Posts for tag: Plantar Fasciitis
Mankind has used light to treat diseases and various aliments for thousands of years now, so introducing our new cold laser therapy laser may not be new to some of you. Advanced Foot and Ankle Care has now acquired the Dynatronics cold laser to better our patients’ foot health in treating a variety of aliments including: ulcers (even those caused by diabetes), burns, skin flaps and grafts, broken bones, cartilage, tendon and ligament repair, arthritic pain due to osteoarthritis and rheumatoid arthritis, ankle sprains and plantar fasciitis.
The Dynatronics cold laser uses three types of light therapy: red, blue and infrared.
Red light helps promote the healing of skin wounds at low energy densities. Red light therapy is also one of the oldest forms of treatment ever conceived or used by humans.
Blue light helps kill bacteria and a number of skin infections including: MRSA and staph. Blue light therapy is rapidly gaining popularity because unlike UV, it does not have high propensity to damage normal tissue.
Infrared light is best for deep tissue injuries, pain relief, and resolution of inflammation and reduction of edema. Infrared light therapy is commonly used with red light at the same time.
At this time, cold laser therapy is considered cosmetic, therefore not covered by your insurance company. Advanced Foot and Ankle Care offers cold light therapy for $25 per treatment. Our patients are not required to see the doctor every session, therefore do not have to pay a co-pay at those sessions that they do not see the doctor. Typical treatments require 2-3 session per week until the area is healed.
Call our office and speak to one of our Patient Care Coordinators for more information or to schedule a consultation appointment with one of our four physicians at any one of our four locations: Troy OH, Piqua OH, Sidney OH, Huber Heights OH.
What do Albert Pujols, Kobe Bryant, and Eli Manning have in common? Besides all being athletes, they have all suffered from plantar fasciitis. Plantar fasciitis is the most common cause of heel pain in adults, and has affected many professional athletes during their career. Unfortunately, this condition also occurs in many adults who are not athletes, so read on to learn more about what plantar fasciitis is and how it is treated.
What is the plantar fascia anyway?
The plantar fascia is a thick band of tissue that runs from your heel bone to your toes. It helps support the arch of your foot. Plantar fasciitis results from stress to the tissue, and can be very painful.
What are the symptoms?
Most patients with plantar fasciitis complain of pain in their heels. Often, the pain is worst when getting out of bed in the morning, but gets better as you walk throughout the day. As the tissue stretches throughout the day, it becomes less painful to walk. Resting allows the tissue to return to its pre-stretched state, which makes the pain come back.
What treatments are available?
There are several treatments for plantar fasciitis. Conservative treatments include icing and stretching the plantar fascia. Orthotics and physical therapy might be needed for some patients. Others still might need a night splint, which is a device that keeps your foot in a fixed position overnight to help stretch the tissue.
Many patients know that corticosteroid shots in the heel can help with the pain of plantar fasciitis. While this is true, repeated shots to the plantar fascia can do more harm than good, so not all patients need cortisone shots.
Finally, it is important to talk to your doctor if you have heel pain, because several conditions can cause pain in the heel. If your heels hurt, make an appointment with any of our doctors for an examination and discussion on the best treatment options for you.
The 5th metatarsal is the one of the most common bones fractured in the foot. Situated just below the 5th toe, the anatomy of this bone influences the type of fracture that develops. The metatarsal itself is comprised of a base, tuberosity, shaft, neck, and head. The tuberosity, which is the posterior-most aspect of the bone near the midfoot, is clinically evident as it protrudes laterally (some people complain that this rubs in their shoes). Tuberosity fractures, also known as avulsion fractures, can be displaced or non-displaced. The position of the fracture will determine the type of treatment. For non-displaced fractures, the treatment is conservative and focuses mainly on symptoms. This includes protected weightbearing in a hard-soled walking boot or a short-leg walking cast. Pain usually resolves after a few weeks, and healing of the fracture fragment itself on x-ray is evident after approximately 6-8 weeks post-injury. These types of fracture generally heal well with no long-term complications. Larger, displaced fragments are commonly treated surgically, which varies from percutaneous pinning (making a small cut in the skin and inserting a screw without having to expose the entire metatarsal) to open reduction with internal fixation (exposing the metatarsal and placing pins, plates, and / or screws across the fracture site).
Another common type of 5th metatarsal fracture is known as a Jones fracture. The location of this injury is slightly more anterior to the tuberosity (1 cm from the joint, closer to the toes than the tuberosity fracture). The Jones fracture takes a longer time to heal because of the poor blood supply at this particular location in the bone. Treatment can be either conservative or surgical, depending on the patient's age, health, and activity level. Conservative treatment involves 6-8 weeks of strict non-weightbearing cast immobilization, followed by a few additional weeks of weightbearing boot or cast immobilization. Surgical treatment, which is similar to that described for tuberosity fractures, is generally recommended for athletes and more active individuals and allows shorter periods of immobilization with faster healing times.
Common to both types of fracture are soft tissue attachments found at the base of the 5th metatarsal. A muscle tendon (peroneus brevis muscle) from the lateral leg compartment courses down into the foot and attaches at the base. The lateral band of the plantar aponeurosis (which can occasionally be the culprit of infamous heel pain known as "plantar fasciitis") also attaches here. These two soft tissue structures have the potential to pull at the fracture fragment, thus causing possible displacement and, unfortunately, complicated fracture healing. This is why it is extremely important to seek treatment with myself or one of our doctors immediately at Advanced Foot and Ankle Care if you suspect that you have sustained a 5th metatarsal fractures.