Monday night Virginia Union athlete Kentrell Harris said that a bunion has put his NFL dreams on hold.
That's right. A bunion.
Harris is a 6-foot-4, 263 pound defensive end who had 6.5 sacks as a senior last year at Union. He was not selected during the NFL draft last month, but agreed to terms on a contract offer with the Oakland Raiders following the draft. When he arrived at rookie camp last week, his plans hit a snag.
The Raiders noticed Harris's bunion. "They already knew about it," said Harris. "But they looked at it, and they said to go ahead and get the surgery to fix it and they'd bring me back."
Harris played last year with the bunion and thought he would be fine playing in the NFL. "I only missed one game. It didn't get too bad, but sometimes, it gets to a point where I can't put a shoe on," Harris said.
Harris will have surgery on the bunion tomorrow, and was told rehab can take from four to six months. This is not Harris's first time dealing with a bunion- he had surgery to correct a bunion on his right foot during his freshman year, and the recovery time was much quicker than the anticipated time.
"I'm hoping this one won't take as long as they say, so I can get back out there. It is real frustrating. You get a chance to do something you have wanted to do your whole life, and then you have a setback like this," Harris commented.
Harris was just one of two Division II players asked to play in the NFLPA Collegiate Bowl in January in Los Angeles.
Reference: Daytona Beach News-Journal
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Foot Deformities in CT
Foot deformities can be not only ugly, but extremely painful and debilitating. From bunions to hammertoes to flat feet, deformities of the foot can be inherited from genes or things in your life. Let Ayman M. Latif, DPM and his staff at Connecticut Foot Care Centers in Glastonbury and Middletown take care of you!
Thursday, May 16, 2013
Wednesday, May 8, 2013
What Can I Expect With Hammertoe Surgery?
As much as some patients like to try to avoid it, surgery is sometimes the only option to remedy those painful
hammertoes. Fortunately, this is one of the most common procedures we as podiatrists do and patients have an excellent recovery rate.
Before your surgery, make sure you have scheduled time off. While you will likely not require the full six weeks off, take as much time as you need until you feel comfortable. Your normal routine will be interrupted and things will take longer to accomplish, or may not get done at all, so expect more time to do tasks.
Hammertoe surgery can be done on an outpatient basis in our office or a surgery center using a local anesthetic, sometimes combined with sedation. The surgery takes about 15 minutes to perform. Up to four small incisions are made and the tendons are rebalanced around the toe so that it no longer curls. Patients can usually walk immediately after the surgery wearing a special surgical shoe. Minimal or no pain medication is needed following the surgery.
Icing and elevation of the foot is recommended during the first week following the procedure to prevent excessive swelling and to promote healing. It is also important that the dressing be kept clean and dry to prevent infection. Two weeks after the surgery, the sutures are removed and a wide athletic shoe can replace the post-operative surgical shoes. Patients can then gradually increase their walking and other physical activities.
Keep your bandages on as long as your podiatrist recommends and try not to get them wet. We sell in our offices a bag that goes over your foot and makes showering and bathing more convenient. Your podiatrist will tell you to lay off the high heels and other shoes for a bit, or even completely, until you are recovered. Hammertoes may come back on their own, based on your foot mechanics and structure, so there's no need in speeding up the process with impractical shoes. And no one wants to have surgery again!
If you're an athlete, take your time getting back into your routine. When you feel pain in the surgical area, stop your activity immediately. You wouldn't want to undo all the good work you've done!
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
hammertoes. Fortunately, this is one of the most common procedures we as podiatrists do and patients have an excellent recovery rate.
Before your surgery, make sure you have scheduled time off. While you will likely not require the full six weeks off, take as much time as you need until you feel comfortable. Your normal routine will be interrupted and things will take longer to accomplish, or may not get done at all, so expect more time to do tasks.
Hammertoe surgery can be done on an outpatient basis in our office or a surgery center using a local anesthetic, sometimes combined with sedation. The surgery takes about 15 minutes to perform. Up to four small incisions are made and the tendons are rebalanced around the toe so that it no longer curls. Patients can usually walk immediately after the surgery wearing a special surgical shoe. Minimal or no pain medication is needed following the surgery.
Icing and elevation of the foot is recommended during the first week following the procedure to prevent excessive swelling and to promote healing. It is also important that the dressing be kept clean and dry to prevent infection. Two weeks after the surgery, the sutures are removed and a wide athletic shoe can replace the post-operative surgical shoes. Patients can then gradually increase their walking and other physical activities.
