A quarter of all impending Achilles tendon ruptures are missed during initial examinations, according to a new study from researchers at the University School of Osteopathic Medicine and the Rothman Institute of Jefferson Medical College. Proper diagnosis is the linchpin of successful treatment outcomes, no matter what foot or ankle injury is being treated, so this is a topic that very much concerns podiatrists across the country, including us here at The Center for Podiatric Care and Sports Medicine where Achilles injury management is one of our specialties.
Injury to the peroneal tendons is one of the most common reasons for chronic outer ankle pain following a sprain. The peroneal tendons are two bands of tissue that connect muscle to bone along the outer ankle. One peroneal tendon connects to the outer midfoot; the other tendon runs under the foot and attaches along the inner arch. These tendons stabilize the foot and ankle, protecting you from sprains. However, when a sprain occurs, these tendons can receive too much stress, resulting in chronic pain.
Jenn F. on
Wednesday, February 24th, 2016
An Achilles injury doesn’t drop jaws like the more serious-looking dislocations or fractures, but the implications can still be serious for players who often end up going through a lengthy recovery process. If you follow European soccer news, you may have heard about Rayo Vallecano’s German midfielder Patrick Ebert who blew out his Achilles tendon during the Spanish league football match on August 22, 2015.
Nothing is worse for an active runner than to get laid up with an injury! It’s best to just prevent the mandatory time off altogether, right? Our sports medicine doctors have worked with countless New York marathon runners, Road Runners club members, Olympians, running coaches and weekend warriors who have been forced to take the long, hard road to recovery following a foot or ankle injury. Last week, we published five tips to help you prevent this fate last week. From moderation to stretching, here are five more rules to prevent running injuries:
Whenever possible, podiatrists prefer to treat bunions, hammertoes, plantar fasciitis, pinched nerves, diabetic ulcers, and ankle pain through non-invasive methods. Our view is this: Why operate when we could do something as simple as fit the patient with a pair of orthotics and achieve similar outcomes six months later? Yet, we also recognize that simply “masking” the problem with a non-invasive treatment is not a sound strategy either. If your symptoms are mild and the condition does not appear to be worsening, then getting by with non-invasive therapy may be an option. In other cases, HyProCure might be a better solution.
Jenn F. on
Wednesday, February 17th, 2016
NFL players seem to live a life of envy. How many other careers offer a base pay starting at $405,000 and less than ten years of mandatory work before qualifying for retirement benefits? Yet, as the Washington Postpoints out, the players pay a hefty price in “lifelong hurt.” It’s difficult for players to forget the hard hits resulting in torn ligaments, fractured bones, and contorted joints when 91% of them still feel the aches and pains on a daily basis.
A review of literature published last year found that for every 1,000 hours of running, there were 17.8 injuries, particularly among novice and recreational runners. Further research revealed numerous risk factors for injury, including running on concrete surfaces, marathon training, weekly distances of 30+ miles, wearing the same shoes for 4-6 months, and past history of injuries. Yet what does all that tell us about preventing running injuries?
The sports medicine doctors at The Center for Podiatric Care and Sports Medicine are consultants for the NY Road Runners Club and the Central Park Track Club as well as official race-day podiatrists for the Hamptons and NYC marathons. While every case is unique, here are five rules of to prevent running injuries that apply to almost everyone.
The experts at The Center for Podiatric Care and Sports Medicine in New York City find that “the cure” for chronic foot pain conditions rarely boils down to one magical therapy. Rather, we employ a combination approach that attacks pain on all fronts. “We not only treat the systems that trigger acute pain symptoms for immediate relief, but we also look at the underlying problems leading up to foot problems,” explains Dr. Josef J. Geldwert, the center’s chief podiatrist. “A primary care doctor can prescribe a pill that you can pop at home to mask the pain, but true experts have advanced tools at their disposal to give you a larger picture of your foot and ankle health. We take the time and give you the care you need that will guide you to lasting wellness.”
Jenn F. on
Wednesday, February 10th, 2016
English footballer Jordan Henderson is known as the captain of the Premier League club Liverpool, but there is a lot of pain behind his star performances, he tells reporters. Earlier in the season, he suffered a broken metatarsal in his right foot, but it’s the plantar fasciitis diagnosis that has caused the most grief.
“It was unbearable every time I planted my foot — it was like a burning, stabbing, nerve pain,” he told the UK Telegraph. With the metatarsal injury, he knew how long he’d be out, he added, but with a chronic heel condition like plantar fasciitis, one never knows what to expect. “Even lying in bed there was pain in my foot. It is much better now, but there is always that question: is it going to come back?” he said. This type of heel pain is one of our areas of specialization here at The Center for Podiatric Care and Sports Medicine in New York City.
The Center for Podiatric Care and Sports Medicine is staffed by sports medicine doctors, podiatrists, and board-certified podiatric surgeons. Surgery is rarely the first course of action, but when you require a more invasive procedure to heal pain or restore function, you want to know that you’re in the best possible hands. You may have noticed that there are several different health care practitioners who handle injuries to the foot and ankle. Physicians, podiatrists, and physical therapists can all evaluate an injury for you, but when it comes down to surgery, you can seek a referral to a podiatric surgeon or an orthopedic surgeon.
“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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