tag:blogger.com,1999:blog-21123416865773756122024-03-05T09:12:19.577-05:00Central FL Foot and Ankle CtrCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.comBlogger39125tag:blogger.com,1999:blog-2112341686577375612.post-67711342146874143882019-02-22T10:38:00.001-05:002019-02-22T10:38:53.840-05:00Patient Testimony after Platelet Rich Plasma (PRP) with Dr. Jaramillo-Dolan<iframe allowfullscreen="" frameborder="0" height="270" src="https://www.youtube.com/embed/lFXRvLwFcl8" width="480"></iframe><br />
<br />
Central Florida Foot & Ankle Center, LLC<br />
101 6th Street N.W.<br />
Winter Haven, FL 33881<br />
Phone: 863-299-4551<br />
http://www.FLFootandAnkle.comCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-84418212858184235642015-12-07T16:19:00.001-05:002015-12-07T16:19:19.317-05:00Patient's chronic pain leads to successful Plantar Fasciitis Surgery wit...<iframe allowfullscreen="" frameborder="0" height="344" src="https://www.youtube.com/embed/RN0yVCulmUM" width="459"></iframe><br />
<br />
Central Florida Foot & Ankle Center, LLC101 6th Street N.W.Winter Haven, FL 33881Phone: 863-299-4551http://www.FLFootandAnkle.comCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-22642795664259519872015-04-16T11:01:00.001-04:002015-04-16T11:01:07.694-04:00Patient Testimony after Dellon Procedure with Dr Wellens<iframe allowfullscreen="" frameborder="0" height="344" src="https://www.youtube.com/embed/Ycee-nAStxc" width="459"></iframe><br />
<br />
Central Florida Foot & Ankle Center, LLC101 6th Street N.W.Winter Haven, FL 33881Phone: 863-299-4551http://www.FLFootandAnkle.comCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com1tag:blogger.com,1999:blog-2112341686577375612.post-64591395545235043312014-10-02T13:42:00.004-04:002014-10-02T13:44:05.372-04:00Evaluating a Bunion<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUU3qVUz6DrQ_8MfgGL0ywkXsg2lNVRTpW9hj5kTctkAYS8imkjRzozYInNohDIYNdEPX15ZHgCXVsJcaXUUgy4YAfO3gccCRW0trwlGb3jTT8to2asJHAF6EeOHEgKgBSzhA6ykQUsJE/s1600/bunion.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUU3qVUz6DrQ_8MfgGL0ywkXsg2lNVRTpW9hj5kTctkAYS8imkjRzozYInNohDIYNdEPX15ZHgCXVsJcaXUUgy4YAfO3gccCRW0trwlGb3jTT8to2asJHAF6EeOHEgKgBSzhA6ykQUsJE/s1600/bunion.jpg" height="331" width="400" /></a></div>
<div style="text-align: justify;">
Evaluation of the condition we commonly call a 'bunion' is a rather complex
process most podiatric physicians perform routinely. Many patients will present
to the clinic with complaints of pain or pressure from "the bump on the
inside of my foot." Of course, they will often call it a bump, bunion, or
spur, but I have not yet had any patients present themselves complaining of
their "hallux abducto-valgus deformity." Yet immediately, as a foot
and ankle surgeon, I translate the "bump" into a triplane orthopedic
deformity having osseous and soft tissue components and involving four separate
bones. Interesting how quickly that happens when you think about it. <o:p></o:p></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In the course of evaluation, clinical aspects such as how large the
prominence is, how painful it is to pressure and movement, the tendency to
track with range of motion, the extent and quality of motion, the amount of
instability at adjacent joints, and secondary anomalies such as sub second
metatarsal tyloma are noted. Plain-film radiographs are certainly a routine
part of the complete examination, and will include the obligatory 3-projection
series: dorsoplantar, medial oblique, and lateral images. From these
projections, we define angulational values and make note of other anomalies
such as degenerative joint changes, articular flattening, bone stock and width,
and any adjacent conditions that may contribute to the deformity or require
attention in the course of any corrective procedures. <o:p></o:p></div>
<br />
<div class="MsoNormal">
Treatment options include bunion splint's, orthotics, anti-inflammatory medications, Cortizone injections, shoe gear
modification, and surgery as a last resort.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
There
are over 300,000 bunion operations performed in this country and overall it's a
very successful way of helping with the deformity .<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Surgery does require three weeks of wearing a boot but does not require any
non weight bearing which used to be required in the past with older surgical
procedures.<o:p></o:p></div>
<br />
<div class="MsoNormal">
<br /></div>
<br />
Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.comCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0101 6th Street Northwest, Winter Haven, FL 33881, USA28.0235579 -81.7331540000000132.5015234 -123.04174800000001 53.545592400000004 -40.424560000000014tag:blogger.com,1999:blog-2112341686577375612.post-1893070994906824292012-04-27T11:07:00.000-04:002012-04-27T11:07:04.246-04:00Plantar Fibroma<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/--LdQ0FcY-pc/T5q0VvGreKI/AAAAAAAAA8c/INTGKgpzwXE/s1600/fibroma.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="132" src="http://2.bp.blogspot.com/--LdQ0FcY-pc/T5q0VvGreKI/AAAAAAAAA8c/INTGKgpzwXE/s200/fibroma.png" width="200" /></a></div>
<div class="MsoNormal">
A plantar fibroma is a fibrous knot or nodule in the arch of
the foot. It develops as a benign growth
of the fibrous tissue that makes up the plantar fascia, a large structure that
runs along the entire plantar foot.