Keep your bandages on as long as your podiatrist recommends and try not to get them wet. We sell in our offices a bag that goes over your foot and makes showering and bathing more convenient. Your podiatrist will tell you to lay off the high heels and other shoes for a bit, or even completely, until you are recovered. Hammertoes may come back on their own, based on your foot mechanics and structure, so there's no need in speeding up the process with impractical shoes. And no one wants to have surgery again!
If you're an athlete, take your time getting back into your routine. When you feel pain in the surgical area, stop your activity immediately. You wouldn't want to undo all the good work you've done!
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Related articles
Wednesday, May 1, 2013
I Have A Hard Lump On Top Of My Foot
It's likely you've heard of ganglion cysts, soft, squishy lumps that appear on your feet. But maybe you've noticed on the top of your foot a hard, bony bump. That certainly doesn't sound like it's a ganglion cyst, does it?
Because it's not! So what is this hard bump then? It's called a saddle bone deformity, or a metatarsal cuneiform exostosis. You're probably thinking to yourself, "But I've never ridden a horse before or come anywhere near a saddle! So how did I get this deformity?"
This deformity gets its name from where it appears on the foot. That fancy medical name tells us that it's on the metatarsals, the long bones that connect to our toes; cuneiforms are joints at the base of the metatarsal at midfoot; exostosis is a bony growth. So, we get the saddle name because this bony growth "saddles" the peak of the arch.
So how did you get it? Do you have high arches? Those with high arches are prone to this deformity, as well as those with poor foot mechanics. If you've had an injury to this area before, you foot may develop the deformity. Finally, if the cuneiform joint moves around a lot, the bone may have formed to stop the joint from moving.
The bone buildup of the saddle bone deformity is typically not painful. However, it is the complications caused by the condition that make it uncomfortable. You'll find it difficult to put on shoes. During the summer, when you're likely to have open-toed shoes on, you'll feel it less, but with cooler weather and closed-toe shoes, your foot will hurt. This is because the shoe not only presses down on the bony bump, but also the peroneal tendon below. You may experience arch pain in your first and second toes.
To tell if you have a saddle bone deformity, try the Tinel's sign. Take your index and middle fingers and lightly tap the bump. If you have the deformity, you'll feel a tingling sensation around the top of your foot or in your toes. This is because of the pressure on the peroneal nerve.
If you're not experiencing a lot of pain, I would recommend changing your shoes to ones that do not rub or irritate your feet. However, if you are experiencing a lot of pain, your podiatrist will recommend removing the bony growth. It's a procedure that lasts less than one hour and you'll be able to put pressure on your foot immediately, which is unlike most foot surgeries. It will take up to six weeks to heal, but you'll feel better than new afterward!
Reference: eHow and Healing Feet.
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Related articles
Wednesday, April 24, 2013
The Doma, A Two-Toed Tribe
The Doma, also known as Vadoma, or Wadoma, are a tribe living in north Zimbabwe, in the Urungwe and Sipolilo areas on the Zambezi river.
A small minority of this tribe have something in common: they have a foot deformity condition called ectrodactyl. Ectrodactyl is a condition when the three middle toes are not present on the foot; only the outer two toes are present and turned in. This has resulted in the tribe being called "two-toed" or "ostrich footed".
Ectrodactyl is an autosomal dominant condition derived from a single mutation on chromosome number seven. Those who have this deformity are not handicapped and integrate well into the tribe. The condition continues because of the small genetic pool among the Vadoma and tribal law that forbids marrying outside the tribe. It is believed this deformity may be a help in climbing trees.
Ectrodactyl is also known as a split foot malformation and it can be described as "claw-like". Those with ectrodactyl can also have hearing loss. It does occur throughout the world, in 1 in 90:000 births while limb defects occur in 1 in 1000 births. Ectrodactyl occurs in animals as well, affecting cats, dogs, mice, salamanders, cows, chickens, and others.
The Vadoma are an example of the genetic effects of a small population size and genetic defects with their deep inbreeding. They are also an isolated tribe, and have developed and maintained ectrodactyl better than other groups.
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Wednesday, April 17, 2013
What Shoes Are Good For My Bunion?
| English: A pair of high heeled shoe with 12cm stiletto heels. Category:Shoes (Photo credit: Wikipedia) |
As podiatrists, we've seen it before. Women come hobbling into the office and tell us they can't stand the pain from their bunion any longer. They plead with us, "Make this pain go away!". And we are more than happy to help, of course. During our consultation, I will often look at the patient's shoes and what I see gives me podiatric nightmares.
High heels. Stilettos. Pointy-toed shoes. Too-tight shoes. Too-small shoes. Yes, these are all shoes that will aggravate a bunion, yet my patients with bunions don't seem to realize the damage they are doing.
