Duke’s Cassius Stanley left leg injury

Duke freshman Cassius Stanley is out indefinitely after suffering what coach Mike Krzyzewski called a muscular injury in his left leg during a victory over Winthrop on Friday night.” – ESPN reports.

We’ve been talking a lot about professional sports here at Foot & Ankle Doctors, Inc., though please know we care about everyone. From professional to intercollegiate to regular members in our community all around– we want the best foot and ankle health for all.

Hearing about Cassius Stanley’s injury worries us a muscular injury can vary in severity depending on its location and degree. Let’s not forget ex- Golden State Warrior, now Brooklyn Net’s Kevin Durant’s leg injury that turned into a complete Achilles tendon rupture.

A proper medical analysis complete with physical examination and anatomical imaging is warranted to properly assess Duke’s Cassius Stanley leg injury.

For persons in the Southern California area, specifically in Los Angeles, we open our office doors to all with problems regarding the foot and ankle. Podiatry is our world. Our highly trained physicians practice in assessment, conservative and surgical treatment of all ailments that pertain to the lower extremity. If you are looking for a Podiatrist in the Beverly Hills/Los Angeles area, please call us at 1-310-652-3668 to be seen today! Thank you, and we wish everyone a lovely holiday season. 

Cam Newton No Surgery

In our previous blog post, we promised that we would follow Cam Newton’s Lisfranc injury closely. I am back to report that Mr. Cam Newton will not be getting surgery for his injury.

Cam Newton is the star quarterback of the Carolina Panthers. Cam Newton led the Carolina Panthers to compete in the NFL Super Bowl 50. Cam Newton’s talents have recently been sidelined after hurting his foot during practice. A thorough medical examination concluded that Cam Newton suffered from a Lisfranc injury, which means an injury to the ligaments and bones in the mid-region of his foot. 

Reports say that Cam Newton has not shown any progress in healing, thus sought a second opinion. However, despite his wishes for a speedy recovery, Cam Newton still does not have an expected return date. His second medical workup had advised him against surgical treatment. 

Here at Foot & Ankle Doctors, inc., we hope Mr. Cam Newton is receiving proper instructions on conservative treatment for his foot injury. Lisfranc injuries are complex given that they involve multiple bones, ligaments, and joints. Physical therapy must be performed carefully to avoid overstressing the injury. 

If you happen to be suffering from a Lisfranc injury, or any foot ailment, give us a call at 1-310-652-3668 to schedule an appointment today. As highly trained podiatrists in Los Angeles, California, we are greatly experienced in treating a variety of sports injuries. You can count on us to be your Fix-All Foot-Docs!

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 https://twitter.com/ProFootballDoc/status/1138277876539650049

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: https://www.sandiegouniontribune.com/sports/nba/story/2019-06-11/nba-finals-kevin-durant-achilles-injury-warriors-free-agency)

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!