Plantar fibromas may develop in one or both feet, and will typically not
resolve without treatment. Fibromas
develop as a defect in the growth of the fibrous cells, however, the exact
mechanism that causes this is not clearly understood. </div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Plantar fibromas begin as a noticeable lump in the arch of
the foot. They may increase in size over
time, or may stay the same size. They
are firm to the touch, and may cause pain from an uncomfortable shoe irritating
the lump. However, not all people with
plantar fibromas have pain as a symptom.
Generally plantar fibromas are isolated, but some people have several
that develop on the same foot. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
A podiatrist may diagnose a plantar fibroma after examining
the patient’s foot. If there is pain
associated with the lesion, it may recreate pain that extend into the
toes. MRI may be ordered in some cases
to further evaluate the lesion with advanced imaging. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Treatment of plantar fibroma begins with conservative
therapy. This may include
anti-inflammatory medication if the lesion is irritating deeper structures,
thereby causing pain. A cortisone
injection can also be used to help shrink down the fibroma. This will typically only be a temporary fix,
as the lesion may come back to original size.
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Accommodative orthotics may be used to relieve pressure to a
plantar fibroma. This is generally an
orthotic with a piece cut out to fit the lesion. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Surgical intervention relies on removing the lesion from the
plantar fascia. This should only be
considered if the patient has not had any relief from conservative
measures. Typically, a small incision is
made along the inside of the foot, and the fibroma is teased away from the
plantar fascia. Depending on the size
and extent of the fibroma, some of the plantar fascia may need to be removed
with the fibroma. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Any new lumps or bumps on your feet, or on any part of your
body for that matter, should be evaluated by a doctor promptly. While most lesions are benign, some can be
more ominous than others. Plantar
fibromas are just one example of a benign lesion that has a very small
percentage chance of turning malignant.
For this reason, they should be evaluated thoroughly. <o:p></o:p></div>
<br />
<br />
<b>Central Florida Foot & Ankle Center, LLC </b><br />
<b>101 6th Street N.W. </b><br />
<b>Winter Haven, FL 33881 </b><br />
<b>Phone: 863-299-4551 </b><br />
<b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-89678286345640730882012-03-06T11:25:00.000-05:002012-03-06T11:25:36.376-05:00Diabetic Charcot Foot<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-kfUQVXHzDO0/T1Y6An8L2kI/AAAAAAAAA6s/XzLi3XuarYs/s1600/New+Picture+(16).jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-kfUQVXHzDO0/T1Y6An8L2kI/AAAAAAAAA6s/XzLi3XuarYs/s1600/New+Picture+(16).jpg" /></a></div>
<div class="MsoNormal">
Charcot neuroarthropathy, often referred to as Charcot Foot,
is an uncommon but devastating disorder of the bones and joints in the foot and
ankle. Most commonly Charcot Foot is
seen in diabetic patients with neuropathy, but it has also been described in
patients with neuropathy of other causes.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Charcot foot is characterized most frequently as a red, hot,
swollen foot. It is typically painless,
as the patient is neuropathic. Charcot
foot is often misdiagnosed as gout, cellulits, or deep venous thrombosis
(DVT). This usually happens in a primary
care or emergency setting, where the clinician may not have a high suspicion
for Charcot foot. The consequences of a
missed diagnosis or delayed treatment include a bony deformity, which can lead
to ulceration and subsequent infection.
Thus, early diagnosis and initiation of treatment by a trained foot and
ankle specialist is essential. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The “rocker-bottom” deformity is typical of Charcot foot
that has affected the midfoot, as is the case with the majority of
patients. This refers to an increased
convexity of the bottom of the foot that is the result of excessive midfoot
collapse. When this happens, bone can
protrude, which causes increased areas of pressure on the skin. This increased pressure leads to ulceration
if not addressed.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The pathophysiology of Charcot foot has been debated in the
past, however current practitioners generally agree on the cause as a
combination of neurovascular dysregulation and trauma to the foot or ankle as
the inciting event. The neurovascular
dysregulation causes increased blood flow to the feet, which can “wash out”
some of the bone density, making the bones and joints of the foot susceptible
to injury. Trauma may be in the form of
a singular acute event, such as a fracture, but may also be from repetitive
microtrauma from a previously existing foot deformity or a poorly fitting pair
of shoes or a sudden increase in activity.
