If your baby was born with clubfoot, they may also have a rare genetic disorder called Gordon's Syndrome. The condition is characterized by stiffness and impaired mobility in the ankles because the tendons in the foot are too short, causing the joints to become fixed in a permanent flexed position. Both feet are usually affected with this disorder.
The exact cause of Gordon's Syndrome is unknown, but some reports suggest it may be inherited through an X-linked dominant manner. Most experts agree it is inherited through an autosomal dominant manner. Having just one mutated copy of the gene in each cell is enough to create the signs and symptoms of the disease. When a person with the autosomal dominant condition has children, each child has a 50% chance of inheriting the mutated copy of the gene.
Gordon's Syndrome may also present as a permanent fixation of several fingers in a bent position and cleft palate. In males scoliosis or undescended testicles may be present. The child's intelligence is not affected by the disease. The wrists, elbows, and knees can also be affected and the severity of the condition can range from individual.
Your child may have an abnormal splitting of the soft hanging tissue at the back of the throat, short stature, dislocation of the hip, abnormal backward curvature of the upper spine, drooping of the eyelids, webbing of the fingers and toes, abnormal skin patterns on the feet and hands, and a short webbed neck.
Prompt treatment after birth is crucial in treating this disorder as your child will have difficulties walking and developing. Typically podiatrists will prescribe casting, bracing, or physical therapy to realign the bones before recommending surgery.
Reference: Rare Diseases
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.
Showing posts with label dr latif dpm. Show all posts
Showing posts with label dr latif dpm. Show all posts
Friday, July 12, 2013
Wednesday, November 14, 2012
Can My Child Have A Bunion?
When we think about bunions, we think of our mothers and grandmothers. Their feet, deformed after years
of wearing inappropriate shoes and having bad feet. But would we ever think of our young daughters? Juvenile bunions affect children and teens, especially girls, between the ages of 10 and 15. For the most part juvenile bunions are without symptoms of pain because they do not have the degenerative changes adults face. The first sign that your child may have a problem with a bunion is they will have trouble putting their feet into shoes. Some children will feel self-conscious about their bunions. Other symptoms will include:
When it comes to foot wear and children, ensure your child does not wear ones that are too small or too tight. Young girls with juvenile bunions should stay away from heels and narrow/pointy shoes because this increases the risk for bunions to increase.
Treatment for a juvenile bunion depends on severity, degree of pain, and how quickly the bunion is progressing. Growth plates in children tend to close when girls are around the age of 16 and boys when they are 17. Closing of growth plates dictates when surgery can be accomplished safely.
Conservative treatment options for juvenile bunions include:
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow my tweets on Twitter.
- A big toe joint that is red or swollen.
- Complaints of foot pain when walking, running, or playing.
- Problems moving the big toe joint.
- A thickening of the skin on the bottom of the foot.
When it comes to foot wear and children, ensure your child does not wear ones that are too small or too tight. Young girls with juvenile bunions should stay away from heels and narrow/pointy shoes because this increases the risk for bunions to increase.
Treatment for a juvenile bunion depends on severity, degree of pain, and how quickly the bunion is progressing. Growth plates in children tend to close when girls are around the age of 16 and boys when they are 17. Closing of growth plates dictates when surgery can be accomplished safely.
Conservative treatment options for juvenile bunions include:
- Custom orthotics, which control excessive motion
- Changes in shoes, to take pressure off the bunion
- Padding/taping, use to relieve irritation and discomfort
- Anti-inflammatory medications to help with the pain.
- Physical therapy to help with pain relief.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow my tweets on Twitter.
Wednesday, November 7, 2012
You Don't Have To Be A Bird To Have Claw Toes
Symptoms of claw toes include:
- Toes that are bent upwards from the joint at the ball of the foot.
- Toes bend downward at the middle joints towards the sole of your shoe.
- Toes may also bend at the top joint, curling under, like mallet toes.
- Corns on the top of the foot or on the ball of the foot.
In the early stages of a claw toe deformity, the toe will be flexible. However, the longer the condition progresses, the more rigid it will become. If the deformity is caught at an early stage, simple taping or splinting may be prescribed to retrain the toe to the correct position. Your podiatrist may also recommend:
- Wearing shoes with roomy toe boxes and avoiding tight shoes and high heels.
- Use your hand to stretch the affected toe to the correct position.
- Exercise your toes by performing towel pick-ups or marble pick-ups with your feet.
- A special pad to redistribute your weight and relieve pressure on the ball of your foot, like an orthotic.
- Extra deep shoes with additional space in the toe box to accommodate the claw toe.
- Have your shoes stretched.
- Surgery to correct the deformity.
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, October 31, 2012
I Have A Long Second Toe!
The name Morton's toe was given by American orthopedic surgeon Dudley Joy Morton, who included it as part of the Morton's triad: a short first metatarsal bone, a hypermobile first metatarsal segment, and calluses underneath the second and third toes. Morton's toe can also be confused with Morton's neuroma, which involves a nerve between the third and fourth toes. Morton harkened back to prehistoric humans, who probably used their toes for grasping.
The Greeks believed this type of foot to be beautiful, and it appears in sculptures and art. As well, it persisted as an aesthetic standard through Roman, Renaissance, even modern times- the Statue of Liberty has a Greek foot!
Morton's toe is a common foot type, but can be considered a deformity as well. The symptoms associated with Morton's toe include discomfort and callusing along the top of the second toe. This is because the big toe would normally bear the weight of walking, but these forces are transferred to the second toe because of its length and position. With shoes it can be a problem when trying to fit a shoe to the second toe.
Morton's toe affects 20% of the population, but 80% of people with it have foot pain. The reason for this high ratio is because of excessive pronation (weight bearing). Excessive pronation causes the leg to be shortened or lengthened, and the leg is rotated internally. Other problems associated with Morton's toe are: metatarsalgia, hammertoes, mallet toes, bunions, Morton's neuroma, and heel pain.
Treatment is often orthotics to realign the foot to its proper position and relieve some of the pressure from the second toe.
