The Center Offers Treatment for Foot and Ankle Pain

(Newswire.net — April 19, 2018) Bend, Oregon — Each April, the American Podiatric Medical Association leads the nation in observing National Foot Health Awareness Month. The foot and ankle are highly specialized structures that are integral to human locomotion. Together, the feet contain over 50 bones, 60 joints, 30 muscles, and 200 ligaments that balance shifting weight through varied movements and a range of surfaces. It is estimated that 75% of Americans will experience some type of foot health problem in their lifetime. 

The foot and ankle orthopedic surgeons at The Center often treat sports related injuries of the foot and ankle. The most common injuries that bring patients in for treatment are ankle sprains, Achilles tendon injuries, stress fractures, and plantar fasciitis. Treatment for foot and ankle injuries can range from a simple change of footwear to surgical repair of damaged bones or tendons. When an injury occurs, it is important to see a qualified orthopedic foot and ankle surgeon promptly to evaluate and treat the condition before causing further damage.

“Ankle sprains are the single most common injury in all sports,” says Dr. Jay Moore, orthopedic surgeon and foot and ankle specialist at The Center. “An estimated 25,000 ankle sprains occur each day, and 40% will have residual symptoms such as pain, instability, weakness, or recurrent sprains.”

Dr. Moore notes that athletes of sports involving cutting, jumping, and pivoting such as basketball, soccer, or volleyball are at risk for ankle sprains, as well as older athletes, overweight individuals, and those with previous ankle injuries or conditions. Proper treatment includes rest, ice, elevation, and pain management, as well as a clinical evaluation with x-rays to rule out a fracture. Athletes should take a progressive approach when returning to sports, and only return as function and strength return.

Achilles tendon injuries include tendonitis (inflammation), tendinosis (degeneration), and rupture. The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. It functions during motions that require us to push off of a surface, such as running. Dr. Moore comments “11% of all running injuries are due to Achilles tendonitis, or inflammation of the Achilles tendon.” Treatments for Achilles tendon injuries can include shoe rotation, gradually building up to longer distances, anti-inflammatories, rest, and heel lifts. A complete rupture of the Achilles tendon may require surgical repair.

Stress fractures are most commonly seen in the foot, and are tiny cracks in the bone caused by repetitive force or overuse. They are characterized by a gradual onset with progressive pain, often resulting in inability to bear weight on the foot. They are frequently not visible on early x-rays, and require a clinical exam to properly diagnose the injury. Treatment includes rest, a walker boot or short cast, and a gradual return to activity.

Plantar fasciitis is an extremely common cause of foot pain, radiating from the bottom of the heel throughout the foot. The condition occurs when the plantar fascia – the strong band of tissue in the arch of your foot – becomes irritated and inflamed, or even torn. The plantar fascia runs from your heel to your toe and absorbs stress and strains placed on the foot each time it is in use. Generally, the pain is worst with the first step in the morning, or after prolonged standing. The good news, says Dr. Moore, is that “95% of plantar fasciitis cases resolve without surgery.” Treatment options include stretching, anti-inflammatories, heel cushions, physical therapy, and splints.