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MY BLOG
Posts for: February, 2012
Will a bad toe keep tennis great Lleyton Hewitt out of the olympics?
He doesn't think so. The Australian tennis star has been suffering with pain in his big toe joint for several years. This past season, the condition became so painful, he had to get local anesthetic injections into the joint for most of his matches. The condition he suffers from is Hallux Limitus.
Hallux Limitus is a degenerative joint condition of the big toe. It can start as a result of a trauma or from mechanical imbalances such as an elevated or hypermobile fist metatarsal bone. Early in this condition, limitation of motion in the upward direction is seen. Over time the jamming of the joint at the end range of upward bending causes damage to the cartilage of the joint resulting in pain. In later stages, bone spurs form around the joint, further restricting motion and causing additional symptoms.
Due to the impact the pain and restriction of motion was having on his tennis game, Lleyton opted for surgical treatment. He had a procedure called a Cheilectomy performed at the end of the competitive season. In this procedure, damaged bone and cartilage is removed from the joint and scar tissue released to improve pain free motion. Healing takes 4 to 6 weeks and the results should last 10-15 years. Protection of the joint with an orthotic device after surgery can enhance the results.
Lleyton expects to play and be a medal contender in the upcoming London Olympics this summer following this surgery. We will be keeping any eye on his foot work!
Should you or anyone you know be suffering from pain in the big toe joint, make an appointment to see us with locations in Midtown, Gramercy Park, Union Square, Wall Street and Glen Cove. There are many options available for treatment, but it all starts with an accurate diagnosis. Make sure you choose the right specialist. Choose the podiatrists at Midtown Podiatry!
Amputations of the lower extremity take a huge physical, emotional and economic toll on a person...
The Podiatrists at Midtown Podiatry put great effort in preserving limbs should infections or other complications arise that put the limb at risk. Diabetic patients, especially those with neuropathy and/or vascular disease, are at greater risk than average for the types of complications that can lead to amputation. Research has shown that people with a lower leg amputation are twice as likely to sustain an amputation of the other leg within the next 2 years, and are at a greater risk of death.
The economic impact an amputation can cause can be devastating as well. Long periods of disability and the inability to return to previous jobs can cause hardship for many of these patients. The emotional toll can be significant, with depression commonly adding to the disability. It is for all these reasons that limb preservation is a focus, not only for us, but the entire profession of Podiatry.
It all starts with prevention. The new Thompson-Reuters study has demonstrated the positive role regular podiatry visits have on prevention of foot complications of diabetics. Here at Midtown Podiatry, we like to keep a close eye on our diabetic patients. Each begins with a thorough evaluation of the current foot and health status, tailoring treatment and follow up intervals based on individual needs. Should limb threatening complications arise, we have the resources to address those immediately. Our podiatrists have extensive training and experience in treating these complications.
We have access to a team of dedicated medical and surgical specialists at Beth Isreal Medical Center to assist us in managing these often multifaced complications. Our goal is to address these issues quickly and efficiently and return people to function as soon as possible. We know despite the best efforts, some limbs can not be salvaged, and for some situations, amputation is the best alternative. Advances in prosthetics and in medical and psychological management have improved outcomes in those undergoing amputation. Continued podiatry care is essential to preserve the other limb.
With the efforts of those dedicated to limb preservation, we hope to reduce and eventually end these devastating events.
If you or a loved one has diabetes or vascular disease, please make an appointment with the podiatrists at Midtown Podiatry, with locations in Midtown, Union Square, Gramercy Park, Wall Street and Glen Cove, immediately for an evaluation and personalized prevention plan. The limb and life you save could be your own.
With school sports seasons in full swing, it’s important to remember athletes should never “play through the pain” in their feet. Left untreated, heel pain can lead to difficulty in walking that may require complicated therapy or treatment.
Our Podiatrists at Midtown Podiatry have been seeing an increase in pediatric patients reporting heel pain with sports such as football, soccer and basketball. Obesity is also emerging as another prominent cause of heel pain even with students in physical education class activities. The good news is that kids generally heal very quickly and treatment may be simple if it is taken care of promptly.
Kids undergoing growth spurts are especially susceptible to heel pain starting at age 8 until around age 13 for girls and 15 for boys. The source of the pain is usually the growth plate of the heel bone, a strip of soft tissue where new bone is forming to accommodate adolescents’ lengthening feet. Overuse, repeated pounding or excessive force on the Achilles tendon can cause inflammation and pain.
For many teenagers, the growth plate has completely closed, and heel pain is caused by other conditions such as plantar fasciitis, tendonitis, bursitis, bone bruises or fractures. The only way to know for sure what your child is suffering from is to have them examined.
People have a tendency to give it time and see if the pain goes away on its own, and sometimes that can happen. But if symptoms persist, it’s best to make an appointment at Midtown Podiatry with locations in Midtown, Gramercy Park, Union Square, Wall Street and Glen Cove to make an accurate diagnosis and to avoid complications.