Sports Medicine

Advanced techniques in foot and ankle surgery.
Bone lengthenings, ankle and rearfoot fusions along with advanced trauma techniques.

Efforts to advise all options in foot and ankle care are taken to meet the needs of the patient and strive for the most appropriate surgical plans and operations for the best outcome with the easiest recovery.

Since you stand and walk and run on your feet, these surgeries are different from most in the orthopedic world. Sometimes the more aggressive procedures are the more long lasting but a longer recovery is needed. Sometimes a less aggressive, with very little recovery time procedure fits the patients desires and will achieve a satisfactory outcome.

Techniques in surgery involve knowledge, skill and use of hardware. Hardware used in orthopedic surgery includes, plates, screws (absorbable or non), fixation devices like frames, pins, staples, special cements and implants.

Our feet are very complex structures, comprised of 26 bones, 30 joints, 19 muscles, and 107 ligaments in each foot.  Ailments related to the foot are very common and can be very debilitating. Although some can be traced to heredity, many stem from the cumulative impact of a lifetime of abuse and neglect.  There are a number of systemic diseases that are sometimes first detected in the feet, such as diabetes, circulatory disorders, anemia, and kidney problems. Arthritis, including gout, often attacks foot joints first. As specialists in foot and ankle pathology, our purpose is determining a cause and finding a solution to your pain and discomfort. Your feet, like other specialized structures, require specialized care. A doctor of podiatric medicine can make an important contribution to your total health, whether it is regular preventive care or surgery to correct a deformity. 

In order to keep your feet healthy, you should be familiar with the most common ills that affect them. Remember, though, that self-treatment can often turn a minor problem into a major one and is generally not advisable. You should see a podiatric physician when any of the following conditions occur or persist. Some of these ailments are: 

sports-injury-2.jpgSPORTS INJURIES:
Many sports require miles of running -- with quick stops and starts -- per game. Competition is usually on grass fields, which "give" so players may change direction quickly. It also provides a soft landing surface on which to crash.

Injuries are inevitable in contact sports. The lower extremities -- an athlete's steering, accelerator, and braking systems-- are particularly susceptible. But with proper conditioning, equipment, and technique, competitors in contact sports have successful, healthy playing seasons.

Podiatric physicians, specialists in care of the lower extremity, are able to treat these sports injuries and get the athlete back into competition as soon as safely possible.

overuse.jpgPreventing "Overuse" Injuries:
The time a football, soccer, or lacrosse player spends in an actual game represents only a tiny fraction of time spent in practice, conditioning for competition. Practice involves hours of running, repetitive drills, and scrimmages every day.

While conditioning exercises in practice will strengthen and improve flexibility in the lower extremity, the repeated stress of practice may bring on chronic, or "overuse" injuries. These injuries can nag at a player and hamper, if not end, a season of competition.

Overuse injuries also come from faulty biomechanics of the feet -- how the lower extremity physically adjusts to the ground. If an athlete has "flat" feet, which tend to pronate (out-toe) or excessively high arches, which often supinate (in-toe), extensive running and cutting can produce chronically strained ankles.

Before taking the practice field, it's wise to be examined by a podiatric physician specializing in sports medicine, who will identify any biomechanical abnormalities that increase the chance of injury. The podiatrist may recommend specific exercises to strengthen and improve flexibility of the foot and ankle, or recommend taping or padding of the foot or ankle before practice and competition. A podiatrist may also prescribe orthoses, customized shoe inserts that correct biomechanical problems by redistributing the body's weight.

Podiatric physicians say proper stretching and warm-up before and after home workouts, practice, and before games go far to prevent overuse injuries to the supporting structures of the lower extremity. Warm-up and cool-down exercises should take 5-10 minutes and should be conducted in a stretch/hold/relax pattern, without any bouncing or pulling. When muscles are properly warmed up, the strain on muscles, tendons, and joints is reduced.

This is just to mention a few of the very common pathologies Podiatric physicians encounter and manage on a daily basis. Details of each and every ailment is too much to mention in this small brochure. Below is a list of other conditions treated:

Conditions treated include:

  • Achilles Tendon Rupture (Tear)
  • Ankle Fractures (Broken Ankle)
  • Calcaneus (Heel Bone), toe, forefoot Fractures
  • Lisfranc (Midfoot) Injury Sprained Ankle
  • Stress Fractures of the Foot and Ankle
  • Turf Toe
  • Achilles Tendinitis
  • Flatfoot in Adults & children
  • Arthritis of the Foot and Ankle
  • Talotarsal Displacement
  • Diabetic (Charcot) Foot
  • Intoeing
  • Posterior Tibial Tendon Dysfunction
  • Sesamoiditis