Injury can quickly derail your plans to stay active and healthy. For many of us, working out and training is tied to our mental health and overall feeling of well-being. “Hard” bone injuries leave us no choice but to stop what we’re doing and seek emergency care. By contrast, soft tissue injuries can sneak up on us and give us mixed signals on when it’s safe to return to sport. The experts at The Center for Podiatric Care and Sports Medicine offer ankle injury treatment and tips for knowing whether you have a sprain, strain, or tear, and what you can do to get yourself back into shape.
For many athletes, cortisone shots soothe the savage pain of inflammation and provide hope that they can return to a high level of athletic activity soon. Yet, you may have a few questions about this common treatment in podiatry and sports medicine, such as: what is the difference between a long-acting and short-acting cortisone shot or what to expect after a cortisone shot in foot? Podiatrists at The Center for Podiatric Care and Sports Medicine weigh in.
An Achilles tendon rupture is common, affecting 37.3 per 100,000 people. Treatment for a ruptured Achilles tendon can be nonoperative with cast immobilization or surgical. There are potentially life-threatening complications associated with this type of injury. The patient can develop a blood clot or deep vein thrombosis (DVT) which refers to a blood clot forming in a deep vein within the leg. A deadly pulmonary embolism (PE) may occur if that blood clot breaks off and travels through the bloodstream to the lungs. Australian Comedian Shane Jacobson says this nearly happened to him after a recent Achilles rupture injury.
The tendons of your feet and ankles connect soft muscle tissue to hard bone. We see many different torn tendons at our Manhattan practice—the well-known Achilles in the back of the heel, the posterior tibial tendon on the inner ankle, the peroneus brevis and peroneus longus on the outside of the ankle, as well as the gastrocnemius and soleus connecting the calves to the heel bones. Tendons can pop away from the bone suddenly during intense physical activity or slowly degrade over time. Patients may hear a popping or snapping sound, or experience involuntary contractions and cramping. The area typically swells, bruises, bulges, and suffers weakness. We work to find out if you need surgery for a torn tendon.
Chronic foot nerve pain after a tendon injury drives a lot of patients through our NYC podiatry clinic doors on Mitchell Place in White Plains and 88th Street in Manhattan. Some people knew they were hurt and never sought care, while others went to a primary care physician or emergency room only to receive inadequate care. There is nothing more rewarding than helping a person who has suffered for a long time with an accurate diagnosis, customized wellness program, state-of-the-art pain-reducing and healing therapies, modern medical procedures (when necessary), and a compassionate approach. Damaged tendons are one of our specialties at The Center for Podiatric Care and Sports Medicine. What we’ve learned during the more than 40 years in the field of podiatry and sports medicine is that you DO NOT have to live with chronic nerve pain forever.
Overuse injuries such as tendinitis and tendon ruptures account for roughly 7 percent of all U.S. doctors’ office visits. As such, we’re used to seeing many patients with tendon issues at the Center For Podiatric Care and Sports Medicine—usually at least one person suffering from tendon injury stops by each week.
Fortunately, our White Plains podiatrists specialize in issues pertaining to tendons like the Achilles, the posterior tibial, and the peroneals. Our understanding of these injuries has greatly evolved over the past decade. Now over 80 percent of patients fully recover within three to six months, given appropriate treatment. We offer several novel, breakthrough tendon repair treatments here in our office that will get you back on your feet as soon as possible.
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.
“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 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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