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An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.
Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.
Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process. Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.
Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain.
Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.
Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.
After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.
Many people think corns and calluses are the same thing, but there are differences. A corn is smaller than a callus, and has a hard center which is surrounded by inflamed tissue. Unlike calluses, corns can be painful and make it difficult to wear shoes. The good news is, your podiatrist can help get rid of corns and get you back on your feet.
Corns typically develop to protect your feet and toes from friction and pressure. They can be found in both weight bearing and non-weight bearing areas including between your toes, and on the tops and sides of your toes.
According to the Mayo Clinic, common signs and symptoms of a corn include:
- A thick, rough area of skin
- A hardened, raised bump
- Tenderness or pain under the skin
Since corns are caused by friction and pressure, you can do a lot to prevent corn development. Remember to:
- Wear shoes with plenty of room for your toes
- Use padding or bandages in your shoes
- Soak your feet in warm water to soften corns
- After soaking, rub the corn with a pumice stone to remove hardened skin
- Moisturize your feet every day to keep your skin soft
If you have diabetes and you develop a corn or other foot problem, you need the help of an expert, your podiatrist. Self-treating foot issues when you are diabetic can lead to injuries that don’t heal and could get worse, resulting in a serious infection.
Fortunately, your podiatrist can recommend several treatment options to get rid of corns, including:
- Trimming away excess skin to reduce friction
- Corn-removing medication containing salicylic acid
- Custom-fit inserts or orthotics
- Surgery if the corn is caused from friction due to poor bone alignment
You don’t have to deal with painful corns by yourself. Get some relief from the pain by visiting your podiatrist. Your feet are important, so seek out the best care possible to protect your feet.
What is a Crush Injury?
Have a foot crush injury? A crush injury occurs when pressure or force is put on a body part. A foot crush injury may cause pain, swelling, and sometimes bruising. A foot crush injury may take from a few days to a few weeks to heal. If you have a foot crush injury, you should see a podiatrist. Podiatrists diagnose and treat foot and ankle conditions and injuries. Read on to learn more about foot crush injuries.
Overview- A crush injury is an injury that occurs when a body part sustains intense pressure. Minor crush injuries can be caused by dropping a heavy object on a foot. However, major crush injuries, such as those sustained in vehicle accidents, can cause serious problems. Such an injury can cause a number of issues, including pain, swelling, bruising, bleeding, laceration, fracture, and nerve injury. A crush injury can also cause compartment syndrome, which is a dangerous condition caused by pressure buildup from swelling of tissues or internal bleeding.
Causes- The primary causes of foot crush injuries include heavy falling objects, vehicles rolling over the foot, and injuries from industrial manufacturing equipment. Crush injuries are common on farms. The most serious cases occur in agriculture where heavy machinery is used and people become trapped in them or under them. This form of injury is common after some form of trauma from a deliberate attack or following a natural disaster.
Diagnosis- A proper diagnosis is key to treating a foot crush injury. Your podiatrist can accurately assess your situation and help you make the right treatment decisions for the best possible outcome. Your doctor will start with a physical exam, with attention given to the areas of complaint. Your podiatrist may take X-rays and other forms of imaging, such as magnetic resonance imaging (MRI) or computerized tomography (CT).
Treatment- Firstly, any wounds that are present will need to be cleaned and bandaged to prevent infection. Treatments for a foot crush injury may also include medication, casting, kinesiology taping, ice and heat, physical therapy, or surgery. Often more than one of these treatments are used. Crush injuries of the foot are very serious. Potentially devastating complications can occur if these injuries are underestimated or mismanaged.
A foot crush injury can affect your day-to-day activities and make your life miserable. Whether your goal is getting back to the work, the gym, hobbies, or just enjoying life, a podiatrist can help. If you want to feel better and live well, find a podiatrist near you and schedule an appointment.
An ankle sprain occurs when the foot rolls or twists to the point where a ligament inside stretches beyond its normal capacity. Ankle sprains are extremely common, with an estimated 25,000 sprains happening in the United States every day. Athletes and people who work outdoors or on uneven surfaces are at a higher risk for spraining their ankle. Regular wear of high-heeled shoes is also a risk factor.
Sprained ankles are diagnosed by degree; that is, the severity of the sprain and the symptoms it produces. Grade 1 sprains are the mildest, with minimal swelling and tenderness due to a slight ligament tear. Usually, Grade 1 sprains still allow for weight to be put on the ankle. Grade 2 sprains have a more significant injury to the ligament and, while walking may still be possible, it is painful. Grade 3 sprains are diagnosed when the affected ligament has sustained a complete tear and the ankle cannot bear weight. Grade 3 sprains typically display obvious bruising and swelling around the ankle.
The grade of an ankle sprain will determine the treatment. The tried-and-true RICE method - rest, ice, compression, and elevation - is usually sufficient for Grade 1 sprains. Refraining from walking, keeping the ankle elevated for the first two days, stabilizing the ankle with a compression dressing, and applying ice to reduce swelling helps the sprain resolve within 2 to 4 weeks. Grade 2 sprains also respond well to RICE treatment, although healing typically takes longer and a firmer immobilization device, like a splint, is typically recommended. Grade 3 sprains often require similar treatment used for ankle fractures; a cast or brace may be needed and surgery may be considered for some patients.
To ensure proper healing, it is important to follow the recommendations of your podiatrist. Attempting to return to normal activity too soon could result in a repeat injury or permanent ankle instability.
What is Sesamoiditis?
Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.
Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.
Symptoms of Sesamoiditis
Symptoms of Sesamoiditis may include:
- Pain under the big toe or ball of the foot
- Swelling and/or bruising
- Difficulty in bending and straightening the big toe
- Resting and stopping any activity that could be causing pain and inflammation
- Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
- Icing the sole of the foot
- Wearing soft-soled and low-heeled shoes
- Cushioning inserts in the shoes
If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!