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NBA big men have recently been touted as being “injury-prone” secondary to current and past players being injured so often. From Greg Oden to Bill Walton, forwards and centers just can’t seem to catch a break. And now, the number 3 overall pick in the 2014 NBA draft, Joel Embiid is projected to miss his second straight season due to a stress fracture he suffered prior to draft day in his right foot. Embiid is scheduled to have surgery which will cause him to be sidelined for the 2015-16 season.

Usually, foot surgeries do not sideline players for an entire season. However, the Philadelphia 76’s want to make sure Embiid is 100% for the following season. Stress fractures can be caused my numerous things but most commonly they’re caused by overuse. It’s unknown what part of the foot Embiid injured, but the most common bones injured by stress fractures are the 2nd and 5th metatarsal bones. The metatarsal bones are the bones that attach to your toes and are essentially in the middle of your foot. Lots of force is transmitted through this area and that is the reason why stress fractures are commonly found here. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ see and treat many stress fractures. Depending on the severity of the fracture they can sometimes be treated conservatively with proper offloading and RICE. However, for displaced, intra-articular fractures surgery is definitely warranted and depending on the type of patient, the recovery period is at the discretion of the surgeon. In Embiid’s case it will be at the discretion of his contract AND surgeon.

Fractures of the foot are common and can be extremely difficult to heal mainly because it’s hard to keep the patient off their injured foot.  Typically patients are off their foot for 6-8 weeks because that’s how long it takes bone to fully heal. Embiid is unfortunate that this is the second time he is having surgery and that he will be out for a second consecutive season. The 76’s are in dire need of Joel’s presence seeing as how he was the Pac 12 defensive player of the year.

By Varun Gujral

Tinea Pedis, more commonly known as athlete’s foot is a fairly common fungal infection that commonly affects the feet especially the skin in between the toes. Despite its name, anyone who goes barefoot in public places can get athlete’s foot. Athlete’s foot is caused by the same fungus that causes ringworm and summertime is the perfect breeding season for this fungus. People are more likely to walk around barefoot at pools and in pool locker rooms during the summer so if someone who has athlete’s foot contaminates the ground and another person walks in the same area, then they are at risk of contracting the fungus.

Athlete’s foot usually starts out as a red itchy rash between the toes that can easily spread to other areas of the body. If you pick or scratch at the infected area it could spread to your hands and if you touch other areas of your body it could spread there too. Summertime activities can really exacerbate the problem of athlete’s foot. People are more likely to walk around barefoot which increases their chances of picking up the fungus and also with the warmer whether people sweat more which creates a nice damp breeding ground for the fungus. If caught early enough, you may be able to treat athlete’s foot with over the counter antifungal ointments but if the problem still persists after a week or two of treatment, you may need to seek medical treatment.

If you think you have contracted athlete’s foot and have been treating it with antifungal ointments but the problem still persists and seems to even be getting worse then it may an entirely different entity all together like dermatitis which will require a completely different course of treatment. With proper precautions one can avoid picking up athlete’s foot during the summer or any other time of the year for that matter. The simplest way to avoid getting athletes foot is to never ever walk around barefoot in public places. When around pools or in the locker rooms always wear beach sandals or aquatic shoes to prevent potential contact with contaminated surfaces. Try to keep your feet dry by wearing well ventilated shoes. When at home, be sure to dry your feet with a towel especially the spaces between your toes and sit barefoot for a while to allow them to air out. If you sweat a lot be sure to change your socks regularly and alternate between different pairs of shoes each day.

If you suspect you may picked up athlete’s foot and over the counter treatments aren’t working, seek medical treatment right away because getting the right treatment early can prevent an infection from spreading to other areas of your body or to other people. If you think you are suffering from athlete’s foot or would like more information on this subject and the management of it, please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

Skinny jeans are definitely becoming a fashion statement in today’s generation. They can be worn with virtually anything and from what I hear they are extremely comfortable. But, based on a story out of Australia, I would recommend wearing them while you’re doing any kind of strenuous activity—stick with some sort of lose clothing for that. A 35-year old woman was helping her friend move and she was doing a lot of bending and squatting throughout the day. Your legs and feet naturally get more swollen than any other part of your body because of gravity and they are part of the body that’s furthest from the heart. With that said, the woman started getting more uncomfortable as the day progressed when she eventually had to go to the emergency room and have her pants cut off from her. The doctors said she developed a mild case of compartment syndrome by compressing her peroneal and tibial nerves.

