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By Varun Gujral
September 02, 2015
Category: Sports Injury

The regular season of the PGA Tour comes to an end in July but the FedEx Cup Championship starts in August—and it starts in Edison, NJ home of your local podiatrists of Affiliated Foot and Ankle Care. Golf is a very leisurely sport but with it can come with major problems, especially related to the foot and ankle. The most common foot and ankle problems golfers complain of are heel pain, metatarsalgia (or ball-of-the-foot pain), and tendinitis.  All of these common ailments can be treated by conservative measures and they are complaints that your local podiatrists are experts in treating.

 There is one common treatment option, which unfortunately does not require the advice of a physician and that is—REST.  Resting any injured part gives your body time to heal by reducing the amount of strain it is used to having on it. Along with rest is ice compression, and elevation…also known as, RICE. This is the go-to treatment option and it’s typically done before patients are even seen in the office. If these measures fail, more aggressive conservative treatments are warranted. Those treatments usually include, in particular order, bracing (for tendinitis), OTC orthotics, custom orthotics (both for heel and foot pain), physical therapy (for all complaints, but mainly tendinitis) and steroid injections (heel and foot pain). Steroid injections are not warranted for tendinitis due to their deleterious effects on tendon strength and healing. There are even more aggressive treatments that can be done but are not usually warranted because these treatments typically cure the pain. For completeness sake, other conservative treatments are cryosurgery and shockwave therapy, both of which are used mainly for heel pain.

The conditions mentioned above are not only experienced by golfers. These are conditions we see every day and are experts in treating them. If you or anyone you know has experienced any of these pains or discomforts, please do not hesitate to call our office and make an appointment. We also have an office in Monroe, NJ as well. Good luck to the golfers as they finish up the start of the FedEx Cup!

 By Varun Gujral

 

By Nrupa Shah
August 27, 2015
Category: Foot Odor

Do smelly feet hold you back from doing certain activities with friends or family? If so, you are not alone, many people experience the problems of foot odor at some point throughout their life and try real hard to hide it. Foot Odor can be caused by a vast number of things; some of the most common factors include overusing one pair of shoes, excessive sweating in the shoes, and a lack of ventilation. A warm and moist environment creates the perfect breeding ground for bacteria and fungi which over time will multiply and accumulate and eventually create that awful smell that’s stinking up your favorite pair of shoes. If foot odor is a problem for you there are some simple tips you can do to stop foot odor from controlling your life.

  • Deodorize the Shoe: You can easily deodorize the inside of your shoes by placing baking soda inside your shoes every night and then dump it out the next day. Also, cedar chips have anti-fungal properties which can be placed in your shoes overnight as well.

 

  • Freeze your shoes: You can kill much of the bacteria and fungi in your shoes by freezing them. Place your shoes in a plastic bag and stick them in the freezer overnight and you’ll notice a dramatic decrease in the smell of your shoes. Just remember to let them thaw out before you put them on.

 

  • Wash your shoes: If you have shoes that are machine washable it would be a good idea to wash your shoes in detergent at least once a month to get rid of any dirt and grime in your shoes. Just remember to let them dry out real good before wearing them again.

 

  • Use baby powder on your feet: If your feet sweat a lot, this could attract bacteria to them and cause them to smell bad. To prevent this from happening, you need to keep them dry by using baby powder or something similar to it on your feet. You can put a layer of baby powder on your feet and then put socks on and then another layer in your shoes before wearing them. This will not only keep your feet dry but they will smell like baby powder which is much better than the other alternatives.

 

  • Manage your foot hygiene: Probably the most important tip for preventing foot odor is to maintain good foot hygiene. One should clean their feet daily by cleaning them in the shower with soap making sure to clean in between the toes. Alternatively, one could soak their feet in a vinegar solution or Epsom Salt solution. Whichever method you choose, make sure to dry your feet well afterwards. You can also put deodorant on your feet just make sure to keep a stick that is meant only for your feet.

 

  • Have more than one pair of shoes: Try not to wear the same shoe more than two days in a row. Have an extra pair that you could switch out and wear the next day. Also allow the other pair of shoes a chance to dry out.

 

If you’re suffering from foot odor and would like to discuss topic with a podiatrist or would like more information about foot odor please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

 

 

The Chicago Air and Water Show is an event put on every year for millions of people to watch. It gives people of all ages the opportunity to see acrobatic jets, loud bombers, and even people jumping out of planes. What most people probably don’t know is that even though most—if not all—of the people who perform in the event are military trained. Not only that, but they have to train for this particular show. Hours and hours of rehearsing must be dedicated towards this event to ensure everything is perfect. However, we all know that no one is perfect and mistakes happen and unfortunately a mistake happened.

