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Heel Pain

Heel Pain

I see Phil at out of state marathons. He continues to tough out his heel pain. Others I’ve met gave up running or had surgery, and multiple cortisone shots. A new non-invasive “EPAT” ultrasound procedure is now available in the office.

Heel pain is one of the more common injuries we see. Many an everyday runner or weekend warrior at middle age can develop this nagging recurring pain. They don’t get the attention the elite or professional athletes receive. The pain typically comes when getting out of bed or a chair. The direct cause is usually a tight ligament in the arch, a tight Achilles cord or both causing a micro-tearing and inflammation. So we work at stretching the related calve and foot muscles and calming down the inflammation. The inflammation has to be reversed. Rest, ice, and stretching are used if the pain is recent, recent in terms of days or weeks.

More often, I see a patient like Phil, who has had the pain for several months. He blames it on a bruise, but runs anyhow and expects it to go away in couple of months. At this point, the scarring from the micro-tears thickens the ligament (plantar fasciitis) or tendon (Achilles tendinitis). The “tendinitis” digresses to a chronic “tendinosis”.

The thickness of the fascia or tendon is appreciated with an ultrasound exam.  Any spur or bone disease is also ruled out with an X-ray. Stretching and a night splint are used, depending on the degree of tightness. Ice therapy is recommended, along with gait analysis and training: “walking through the ball of the big toe”.  Shoes, orthotics taping and the use of kinetic tapes are reviewed. If these methods only bring limited relief, a EPAT therapy is recommended. This involves the application of a low frequency shock wave ultrasound treatment. No local anesthetic is required as it was in the recent past. Moreover, the advanced technology makes it possible to do in the office. The procedure takes four minutes and requires about four treatments. Less than 10 per cent of our patients require surgery. So no one has to give up running or like Phil, put up with the pain.

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Dr. Landry is a foot doctor practicing podiatry in Overland Park, KS – which is near Shawnee Mission, Lenexa, and Olathe KS. Dr. Landry believes an ounce of prevention is better than a pound of cure. If you are suffering from foot heel pain, don’t wait until the symptoms get worse… call Dr. Landry today for a full foot & heel examination. Dr. Landry is also a board certified foot surgeon and marathon runner.

Every Day Foot Care

Our feet are of great importance in our everyday lives. The problem is that we tend to neglect them. When this becomes a habit, it can cause significant trouble. Ignoring foot problems can mean pain, limited mobility, and expensive doctor’s visits. On the other hand, if the feet are cared for and looked after each day, they will perform without pain or complication.

Routine hygiene is the most basic way to care for the feet. Wash and dry them thoroughly everyday. Remember to get between the toes, and keep the toenails trimmed and short. If the feet feel dry or one can see visual signs of dryness or cracking, use a moisturizer designed for the feet.

When using moisturizer on the feet, try to avoid applying between the toes. If creams or lotions sit in that area, they can cause development of fungi and bacteria. When moisturizer is used between the toes, it can also cause the skin to macerate.

Shoes are also an important aspect of foot care to consider. When one is picking out shoes, make sure that they are the correct size. Shoes need to be snug, but not too tight. On the other hand, if the shoes are too loose they can cause foot problems as well. It is highly recommended that shopping for new shoes be done later in the day. The reason for this is that the feet will have settled and swelled to their full size by then. To keep your feet at their most healthy, avoid wearing high heels or flip flops too often. Instead, choose shoes that are good for your feet, and that pad the soles of your feet and support the arches and ankles.

Socks should also be worn daily with closed-toe shoes. They may feel hot during the summer months, but they absorb sweat and moisture and keep it off the feet. Without socks, the build up of sweat in a closed-toe she can cause fungi problems and athlete’s foot.

The best thing to remember in every day foot care is that shoes do make a difference. If you spend much time on your feet, make sure that your shoes show no signs of wear and offer ample support for the arches and the overall foot. Additionally, try to engage in thorough foot cleaning and maintenance a part of your daily routine. If you keep these things in mind, your feet will stay healthy and safe.

Luke Rockhold Reveals X-Ray of Broken Toe Following UFC 172

Luke Rockhold Reveals X-Ray of Broken Toe Following UFC 172

29 year old fighter Luke Rockhold picked up the win against middleweight Tim Boetsch. However, Rockhold’s victory wasn’t without a price. Rockhold informed the UFC 172 post night press conference that he suffered a broken toe, presumably during the fight itself.

Rockhold showcased his x-rayed injury on Instagram, revealing that it was the middle toe in his right foot that was fractured. According to the UFC rankings Rockhold is number 5 in the world rankings, making a title bout a tremendous possibility in the near future.

Broken toes are more painful than hurtful words. If you sustained a toe injury, see podiatrist Dr. Mark Landry of Kansas. Dr. Landry can attend to your podiatric injuries.

 

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture). Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.
Symptoms of a Broken Toe

  • throbbing pain
  • swelling
  • bruising on the skin and toenail
  • inability to move the toe with ease.
  • crooked or disfigured appearance
  •  tingling or numbness in the toe
  • fever or chills throughout their body
  •  open, bleeding wound present on the toe.

It is best to stay off of the injured toe with the affected foot elevated on pillows. Alleviate swelling by placing an ice pack on the broken toe for 15 minutes every two hours then taping the two toes together with medical tape.

For more information on broken toe please follow link below.

If you have any questions, please contact our office in Overland Park, KS. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more on Broken Toe

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture). Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, when the injured person experiences fever or chills throughout their body, and when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications, but it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe with the affected foot elevated on pillows. Swelling can be alleviated by placing an ice pack on the broken toe for 15 minutes every two hours during the first two days after the fracture. The broken toe should be immobilized by placing a small cotton ball between the injured toe and the toe beside it, then taping the two toes together with medical tape.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery; especially when the big toe has been broken. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications, and prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time.

Study by U.S. Army Focuses on Running Injuries

Study by U.S. Army Focuses on Running Injuries

iStock_000007367530XSmallSeveral lieutenants in U.S. Army conducted a study that focused on the frequency of injuries and the amount of force runners use when they hit the ground. The reason for the study is to try and lower the rate of injury among their own soldiers.

The military gathered a group consisting of several test subjects. 1027 Army men and women were monitored as the researchers examined their record of injuries and running techniques. The study’s conclusion was that the amount of force while running had no relationship to the injuries incurred by the runners.

Running injuries can happen even with the best prevention. If your foot or ankle was injured while running, see podiatrist Dr. Mark Landry of Kansas. Dr. Landry can treat your foot and ankle needs.

 

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscles and sports orthotic. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned. Physical therapy can help you learn the best exercises to heal runner’s knee.

What Are Some Causes of Running Injuries?


– One cause of a common running injury is called iliotibial band syndrome.
– Plantar fasciitis is also another common injury.
– Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
– Wear footwear that fits properly and suits your running needs.
– Running shoes are the only protective gear that runners have to safeguard them from injury.
– Make a training schedule. Adding strengthening exercises as well as regular stretching can help
If you have any questions, please contact our office in Overland Park, KS. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Preventing Running Injuries

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