Compartment syndrome is extremely rare. The leg and foot are divided into different compartments; the leg having 4 compartments and the foot having 9 (depending on what source you read). These compartments can become inflamed and fill with fluid and compress on nerves and vessels within the compartment causing lack of oxygen to any part further down from it and numbness and tingling in that leg or foot. The only feasible treatment for compartment syndrome is a fasciotomy. That involves relieving the pressure in that area by making an incision to release any fluid or swelling. Compartment syndrome is most commonly seen in the lower extremity so your local podiatrists at Affiliated Foot and Ankle Care of Monroe and Edison, NJ know exactly what it takes to treat and care for patients who have experienced this rare phenomenon.

Again, compartment syndrome is extremely rare but if you or someone you know have any symptoms of suddenly swollen legs/feet, numbness and tingling, and extreme pain please go to the emergency room as soon as possible. This syndrome can cause loss of limb if not treated in a timely manner.

By Varun Gujral

 

By Nrupa Shah
June 18, 2015
Category: Fractures

It seems the more and more I talk about how rare I think it is that performers injure themselves on stage, the more and more they are doing it. Recently, the lead singer of the Foo Fighters, David Grohl, fell off the stage and broke his leg. The extent of his injury, however is still being decided. With that said, though, taking a spill from a concert stage can cause real damage to your leg and often times “a broken leg” can also mean an injury to the ankle as well.

Traumatic ankle fractures often involve fractures of the lower leg as well. Depending on the way the foot is planted and the direction the leg turns will decide that fate but the most traumatic position the foot and leg can be in is a pronated foot with an externally rotated leg. However, the most common combination is a supinated foot with an externally rotated leg. In any event, treatment for these types of injuries usually involves surgical intervention. Main reason being is because with this type of injury, developing arthritis is already high, but if the fracture is not reduced the chances for arthritis is increased dramatically. These types of injuries are emergent but swelling of the leg and ankle is the deciding factor in these types of injuries. Swelling needs to subside before surgery can be considered due to the fact that if skin that is tense because of the swelling is cut into, it will filet open and will not be able to be closed back up. So, patients are usually told to ice and elevate their injured leg for about 7 days before they see the surgeon and undergo surgery. After surgery patients are usually non weight bearing for four-to-six weeks in a cast.

Whether it’s a fall from 3 feet or 10 feet, a broken leg is a broken leg and it needs to be fixed. If you have experienced a fall that resulted in what you think may be a broken leg/foot/ankle, please go to the ER as soon as possible! From everybody here at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ we hope Mr. Grohl an uneventful recovery in hopes he can get back on stage.

By Nrupa Shah

 

By Varun Gujral
June 10, 2015
Category: Sports Injury

Catchers, no matter what level, are seemingly in the most uncomfortable position relative to any other in the sport. If you think about it, they are always squatting which puts a lot of pressure on the knees, ankles and the rest of the foot, and if a catcher plays for ‘x’ number of years all of those joints and/or bones will eventually breakdown. Unfortunately for New York Yankees catcher Brian McCann, he has apparently suffered the longstanding of being a catcher. McCann has been a catcher in the MLB for 10 years (the first eight of those years he served with the Atlanta Braves). So you can imagine, 10 years-worth of squatting can surely take a toll on someone. Another question someone might ask is, “Why doesn’t it happen to all catchers then?” The answer to that is, every catcher has a unique style of catching from where they put their feet to how they squat.

The traditional catching stance—knees out over toes, weight on the balls of the feet, and the backside practically resting on the heels—is probably the most damaging to the joints and bones of the lower leg. The reason this is such a damaging posture—from a podiatrist’s standpoint—is because there is a large amount of strain being put on the Achilles tendon. The Achilles tendon is the longest and strongest tendon in the human body but if put under stress and strain for years on end it will eventually lose its integrity which in turn can cause the rest of the foot to breakdown. Although it seems like it just attaches to the back of the heel bone, it actually continues onto the underside of the foot and becomes part of the plantar fascia. This is important to keep in mind because the plantar fascia is the foundation of the arch of the foot; once the plantar fascia fails, the rest of the foot will too. That’s not to say this is what happened to McCann, but I would venture a guess that it’s definitely related.

McCann will be getting an MRI to assess if there is any damage to the soft tissue (muscles, tendons, ligaments) and joints of his right foot. From everyone here at Affiliated Foot and Ankle Care in Monroe and Edison, NJ we wish him a quick recovery so he is able to get back behind the plate.

By Varun Gujral





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