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Douglas Pacaccio, DPM
Thomas Nordquist, DPM

November 2021

Tuesday, 30 November 2021 00:00

The Three Grades of Ankle Sprains

When the ligaments that connect the bones to each other become overstretched or torn, a sprain can occur. When it comes to ankle sprains, they can be diagnosed as one of 3 different categories. When the ligament is only mildly stretched, this is known as a Grade 1 sprain. Once the ligament is even slightly torn, it is considered a Grade 2 sprain. A Grade 3 ankle sprain can occur when the ligament is completely torn. Common signs of a sprained ankle may include pain, tenderness, bruising, stiffness, and an inability to bear weight. Because the symptoms of a sprain are often similar to that of a fracture, patients who believe that they have sprained their ankle should consult with a podiatrist in order to make sure they do not have any broken bones. A podiatrist will be able to assess the severity of the injury and provide a proper treatment option. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from Advanced Foot and Ankle Surgeons, Inc. . Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in Sycamore, and Yorkville, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ankle Sprains

The tarsal tunnel is a narrow passageway on the inside of the ankle that is made of a thick band of fibrous tissue (flexor retinaculum) and ankle bones. Veins, arteries, muscles, tendons, and the tibial nerve pass through the tarsal tunnel. Certain conditions such as a ganglion cyst, nerve sheath tumors, fibrosis, and even injuries can tighten the already-narrow space within the tunnel and compress the tibial nerve. This can cause burning pain or tingling (paresthesias) along the tibial nerve, the inside of the ankle, or bottom (plantar) part of the foot. If you are experiencing this type of discomfort, contact a podiatrist. They will perform a physical examination and may suggest that an MRI be performed to visualize lesions that may be present within the tunnel. Both conservative and surgical treatments will be considered depending on the cause and severity of the condition and will focus on reducing pressure on the nerve and relieving pain.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Advanced Foot and Ankle Surgeons, Inc. . Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome

If you work on your feet all day, you may want to look into how you can lessen the impact this can have on your health. You may even be able to reduce pain, swelling, and other complications that working on your feet may be causing. The first order of business is to get yourself a good pair (or two) of leather shoes with quality construction, non-slip soles, cushioned inner lining, wide heels and support in the back for your ankles. Alternate those shoes daily. Take every break you are entitled to and sit down while elevating your feet. Try strengthening your body through fitness training, stretching, and building up your endurance. Soak your legs in a hot tub at night to relieve muscles. A podiatrist can also create custom orthotics to distribute weight more evenly and provide extra cushioning and structure. If your feet are in pain after working all day, seek the counsel of a podiatrist to explore all possible treatment options. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Advanced Foot and Ankle Surgeons, Inc. . Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Read more about How to Handle a Long Work Day on Your Feet

 

The band of tissue on the bottom of the foot, called the plantar fascia, plays a very important role in your body. It attaches the front of the foot to the heel bone, absorbs the body’s weight and pressure during movement, and  supports the arch. There are a number of conditions or situations that overly stress the plantar fascia. Included are obesity, age, pregnancy, standing for prolonged periods of time, physical activities that strain the heel, or having high arches, flat feet and other conditions that cause you to over-pronate (roll your foot inwardly as you move). This excessive stress on the plantar fascia can irritate it or even tear it, causing it to become inflamed and painful. Podiatrists have a great deal of experience in treating plantar fasciitis as it is the leading cause of heel pain. A podiatrist may use tests such as an MRI, X-ray or ultrasound to properly diagnose plantar fasciitis and rule out other ailments that also cause heel pain. Other methods a podiatrist may use to reduce pain and treat plantar fasciitis include physical therapy, night splints that gently stretch the plantar fascia, orthotics that correct can help distribute weight more evenly, steroids to reduce inflammation and pain, and shock wave therapy that initiates the body’s healing response. In severe cases, surgery may be needed to help remove scar tissue or release tension and swelling. If you are experiencing any kind of heel pain, have it checked out by a podiatrist for proper diagnosis and treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Advanced Foot and Ankle Surgeons, Inc. . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact one of our offices located in Sycamore, and Yorkville, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Tuesday, 09 November 2021 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

The severity of an ingrown toenail can range from mild and slightly uncomfortable to severe and even dangerous for certain people. When an ingrown toenail grows deep into the surrounding skin or breaks it, a medical intervention may be necessary to provide relief and help avoid further complications from developing. People with systemic health issues such as diabetes, poor circulation or nerve damage are particularly at risk of developing complications from an untreated ingrown toenail. Since these complications make it harder to detect, feel and heal decayed or damaged tissues in the skin, the condition may worsen and lead to a local infection, a foot ulcer, or even a bone infection. Prevention, early detection, and proper treatment will help keep ingrown toenails from developing and worsening, and podiatrists are experts in all of these areas. Call your local podiatrist for more information on treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Advanced Foot and Ankle Surgeons, Inc. . Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenail Care
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