If you have a Morton's toe and are experiencing pain, 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, October 24, 2012
Mallet Toes: Not Something You Hammer With
Causes of mallet toes include:
- If you are on your feet all day.
- Participate in sports regularly.
- Have arthritis
- Have nerve damage in your back, leg, or foot.
- Have very high or very flat arches.
- Wear shoes that don't fit
- Were born with a toe deformity.
Conservative treatments for mallet toes include:
- Wearing shoes with a large, square toe box.
- A toe crest or buttress pad.
- Gel toe caps or shields.
- Amputation of the tip of the toe (only if gangrene or severe infection is present).
- Joint fusion of the toe.
- Partial bone/joint removal.
- Flexor tenotomy or lengthening.
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, October 17, 2012
Overlapping and Underlapping Toes
Toe deformities are common in children. These conditions are generally congenital, with one or both parents with these problems. Toe issues are typically present at birth and will become worse over time. Unlike children who are "pigeon-toed", children rarely outgrow this deformity.
In infancy, toe deformities are not usually a sign of another condition. For parents, it's usually a cosmetic issue. But as the child grows, the toes transform from flexible to rigid and become symptomatic of another condition. Many toe deformities will respond to conservative treatment. Traditional treatment has been digital splitting and exercises, but those often do not lead to good outcomes. As the deformities progresses and the toes become more rigid, surgery is generally the only option.
Underlapping toes can be seen in both children and adults and typically affects the fourth and fifth toes. A special type of underlapping toes is called congenital curly toes, and is common among families. Toes three, four, and five may be affected.
The cause of the deformity is unknown, but may be due to an imbalance in muscle strength of the small muscles of the foot. Combined with a small abnormality in the placement of the joints of the foot below the ankle joint called the subtalar joint, it creates a pulling of the ligaments in the toes, causing them to curl. Weight bearing increases the deformity and the folding of the toes results in the formation of callus on the edge of the toe. Tight fitting shoes aggravate this condition.
Treatment depends on the age of the patient, degree of the deformity, and symptoms. When symptoms are minimal, most podiatrists will recommend waiting and seeing how the condition progresses. If surgery is required, the degree of the deformity determines the procedure. A flexible toe will only require a simple release of the tendon, but a rigid toe may necessitate the removal of part of the bone.
Overlapping toes are identified by one toe that lies on top of another toe. The fifth toe is most often affected, but the second toe can be as well. The cause of this deformity is not known as well, although it is speculated that the position of the fetus in the womb during development is a potential reason. Sometimes overlapping toes are seen in families.
Treatment for overlapping toes depends on how quickly the condition is diagnosed. For infants, passive stretching and adhesive taping is commonly prescribed. This treatment can take 6 to 12 weeks and recurrence of the deformity is likely. Like underlapping toes, this problem will rarely correct itself. Occasionally as the individual grows, the deformity will go away. If surgery is required, a skin plasty is required to release the contracture of the skin associated with the toe. A tendon release and release of the soft tissue around the joint at the base of the toe may also occur. Cases that are severe may require the toe to be held in place with a pin. The pin exits the tip of the toe and may be left in place for up to three weeks. During recuperation the patient must limit their activities and wear a surgical shoe or removable cast. Excessive movement will greatly affect the outcome of how the toe looks. Following removal of the pin splinting of the toe may be required for another two to three weeks.
If you have underlapping or overlapping toes, 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.
In infancy, toe deformities are not usually a sign of another condition. For parents, it's usually a cosmetic issue. But as the child grows, the toes transform from flexible to rigid and become symptomatic of another condition. Many toe deformities will respond to conservative treatment. Traditional treatment has been digital splitting and exercises, but those often do not lead to good outcomes. As the deformities progresses and the toes become more rigid, surgery is generally the only option.
The cause of the deformity is unknown, but may be due to an imbalance in muscle strength of the small muscles of the foot. Combined with a small abnormality in the placement of the joints of the foot below the ankle joint called the subtalar joint, it creates a pulling of the ligaments in the toes, causing them to curl. Weight bearing increases the deformity and the folding of the toes results in the formation of callus on the edge of the toe. Tight fitting shoes aggravate this condition.
Treatment depends on the age of the patient, degree of the deformity, and symptoms. When symptoms are minimal, most podiatrists will recommend waiting and seeing how the condition progresses. If surgery is required, the degree of the deformity determines the procedure. A flexible toe will only require a simple release of the tendon, but a rigid toe may necessitate the removal of part of the bone.
Overlapping toes are identified by one toe that lies on top of another toe. The fifth toe is most often affected, but the second toe can be as well. The cause of this deformity is not known as well, although it is speculated that the position of the fetus in the womb during development is a potential reason. Sometimes overlapping toes are seen in families.
Treatment for overlapping toes depends on how quickly the condition is diagnosed. For infants, passive stretching and adhesive taping is commonly prescribed. This treatment can take 6 to 12 weeks and recurrence of the deformity is likely. Like underlapping toes, this problem will rarely correct itself. Occasionally as the individual grows, the deformity will go away. If surgery is required, a skin plasty is required to release the contracture of the skin associated with the toe. A tendon release and release of the soft tissue around the joint at the base of the toe may also occur. Cases that are severe may require the toe to be held in place with a pin. The pin exits the tip of the toe and may be left in place for up to three weeks. During recuperation the patient must limit their activities and wear a surgical shoe or removable cast. Excessive movement will greatly affect the outcome of how the toe looks. Following removal of the pin splinting of the toe may be required for another two to three weeks.
If you have underlapping or overlapping toes, 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, September 26, 2012
My Fourth Toe Is Very Short!
This condition typically affects the fourth toe. When looking at the foot, the fourth toe is much shorter than those surrounding it, and it may also appear as if it is raised up, with the third and fifth toes touching below.
The condition may be as a result of a congenital defect or an acquired defect. Congenital causes include Aarskog syndrome and Apert syndrome among others, along with acquired trauma. Simply, the metatarsal bone fails to develop fully, or the growth plate closes prematurely. This condition appears 25 times more in women (1 in 1820) than men (1 in 4586).