The uncontrolled inflammation associated with Charcot foot causes an
increase in osteoclast activity, the cells responsible for degrading bone. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Diagnosis of Charcot foot is made mostly as a clinical
diagnosis. The foot will appear red,
hot, and swollen, and there may be a significant temperature difference between
the feet. X-rays are taken, but may only
show subtle changes in bone quality and joint alignment if it is very early in
the disease. MRI can also be used to
examine the bones and joints of the foot or ankle, but is not necessarily
diagnostic of Charcot foot. This is
because the Charcot foot may look very similar to osteomyelitis, or an
infection of the bone. However, the
information provided by imaging studies such as x-rays and MRI can help the
clinician in diagnosing Charcot foot. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The most important aspect of treatment for Charcot foot is
offloading of the affected foot. This
means that there is no weight placed on the foot. This can be done by casting with either
plaster or with a removable cast. Some
patients may be able to use crutches or a walker while the cast is on, however,
for many patients a wheelchair is recommended.
This is due to the fact that excessive pressure on the unaffected site
may lead to increased trauma to that side, thus possibly initiating a Charcot
foot on the other side. Approximately
30% of patients affected by Charcot foot will go on to develop Charcot foot on
the opposite side. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Medical treatment with bisphosphonates, drugs traditionally
used to treat osteoporosis and some other disease of bone, has shown to be of
some benefit to patients in some small study groups. These drugs may include pamidronate (Aredia)
or alendronate (Fosamax). Treatment with
intranasal calcitonin spray has also been used.
Calcitonin is a naturally occurring hormone that helps to regulate
calcium and bone density in the body.
Additionally, some doctors have used anti-inflammatory medications in an
effort to restrict some of the uncontrolled inflammation associated with
Charcot foot. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Surgical treatment can also be used to help patients with
Charcot foot. For patients with advanced
deformities related to Charcot foot, surgery can be used to establish a more
normal appearing foot, which can then be placed in a customized shoe or Charcot
restraint orthotic walker (CROW). The
goals of surgery on the Charcot foot are to heal any current ulcers, prevent
future ulceration and infection, and to fit the patient to a customized
device. These devices are generally worn
by a patient with Charcot foot at all times, and are considered to be lifelong
devices. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Charcot foot continues to be an area of interest and
research for many podiatric surgeons, and is an extremely debilitating and
devastating syndrome. The patients who
develop Charcot foot need a lot of attention and counseling regarding their
foot deformity, and adherence to medical and surgical treatment plans is
essential for healing and for positive outcomes. Charcot foot remains a difficult problem to
treat, however, advances in the understanding of the syndrome and advances in
technology have made for better outcomes. <o:p></o:p></div>
<br />
<br />
<b>Central Florida Foot & Ankle Center, LLC </b><br />
<b>101 6th Street N.W. </b><br />
<b>Winter Haven, FL 33881 </b><br />
<b>Phone: 863-299-4551 </b><br />
<b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-5239751146648556542012-01-24T11:50:00.000-05:002012-01-24T11:50:03.137-05:00Dwayne Wade Still Sitting Out With Sprained Ankle<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-XLz7Y93rgRo/Tx7hDVL61wI/AAAAAAAAA5c/XK4BRvwnIkY/s1600/New+Picture+%25288%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-XLz7Y93rgRo/Tx7hDVL61wI/AAAAAAAAA5c/XK4BRvwnIkY/s1600/New+Picture+%25288%2529.jpg" /></a></div>
<div class="MsoNormal">
Last Friday, Miami Heat star Dwayne Wade added yet another
injury to his list. After landing
awkwardly on his ankle while going after a loose ball, Wade left the game and
didn’t come back. Last night he sat out
again as the Heat took on the Spurs. The
Heat were able to defeat the Spurs easily without Dwayne Wade, who remains out
with a sprained ankle indefinitely. </div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Ankle sprains are a common injury, particularly in
athletes. Most commonly an ankle sprain
occurs from an inversion injury, where the ankle is forced to roll outward over
a stationary foot. Less frequently, a
medial sprain may occur where the ankle rolls medially (towards the middle of
the body). <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Inversion injuries such as Dwayne Wade suffered from on
Friday can result in a number of different injury patterns, and can frequently
involve a fracture of one or more bones of the ankle or foot. Thankfully, the x-rays were negative for
fracture in this case. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The lateral ligaments of the ankle include the anterior
talofibular ligament, the calcaneofibular ligament, and the posterior
talofibular ligament. In a lateral ankle
sprain, one or more of these ligaments may be injured. Generally speaking, the anterior talofibular
ligament is injured first, followed by the calcaneofibular ligament. The posterior talofibular ligament is less
frequently included in these types of injuries.
