries, and one of the most common being plantar fasciitis. This is a painful condition characterized by inflammation of the plantar fascia, which is a thick band of tissue running along the bottom of the foot. The repetitive motions, quick lateral movements, and sudden stops and starts in pickleball can put immense strain on the plantar fascia. Over time, this strain can lead to tiny tears in the tissue, resulting in pain and discomfort, often most pronounced in the heel. Preventing plantar fasciitis in pickleball involves practicing proper warm-up routines, wearing appropriate footwear, and performing regular calf and Achilles tendon stretches. If injury strikes, resting and taking anti-inflammatory medications may help alleviate symptoms. Seeking professional guidance from a podiatrist is crucial for a tailored recovery plan, which may include exercises to strengthen the foot and improve biomechanics. By being proactive about injury prevention and prompt treatment, pickleball enthusiasts can continue enjoying this fun sport while minimizing the risk of plantar fasciitis and other common injuries. If you have heel pain from playing pickleball, it is suggested that you confer with a podiatrist who can offer you additional relief and treatment methods.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

Plantar Fasciitis
Plantar Fasciosis
Achilles Tendinitis
Achilles Tendon Rupture
Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 26 September 2023 00:00

Sports Related Foot And Ankle Injuries

Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.

Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.

Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication. A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.

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Tuesday, 19 September 2023 00:00

Running Strong with Flat Feet

Flat feet, also known as fallen arches, occur when the arches of the feet collapse, causing the entire sole to make contact with the ground. Running with flat feet may seem challenging, but with the right approach, it is entirely possible. To begin, it is important to understand your unique gait and foot biomechanics. Flat-footed runners often overpronate, which means their feet roll excessively inward during each stride. Choosing running shoes with adequate arch support and stability can help correct this issue and reduce the risk of injuries. In addition to wearing proper footwear, it is beneficial to focus on strengthening the muscles in your feet, ankles, and calves through targeted exercises. Pay attention to your running form and aim for shorter, more frequent strides to minimize impact. Gradually increase your mileage and incorporate rest days that can allow your body to adapt. Running with flat feet can be enjoyable and injury-free with the right care and attention. If you have flat feet, and would like more information about how to maximize your running experience, it is suggested that you consult a podiatrist who can provide you with the knowledge you are seeking.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Corinne R. Kauderer, DPM from Dyker Heights Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.

Symptoms

Pain around the heel or arch area
Trouble standing on the tip toe
Swelling around the inside of the ankle
Flat look to one or both feet
Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:

“Toe drift,” or the pointing outward of the toes and the front part of the foot
The tilting outward of the heel and the tilting inward of the ankle
The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
Hammertoes
Bunions

One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:

Pain located in the heel, arch, ankle, or along the outside of the foot
Overpronation, or an ankle that rolls in
Shin splint, or pain along the shin bone
General foot aches or fatigue
Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

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Tuesday, 12 September 2023 00:00

Psychological Effects of Toenail Fungus

Onychomycosis, commonly known as toenail fungus, is the most prevalent nail disorder, with a growing incidence, particularly among the elderly. This condition is notorious for its stubbornness, requiring prolonged and often ineffective treatments, with frequent recurrences. Beyond affecting the nail's normal function, fungal nail infections can bring pain, an unsightly appearance, disruption of daily life, and negative psycho-social consequences. Patients often grapple with embarrassment, diminished self-esteem, and social withdrawal due to toenail fungus. Recent advances in treatment have emerged, offering more effective solutions. If you suffer from toenail fungus, it is suggested that you make an appointment with a podiatrist to discuss the physical and psychological effects of this condition. Honesty with this medical professional about how much it impacts your life is important in obtaining a more holistic approach to treatment.

For more information about treatment, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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Tuesday, 12 September 2023 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

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Tuesday, 05 September 2023 00:00

Fewer Complications With Minimally Invasive Foot Surgery

Minimally invasive foot surgery is a contemporary approach to solving foot problems. It involves performing standard foot and ankle surgeries through small incisions, which minimizes soft tissue damage compared to traditional open surgery. Minimally invasive foot surgery utilizes tiny instruments and incisions to address issues like bunions, hammertoes, and more. This approach results in reduced post-operative pain, less swelling, minimal scarring, and a faster return to regular activities. While there is less soft tissue trauma with this type of surgery, bone healing time remains consistent. During recovery, elevation, calf muscle and toe exercises, and avoidance of prolonged foot dependency are essential. If you have foot problems that require surgery, it is suggested that you make an appointment with a podiatrist to discuss whether minimally invasive foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.

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