Diagnosis is easily done with an x-ray of the affected toe. Usually patients come in with concerns about the toe's appearance, looking for cosmetic surgery to correct the abnormal shape and size, but often learn that there is a significant defect in the bone. Patients may notice that the toe is not carrying its share of the weight, which results in pain and discomfort. They may also have a difficult time selecting shoes because of the toe's shape.
In many cases brachymetatarsia causes no pain or discomfort and will require no treatment beyond careful shoe selection. For some, surgery may be needed.
If you are experiencing some of these symptoms, 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.
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, September 12, 2012
What Are My Options For Bunion Surgery?
There are two ways a podiatrist selects which procedure is best suited for you. First, they will give you a clinical exam, which shows the range of motion available, the pain experienced with motion and footwear, and the mobility of the big toe and associated joints. Then, they will look at your x-rays. From this they will see the positive or negative findings of arthritic change due to joint cartilage and bone, the angle between the big toe and the second toe, and finally the length and position of the big toe.
Most procedures will include a "bumpectomy", which shaves off the part of the bone that is sticking out beyond the natural line of your foot. Inner muscles of the great toe may also be cut to prevent the big toe from crossing over to the second toe.
In a situation where the joint is severely arthritic and painful, one of the joint resection procedures would be the best option for you. Joint replacement is an implant that allows for minimal and pain-free motion. Joint fusion is a fusion of the metatarsal bone and the big toe. Joint resection procedures greatly reduce and even eliminate the pain associated with the bunion, but can also greatly decrease the range of motion.
For those who have a mild to moderate bunion, with a slight angle between the first and second toes, the surgical procedure usually involves moving the head of the metatarsal inward by making a sideways triangular cut called an Austin, or modified Austin. Once the cut has been made, the first toe is moved back towards the second toe and fixated. The benefits of this procedure is that there is a faster recovery time, easier healing, and the correction is very stable. The downside is that this procedure is only for mild to moderate bunions.
Moderate bunion procedures involve the shaft of the metatarsal. If the angle of the metatarsal is too great for a head procedure, meaning that the head could not be moved over for correction and be considered stable, then your podiatrist will instead make a cut in the shaft of the metatarsal, allowing for less movement and more correction. The benefit of having this procedure done is the angle of your big toe will be closer to what it used to be and the base of the toe will likely be hypermobile. Cons include a longer recovery, less stability, and a greater surgical expertise.
A base procedure is done when there is a very high angle between the first and second metatarsal. A metatarsal base procedure allows for slight movement inwards and great angle correction.
If you are suffering from a bunion, 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, friend and like our page on Facebook, and follow my tweets on Twitter.
Wednesday, August 22, 2012
Stretches For Hammertoes
Manual Toe Stretches
Stretching the affected hammertoe manually can help keep your joint flexible and be less likely to get stuck in
a bent position. Using your hands, bend the affected hammertoe into a more straightened-out position and then bend it back to the bent position. Working your toe muscles manually may help correct a minor imbalance that led to the development of the deformity. It will also help keep the hammertoe from becoming too rigid.
Toe Scrunches
Toe scrunches are another way of keeping your joints limber and the hammertoe flexible. This exercise is also known as "towel pick up" or "towel scrunch". Place a cloth on the floor and pick it up with your toes. Once you have mastered that, try picking up a larger item, like marbles. Toe scrunches are a great exercise because you can be doing something else, like reading, watching television, or even working at the same time.
Toe scrunches are another way of keeping your joints limber and the hammertoe flexible. This exercise is also known as "towel pick up" or "towel scrunch". Place a cloth on the floor and pick it up with your toes. Once you have mastered that, try picking up a larger item, like marbles. Toe scrunches are a great exercise because you can be doing something else, like reading, watching television, or even working at the same time.
Calf Exercises
Muscles imbalances can sometimes be the cause of hammertoes. When your muscles are weaker in one leg or foot, your gait can change and you might hold your foot differently, causing your toes to become hammertoed. Calf strengthening exercises help repair and prevent muscle imbalances that cause joint deformities.
Sit on the floor with your feet straight out ahead of you. Place a towel or resistance band around the sole of your foot and hold the end of the towel or band with both hands. Pull up with the towel as you arch your foot upward, toes toward the sky. If you are doing it properly, you will feel a pull in your hamstrings.
Another great exercise for strengthening your calf muscles is the toe raise. Stand on a staircase, facing up stairs. Hold on to the banister and rise onto your toes. Hold the position for 5 seconds and repeat.
If you are suffering from hammertoes, 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, friend and like our page on Facebook, and follow my tweets on Twitter.
If you are suffering from hammertoes, 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, friend and like our page on Facebook, and follow my tweets on Twitter.
Wednesday, July 25, 2012
Bone Spurs Got You Down?
A bone spur is a bony growth formed on normal bone. Most people think of something sharp when they think of a spur, but a bone spur is just extra bone. It's usually smooth, but it can cause wear and tear or pain if it presses or rubs on other bones or soft tissues such as ligaments, tendons, or nerves in the body.
A bone spur forms as the body tries to repair itself by building extra bone. It typically forms in response to pressure, rubbing, or stress that continues over a long period of time.
Some bone spurs form as part of the aging process. As we age, the slippery tissue called cartilage that covers the end of the bones within the joint breaks down and eventually wears away. Over time, this leads to pain and swelling, and in some cases, bone spurs forming along the edge of the joint. Bone spurs due to aging are especially common in the feet.
Bone spurs form in the feet in response to tight ligaments, to activities such as dancing and running that put stress on the feet, and to pressure from being overweight or from poorly fitting shoes. For example, the long ligament on the bottom of the foot, the plantar fascia, can become stressed or tight and pull on the heel, causing the ligament to become inflamed. As the bone tries to mend itself, a bone spur can form on the bottom of the heel, known as a heel spur. Pressure on the back of the heel from frequently wearing shoes that are too tight can cause a bone spur. This is sometimes called pump bump, or Haglund's Deformity, because it is seen in women who wear high heels.
