Understanding the Risk Factors for Tendinitis

Posted by on Monday, August 21st, 2017

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.

Trouble with your Achilles tendon? Come see our NYC ankle specialists.
Trouble with your Achilles tendon? Come see our NYC ankle specialists. Image Source: Flickr user Miran Rijavec.

TENEX FAST Procedure Offers New Yorkers Relief From Tendon Pain

Posted by on Monday, November 28th, 2016

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.”

The TENEX procedure can work wonders for patients who have torn or degenerated tendons causing severe pain and disability, and it’s available right here at your local New York City podiatrist office.

Tendon pain is no match for the TENEX procedure.
Tendon pain is no match for the TENEX procedure. Image Source: Wikimedia user Rotatebot.

AFL News: Nic Nat Faces Plantaris Tendon Rupture and Resulting Recovery Time

Posted by 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.

In addition to tennis players, we also see a lot of soccer players with this type of injury at The Center For Podiatric Care and Sports Medicine. Nic Nat of the Australian Football League was one of the latest pro players to head in for an operation to repair the damage.

plantaris tendon rupture recovery time
The plantaris tendon where the damage occurs. Image Source: Wikimedia Commons user CFCF.

College Football News: Was Surgery the Right Option for Sam Smiley’s Torn Achilles?

Posted by on Wednesday, February 3rd, 2016

No college senior wants their final football season to end with injury. North Carolina Tar Heels’ starting safety Sam Smiley had 35 tackles, an interception and a fumble recovery before being carted off the field in late November with a torn Achilles that required surgery. No stranger to foot pain, Smiley also missed the entire 2013 season with a left foot injury he chalked up to “poor flexibility.”  We treat many torn Achilles tendons here at The Center for Podiatric Care and Sports Medicine in NYC with the goal of getting athletes back to full strength as soon as possible.

torn achilles
North Carolina Tar Heels safety Sam Smiley is out for the rest of the season due to a torn Achilles tendon. Image source: Flickr CC user William Yeung

Quinolones and Your Feet: Could Your Achilles Tendon Rupture Be Related to Antibiotic Use?

Posted by on Monday, February 1st, 2016

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.

Achilles tendon rupture
Strong antibiotics, like those in the quinolone family, are sometimes prescribed for common infections — which can lead to an Achilles tendon rupture. Image Source: Flickr CC user oliver.dodd

High Cholesterol? It Could Be Affecting Your Tendons: New Research Suggests Tendon Pain and Cholesterol Are Linked

Posted by on Monday, December 28th, 2015

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.

tendon pain
Cholesterol–shown, as crystals–can not only clog arteries, it also seems to make tendons more susceptible to injury. Image source: Flickr CC user Ed Uthman

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1. http://articles.mercola.com/sites/articles/archive/2014/04/14/vitamin-d-cholesterol-levels.aspx

Wondering When to Use NSAIDS for Foot or Ankle Injuries? We Tell You When to Use NSAIDS and When to Stay Away

Posted by 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.

NSAIDs
This is what inflammation looks like! Image Source: Wikimedia.org

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1. http://www.sharinginhealth.ca/biology/inflammation.html

Is Your Nagging Heel Pain Tendinitis or Bursitis? Here’s How to Find Out

Posted by on Monday, December 21st, 2015

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 all Achilles 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.

tendinitis or bursitis
The location of your heel pain is the first clue as to whether you have tendinitis or bursitis. Image Source: Wikimedia.org

What Goes on During Tendonitis Rehab: Stages of Therapy Your Physical Therapist Uses for Tendonitis Rehab

Posted by on Friday, December 4th, 2015

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.

tendonitis rehab
The Achilles tendon takes much of the strain during walking, running, and other activities, which can make it prone to injury. Image source: Flickr CC user HeelsandFeet

From Horses to Humans: Are Stem Cells the Answer to Achilles Tendon Problems?

Posted by on Monday, September 14th, 2015

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

achilles tendon injuries
Achilles tendon injuries are another potential application for stem cell therapy, with treatment on the horizon within the next 3-5 years. Image Source: Wikimedia Commons

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1. http://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
2. http://www.telegraph.co.uk/news/science/science-news/10912547/Stem-cell-treatment-used-on-horses-could-help-human-athletes.html