The Achilles tendon is the thickened cord or fibrous band that runs down the back of one’s leg and attaches to the heel bone. A prime function of this muscle or tendonous structure is to assist in moving the foot up and down. Athletes at all competitive levels, frequently encounter problems with this tendon. It is subject to injury from a direct impact, can suffer from over use or excessive training, or can just start hurting as a result of shoe pressure. The patient with an Achilles tendonitis will most often have pain and swelling in the lower portion of the tendon just above the heel, will have discomfort when moving the foot upwards thus stretching the tendon, and will probably note that the condition has worsened over time. These patients can have significant discomfort and will frequently take themselves out of physical activities prior to visiting the physician.
The treatment approach to a sprained ankle is largely determined by how soon after the injury it is seen. Assuming that we are dealing with a fresh injury, seen within hours to a few days of the trauma, our first line of treatment should be to assess the degree of injury and then to reduce the soft tissue swelling. Immobilizing the injury site is used to limit unnecessary motion along with rest, elevation, ice and compression to reduce the pain. Physical therapy and rehabilitation are then used to reestablish ankle joint stability and strength. Orthotics are sometimes used for the purpose of supporting the foot and ankle while reducing any allowable abnormal range of motion. Surgery is occasionally used to strengthen the ankle joint ligaments in those cases involving chronic instability and a frequent history of sprains.
This condition is manifested by an enlargement on the side of the foot behind the big toe. Sometimes there are smaller bunions, called tailor’s bunions behind the fifth toe.
These are raised often crooked toes which may or may not be associated with a bunion deformity. The patient often has difficulty fitting shoes. This may be associated with pain or metatarsalgia involving the ball of the foot.
This condition may be approached surgically as well as conservatively. Often orthotics, splints or cortisone injections are helpful.
Ingrown toenails are one of the most common conditions we see in our offices. The problem is just what its name implies. The nail plate is too large for the under covering or bed and one or both sides are pressing into the skin. Ingrown nails can result from several possible causes such as improper cutting, abnormal nail structure and localized injury to the plate. Quite often we encounter these as a result of a failed pedicure. The side of the toe maybe red, swollen and tender. This is usually an indication of infection. The sooner this is treated the by a podiatrist the better.
Foot orthotics are supportive devices that are designed specifically for the purpose of controlling foot motion, improving one's postural stability, reducing shock impact, and/or improving weight distribution. In most cases, these devices are functional in the sense that they also improve one's biomechanical performance during gait. A plaster impression is taken of your feet and used in the selection and fitting of a prescription orthotic. The particular information regarding anticipated cost, durability and use may vary depending upon the type of orthotic and should be discussed with your foot specialist.
We believe that orthotics are often necessary to prevent a recurrence of the patients’ condition after the symptomatology has been eliminated. Most orthotics are not covered by insurance but our staff will check with your insurance carrier.
The treatment of a plantar fasciitis condition initially includes stretching exercises, shoe modifications, foot taping and padding, possible injection of an anti-inflammatory medication, physical therapy, and the use of oral medications.
If you have a wound on your leg or foot that is not healing, it is very important to seek medical attention. Dr. Rubenstein specializes in treating all types of wounds that may be caused by cuts, burns, trauma, infection and diabetic ulceration. Wound care involves the proper cleaning, dressing and treatment of the affected area until the wound is completely healed.