Many people have a bone spur without ever knowing, because most bone spurs cause no symptoms. But if the bone spurs are pressing on the bones or tissues or are causing a muscle or tendon to rub, they can break that tissue down over time, causing pain, swelling, and tearing. Bone spurs in the foot can also cause corns and calluses when tissue builds up to provide added padding over the bone spur.
A bone spur is usually visible on an X-ray. But since most bone spurs do not cause problems, it would be
unusual to take an X-ray just to see if you have a bone spur. If you had an X-ray to evaluate one of the problems associated with bone spurs, such as arthritis, bone spurs would be visible on that X-ray.
Bone spurs do not require treatment unless they are causing pain or damaging other tissues. When needed, treatment may be directed at the causes, symptoms, or the bone spurs themselves.
Treatment directed at the cause of bone spurs may include weight loss to take some pressure off the joints (especially when osteoarthritis or plantar fasciitis is the cause) and stretching the affected area, such as the heel cord and bottom of the foot. Seeing a physical therapist for ultrasound or deep tissue massage may be helpful for plantar fasciitis.
Treatment directed at the symptoms could include rest, ice, stretching and non-steroidal anti-inflammatory drugs, such as ibuprofen. Education in how to protect your joints is helpful if you have osteoarthritis. When the spur is in the foot, changing footwear or adding an orthotic may help. If the spur is causing corns or calluses, padding the area or wearing different shoes can help. A podiatrist is the best trained in helping your bone spur and may also recommend a cortisone injection to reduce pain and inflammation of the tissues near the spur.
Bone spurs can be surgically removed or treated as part of a surgery to repair or replace a joint when osteoarthritis has caused considerable damage and deformity. Examples might include repair of a bunion or heel spur in the foot.
If you are suffering from bone spurs in the foot, 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.
A bone spur forms as the body tries to repair itself by building extra bone. It typically forms in response to pressure, rubbing, or stress that continues over a long period of time.
Some bone spurs form as part of the aging process. As we age, the slippery tissue called cartilage that covers the end of the bones within the joint breaks down and eventually wears away. Over time, this leads to pain and swelling, and in some cases, bone spurs forming along the edge of the joint. Bone spurs due to aging are especially common in the feet.
Many people have a bone spur without ever knowing, because most bone spurs cause no symptoms. But if the bone spurs are pressing on the bones or tissues or are causing a muscle or tendon to rub, they can break that tissue down over time, causing pain, swelling, and tearing. Bone spurs in the foot can also cause corns and calluses when tissue builds up to provide added padding over the bone spur.
A bone spur is usually visible on an X-ray. But since most bone spurs do not cause problems, it would be
Bone spurs do not require treatment unless they are causing pain or damaging other tissues. When needed, treatment may be directed at the causes, symptoms, or the bone spurs themselves.
Treatment directed at the cause of bone spurs may include weight loss to take some pressure off the joints (especially when osteoarthritis or plantar fasciitis is the cause) and stretching the affected area, such as the heel cord and bottom of the foot. Seeing a physical therapist for ultrasound or deep tissue massage may be helpful for plantar fasciitis.
Treatment directed at the symptoms could include rest, ice, stretching and non-steroidal anti-inflammatory drugs, such as ibuprofen. Education in how to protect your joints is helpful if you have osteoarthritis. When the spur is in the foot, changing footwear or adding an orthotic may help. If the spur is causing corns or calluses, padding the area or wearing different shoes can help. A podiatrist is the best trained in helping your bone spur and may also recommend a cortisone injection to reduce pain and inflammation of the tissues near the spur.
Bone spurs can be surgically removed or treated as part of a surgery to repair or replace a joint when osteoarthritis has caused considerable damage and deformity. Examples might include repair of a bunion or heel spur in the foot.
If you are suffering from bone spurs in the foot, 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, July 18, 2012
How Do I Use Crutches?
Sizing Crutches
Even if you've already been fitted for crutches, make sure your crutch pads and handgrips are set at the proper distances, as follows:
The tripod position is the position in which you stand when using crutches. It is also the position in which you begin walking. To get into the tripod position, place the crutch tips about 4" to 6" to the side and in front of each foot. Stand on your "good" foot (the one that is weight-bearing).
Walking With Crutches
If your foot and ankle surgeon has told you to avoid ALL weight-bearing, you will need sufficient upper body strength to support all your weight with just your arms and shoulders.
1. Begin in the tripod position, remembering to keep all your weight on your "good" (weight-bearing) foot.
2. Advance both crutches and the affected foot/leg.
3. Move the "good" weight-bearing foot/leg forward (beyond the crutches).
4. Advance both crutches, and then the affected foot/leg.
5. Repeat steps #3 and #4.
Managing Chairs With Crutches
To get into and out of a chair safely:
1. Make sure the chair is stable and will not roll or slide. It must have arms and back support.
2. Stand with the backs of your legs touching the front of the seat.
3. Place both crutches in one hand, grasping them by the handgrips.
4. Hold on to the crutches (on one side) and the chair arm (on the other side) for balance and stability while lowering yourself to a seated position, or raising yourself from the chair to stand up.
Managing Stairs Without Crutches
The safest way to go up and down stairs is to use your seat, not your crutches.
To go up stairs:
1. Seat yourself on a low step.
2. Move your crutches upstairs by one of these methods:
4. Use your arms and weight-bearing foot/leg to lift yourself up one step.
5. Repeat this process one step at a time (Remember to move the crutches to the top of the staircase if you haven't already done so.).
To go down stairs:
1. Seat yourself on the top step.
2. Move your crutches downstairs by sliding them to the lowest possible point on the stairway. Then continue to move them down as you progress down the stairs.
3. In the seated position, reach behind you with both arms.
4. Use your arms and weight-bearing foot/leg to lift yourself down one step.
5. Repeat this process one step at a time (Remember to move the crutches to the bottom of the staircase if you haven't already done so.).
IMPORTANT!
Follow These Rules for Safety and Comfort
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow my tweets on Twitter.
Even if you've already been fitted for crutches, make sure your crutch pads and handgrips are set at the proper distances, as follows:
- Crutch pad distance from armpits: The crutch pads (tops of crutches) should be 1 1/2" to 2" (about two finger widths) below the armpits, with the shoulders relaxed.
