Jenn F. on
Wednesday, December 30th, 2015
What does it take for a child to become the next Wayne Gretsky, David Beckham, or Peyton Manning? Parents may feel pressured by coaches or by their own desires to push a youngster to greatness by focusing on the same sport seven days a week, all year round. It’s especially difficult to tell a child to “slow down” or “branch out” when the child clearly enjoys the sport and wants to play in all of his or her spare time. However, physicians, athletic trainers, and sports podiatrists agree that sports specialization hurts kids, and can increase the risk of injury, including injuries of the feet and ankles.
Cholesterol gets a bad rap, but without it, we’d be doomed! This soft waxy substance is found within every living cell of the body, where it produces vitamin D, hormones, cell membranes, and bile acids to help you digest fat.1http://articles.mercola.com/sites/articles/archive/2014/04/14/vitamin-d-cholesterol-levels.aspx Too much cholesterol is most notoriously associated with cardiovascular disease, but researchers from the University of Canberra and Monash University in Australia have also linked it to an increased risk of tendon pain and injury.
Jenn F. on
Thursday, December 24th, 2015
Women’s Health Magazine reports that even a one-inch heel puts 22% more pressure on the ball of the foot than flat shoes.1http://www.womenshealthmag.com/life/women-foot-care Two inches can add up to 57% and three inches can add a whopping 76% in pressure placed on the feet! The throbbing and aching after a spell of wearing heels is usually nothing some over-the-counter pain reliever or a foot massage can’t help, but long-term damage could be happening behind the scenes that could require more expensive treatments and longer healing times later on.
Jenn F. on
Wednesday, December 23rd, 2015
The body does what it can to repair soft tissue and bone damage, but this comes at a cost. Inflammation is one of the first reactions to injury. We tend to think of inflammation as a negative thing because it looks unsightly and causes significant pain in most cases. However, there are a few benefits of acute inflammation, notably1http://www.sharinginhealth.ca/biology/inflammation.html:
Activation of the immune system
Destruction of pathogens and dilution of toxins
Delivery of oxygen, nutrients, proteins, and repair cells
Assistance with drug delivery
For these reasons, you don’t necessarily want to rely heavily on anti-inflammatory medication to take care of an injury — particularly a chronic one. In this article, we’ll take a look at what science has to say about the widespread use of NSAID medication like ibuprofen, aspirin, and naproxen to recover from injuries to tendons, muscles, ligaments, joints, and bones.
When you think of heel pain, “plantar fasciitis” may be the first medical term that comes to mind. While we do treat many cases of inflammation in the plantar fascia ligament, we treat even more cases of inflammation in the Achilles tendon. Not allAchilles tendon injuries are related to inflammation — some are caused by tissue degeneration (tendinosis), which is a whole other story. We generally treat two types of Achilles heel inflammation in our NYC podiatry centers: tendinitis and bursitis.
“I’m almost finished with a Couch-to-5K program,” writes 63-year-old Diane to the running experts.1http://www.runnersworld.com/for-beginners-only/when-is-it-okay-to-run-every-day “The plan emphasizes running three times a week. When is it okay to run every day?” Some people have busy schedules where running consecutive days seems to make more sense. Others find that they love how they feel post-run and want to experience that glorious, motivational “runners’ high” every day. Our podiatrists, sports medicine doctors, and rehabilitation specialists often field this sort of question, so we’d like to offer our two cents here for all you avid New York runners who want to lead a healthy lifestyle free from foot and ankle injuries.
Jenn F. on
Wednesday, December 16th, 2015
NY Giants’ Daniel Fells recently suffered a nightmarish infection that resulting in his needing to have foot surgery seven times! At least two more future foot surgeries are scheduled. The player has been on the injured reserve since October 5th, which has been “a roller coaster” emotionally, his agent Ron Slavin told ESPN.1http://espn.go.com/nfl/story/_/id/13925618/daniel-fells-new-york-giants-seventh-surgery-two-more-scheduledHe spent three weeks in the hospital and was unable to see his two children (ages 2 and 4), although his wife has slept by his bedside in a recliner every night. Fells came down with a MRSA foot infection, which is believed to be under control now, but will require future procedures to finish cleaning out the infected area and ensure that it does not return.
“I felt like my bat came around and hit the back of my Achilles,” Philadelphia Phillies star slugger Ryan Howard recalled after tearing his Achilles tendon.1https://www.muirortho.com/achilles-tendon-tear/ “I tried to run and felt a pop and it felt like the whole thing was on fire…like I was literally on a flat tire. I tried to get to get up, but I couldn’t go,” he added.
The feeling of an acute Achilles tendon tear is simply awful. Yet, for many patients we see, their woes don’t end there. Chronic tendinopathy can persist for many, many months after initial tendon damage. Doctors who treat tendons used to call the residual pain “Achilles tendinitis,” believing that the pain was related to chronic inflammation and swelling. Now we know this is not true.
The term we use is “Achilles tendinopathy,” which refers to a tendon that has weakened or degenerated due to abnormal healing patterns. Today we take a look at a few different modern methods of treatment that have shown great results in our NYC podiatry practice, compared to some of the older therapies for tendon damage.
Total ankle replacements correct severe arthritis when the cartilage is worn down, by replacing the missing tissue with a metal on polyethylene bearing surface attached to the bone. The surgery is typically done to allow greater range of motion issues and relieve pain. Compared to the ankle fusion procedure, ankle replacements are believed to restore function and prevent other joints around the ankle from developing arthritis in the future. The best candidates for surgery are healthy people with arthritis and minimal or no deformity of the ankle. One of the disadvantages of any joint replacement surgery is that the parts can loosen, break, or simply wear out over time. It’s a reasonable question to wonder, “How long do ankle replacements last?” Unfortunately, there is no easy answer.
Jenn F. on
Wednesday, December 9th, 2015
One of the reasons people put off coming to see sports medicine doctors is that they worry: “Do I need surgery?” However, the push has been toward more minimally invasive, nonsurgical treatments that you needn’t be afraid of. Learn how we can help your sprained ankle, injured tendon, or plantar fasciitis without resorting to surgery.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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