Cam Newton’s Lisfranc Injury

NFL star quarterback, Cam Newton, of the Carolina Panthers recently explained why he will be sidelined for weeks to come via public video. Well before the Panther’s game against Los Angeles Rams, in the preseason, Cam Newton discovered that he had difficulty running due to pain in his left foot.

It was later diagnosed as a Lisfranc injury, meaning damage to the bones or ligaments of the midfoot region. A Lisfranc injury is a special and well-known condition in podiatry named after the French surgeon and gynecologist, Jacques Lisfranc de St. Martin. The coining of this injury is an interesting story for another day.

A Lisfranc injury can easily be mistaken for a simple strain, causing it to be treated incorrectly. Since it is an injury that can include multiple joints and bones, it has a more complex treatment plan that might involve surgery and take up to months to heal. The complexity of the injury and treatment will depend on the number of joints involved.

Despite the number of joint inclusion, all Lisfranc injuries show cartilage damage to the midfoot. Cartilage is a component of the body that helps protect bones in movement. Deterioration of cartilage will lead to bone damage. This explains why untreated or improperly treated Lisfranc injuries can lead to arthritis of the foot.

Medical professionals treating Cam Newton must fully be aware of these details, thus Cam Newton’s inactivity in recent NFL games is a necessity to the longevity of his career. 

Most Lisfranc injuries occur in a low-impact setting and can be as simple as a twist or stumble. More severe Lisfranc injuries occur from direct trauma to the area or fall from height. 

Symptoms are parallel to that of a sprain, which includes: swelling, pain, and bruising. However, if standard treatment for a sprain (such as icing and elevation) does not reduce the pain or swelling, it is best to seek professional care. 

For more information or medical advice regarding a potential Lisfranc injury, give us a call at 1-310-652-3668 today to schedule an appointment. Podiatrists are well trained in this specific category of injury, so give us a call if you are in the Beverly Hills, Los Angeles area.

Best of luck to Cam Newton and the Carolina Panthers! We will be following your injury closely.


Antonio Brown Frenzy and Feet

In the whirlwind news of professional sports, the latest buzz circles around NFL wide receiver, Antonio Brown. Once a promising aspect for your fantasy football draft, Antonio Brown now renders himself a dramatic liability. 

What is the deal with Antonio Brown anyway? Why the drama at all?

Getting into fights with his general manager, refusing to wear the sanctioned helmets, and harming his own feet? The headlines involving Antonio Brown has indeed been bizarre.

As podiatrists keen on helping today’s relevant population, our attention immediately zoomed into Antonio Brown when we first heard about his cryotherapy accident that left his feet to look like this… (Warning: Image may gross you out.) 

The story was that Antonio Brown was noncompliant in wearing the proper protection for his feet, ultimately causing his superficial dermal layers to die via frostbite. Essentially, this injury was self-inflicted.

Many people these days look into cryotherapy as a procedure to physiologically improve their bodies from injuries or various muscular ailments. While it has not been approved by the Food and Drug Administration to treat any diagnosis, it has been theorized to affect the circulation in our bodies. Its properties are similar to the effects of icing a recent injury.

In podiatry, we often instruct patients to ice areas of inflammation to reduce the swelling and propel the healing. However, we always emphasize that it is important to never directly apply the ice to the skin. Had Antonio Brown been our patient, we would’ve instructed him clearly on these matters.

Well, such is life and football! Seeing as how Antonio Brown has been released from the Oakland Raiders and is now in contract with the Patriots of New England, we’ll continue to observe his well being by watching his performance on the field.

Should you have any questions on how to maintain healthy and strong feet, feel free to give us a call at 1-310-652-3668 today. We are the largest Podiatry group located in Beverly Hills, CA. We would love to help in any way that we can whenever we can!

Achilles Follow Up

Here in our office, we pride ourselves in good patient care, thus proper follow-ups are always a must. With that being said, I feel it is important that we check in with our guy, Mr. Kevin Durant. 

If you have not heard already, he has decided to sign onto the Brooklyn Nets with Kyrie Irving for a shot at the NBA Championship title on their terms. Although much more can be said on the trades, our primary focus is actually on Kevin Durant’s Achilles injury.

As shared before, Kevin Durant suffered an Achilles tear during an intense NBA finals series against the Toronto Raptors. Durant went on to get surgery for this injury. We are pleased to hear that his recovery is going well! However, Kevin Durant is expected to miss this upcoming year’s pre-season, regular season, and maybe even postseason. 

This does not come as a surprise given that it generally takes 9 to 12 months to recover from an Achilles injury–with physical therapy being a crucial component of the process.