- Handgrips: Place it so your elbow is slightly bent- enough so that you can fully extend your elbow when you take a step.
- Crutch length (top to bottom): The total crutch length should equal the distance from your armpit to about 6" in front of a shoe.
The tripod position is the position in which you stand when using crutches. It is also the position in which you begin walking. To get into the tripod position, place the crutch tips about 4" to 6" to the side and in front of each foot. Stand on your "good" foot (the one that is weight-bearing).
Walking With Crutches
If your foot and ankle surgeon has told you to avoid ALL weight-bearing, you will need sufficient upper body strength to support all your weight with just your arms and shoulders.
2. Advance both crutches and the affected foot/leg.
3. Move the "good" weight-bearing foot/leg forward (beyond the crutches).
4. Advance both crutches, and then the affected foot/leg.
5. Repeat steps #3 and #4.
Managing Chairs With Crutches
To get into and out of a chair safely:
1. Make sure the chair is stable and will not roll or slide. It must have arms and back support.
2. Stand with the backs of your legs touching the front of the seat.
3. Place both crutches in one hand, grasping them by the handgrips.
4. Hold on to the crutches (on one side) and the chair arm (on the other side) for balance and stability while lowering yourself to a seated position, or raising yourself from the chair to stand up.
Managing Stairs Without Crutches
The safest way to go up and down stairs is to use your seat, not your crutches.
To go up stairs:
1. Seat yourself on a low step.
2. Move your crutches upstairs by one of these methods:
- If distance and reach allow, place the crutches at the top of the staircase.
- If this isn't possible, place crutches as far up the stairs as you can, and then move them to the top as you progress up the stairs.
4. Use your arms and weight-bearing foot/leg to lift yourself up one step.
5. Repeat this process one step at a time (Remember to move the crutches to the top of the staircase if you haven't already done so.).
To go down stairs:
1. Seat yourself on the top step.
2. Move your crutches downstairs by sliding them to the lowest possible point on the stairway. Then continue to move them down as you progress down the stairs.
3. In the seated position, reach behind you with both arms.
4. Use your arms and weight-bearing foot/leg to lift yourself down one step.
5. Repeat this process one step at a time (Remember to move the crutches to the bottom of the staircase if you haven't already done so.).
IMPORTANT!
Follow These Rules for Safety and Comfort
- Don't look down. Look straight ahead as you normally do when you walk.
- Don't use crutches if you feel dizzy or drowsy.
- Don't walk on slippery surfaces. Avoid snowy, icy, or rainy conditions.
- Don't put any weight on the affected foot if your doctor has so advised.
- Do make sure your crutches have rubber tips.
- Do wear well-fitting, low-heel shoes (or shoe).
- Do position the crutch hand grips correctly (See "Sizing Your Crutches).
- Do keep the crutch pads 1 1/2" to 2" below your armpits.
- Do call your foot and ankle surgeon if you have any questions or difficulties.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow my tweets on Twitter.
Wednesday, July 11, 2012
Help! I Can't Walk On My Foot: Charcot Foot
Charcot foot is a condition causing weakening of the bones in the
foot that can occur in people who have significant nerve damage
(neuropathy). The bones are weakened enough to fracture, and with
continued walking the foot eventually changes shape. As the disorder
progresses, the joints collapse and the foot takes on an abnormal shape,
such as a rocker-bottom appearance.
Charcot foot is a very serious condition that can lead to severe deformity, disability, and even amputation. Because of its seriousness, it is important that patients with diabetes- a disease often associated with neuropathy- take preventive measures and seek immediate care if signs or symptoms appear.
Charcot
foot develops as a result of neuropathy, which decreases sensation and
the ability to feel temperature, pain, or trauma. Because of diminished
sensation, the patient may continue to walk- making the injury worse.
People with neuropathy (especially those who have had it for a long time) are at risk for developing Charcot foot. In addition, neuropathic patients with a tight Achilles tendon have been shown to have a tendency to develop Charcot foot.
The symptoms of Charcot foot may include:
Once treatment begins, x-rays are taken periodically to aid in evaluating the status of the condition.
It is extremely important to follow the surgeon's treatment plan for Charcot foot. Failure to do so can lead to the loss of a toe, foot, leg, or life.
Non-surgical treatment for Charcot foot consists of:
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.
Charcot foot is a very serious condition that can lead to severe deformity, disability, and even amputation. Because of its seriousness, it is important that patients with diabetes- a disease often associated with neuropathy- take preventive measures and seek immediate care if signs or symptoms appear.
People with neuropathy (especially those who have had it for a long time) are at risk for developing Charcot foot. In addition, neuropathic patients with a tight Achilles tendon have been shown to have a tendency to develop Charcot foot.
The symptoms of Charcot foot may include:
- Warmth to the touch (the affected foot feels warmer than the other).
- Redness in the foot.
- Swelling in the area.
- Pain or soreness.
Once treatment begins, x-rays are taken periodically to aid in evaluating the status of the condition.
It is extremely important to follow the surgeon's treatment plan for Charcot foot. Failure to do so can lead to the loss of a toe, foot, leg, or life.
Non-surgical treatment for Charcot foot consists of:
- Immobilization. Because the foot and ankle are so fragile during the early stage of Charcot, they must be protected so the weakened bones can repair themselves. Complete non-weightbearing is necessary to keep the foot from further collapsing. The patient will not be able to walk on the affected foot until the surgeon determines it is safe to do so. During this period, the patient may be fitted with a cast, removable boot, or brace, and may be required to use crutches or a wheelchair. It may take the bones several months to heal, although it can take considerably longer in some patients.
- Custom shoes and bracing. Shoes with special inserts may be needed after the bones have healed to enable the patient to return to daily activities- as well as help prevent recurrence of Charcot foot, development of ulcers, and possibly amputation. In cases with significant deformity, bracing is also required.
- Activity modification. A modification in activity level may be needed to avoid repetitive trauma to both feet. A patient with Charcot in one foot is more likely to develop it in the other foot, so measures must be taken to protect both feet.
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.