Two men, one from the Army Golden Knights and the other from the Navy Leap Frogs, were performing a stunt called the “bomb burst”—parachutists jump with red smoke attached to their back and eventually separate creating a colorful visual in the sky. Everything was going according to plan until their chutes got tangled up. One man, from the Army Golden Knights, is a 20 year old who is still in critical condition and underwent surgery the day of the accident. The other, from the Navy Leap Frogs, broke his leg and was expected to be released Saturday. It is unknown whether or not he had or is going to have surgery or not. The most difficult part about performing surgery on a traumatic patient is the amount of swelling they may have. IF the swelling is too extensive, the surgery must be postponed until the swelling resides unless the surgery far outweighs the risks involved. A way that is typically done, especially if the bones are completely out of place, is to put an external fixator around the broken bones in order to keep them in line while the swelling subsides. The patient must also be monitored for the risk of compartment syndrome. While in the hospital, if this is a concern, the compartment pressures of the leg are usually monitored with a Wicks catheter.

Any traumatic event is devastating but it is even more devastating when it happens to those who serve and protect our country. From everyone here at Affiliated Foot and Ankle Care in Monroe and Edison, NJ, we wish both divers a speedy recovery and thank them both for their service.

By Varun Gujral

 

During a recent episode of “Live with Kelly and Michael”, Kelly Ripa appeared on stage with a new set of accessories. Ripa came out on a pair of crutches wearing an orthopedic boot on her left foot. Ripa revealed to the audience that she was attending a dance class and jumping up and down and at some point landed on a weight that someone left out causing her to roll her foot. There was a loud audible popping sound like bubble wrap popping. Ripa was taken to the emergency room where it was revealed that she broke 4 bones in her foot but also that she had anomaly in her foot as well. It was revealed the Ripa was born with a calcaneonavicular coalition which is where two bones in her foot are fused together. This is a relatively benign condition and most people who have it don’t even realize it until it is discovered while looking for something else as in Ripa’s case.

In some cases a coalition of two bones may result in pain or limitation of motion which will require surgical separation of the two bones. Foot and ankle injuries are common among dancers from professional dancers to recreational dancers. In Ripa’s case it was an unfortunate accident that she happened to land on a weight that someone else left out and rolled her foot. In most dance related injuries, they are often due to overuse or repetitive trauma over time. Common dance injuries include tendonitis and stress fractures. Tendonitis is inflammation or irritation of the tendons.

Tendonitis often develops over time as a result of repetitive trauma on the affected tendon. Some of the common signs and symptoms of tendonitis include pain that gradually worsens over time around the area of the affected tendon as well and a gradual stiffening or loss of motion of the joints that are controlled by that tendon. Tendonitis can easily be treated by stopping the activity that is causing it and allowing time for the tendon to recover. Stress fractures are tiny hairline fractures of the bones that like tendonitis occur from repetitive trauma to the area. Some common symptoms include pain in the affected area especially when bearing weight as well pain when applying pressure to the affected area. Like tendonitis, stress fractures require ample rest and recovery time to allow for proper healing. We here at Affiliated Foot and Ankle Care in Edison and Monroe, NJ wish Kelly Ripa a speedy recovery. If you think you suffered a dance injury or other type of overuse injury or would like more information about overuse injuries please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

 

Golf is a sport I feel many people underestimate for the simple fact that there isn’t any contact. However, just because there isn’t contact doesn’t mean athletes don’t get injured—there are many injuries, surprisingly. The most common injuries in golf are to the knee, back, and shoulder. That’s not the case for Michelle Wie. Wie, one of the stars of women’s golf, reinjured her ankle by stepping in a hole early in the round on Friday. Later, on the 13th hole, Wie slipped and fell to the ground and was not able to put any more weight on her foot. What preceded her injury was the development of a bone spur near her ankle last month in which she wore a protective boot to help reduce the pain and swelling.

Bone spurs can occur for a number of reasons but the main cause of them developing in the ankle is arthritis. As joints become narrowed their range of motion decreases which can eventually cause impingement and ultimately lead to spur formation. Immobilization is the first line of treatment for spur formation near or at a joint. The main reason for this is to help reduce the amount of motion because motion at a narrowed joint with a spur is what causes the pain. Sometimes, though, complete immobilization isn’t enough and the spur needs to be surgically excised. I highly doubt that will be the case for Wie, but it’s something that may be considered in the future.

Although golf is not a demanding sport, per se, it is still a sport that can cause a lot of havoc on certain areas of the body. Being that golfers have to walk the entirety of the course, a lot of stress is applied to the lower extremity so the ankle and knees can become injured more often than one would imagine. As for Michelle Wie, she had an unfortunate accident which may have exacerbated the pain caused by her bone spur. If you or someone you know has slipped and injured the ankle, please do not hesitate to make an appointment with your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

By Varun Gujral





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