Achilles tendon repair surgery comes with risks and physical therapy can help reduce these post-surgery complications. First, it is important to review the risks:

  • Infection at the incision site
  • Average complications of surgery and anesthesia
  • Possible nerve damage
  • Future re-rupture of the tendon
  • Loss or reduced tendon strength
  • Reduced range of motion in plantar flexion of the ankle

The first 3 in this list of risks are minimized with proper surgical technique, which I assure you, is employed with confidence by our surgeons at Foot & Ankle Doctors. The later 3 risks are minimized by adequate follow up physical therapy.

Thinking of Kevin Durant, we imagine and hope his physical therapy to consist of activities such as deep massages, ultrasound heat therapy, stretching and strengthening exercises. We hope that Kevin Durant’s medical professionals are concentrating on aiding his healing with activities that might help increase his blood flow in the lower leg, without overstressing the muscles and tendon. 

We’re sure that he’s being taken care of and there are people to answer all of his anxious questions along the road to recovery. Though if you might have any more questions of your own, try giving our office a call at 1-310-652-3668 to schedule an appointment. We’d be happy to help you!

Athlete’s Foot

Just got back from a family vacation where we got to stay at the fabulous, four-star, Hilton Hotel. It had this amazing pool built like a tropical paradise. As someone who particularly loves water sports, I went swimming every day. Needless to say, I thought my vacation was fantastic. It wasn’t until I got home that I noticed something ajar. My feet were exceptionally dry. 

This is a true story, everyone! The soles of my feet looked terrible, particular my heels. It was cracked and scaling. No amount of lotion, cream, or even petroleum jelly could appease my symptoms. Luckily, I study podiatry. I knew that there might be a hidden culprit behind all this who goes by the alias… tinea pedis.

I thought to myself that I must expose this tinea pedis for what it really is to the general public who might not be aware. Thus, listen closely as I tell you how to spot tinea pedis and stop it dead in its tracks.

Tinea pedis can also go by its street name, Athlete’s Foot. It is an infection of the foot by a fungus of the genus, Trichophyton. It is a Trich-y fungus that normally causes a scaly rash which can be itchy, stinging, or burning. The rash tends to start in the toes. Some forms of severe Athlete’s Foot can go on to cause blisters or ulcers. Other forms of athlete’s foot can simply cause dryness and scaling on the soles of the feet that extends slightly up the sides of the feet (such is the case of my situation). This later form of Athlete’s Foot can often be mistaken for eczema or dry skin, but can’t be cured unless the fungus is treated.

The worst part about tinea pedis is that it is contagious. It can spread from one area of the body to another, or from person to person. Damp socks or shoes can exacerbate the condition. The fungal organism likes to grow under humid conditions. This means that if you tend to have sweaty feet, then you are more prone to the infection. Environments like locker rooms, public showers, or even swimming pools (gasp!) are common breeding grounds for the infection as well. 

It is best to see a doctor should you find suspicious skin symptoms on your feet. Call us at 1-310-652-3668 to schedule an appointment today if you think tinea pedis has affected you. A proper diagnosis can lead to the appropriate treatment that will get rid of your symptoms more effectively. In the meantime, have a nice day and keep those feet dry and clean!

The POP Heard Around The Bay

The buzz around the NBA world lately has been around some sad news. If you’ve been following the NBA finals, then you too would know about Kevin Durant’s story. Arguably the best basketball player in the world went out of Game 5, two nights ago, with one of the scariest athletic injuries: the Achilles injury.

If you don’t know what happened, then check it out at

The link above will show you a specific video of Kevin Durant tearing his Achilles tendon mid game. Orthopedic surgeon, Dr. David Chao, will even go on to say that he believes it is a complete Achilles tendon rupture. (Source:

While official word from the NBA, i.e. MRI results, have yet to be released, we already know that this injury is bad, bad news as is.

The Achilles tendon is the largest tendon in your body. It connects the large muscles (gastrocnemius and soleus) in your calf to your heel bone (calcaneus). You greatly need it for all the basics of sports activities such as running and jumping. Heck, you need it for just walking!

The Achilles tendon injury is usually the event of a tear in the tendon around 4 to 6 cm above the heel. In some cases, it can happen closer to the heel with such a force that it breaks off a part of the calcaneus.

This injury typically happens in the patient population age 30 to 50 and is sports related. It happens often to a special group of people dubbed, “Weekend Warriors”. Think adults who like to pick up sports on the weekends.

