Types of Metatarsal Fractures

Types of Metatarsal Fractures

The metatarsals are the five long bones located in the middle of your foot which connect the toes to the rest of the foot. When any of these bones break, it is known as a metatarsal fracture. There are several types of metatarsal fractures. Stress fractures occur when a bone develops one or more tiny cracks due to it being unable to bear the load placed on it. A Lisfranc fracture-dislocation occurs when the second metatarsal bone is broken and knocked out of place. A fracture of the fifth metatarsal bone, the most common type of metatarsal fracture, occurs when excessive stress or overuse causes the bone that connects your pinky toe to the rest of your foot to break. If you have symptoms of a broken foot bone, such as pain, swelling, bruising, and difficulty walking or bearing weight on the injured foot, it is strongly suggested that you seek the care of a podiatrist as soon as possible.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact one of our podiatrists from Canonsburg Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions please feel free to contact our office located in Canonsburg and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

When Gout Goes Untreated 

When Gout Goes Untreated 

Uric acid is produced as a by-product when the body breaks down purines contained in some of the foods we eat. When uric acid cannot be properly flushed, it can accumulate and crystalize on the joints: most commonly, the big toe joint. If this condition called gout goes untreated, nodules (tophi) can form which can be very painful and debilitating. In these cases where the disease has progressed or infection has set in (and more conservative treatments have not worked), surgery may be necessary. There are different surgical approaches to remove gouty deposits and tophic masses while preserving surrounding tissue. In extreme cases when the joint is severely damaged or unstable, joint replacement or fusion may be necessary to reduce pain. If you have episodes of sharp pain in the joint of the big toe, it is a good idea to make an appointment with a podiatrist to have your condition properly diagnosed and to explore your treatment options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Canonsburg Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Canonsburg and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Stress Fractures of the Foot and Ankle

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Stress Fractures Can Be Caused by Walking

Stress Fractures Can Be Caused by Walking

If you feel pain or discomfort in the midfoot area, you may have developed stress fractures in the 2nd and 3rd metatarsal bones of the foot. The most common cause is repetitive walking for long periods. This condition, sometimes called “march fractures,”  is common after a trip with prolonged walks or hikes, in overtraining for a marathon type of event, or from military recruitment exercises. Other causes include a change in foot shape—perhaps the result of bunions—that may overload the midfoot bones, and osteoporosis, which is a weakening of the bones as the result of low bone density. Symptoms include pain and swelling, as well as tenderness to the touch, which could worsen if the activity is continued. As with all painful foot conditions, it is a good idea to schedule a visit to a podiatrist for a complete checkup, which will likely include X-rays or other imaging tests to see the extent of the injury. In the meantime, avoid walking or bearing weight on the affected foot as much as possible to help it heal more quickly.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Canonsburg Podiatry Associates. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact our office located in Canonsburg and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Foot and Ankle Surgery

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.  

Endoscopic Plantar Fascia Release

Endoscopic Plantar Fascia Release

Plantar fasciitis is a common injury that occurs when the plantar fascia ligament, which runs along the bottom of the foot, is inflamed. This condition typically causes heel pain, particularly after a period of rest. When caught in its earlier stages, plantar fasciitis can often be remedied with conservative treatment alone. A severe or untreated case of plantar fasciitis, however, can become chronic and may require more extensive treatment. Endoscopic plantar fascia release is a surgical procedure in which the plantar fascia ligament is cut to release tension and reduce inflammation. If you have severe or chronic heel pain, it is strongly suggested that you seek the care of a podiatrist, who can prescribe the proper treatments for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Canonsburg Podiatry Associates. Our doctors 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.

If you have any questions please feel free to contact our office located in Canonsburg and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Plantar Fasciitis

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Plantar Fasciitis: An Unusual Name for a Common Problem

Plantar Fasciitis: An Unusual Name for a Common Problem

Although the term plantar fasciitis sounds unusual, the condition it describes is the most common form of heel pain. “Plantar” has to do with the sole of the foot, while “fascia” is a fibrous band of tissue. “Itis” is a suffix used to indicate inflammation. Put those three things together and you are describing an inflammation of the fibrous tissue on the sole of the foot — otherwise known as plantar fasciitis. It can cause a stabbing pain near the heel, which is worst in the morning as you take your first steps, or after periods of rest. This pain can subside as your feet become warmed up. Although runners often develop plantar fasciitis, it can also be common in people who are obese or who wear shoes without adequate support. If you believe you have plantar fasciitis, it is a good idea to contact a podiatrist right away to receive an accurate diagnosis and begin proper treatment as soon as possible.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Canonsburg Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Canonsburg and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis

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