The bone in our bodies is a specialized form of connective tissue comprised of 60% mineral (mainly calcium hydroxyapatite), 35% organic material (mostly collagen), and 5% water. Like any other tissue in the body, bone responds to stress caused by weight-bearing activity. Bone remodels in response to mechanical stress, depending on the load, cycle frequency, and the amount of strain. When collagen molecules are compressed, the strain causes microscopic cracks known as stress fractures, which can be a precursor to full fractures. The muscles are a helpful ally in protecting the bone, as they absorb some of the shock that would otherwise be taken up by the bone. Therefore, a muscle-strengthening program is often part of successful stress fracture prevention and a recovery routine.
The development of a stress fracture is complex. We must take into consideration intrinsic factors like sex, race, age, bone geometry, leg length, and foot structure, as well as extrinsic factors like shoe type, training surfaces, regimen, muscle strength, medications, and smoking. We cannot overlook the importance of a healthy diet in protecting against stress fractures or in expediting bone healing.
People tend to think of podiatrists as “the place you go for bunions and plantar warts,” not ankle or foot injury. Here at The Center for Podiatric Care and Sports Medicine, we actually see a lot of patients with acute trauma such as ankle sprains, broken foot bones, and torn Achilles tendons. Should you go to the hospital for a sprained ankle or other foot injury, the trip could end up being even more painful.
Jenn F. on
Wednesday, February 21st, 2018
Recovery from bone repair surgery is not always a straight line for high-level athletes. This truth is painfully evident in the story of Arizona Wildcats’ team leader, Rawle Alkins, a starting guard originally from our very own backyard of Brooklyn, New York. He’s appeared in fits and spurts since fracturing his foot back in September. Some residual pain is not unusual for a patient six to 12 months down the road. Today, NYC podiatrists explore Alkins’ injury and discuss recovering from bone repair surgery.
“When we think of a bruise, we think of mild pain and some discoloration that generally goes away within a couple weeks. A bone bruise is actually a fracture of the innermost layer of bone. This can be incredibly painful. Unlike a skin hematoma that has room to spread out, blood within a bone pools into a smaller lump, which is why this type of injury hurts so much,” Dr. Geldwert explains. “Frankly, we’ve seen cases of pain persisting up to a year.”
That’s a long time to suffer from bone bruise pain! Fortunately, knowing what to do at the time of injury and in the months that follow will put you on a path of quicker recovery with less foot and ankle pain.
If you’ve ever broken a toe, you know it hurts like hell. It’s such a small part of the body, and yet an injury there causes so much discomfort and chaos in your everyday life. You’ve probably heard many tall tales, like the mistaken belief that “there’s nothing you can do about a broken toe” or the false assumption that you can just “tape the toes and continue running.” But before you think of a broken toe as a “simple injury,” consider this: of the 26 bones in the foot, 19 are toe bones, and the velocity of the toe hitting a stationary object is said to fall between 60-80 mph. Each year, broken toes account for about 9 percent of fractures treated professionally.There’s a lot of potential for debilitating injury here!
While it’s true that we sometimes tell patients to rest, ice, compress, elevate, and wear a stiff-soled shoe following a toe injury—things people can do themselves at home—the important part of what we do is confirming the extent of the damage and giving patients peace of mind during their recovery. We can’t tell you how many people come to us months or even years down the road with complications from a broken toe that wasn’t evaluated at the time of injury. So if you’re asking yourself, “Do I need to see a doctor for a broken toe?”, we recommend you always get a professional assessment of a fractured toe as soon as possible to get you set off on the path to recovery.
Money is the last concern anyone wants to deal with while recovering from a broken foot, but with the soaring costs of medical care and rising out-of-pocket expenses in this country, we can’t help but be cognizant of the effects of medical care on our wallet. Jacksonville, Florida resident Bill Longnecker recently experienced firsthand the challenges and expenses associated with recovering from a broken foot.
Casts are common immobilization devices used in White Plains podiatry. Unfortunately, a cast can form a very unappealing odor in a matter of days. The unpleasant odor occurs when the cast becomes wet or moist for any reason. Moisture, particularly sweat, feeds the bacteria on your skin’s surface, resulting in that awful odor. While you may be doing an excellent job keeping your cast out of water, sweating can still cause you to feel self-conscious. Our NY foot surgeons have a few tips for getting through this challenging time in your recovery.
Buffalo Bills Wide Receiver Sammy Watkins told a fan “of course” he’d be ready for preseason. While the team is hopeful, we know first-hand that it’s difficult to predict just how a foot stress fracture may heal (particularly when, like Watkins, you’ve had surgery for screw insertion). Further complicating matters, Watkins isn’t sure when the break occurred, although it seems he played through the pain for much of last season.
Jenn F. on
Wednesday, November 18th, 2015
We get a lot of questions at The Center for Podiatric Care and Sports Medicine from active patients who want to stick with their current plans — be it a vacation or mountain climb — even though they’ve recently injured their foot or ankle. They want to know how soon is “too soon” to push it, what they can realistically accomplish given their state of injury, and whether or not we think it’d be prudent for them to go ahead and follow their hearts’ desires. These are all good questions. The recent story of a woman who climbed a mountain with a broken foot illustrates what CAN be possible, though it’s not what we’d recommend for everyone.
Jenn F. on
Wednesday, September 16th, 2015
Montz, Louisiana resident Jesse Lynn LeBoeuf had spent the last eight summers swimming competitively for two hours or more a day. She practiced with the Crescent City Swim Club of Metairie and the Sun Villa Sharks of Norco. However, a freak accident over the summer threatened to cut her season short. “I absolutely love to swim,” the 14-year-old told her local paper.1http://www.heraldguide.com/details.php?id=15946 “Swimming is my one sport and a big part of who I am.” The teen’s story is something our NYC podiatry practice would like to share because it has the potential to empower others who are recovering from a devastating foot or ankle injury.
“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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