Friday, June 22, 2012
8 Stretches For Bunions
This article originally appeared in on Everyday Health and was written by Krisha McCoy, MS.
Bunions occur when the tissue at the base of your big toe becomes swollen, forming a large bump on the side of your foot. Bunions can cause intense pain and may eventually lead to arthritis in the area. The good news is that most bunions can be managed without surgery.
Special exercises "will not get rid of the bunion because the bunion is a biomechanical deformity, but they can relieve symptoms and increase flexibility," says Khurram Khan, DPM, assistant professor of podiatric medicine, New York College of Podiatric Medicine in New York.
Non-surgical approaches, such as physical therapy exercises, can help to slow the progression of your bunion. Starting out with conservative therapy is always the first line of attack, unless the bunion is severe. Foot exercises and toe stretches for bunions can help keep the joint between your big toe and the rest of your foot mobile, maintaining flexibility and strengthening the muscles that control your big toe.
Here are some stretches you may find helpful if you have a bunion:
*Toe Stretches. Stretching out your toes can help keep them limber and offset foot pain. To stretch your toes, point your toes straight ahead for 5 seconds and then curl them under for 5 seconds. Repeat these stretches 10 times. This stretch is also beneficial if you have hammertoes.
*Toe Flexing and Contracting. Dr. Latif also recommends pressing your toes against a hard surface such as a wall, to flex and stretch them; hold the position for 10 seconds and repeat 3 to 4 times. Then flex your toes in the opposite direction; hold the position for 10 seconds and repeat 3 to 4 times.
*Stretching Your Big Toe. Using your fingers to gently pull your big toe into proper alignment can be helpful as well. Hold your toe in position for 10 seconds and repeat 3 to 4 times.
*Resistance Exercises. Wrap either a towel or belt around your big toe and use it to pull your big toe towards you while simultaneously pushing forward, against the towel, with your big toe.
*Ball Roll. To massage the bottom of your foot, sit down, place a golf ball on the floor under your foot, and roll it around under your foot for 2 minutes. This can help relieve foot strain and cramping.
*Towel Curls. You can strengthen your toes by spreading out a small towel on the floor, curling your toes around it, and pulling it toward you. Repeat 5 times. Gripping objects with your toes like this can help keep your foot flexible.
*Picking Up Marbles. Another gripping exercise you can perform to keep your foot flexible is picking up marbles with your toes. Do this by placing 20 marbles on the floor in front of you and use your foot to pick up the marbles one by one and place them in a bowl.
*Walking On the Beach. Whenever possible, spend time walking on sand. This can give you a gentle massage and also help strengthen your toes. This is especially important for people with arthritis with the bunion.
Performing these exercises in both the morning and night will help patients with bunions the most. Do them at a time that is convenient for you, like when you are watching tv or sitting at your desk.
If you have suffering from bunion pain and do not currently see a podiatrist, 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, friend and like our page on Facebook, and follow my tweets on Twitter.
Bunions occur when the tissue at the base of your big toe becomes swollen, forming a large bump on the side of your foot. Bunions can cause intense pain and may eventually lead to arthritis in the area. The good news is that most bunions can be managed without surgery.
Special exercises "will not get rid of the bunion because the bunion is a biomechanical deformity, but they can relieve symptoms and increase flexibility," says Khurram Khan, DPM, assistant professor of podiatric medicine, New York College of Podiatric Medicine in New York.
Here are some stretches you may find helpful if you have a bunion:
*Toe Stretches. Stretching out your toes can help keep them limber and offset foot pain. To stretch your toes, point your toes straight ahead for 5 seconds and then curl them under for 5 seconds. Repeat these stretches 10 times. This stretch is also beneficial if you have hammertoes.
*Toe Flexing and Contracting. Dr. Latif also recommends pressing your toes against a hard surface such as a wall, to flex and stretch them; hold the position for 10 seconds and repeat 3 to 4 times. Then flex your toes in the opposite direction; hold the position for 10 seconds and repeat 3 to 4 times.
*Stretching Your Big Toe. Using your fingers to gently pull your big toe into proper alignment can be helpful as well. Hold your toe in position for 10 seconds and repeat 3 to 4 times.
*Resistance Exercises. Wrap either a towel or belt around your big toe and use it to pull your big toe towards you while simultaneously pushing forward, against the towel, with your big toe.
*Ball Roll. To massage the bottom of your foot, sit down, place a golf ball on the floor under your foot, and roll it around under your foot for 2 minutes. This can help relieve foot strain and cramping.
*Towel Curls. You can strengthen your toes by spreading out a small towel on the floor, curling your toes around it, and pulling it toward you. Repeat 5 times. Gripping objects with your toes like this can help keep your foot flexible.
*Picking Up Marbles. Another gripping exercise you can perform to keep your foot flexible is picking up marbles with your toes. Do this by placing 20 marbles on the floor in front of you and use your foot to pick up the marbles one by one and place them in a bowl.
*Walking On the Beach. Whenever possible, spend time walking on sand. This can give you a gentle massage and also help strengthen your toes. This is especially important for people with arthritis with the bunion.
Performing these exercises in both the morning and night will help patients with bunions the most. Do them at a time that is convenient for you, like when you are watching tv or sitting at your desk.
If you have suffering from bunion pain and do not currently see a podiatrist, 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, friend and like our page on Facebook, and follow my tweets on Twitter.
Friday, June 15, 2012
Don't Like Your Toes? Get A Toe Job!
It sounds ridiculous, but people are actually going out and getting toe jobs. We've all heard of nose jobs and facelifts, but toe jobs???
It's true women love their stilettos and the pain they cause can be debilitating. Bunions, ingrown toenails, and severely disfigured feet are the risks women take when wearing these shoes and they've had enough. But instead of doing the more logical thing of swapping out the pain-inducing shoes for pain-free shoes, they're changing their feet. Literally.
Beverly Hills Aesthetic Foot Surgery in Studio Hills, CA offers procedures like "Cinderella Procedure", a preventative bunion correction that makes feet narrower. Also on the "menu" is the "Perfect 10! Toe Shortening" that trims toes that hang over the end of sandals or are being crushed by too tight shoes. There's also the "Foot-Tuck Fat Pad Augmentation," where fat from the patient's abdomen is injected into the balls of her feet for extra cushioning. Yuck!
