Posts for tag: Dr. Jeff Carlson
At the closing ceremony to the 2012 London Olympics, many around the world were shocked to see a reunion performance by the 90s pop group Spice Girls. Victoria Beckham, who was nicknamed “Posh Spice” back when the group was active, is known today for her fashion sense, particularly for her love of high-heeled shoes.
Jeffery Carlson, DPM
When the 2012 Summer Olympic Games kick off this Friday, athletes from all over the world will gather in London to show off their athletic feats. Only one of these athletes, however, is a double amputee.
Oscar Pistorius is the first double amputee to compete in the Olympics. Pistorius was born without fibulas, one of the two bones of the leg. Because of this, his legs were amputated at the middle of his shins. Despite this, he played several different sports when he was younger, and now is a well-known sprinter. He competes with the assistance of two blade-like carbon fiber prosthetics, giving him the nickname “Blade Runner.”
After failing to qualify for the 2008 Olympics, Pistorius qualified last year for the 2012 Olympics to represent his native South Africa. Despite setting several records for disabled athletes, Pistorius will now compete against able-bodied athletes from around the globe.
As a Podiatrist at Advanced Foot and Ankle Care in Troy Oh, I especially know how amputations can affect not only one’s mobility, but their quality of life. Athletes like Pistorius continue to defy the status quo and strive to make the most out of their disability. Be sure to tune into this summer’s Olympic Games and try to catch a glimpse of the “fastest man with no legs”.
Stress Fractures are actually very common in the sports world. Just before the 2009 NFL draft, where he was drafted as the 10th pick to the San Francisco 49ers, Michael Crabtree was diagnosed with a stress fracture to the left foot.
The Boston Celtics' Bill Walton has become a sort of guru to stress fracture sufferers. The injury interrupted his career three times, once almost ending it. "One of the hardest things about stress fractures for athletes is the mental uncertainty," says Walton, who suffered his first such injury in his left foot as a member of the Trail Blazers in 1978.
What Is Stress Fracture?
Stress fractures can be called an overuse injury which is most seen in athletes. It is commonly seen in the foot bones of athletes and caused by unusual or repeated stress”. These kinds of injuries are also called ‘fatigue fractures’. Technically wrong and rapid training can cause a stress fracture. Women seem to be high risk of foot stress fractures than men. Eating disorders, poor nutrition, and amenorrhea make women more vulnerable to stress fractures. Most times, stress fractures may appear like ‘hairline fractures’ but if you don’t take treatment at the right time, a re-injury can happen and that may end your sports career forever.
Symptoms of Stress Fractures
- You may feel pain or tenderness in a generalized area.
- There can be pain in the affected area in the night.
- Diffused swelling could be seen at the affected area.
- A bruise is common but not always seen
Causes of Stress Fractures
- Obesity can be a catalyst in leading to this condition.
- Foot deformity such as hammertoe or bunion.
- Abnormal foot structure.
- Osteoporosis - This is a condition characterized by a decrease in the density of bone, which results fragile bones.
- Increased levels of activity, without proper conditioning can be another reason.
- Carrying out an improper, hard, and rapid training program develops stress fractures.
- Wearing worn or improper shoes can be a cause of this illness.
- Rest is the best and only way to get stress fracture cured. It takes six to eight weeks to heal properly. This fracture occurs mostly in weight bearing bones. So obviously the healing may be delayed. If you resume the strain full activity before the fracture gets healed completely, bigger and harder to heal fractures may develop.
- Muscle strength training can help recovery because it disperses the excessive forces transmitted to the bones.
Prevention of the stress fracture
- Don't go for rapid, hard, technically wrong exercises.
- Following a healthy diet which Includes Vitamin D and calcium-rich foods will prevent such fractures.
- Use good quality comfortable shoes for your foot. Buy inexpensive shoes and change them when they get a bit old and uncomfortable.
- When pain or swelling begins, stop the activity as soon as possible and rest for a few days. If pain persists, consult one of our physicians at Advanced Foot and Ankle Care at any of our four locations: Sidney, Piqua, Troy and Huber Heights, OH.
Warts are the 2nd most common dermatologic problem. The only thing seen more often by dermatologists is acne. It affects 10% of children most commonly seen in ages 12-16. They are only slightly less common in adults at 7-10%.
Who gets them?