Should you think that you have experienced an Achilles injury like Kevin Durant’s, then ice and elevate your leg. We recommend that you schedule an appointment with your doctor as soon as possible. Your doctor will check for many things such as:

  • Swelling and discoloration in the area
  • Tendon gap
  • Tender and pain

A clinical examination called, “The Thompson Test” will be performed to test the remaining strength and function of your Achilles tendon.

Treatment for this injury can go in either direction between non-operative and operative. Non-operative treatment will require immobilization of the leg, typically by a cast, then rehabilitation. Operative treatment means that the Achilles tendon will be surgically exposed and repaired via suturing. Operative treatment also undergoes an immobilization period and then physical therapy.

Operative treatment is usually recommended for patients who are athletically active. This will most likely be Kevin Durant’s route. Recovery from an Achilles tear can range from anywhere between 4 months to a year. Needless to say, it is a serious injury that requires great attention.

We wish Kevin Durant the best of luck in this process. If you or someone you know may have suffered an Achilles injury, then please give us a call at 1-310-652-3668 to schedule an appointment immediately.


Posterior Tibial Tendon Dysfunction (PTTD)

The tibialis posterior muscle is a muscle found in the back of your leg. It is specifically located posterior to (aka behind) your tibia bone (aka a leg bone)! Surprise, surprise. This muscle helps invert and plantar flex your foot at the level of your ankle.

The tibialis posterior tendon attaches to your navicular bone, which means that it is what helps maintain the arch of your foot. When this tendon is in distress, your arch support will decrease. This often results in “flatfoot” deformity. The medical terminology for this disorder is Posterior Tibial Tendon Dysfunction, and its nickname is “adult-acquired flatfoot”.

This condition typically affects just one foot, but some patients can develop it in both feet. If not treated, it will worsen gradually. Symptoms include pain and swelling of the tendon, located mostly behind your inside ankle bone. Your foot will appear flat. Some patients go on to complain difficulty walking on their tip toes.

If any of these symptoms apply to you, it’s best to make an office visit today to seek treatment. As mentioned, the tendon dysfunction can progress to a more severe condition, such as arthritis which involves your bones. Treatment of Posterior Tibial Tendon Dysfunction will depend on your unique case but can include physical therapy or orthotics.

Feel free to make an appointment at your convenience by calling 1-310-652-3668. Have a wonderful rest of your day!


Ingrown Toenails


The other day, I began noticing an inexplicable irritation in my big toe. Upon examination, I noticed that my toenail was the source of irritation. Annoyed, I realized that I was suffering from an ingrown toenail. Have you ever had one? If you have, then I think you would agree with me when I say, I hate ingrown toenails!

An ingrown toenail is when the toenail does not grow straight out in its nail bed as it should. It can grow crooked, at a slant, or simply overgrow. Often, it will irritate the side of your toenail known as the lateral nail fold or paronychium. You might notice swelling and redness around the area. Sometimes, there may even be an infection.


While most people try to take care of their own ingrown toenails, there are certain cases that require professional medical help. If your ingrown toenail is severe, I would suggest coming into our office for us to correct it for you. Most importantly, patients who have diabetes or any other condition that impairs blood flow in the lower extremities have a higher risk of complications. These patients should not try to remove their own ingrown toenails at home.


The causes for an ingrown toenail can vary. For some, it is caused by wearing shoes that are tight around the area of the toes, causing pressure on their toenails. For others, it can be from cutting their toenails too short, unevenly, or not straight across. Some may have injured their toenail through trauma. Then there are a minority group of people who were born with abnormally curved toenails.

Whatever the cause may be, untreated ingrown toenails can have severe consequences. Should the ingrown toenail become infected, some cases could lead to a more serious bone infection known as osteomyelitis. Again, patients with diabetes or existing vascular problems should be weary of these greater complications since their healing abilities are impaired due to lack of blood flow. Patients with diabetes may have loss of sensation as well, and so, might not even notice when they have an open wound. If this may be you, then please call our office at 1-310-652-3668 for a comprehensive foot exam. Better safe than sorry!


Bunions are fun for no one.

Happy New Year, everyone! We hope that you’ve enjoyed yourself whilst surrounded by love ones. We notice that many people have been enjoying lots of holiday parties as of late. Good for you if this includes you! Though if you are anything like my mother, then often times you come home complaining about a very specific foot pain in regards to… bunions!

What is a bunion for the lucky individuals who don’t know? A bunion is a bony bump found on the top of your foot near your big toe. It is a problem when the bony bump protrudes or over grow, often causing superficial pain of the skin that covers it.

