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Pickleball, a fast-paced and exhilarating sport, can occasionally lead to foot and ankle injuries that require attention and proper care. One common injury is ankle sprains, resulting from sudden changes in direction or awkward landings while maneuvering around the court. Plantar fasciitis, characterized by inflammation of the thick band of tissue running across the bottom of the foot, may develop due to repetitive jumping and running movements. Additionally, stress fractures can occur in the bones of the foot or ankle, typically from overuse or excessive impact during gameplay. Achilles tendonitis, an inflammation of the Achilles tendon at the back of the ankle, can also arise from repetitive movements like lunging and pivoting. Proper warm-up routines, supportive footwear, and paying attention to technique can help reduce the risk of these injuries. If injury occurs, prompt medical evaluation and appropriate treatment are essential for recovery and returning to the pickleball court safely. If you have developed a foot or ankle injury while playing pickleball, it is suggested that you contact a podiatrist who can offer you a treatment plan that is right for you.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 09 April 2024 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.   

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.

Prevent injuries and see a foot specialist.

Tuesday, 02 April 2024 00:00

Definition and Risk Factors of Gout

Gout, a form of arthritis, causes sudden bouts of intense pain, swelling, and redness, primarily in joints like the big toe. It occurs due to the accumulation of urate crystals in the joints, resulting from high levels of uric acid in the blood. Understanding the risk factors of gout unveils various elements that contribute to its onset. Lifestyle choices, such as a diet rich in purines found in red meat and certain seafood, significantly elevate the risk. Additionally, obesity and excessive alcohol consumption increase the likelihood of developing gout. Genetic predispositions also play a pivotal role, as individuals with a family history of gout are more susceptible. By addressing modifiable factors like diet and lifestyle, individuals can lower the risk of gout and its debilitating consequences. Early detection and treatment are critical in alleviating symptoms and enhancing quality of life for those affected by this painful condition. If you have gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Tuesday, 02 April 2024 00:00

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. 

Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents, particularly those engaged in physical activities such as running or jumping. It occurs when the growth plate at the back of the heel bone becomes inflamed due to repetitive stress or tension. The growth plate, known as the calcaneal apophysis, is a vulnerable area where new bone forms as children grow. Common causes of Sever's disease include overuse, rapid growth spurts, and participation in high-impact sports that place excessive strain on the heel bone. Symptoms typically include heel pain, especially during physical activity or when pressing the affected area. Children may also experience swelling and tenderness at the back of the heel. Those participating in sports or activities involving repetitive pounding on hard surfaces are at higher risk of developing Sever's disease. If you notice your active child has heel pain or is limping, it is suggested that you consult a podiatrist who can diagnose and treat Sever’s disease and other foot problems.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Read more about Sever's Disease
Tuesday, 26 March 2024 00:00

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis is a common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.

Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.

Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.

Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.

If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.

Tuesday, 19 March 2024 00:00

Athletes and Flat Feet

Athletes often face various challenges in their pursuit of excellence, and flat feet can present an additional hurdle to overcome. Flat feet, or fallen arches, occur when the arch of the foot collapses, causing the entire sole to make contact with the ground. This condition can lead to discomfort, instability, and an increased risk of injury during physical activity. However, many athletes with flat feet have found effective ways to cope and excel in their sports. One important strategy involves wearing supportive footwear with proper arch support and cushioning to help distribute weight evenly and reduce strain on the feet. Additionally, incorporating exercises to strengthen the muscles surrounding the feet and ankles can improve stability and alignment, enhancing overall performance and reducing the risk of injury. Seeking guidance from a podiatrist can also provide valuable insights and personalized recommendations for managing flat feet while pursuing athletic goals. If you have flat feet and participate in sporting activities, it is suggested that you consult a podiatrist who can offer you additional relief strategies.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about Flatfoot
Tuesday, 19 March 2024 00:00

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe.  Various types of flatfoot exist, each with their own varying deformities and symptoms.  The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot.  Other signs of flatfoot include:

  • “Toe drift,” or the pointing outward of the toes and the front part of the foot
  • The tilting outward of the heel and the tilting inward of the ankle
  • The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
  • Hammertoes
  • Bunions

One of the most common types of flatfoot is flexible flatfoot.  This variation usually starts in childhood and progresses as one ages into adulthood.  Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing.  When not standing, the arch returns.  Symptoms of flexible flatfoot include:

  • Pain located in the heel, arch, ankle, or along the outside of the foot
  • Overpronation, or an ankle that rolls in
  • Shin splint, or pain along the shin bone
  • General foot aches or fatigue
  • Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit.  X-rays may be taken to define the severity and help determine the treatment option best for your condition.  Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices.  If nonsurgical methods prove ineffective, surgery may be considered.  Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

Achilles tendon injuries, debilitating and often painful, stem from a variety of causes and risk factors. One primary cause is overuse or repetitive strain, particularly common among athletes engaged in high-impact sports like running or basketball. Sudden increases in training intensity or frequency can also strain the tendon, leading to microtears or inflammation. Additionally, inadequate stretching or warming up before physical activity can increase susceptibility to injury. Foot problems such as flat feet or high arches can further exacerbate the risk of Achilles tendon issues by altering biomechanics and placing uneven stress on the tendon. Tight calf muscles and poor footwear choices, lacking proper support or cushioning, can also contribute to strain on the Achilles tendon. Recognizing these underlying causes and addressing risk factors through proper conditioning, stretching, and footwear selection are essential steps in preventing Achilles tendon injuries and maintaining overall foot health. If you have endured an Achilles tendon injury, it is suggested that you confer with a podiatrist who can successfully treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries
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