Anyone can get them, but some people are more susceptible. Children between 12 and 16 are most affected by plantar warts because they're more likely to go barefoot in public areas. The virus that causes plantar warts can enter the body through a cut or small abrasion on the foot. In addition, those who have undergone an organ transplant or chemotherapy are at risk because their immune systems are compromised. They can also spread from one family member to another if the carrier doesn't wear shoes or slippers indoors.
What are they?
Warts are small, rough lumps on the skin that are benign (non-cancerous). They often appear on the hands and feet and can look different depending on where they appear on the body and how thick the skin is. A wart on the sole of the foot is called a verruca.A wart is caused by the Human Papillomavirus(HPV), which causes the top layer of skin to thicken in a small area. Some warts stay small, but they can grow quite large and cluster an entire area of the foot if left untreated.
The appearance of each type of wart will depend on several factors:
-- Where it is located on your body
-- The strain (type) of HPV that is responsible for the wart
-- Factors such as whether you have a weakened immune system
-- Whether you have rubbed or knocked the wart
How do you treat warts?
There are several over-the-counter topical treatments that all have the same degree of efficacy. Most of these products are designed to eat away at the dead dry layers of the wart and the surrounding skin.
The doctors at Advanced Foot & Ankle Care have a number of treatment methods to their disposal. The treatment used varies on where the wart is located, the age of the patient, and the patients’ expectations. If a topical agent is used, many applications may be required over the course of several but the technique is highly successful. The most successful treatment is with the use of a CO2 laser to destroy the wart. Each of our 4 office locations, including our Piqua office, has one of these lasers.
Since certain HPV types are oncogenic (able to produce invasive malignant cancers), it is possible that plantar warts can rarely become invasive malignancies. Any wart-like lesion on the sole of the foot that does not resolve after appropriate therapy and continues to enlarge should be biopsied and examined by a pathologist. Warts can grow back. This indicates a virus is still in the body and growing. However, this is not cause for undue alarm. The virus that causes plantar warts is relatively harmless and causes few problems.
For any questions, contact Advanced Foot and Ankle Care at any of our 4 office locations.
If you watch TV, chances are you’ve seen the commercial with the middle-aged gentleman carrying around a large vial partially filled with a green liquid. The advertisement is for a new medication designed for the treatment and prevention (prophylaxis) of gout. To my knowledge, Uloric is the first medication to be approved by the FDA for gout prophylaxis in approximately 30 years. This commercial has caused an increased awareness as well as a concern to many people who have had pain in their feet that they believe may be attributed to gout.
While this particular advertisement focuses on the big toe joint, which is the most common area, gout can occur nearly anywhere in the body. I have personally seen gout attack non-joint areas such as the web spaces just above the toes. Gout is precipitated by a high amount of uric acid in the blood that will leak out of the bloodstream and typically settle in a joint. Upon settling it becomes crystallized into condensed bunches called tophi.
Acutely this will cause the affected area to be swollen, hot, red, and painful. Many patients relate that anything that touches the area, even the rubbing of a sheet across the area will cause severe pain. Chronically, long after the acute pain is gone, the gouty tophi can erode the joint surface causing arthritic pain to the area.
This type of arthritis is on the rise – particularly among men. More than 8 million people have it, and the rates have doubled in the last 50 years. Gout is no respecter of persons. It can strike anyone including famous people and professional athletes. When he wasn't lopping off his wives' heads, King Henry VIII of England was coping with attacks of gout. David Wells, the left-handed pitcher who played for the New York Yankees and Toronto Blue Jays has struggled with gout throughout his baseball career. Maurice Cheeks, coach of the Philadelphia 76ers and Portland Trail Blazers, who played 15 seasons in the NBA with 4 All-Star appearances, was 46 when he started experiencing severe pain secondary to gout.
How is it treated? At Advanced Foot & Ankle Care Centers of Ohio we typically will treat an acute flare of gout with a cortisone injection to the area. This has been found to give the most relief the fastest. Other medications that help are non-steroidal anti-inflammatories such as Indomethacin. Colchicine is another effective medication but is not prescribed as often as is commonly causes severe diarrhea. I will usually check the blood uric acid level. If it is elevated I will give the patient the option of taking a long-term medication such as Uloric or Allopurinol that will decrease the amount of uric acid in the bloodstream. Either one of these medications must be taken on a daily basis to help prevent future arthritis due to gout as well as the recurrence of a gout attack. If you feel that you may have gout or have had gout in the past and would like to discuss options for treatment, please feel free to make an appointment at any one of our 4 locations in Huber Heights, Troy, Piqua, or Sidney.