Tendinitis involves the inflammation of a tendon in the shoulder, elbow, wrist, knee, or ankle. Patients arrive complaining of localized pain, swelling, warmth, and redness. NYC tendon repair doctors at The Center for Podiatric Care and Sports Medicine specialize in diagnosing such cases and treating the Achilles tendon, peroneal tendons, or the posterior tibial tendon of the ankle.
Tendinitis is easily treated at home—if patients are able to rest long enough to recover and avoid the offending activities. Icing the injury for 10 minutes every hour as symptoms persist and taking over-the-counter drugs like Motrin, Advil, or Aleve should help. With conservative care, most people bounce back within a week or two.
The patients that we see typically begin with tendinitis but develop something called tendinosis—a degeneration of collagen in the tendons due to engaging in rigorous sports training and wearing the wrong footwear. Unlike tendinitis, tendinosis should not be treated with NSAIDs, which inhibit collagen production. This issue can take a few months to fix with physical therapy.
As foot and ankle specialists, we deal in preventative care as much as we treat acute and chronic conditions. The last thing we want is for any of our patients to end up back here with the same problem again—or with another problem they are at risk of developing. Knowing the risk factors for tendon trouble can help you prevent any kind of tendinopathy.
Chronic tendon pain has been fairly misunderstood in the scientific community until the last 5-10 years, according to Josef Geldwert, a board-certified Doctor of Podiatric Medicine in New York City. Previously, all tendon issues were categorized as “tendonitis,” which implies inflammation and is treated with cortisone shots, rest, ice, and sometimes physical therapy. Some patients healed during this treatment, but many continued to suffer from chronic tendon troubles. Often, these patients would go on to have surgical debridement, which fixed the problem but resulted in long recovery times.
“We now know that the problem is not necessarily inflammation but weakened collagen and tissue degeneration, which tends to occur after eight or ten weeks,” explains Dr. Geldwert. “Fortunately, technology exists that helps patients get back on their feet again without major surgery.”
Jenn F. on
Wednesday, September 14th, 2016
The thin plantaris tendon runs alongside the larger Achilles tendon and acts as a support structure to aid in ankle and knee flexion. Thanks to these little ropes connecting the knees and feet, you can stand on your toes or point your foot. They wind through the femur, the gastrocnemius muscle, the soleus muscle, the Achilles tendon, and the calcaneus heel bone.
Injuring this body part is so common among tennis players that the rupture is called “tennis leg.” Most players sustain a “popping” injury as they reach out for a shot. Running or jumping with an eccentric load placed across the ankle with the knee fully extended is the most commonly associated movement with this type of injury, although the first documented case occurred as a 40-year-old woman was simply stepping off a curb.
Prescriptions for strong antibiotics like Levaquin, Cipro, and Avelox are all too common this time of year, when sinusitis, pneumonia, and other infections typically hit. This season, however, the U.S. Food and Drug Administration has listened to arguments from patients who say the use of these drugs had unintended consequences, including Achilles tendon ruptures.
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
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.
Tendons have a rather difficult job. They function sort of like a thick rope holding soft muscle tissue to hard bone — and, like even the best rope, the more force it’s sustaining and the more it’s used, the more likely it is to fray and sometimes even snap. You can always go out and buy yourself another good rope, but what can you do for a torn tendon? Here are three stages of physical therapy (and types of tendon exercises) that physical therapists and sports medicine doctors use to facilitate patient recovery.
In 2009, a horse named “Dream Alliance” was suffering from chronic Achilles tendinopathy, a crippling condition that causes severe pain in the heel tendons.1http://www.telegraph.co.uk/culture/11508902/Dream-Alliance-how-a-horse-born-on-a-slag-heap-went-on-to-win-the-Welsh-Grand-National.html The horse was treated using stem cells transplanted directly to the injury site, which enabled him to recover and win the Welsh Grand National. Since horses have been treated with this revolutionary therapy, injury rates have been cut in half. The UK Stem Cell Foundation is currently conducting a human study involving 10 patients to see if stem cells will be a viable treatment in human Achilles tendon injuries over the next three to five years.2http://www.telegraph.co.uk/news/science/science-news/10912547/Stem-cell-treatment-used-on-horses-could-help-human-athletes.html
“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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