Blame it on Sex in the City- cosmetic foot surgery started around the same time the show began in 1998.
Podiatrists across the country (including our doctors) believe that any procedure that changes the foot for cosmetic reasons alone should not be a standard of care in any office. Their function is to corrective deformities, not help women fit in shoes they cannot fit in. Many podiatrists already turn away patients who want surgery just for appearance's sake. Some patients are even asking for extreme measures like amputating toes. The risk-versus-benefit calculus has created a rift between podiatrists who say that surgery should be done only to alleviate pain and discomfort and those who say that making women comfortable in their shoes prevents pain and deformity from happened. It's the old who came first question, except now it's with our feet.
And it's not just women who are getting this procedures done, it's men as well. Offices across the country, not just in New York City and Los Angeles, are being asked if they perform cosmetic surgery.
These procedures are not inexpensive either. Toe shortening can cost from $500 to $1500 per toe, slimming swollen pinky toes costs $1800. Fat from the pinky toes is then injected into the padding of the foot for $500. None of these procedures are covered by insurance.
What do you think? Would you ever get a cosmetic foot procedure done?
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrists in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter.
It's true women love their stilettos and the pain they cause can be debilitating. Bunions, ingrown toenails, and severely disfigured feet are the risks women take when wearing these shoes and they've had enough. But instead of doing the more logical thing of swapping out the pain-inducing shoes for pain-free shoes, they're changing their feet. Literally.
Beverly Hills Aesthetic Foot Surgery in Studio Hills, CA offers procedures like "Cinderella Procedure", a preventative bunion correction that makes feet narrower. Also on the "menu" is the "Perfect 10! Toe Shortening" that trims toes that hang over the end of sandals or are being crushed by too tight shoes. There's also the "Foot-Tuck Fat Pad Augmentation," where fat from the patient's abdomen is injected into the balls of her feet for extra cushioning. Yuck!
Blame it on Sex in the City- cosmetic foot surgery started around the same time the show began in 1998.
Podiatrists across the country (including our doctors) believe that any procedure that changes the foot for cosmetic reasons alone should not be a standard of care in any office. Their function is to corrective deformities, not help women fit in shoes they cannot fit in. Many podiatrists already turn away patients who want surgery just for appearance's sake. Some patients are even asking for extreme measures like amputating toes. The risk-versus-benefit calculus has created a rift between podiatrists who say that surgery should be done only to alleviate pain and discomfort and those who say that making women comfortable in their shoes prevents pain and deformity from happened. It's the old who came first question, except now it's with our feet.
And it's not just women who are getting this procedures done, it's men as well. Offices across the country, not just in New York City and Los Angeles, are being asked if they perform cosmetic surgery.
These procedures are not inexpensive either. Toe shortening can cost from $500 to $1500 per toe, slimming swollen pinky toes costs $1800. Fat from the pinky toes is then injected into the padding of the foot for $500. None of these procedures are covered by insurance.
What do you think? Would you ever get a cosmetic foot procedure done?
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrists in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter.
Friday, June 8, 2012
My Toes Are Turning Outward. What's Wrong?
The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening of the foot.
PTTD is often called "adult acquired flatfoot" because it is the most common type of flatfoot developed during adulthood. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is usually progressive, which means it will keep getting worse, especially if it isn't treated early.
Overuse of the posterior tibial tendon is often the cause of PTTD. In fact, the symptoms usually occur after activities that involve the tendon, such as running, walking, hiking, or climbing stairs.
The symptoms of PTTD may include pain, swelling, a flattening of the arch, and an inward rolling of the ankle. As the condition progresses, the symptoms will change.
For example, when PTTD initially develops, there is pain on the inside of the foot and ankle (along the course of the tendon). In addition, the area may be red, warm, and swollen.
Later, as the arch begins to flatten, there may still be pain on the inside of the foot and ankle. But at this point, the foot and toes begin to turn outward and the ankle rolls inward.
As PTTD becomes more advanced, the arch flattens even more and the pain often shifts to the outside of the foot, below the ankle. The tendon has deteriorated considerably and arthritis often develops in the foot. In more severe cases, arthritis may also develop in the ankle.
Because of the progressive nature of PTTD, early treatment is advised. If treated early enough, your symptoms may resolve without the need for surgery and progression of your condition can be arrested.
In contrast, untreated PTTD could leave you with an extremely flat foot, painful arthritis in the foot and ankle, and increasing limitations on walking, running, or other activities.
In many cases of PTTD, treatment can begin with non-surgical approaches that may include:
If you think you have PTTD and do not currently see a podiatrist, call either 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 our tweets on Twitter.
PTTD is often called "adult acquired flatfoot" because it is the most common type of flatfoot developed during adulthood. Although this condition typically occurs in only one foot, some people may develop it in both feet. PTTD is usually progressive, which means it will keep getting worse, especially if it isn't treated early.
The symptoms of PTTD may include pain, swelling, a flattening of the arch, and an inward rolling of the ankle. As the condition progresses, the symptoms will change.
For example, when PTTD initially develops, there is pain on the inside of the foot and ankle (along the course of the tendon). In addition, the area may be red, warm, and swollen.
Later, as the arch begins to flatten, there may still be pain on the inside of the foot and ankle. But at this point, the foot and toes begin to turn outward and the ankle rolls inward.
As PTTD becomes more advanced, the arch flattens even more and the pain often shifts to the outside of the foot, below the ankle. The tendon has deteriorated considerably and arthritis often develops in the foot. In more severe cases, arthritis may also develop in the ankle.
Because of the progressive nature of PTTD, early treatment is advised. If treated early enough, your symptoms may resolve without the need for surgery and progression of your condition can be arrested.
In contrast, untreated PTTD could leave you with an extremely flat foot, painful arthritis in the foot and ankle, and increasing limitations on walking, running, or other activities.