A common cause and aggravator of bunions are tight and narrow shoes. Think heels! Thus, those who suffer from bunions tend to be older, adult females who have adapted to wearing tight and narrow shoes for most of their lives. However, bunions can easily be found outside of this demographic as well, due to other causes dealing with inherited bone structure, applied physical stresses, or medical conditions such as arthritis.

Bunion symptoms are generally pain and discomfort localized to the area of the bony bump. You can have swelling, redness, and soreness. Your skin may develop corns or calluses. Your big toe may have reduced mobility.

Here at our office, we are happy to treat bunions of all shapes and sizes. Conservative and surgical options are available to our patients depending on the severity of the bunion and the comfort levels of the patient. We encourage you to make an appointment with us today if your bunion adds inconveniences in your day such as: pain, discomfort, unable to fit shoes, hard to move your big toe, or the bony bump is simply too large for your preference. Call us at 1-310-652-3668 at any time!

Alex Smith Injury

Here at Foot & Ankle Doctors, Inc., we are hoping that everyone has had a marvelous Thanksgiving and will continue to enjoy the holiday season. We wish your days are filled with warmth, joy, and good food.

As we progress into winter, we are still in the thick of football season. In the podiatric field, sports injuries rarely go unnoticed by us since sports medicine is a large component of our practice. That is why when Alex Smith of the Redskins injured his leg in the game against the Texans on November 18, we cringed with worry.

While the NFL categorized it as an ankle injury, we have knowledge that Smith specifically suffered a broken tibia and fibula after his leg twisted unnaturally from a tackle by J.J. Watt and Kareem Jackson. Given its degree, such an injury can be career ending.

Immediate medical attention is recommended when an incident like that occurs. Depending on the physical and radiological findings, surgery may be necessary to correct deformities found. Such was the case of Alex Smith.

However, misfortune doubled down on Smith as news broke out revealing surgical complications. Smith is now said to be dealing with post-surgical infection–a condition that will only worsen his prognosis.

We are currently wishing Mr. Smith the best as he continues to recover from his injury. A broken leg is a very severe condition to endure that requires extremely professional care. Should you ever believe that you have broken a bone in your ankle or foot, then call us immediately at 310-652-3668 for prompt treatment. Thank you, and again, happy holidays!


Ankle Sprains

Summer has ended, and we are now in the thick of fall. This season plants us right in the midst of various major league sports, and athletes everywhere are beginning to collect injuries. Most recently, Russell Westbrook of the Oklahoma City Thunder suffered what is known as the most common athletic injury of all time: the ankle sprain.

Ankle sprains occur when the ligaments of the ankle are pulled beyond their limits and overstretch or tear. The most typical incident of an ankle sprain happens when you roll your ankle inward. Although this injury is categorized as the most common athletic injury of all time, it can happen to any ambulatory person of any background.

Ligaments of the ankle are of the strongest fibrous tissues in the body, and they help keep the alignment of our leg bones in proper position. When we twist or unnaturally bend our ankles, we tend to injure the lateral ligaments of our ankle the most. Fun fact: the anterior talofibular ligament is the most commonly injured ligament of the ankle.

When an ankle sprain occurs, you can expect to see swelling or bruising around the area. It can be tender to touch or walk on. If the ankle sprain is severe enough and the ligament is completely torn, the pain can be comparable to a broken bone.

To diagnose an ankle sprain, a podiatric physician would perform a physical examination that involves palpation of the ankle and testing its range of motion. Depending on the location and degree of replicated pain, your podiatrist can pinpoint the ligament damaged and its degree of damage. X-rays may be ordered to rule out bone injury.

The good news is that the majority of ankle sprains can be treated conservatively and without surgery. Most podiatrists will recommend that you give it RICE. This isn’t to be confused with the edible grain, but is an acronym for “Rest, Ice, Compression, and Elevation”.

  • It is advised that you rest your injured ankle and avoid walking on it. Limit the amount of weight you place on your ankle while it is trying to heal. Ankle braces and crutches may be necessary depending on the patient.
  • Ice your ankle intermittently to control the swelling, but remember to do it properly to avoid skin damage and frostbite. Do not place ice directly on the skin. Do not apply the ice for more than twenty minutes at a time.
  • Add compression to the ankle to further control swelling. Be mindful of your own pain levels while compressing.
  • Elevate your foot while in a comfortable seated or reclined position. It is ideal to keep the foot above the level of the heart.

Treatment of the ankle sprain can be managed at home, but if further complications arise, then make an appointment with our office today by calling 310-652-3668 at your convenience.