While bunions are not caused by the shoes you put on your foot, if you already have a bunion, you will be helping the deformity to progress much quicker. Here's why your favorite shoes are causing your bunion to get bigger:
- Tight shoes. Peep-toe and pointed-toe shoes are bunion's best friends! The tight and small toe box compresses toes together and leads to a slight or severe realignment of the big toe, which is a bunion. Try this: take your hand, and with your other hand, squish your fingers together. Now hold it there for 8 hours. How do your fingers, especially your thumb, feel after that? Probably not so good.
- High heels. Yes, we know, high heels make you feel sexy and feminine. How does that bunion make you feel? Still sexy? It's certainly very sexy to look at, isn't it??? Any time you put your feet in shoes higher than two inches, you are shifting your entire body weight forward, creating this massive pressure, up to seven times, and weight on your toes and balls of your feet. Ever wake up in the night and your arm has fallen asleep because you were lying on it funny? That's how your feet feel at the end of the day, after being in high heels.
- Flat feet. Flat feet are often something you cannot help- flat feet can be genetic. People with flat feet often wear ballet flats, which are just as bad as high heels and pointy-toe shoes as aggravating bunions! Ballet flats have no arch support and this makes a primo environment for a bunion to worsen.
Reference: APMA
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Related articles
Wednesday, April 10, 2013
Will Yoga Help My Bunion?
When you have a bunion, you're sometimes so desperate to avoid pain, you'll try anything. Over-the-counter
remedies, medications, and herbal remedies, anything that will make that bunion stop hurting. Sometimes these remedies will help relieve the symptoms and pain, but they will not stop the progression of the bunion.
Some patients will ask if exercise will help their bunion, and while there are several types that will, most exercise will aggravate your bunion. For all yogies out there, good news! Yoga is one type of exercise that will help alleviate the symptoms of bunion pain.
Yoga instructor Jennifer LaRue Huget was asked by a client if yoga would reverse the progression of her bunion. The client had heard that by putting the affected foot up against a slanted wall or board and stretching out the other leg, you could stop bunions from forming.
Huget looked up in her favorite health book, Yoga as Medicine by Timothy McCall, but couldn't find the answer she was looking for. So she called McCall, editor of Yoga Journal, and asked him. He had never heard of the pose her client was talking about, but had heard of a pose that may help spread out the toes and metatarsals (Stand with feet side by side, a few inches apart and step the affected foot forward. Sickle your foot inward and rotate the heel inward and lower it down.).
McCall had heard of a woman whose bunion stopped progressing after she practiced a certain yoga move, but he couldn't remember which move it was. But, he acknowledged that bunions are a bone problem, and likely wouldn't be healed by yoga.
Yes, bunions are a bone problem with little that can be done to stop its progression. Patients who wear high heels or tight shoes can slow progression by switching to other shoes, and orthotics are often found to be helpful, but bunions are a mechanical problem with the bone.
"Once bones become altered, that wouldn't be very easy to change," says McCall, even with yoga and strength building exercises. "Spreading the toes and metatarsals, creating space, perhaps could undo some of the damage" done by wearing too tight shoes.
McCall feels that "People want to apply yoga in a quick-fix way. But to help with most chronic conditions, you need to establish a pattern of regular practice over the long term. If you have a bunion and you do yoga almost every day for the next several years, you will certainly feel better. But I don't think your bunion will be fixed."
Dr. Rock Positano, a nonsurgical foot specialist at the Hospital for Special Surgery in NYC, agrees. "When you develop a bunion, the big toe is not functioning as well as it should. So other parts of the foot, like muscles, tendons, and ligaments, have to take up that slack. Yoga gives more strength and flexibility to the area around the bunion and takes some of the stress off the big toe, making the foot work more efficiently. Anything that gives the foot more stability and more flexibility is good for a bunion deformity because it allows the other parts of the foot to pick up the slack for what the big toe is not doing."
I would have to agree as well. When starting a yoga regimen, I would not go in expecting that your bunion is going to be cured- the progression will reverse and it will disappear. The only way a bunion can be "reversed" is through surgery. Your pain, discomfort, and symptoms however, may be alleviated and you may be able to go longer before having surgery.
Reference: Washington Post and Allure.
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Related articles
Wednesday, April 3, 2013
What Is Podoconiosis?
In this country, it's likely you've never heard of podoconiosis before. Podoconiosis is a disease of the lymph vessels of the lower extremities that is caused by chronic exposure to irritant soils. It is the second most common cause of elephantiasis and is characterized by prominent swelling of the lower extremities, especially the feet and ankles, and leads to disability and deformity.