- Orthotic devices or bracing. To give your arch the support it needs, your foot and ankle surgeon may provide you with an ankle brace or a custom orthotic device that fits into the shoe.
- Immobilization. Sometimes a short-leg cast or boot is worn to immobilize the foot and allow the tendon to heal, or you may need to completely avoid all weight-bearing for a while.
- Physical therapy. Ultrasound therapy and exercises may help rehabilitate the tendon and muscle following immobilization.
- Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
- Shoe modifications. Your foot and ankle surgeon may advise changes to make with your shoes and may provide special inserts designed to improve arch support.
If you think you have PTTD and do not currently see a podiatrist, call either 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 our tweets on Twitter.
Friday, June 1, 2012
My Foot Is Flat. Is That Normal?
Flatfoot is often a complex disorder, with diverse symptoms and varying degrees of deformity and disability. flatfoot, all of which have one characteristic in common: partial or total collapse (loss) of the arch.
There are several types of
Other characteristics shared by most types of flatfoot include:
"Toe drift", in which the toes and front part of the foot point outward.
The term "flexible" means that while the foot is flat when standing (weight-bearing), the arch returns when not standing.
Symptoms, which may occur in some persons with flexible flatfoot include:
If you experience symptoms with flexible flatfoot, the surgeon may recommend non-surgical treatment options, including:
In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of recovery period will vary, depending on the procedure or procedures performed.
If you think you have flatfoot and are experiencing pain, call either 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 our tweets on Twitter.
Other characteristics shared by most types of flatfoot include:
"Toe drift", in which the toes and front part of the foot point outward.
- The heel tilts toward the outside and the ankle appears to turn in.
- A tight Achilles tendon, which causes the heel to lift off the ground earlier when walking and may make the problem worse.
- Bunions and hammertoes may develop as a result of a flatfoot.
The term "flexible" means that while the foot is flat when standing (weight-bearing), the arch returns when not standing.
Symptoms, which may occur in some persons with flexible flatfoot include:
- Pain in the heel, arch, ankle, or along the outside of the foot.
- "Rolled-in" ankle (over-pronation).
- Pain along the shin bone (shin splint).
- General aching or fatigue in the foot or leg.
- Low back, hip, or knee pain.
If you experience symptoms with flexible flatfoot, the surgeon may recommend non-surgical treatment options, including:
- Activity modification. Cut down on activities that bring you pain and avoid prolonged walking or standing to give your arches a rest.
- Weight loss. If you are overweight, try to lose weight. Putting too much weight on your arches may aggravate your symptoms.
- Orthotic devices. Your foot and ankle surgeon can provide you with custom orthotic devices for your shoes to give more support to the arches.
- Immobilization. In some cases, it may be necessary to use a walking cast or to completely avoid weight-bearing.
- Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce pain and inflammation.
- Physical therapy. Ultrasound therapy or other physical therapy modalities may be used to provide temporary relief.
- Shoe modification. Wearing shoes that support the arches is important for anyone who has flatfoot.
In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of recovery period will vary, depending on the procedure or procedures performed.
If you think you have flatfoot and are experiencing pain, call either 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 our tweets on Twitter.
Friday, May 18, 2012
Why Won't My Foot Move? Is It Tarsal Coalition?
A tarsal coalition is an abnormal connection that develops between two bones in the back of the foot (the tarsal bones). This abnormal connection, which can be composed of bone, cartilage, or fibrous tissue, may lead to limited motion and pain in one or both feet.
The tarsal bones include the calcaneus (heel bone), talus, navicular, cuboid, and cuneiform bones. These bones work together to provide the motion necessary for normal foot function.
Most often, tarsal coalition occurs during fetal development, resulting in the individual bones not forming properly. Less common causes of tarsal coalition include infection, arthritis, or a previous injury to the area.
While many people who have a tarsal coalition are born with this condition, the symptoms generally do not appear until the bones begin to mature, usually around ages 9 to 16. Sometimes there are no symptoms during childhood. However, pain and symptoms may develop later in life.
The symptoms of tarsal coalition may include one or more of the following:
In addition to examining the foot, the surgeon will order x-rays. Advanced imaging studies may also be required to fully evaluate the condition.
The goal of non-surgical treatment of tarsal coalition is to relieve the symptoms and reduce the motion at the affected joint. One or more of the following options may be used, depending on the severity of the condition and the response to treatment:
If you think you have tarsal coalition and do not currently see a podiatrist, 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 our tweets on Twitter.
The tarsal bones include the calcaneus (heel bone), talus, navicular, cuboid, and cuneiform bones. These bones work together to provide the motion necessary for normal foot function.
Most often, tarsal coalition occurs during fetal development, resulting in the individual bones not forming properly. Less common causes of tarsal coalition include infection, arthritis, or a previous injury to the area.
The symptoms of tarsal coalition may include one or more of the following:
- Pain (mild to severe) when walking or standing.
- Tired or fatigued legs.
- Muscles spasms in the leg, causing the foot to turn outward when walking.
- Flatfoot (in one or both feet).
- Walking with a limp.
- Stiffness of the foot and ankle.
In addition to examining the foot, the surgeon will order x-rays. Advanced imaging studies may also be required to fully evaluate the condition.
The goal of non-surgical treatment of tarsal coalition is to relieve the symptoms and reduce the motion at the affected joint. One or more of the following options may be used, depending on the severity of the condition and the response to treatment:
- Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
- Physical therapy. Physical therapy may include massage, range-of-motion exercises, and ultrasound therapy.
- Steroid injections. An injection of cortisone into the affected joint reduces the inflammation and pain. Sometimes more than one injection is necessary.
- Orthotic devices. Custom orthotic devices can be beneficial in distributing weight away from the joint, limiting motion at the joint, and relieving pain.
- Immobilization. Sometimes the foot is immobilized to give the affected area a rest. The foot is placed in a cast or cast boot, and crutches are used to avoid placing weight on the foot.
- Injection of an anesthetics. Injection of an anesthetic into the leg may be used to relax spasms and is often performed prior to immobilization.
If you think you have tarsal coalition and do not currently see a podiatrist, 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 our tweets on Twitter.
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