Here at The Center for Podiatric Care and Sports Medicine, we like to keep a pulse on what’s happening in the athletic world. It’s not always easy, however. Many teams like to keep an air of secrecy surrounding injuries. From a competitive standpoint, one could see why coaches wouldn’t want their foes to know who will be out or for how long their roster will be ailing. Yet, from a fan standpoint, the absence of favorite players can be maddening! Recently, Baltimore Ravens Offensive Tackle Greg Senat sustained a turf toe injury that caused him even more trouble when he blabbed about it on social media.
During a big toe pain consultation at The Center for Podiatric Care and Sports Medicine, we may determine you need a fusion of the big toe. Admittedly, the images it conjures up for patients can be scary at first! We’ll do our best to dispel some of the common myths, answer any questions you may have, and reassure you that big toe fusion surgery isn’t as scary as it sounds.
What seemed like a stubbed toe turned out to be so much more for Mets’ Centerfielder Juan Lagares. The team’s best outfielder will be undergoing plantar plate surgery, which likely puts him out the entire season. It’s a painful blow for New York fans, as Yoenis Cespedes is also on the disabled list, leaving the team to rely on the last three outfielders available: Jay Bruce, Michael Conforto, and Brandon Nimmo. Likely we’ll see Wilmer Flores stepping in, with Jose Reyes called out as needed.
The field of podiatry is constantly advancing, with new and innovative solutions born to improve upon previous work. In this spirit of embracing the best cutting-edge options available, our board-certified NYC foot surgeons are now some of the first in the state and region to offer the new Cartiva toe implant. Our surgeons underwent extensive training modules and recently performed our seventh successful surgery with excellent results, particularly for treating arthritis. Many new patients are walking into our office asking about the Cartiva implant after downloading the brochure from their website, so we expect these surgeries to increase going into 2018. This is an exciting new treatment for people with arthritis, big toe pain, cartilage damage, deformity, and limited mobility.
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.
Jenn F. on
Wednesday, October 25th, 2017
“Turf toe” refers to a joint sprain of the big toe that may involve damage to the ligaments, tendons, and/or bones. Pain is worst at the bottom of the big toe, where there is usually a lot of swelling. Athletes report that they can’t push off, fully extend the toe, or walk without hobbling.NFL Player Patrick Willis likened his injury to “trying to grab without a thumb” or “trying to drive on bald tires.”
There are several ways this type of injury may occur. Most often, a player is running, raises their heel while the forefoot is planted, and digs a toe down in a forceful twisting or bending motion. The soft tissues of the toe hyper-extend, stretch, and sometimes tear or become misaligned. We’ve also had turf toe patients stub a toe or get stepped on by another player. Other times, patients participate in repetitive extensions or explosive sprinting that bring on the pain and inflammation. No matter how the injury was sustained, though, seeking prompt medical attention will prevent a small problem from becoming a big one. Here are five turf toe facts you should know in order to prevent or treat this condition.
Furniture legs, doors, walls—there are limitless ways to stub your toe. If you’ve ever had the misfortune, then you know IT HURTS LIKE A MOTHER! Many patients say their stubbed toes hurt worse than fractures they’ve previously suffered—and yet, stubbed toes are rarely serious injuries. The extreme pain associated with a stubbed toe brings many people to our White Plains podiatry office asking, “Why does a minor toe injury cause such agony?”
Big toe pain is a big problem in New York City. The big toe’s function is to provide leverage to the foot during the push-off phase of the gait cycle. Along with the little toe, the health of the big toe is essential in maintaining balance while you stand. It is impossible to walk without a limp if your big toe hurts, and most people with big toe pain cannot run or even stand for long periods of time. There are many different issues associated with big toe discomfort, according to the best foot doctors in NYC at The Center for Podiatric Care and Sports Medicine.
Osteoarthritis (OA) affects roughly 27 million Americans. Not surprisingly, the foot is one of the most common areas affected by joint cartilage degradation that can result from OA. OA is not merely a matter of “inevitable wear and tear” as we age; rather, it’s a disease process that is a result of many factors such as genetics, excess weight, tendon and ligament injuries, and the presence of other disorders such as acromegaly (a condition involving abnormal growth of the hands and feet) or hemochromatosis (a condition involving joint damage from excess iron.)
As osteoarthritis worsens over time, the bones can break down, causing chips (called “bone spurs”) that float around inside the joint. In response, inflammation occurs, prompting the accumulation of proteins and enzymes that further erode the cartilage. In the final stages of OA, there is no soft tissue remaining in the joint — just bone rubbing up against bone, which accelerates joint damage and causes excruciating pain.
The NYC foot surgeons at The Center For Podiatric Care and Sports Medicine are excited about the U.S. Food and Drug Administration’s (FDA) approval of a new synthetic cartilage that can be used in the treatment of osteoarthritis involving the foot and toe, offering these patients a pain-free step forward for the first time in years.
Injuries and high-level competition seem to go hand-in-hand. After their embarrassing stomping at the Super Bowl, fans are looking for any explanation for the historic loss. Not only did Center Alex Mack suffer a fractured fibula, but All-Pro wide receiver Julio Jones also “faces the prospect” of toe surgery after being dogged by a sprain since Week 10. NYC podiatrists discuss what happened to Jones, and what this type of injury could mean for an athlete’s near future.
“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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