The history of the condition goes back to the 19th century, when parasitic filariae were discovered to be the cause of elephantiasis, also known as tropical lymphedema. It was believed, at the time, that filaria was the sole cause of the disease, but it became apparent that the distribution of the two conditions did not overlap and scientists recognized that some forms of elephantiasis were not associated with filariae. Ernest W. Price, a British surgeon living in Ethiopia in the 1970's and 1980's studied the lymph nodes and vessels of those afflicted with the disease. Using a light microscope, he discovered macrophage cells weighed down with micro-particles in the lymph nodes of the affected extremity. Then, using an electron microscope, he found the presence of silicon, aluminum, and other soil metals. Price demonstrated that the lymphatic vessels of these patients experienced edema, and eventually collagenization that leads to complete blockage.
The primary symptom of podoconiosis is swelling and deformity of the feet and ankles. The swelling can be either soft and fluid, or hard and fibrotic. Multiple firm nodules will develop over time, as well as hyperkeratotic papillomata that resembles moss. Because of this, podoconiosis is also known as Mossy Foot. Before lymphatic failure, the patient may exhibit itching, burning, hyperkeratosis, plantar edema, and rigid digits. Like with elephantiasis, fusion of the toes, ulceration, and bacterial infection may occur. The disease has an acute component where some patients have moments of foot and ankle warmth, firmness, and pain.
Podoconiosis is most commonly seen in highland areas of Africa, India, and Central America. The highest rates of occurrence are in Uganda, Tanzania, Kenya, Rwanda, Burundi, Sudan, and Ethopia, where the prevalence is as high as 9%. Nearly four million people worldwide suffer from this disease. The incidence of podoconiosis increases with age, due to the cumulative exposure to irritant soil. It is rare to see podoconiosis in children 0-5 years old, and the incidence rapidly rises in the 6-20 age group, with the highest percentage in the 45 plus age group.
Prevention and treatment are characterized by avoidance of the irritant soil . Wearing shoes is the most crucial thing in preventing this disease and further deformity. In Rwanda, where the incidence of the disease is high, the government has banned walking barefoot in public to curtain soil-born disease like podoconiosis.
Even once the disease has begun, vigorous daily washing with soap and water, application of an emollient, and the nightly elevation of the affected extremity has been shown to reduce swelling and disability. Compression wrapping has been shown to be effective in other forms of lymphedema, but this therapy has not been proven in podoconiosis.
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
The history of the condition goes back to the 19th century, when parasitic filariae were discovered to be the cause of elephantiasis, also known as tropical lymphedema. It was believed, at the time, that filaria was the sole cause of the disease, but it became apparent that the distribution of the two conditions did not overlap and scientists recognized that some forms of elephantiasis were not associated with filariae. Ernest W. Price, a British surgeon living in Ethiopia in the 1970's and 1980's studied the lymph nodes and vessels of those afflicted with the disease. Using a light microscope, he discovered macrophage cells weighed down with micro-particles in the lymph nodes of the affected extremity. Then, using an electron microscope, he found the presence of silicon, aluminum, and other soil metals. Price demonstrated that the lymphatic vessels of these patients experienced edema, and eventually collagenization that leads to complete blockage.
The primary symptom of podoconiosis is swelling and deformity of the feet and ankles. The swelling can be either soft and fluid, or hard and fibrotic. Multiple firm nodules will develop over time, as well as hyperkeratotic papillomata that resembles moss. Because of this, podoconiosis is also known as Mossy Foot. Before lymphatic failure, the patient may exhibit itching, burning, hyperkeratosis, plantar edema, and rigid digits. Like with elephantiasis, fusion of the toes, ulceration, and bacterial infection may occur. The disease has an acute component where some patients have moments of foot and ankle warmth, firmness, and pain.
Podoconiosis is most commonly seen in highland areas of Africa, India, and Central America. The highest rates of occurrence are in Uganda, Tanzania, Kenya, Rwanda, Burundi, Sudan, and Ethopia, where the prevalence is as high as 9%. Nearly four million people worldwide suffer from this disease. The incidence of podoconiosis increases with age, due to the cumulative exposure to irritant soil. It is rare to see podoconiosis in children 0-5 years old, and the incidence rapidly rises in the 6-20 age group, with the highest percentage in the 45 plus age group.
Prevention and treatment are characterized by avoidance of the irritant soil . Wearing shoes is the most crucial thing in preventing this disease and further deformity. In Rwanda, where the incidence of the disease is high, the government has banned walking barefoot in public to curtain soil-born disease like podoconiosis.
Even once the disease has begun, vigorous daily washing with soap and water, application of an emollient, and the nightly elevation of the affected extremity has been shown to reduce swelling and disability. Compression wrapping has been shown to be effective in other forms of lymphedema, but this therapy has not been proven in podoconiosis.
If you have a foot deformity, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.
Related articles
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