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The degree of the sprain is often defined as well. The degree of the sprain refers to the amount
of damage to the injured ligament. If
the ligament is not torn at all, it is considered a first degree sprain. In second degree sprains, a partial tear may
be seen. In third degree sprains, the
ligament is entirely ruptured and may even require surgical repair in some
cases. The degree of the sprain is often
evaluated with an MRI. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In Dwayne Wade’s case, he is walking without a cast or
surgical boot. This is a good sign, as
it indicates that the sprain is less severe.
Still, this injury comes as Dwayne Wade was already nursing a sore left
foot and a muscle strain in the calf.
Rehabilitation of these injuries is certainly a concern for the Miami
Heat, who are searching for a championship in this abbreviated season. While they seem to be able to still win with
Dwayne Wade on the sidelines, it begs the question if they can continue to win
in the post-season without the star guard. <o:p></o:p></div>
<br />
<br />
<b>Central Florida Foot & Ankle Center, LLC </b><br />
<b>101 6th Street N.W. </b><br />
<b>W</b><b>inter Haven, FL 33881 </b><br />
<b>Phone: 863-299-4551 </b><br />
<b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-77316561240668904272011-12-02T12:32:00.001-05:002011-12-02T12:52:12.437-05:00Meralgia Paresthetica<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-1g7nNCXB320/TtkP0TDbeVI/AAAAAAAAA4E/5mEt-3aoi18/s1600/New+Picture+%25282%2529.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-1g7nNCXB320/TtkP0TDbeVI/AAAAAAAAA4E/5mEt-3aoi18/s1600/New+Picture+%25282%2529.png" /></a></div>
<div class="MsoNormal">
<span class="Apple-style-span" style="font-family: Times, serif;">Meralgia
paresthetica is an uncommon pathology of the lateral femoral cutaneous
nerve. It is most commonly caused by entrapment of the nerve as it
courses through the inguinal ligament. The nerve originates from the
spinal cord at the L2-L3 level, and courses underneath the inguinal ligament as
it travels into the thigh. The nerve has no motor control, but it relays
sensory information from the anterior-lateral thigh. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Times, serif;">Symptoms
of meralgia paresthetica include a burning, tingling, numb, or painful
sensation to the anterior-lateral thigh. Most commonly it affects only
one side of the body, but may affect both sides at the same time. There
is no loss of strength associated with meralgia paresthetica, as there is no
motor function of the lateral femoral cutaneous nerve. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Times, serif;">The
condition is most commonly caused by compression of the nerve, particularly
underneath the inguinal ligament. This compression may come from a heavy
tool belt or utility belt applying pressure to the nerve, or it can come from
increased pressure from the abdomen in obese individuals. Rarely, the
symptoms come from a space-occupying lesion along the nerve contents such as a
tumor, or from a lesion along the psoas muscle. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Times, serif;">The
diagnosis of meralgia paresthetica is made through clinical exam. Tapping
along the inguinal ligament may reproduce the symptoms, which is highly
suggestive of meralgia paresthetica. Occasionally EMG or nerve
conduction studies may be ordered, however, this is usually only the case when
ruling out pathology of the spinal cord, nerve roots, or compression of other
nerves of the lower extremity. In particular, pathology of the femoral
nerve may present with similar symptoms, but will also show a loss of strength
in the quadriceps muscle.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Times, serif;">Treatment
of meralgia paresthetica is supportive. Weight loss in obese individuals
has been shown to relieve symptoms. Removal of a heavy tool belt or other
form of compression along the nerve will also generally relieve symptoms.
Medications used for nerve pain such as gabapentin may also be used, with some
patients reporting good results. Injections with local anesthetics and
steroids may eliminated pain temporarily, for a long period of time, or even
permanently. Surgical decompression of the nerve may be performed, but is
reserved for unrelenting conditions. Interestingly, meralgia paresthetica
has been shown to be more common in diabetic individuals than in the general
population, after controlling for weight differences.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Times, serif;">If you
have symptoms of meralgia paresthetica, or of any other nerve compression, it
is important to discuss this with your doctor. Be sure to tell them of any
other symptoms that may be associated with the pain, such as muscle weakness or
fatigue, changes in vision or hearing, or numbness and tingling in any other
parts of the body.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br />
<br />
<b>Central Florida Foot & Ankle Center, LLC </b><br />
<b>101 6th Street N.W. </b><br />
<b>Winter Haven, FL 33881 </b><br />
<b>Phone: 863-299-4551 </b><br />
<b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-10690810441653780162011-09-28T08:55:00.000-04:002011-09-28T08:55:21.567-04:00The Subtalar Joint<a href="http://3.bp.blogspot.com/-6WyBXnKs2tg/ToMXHatwddI/AAAAAAAAA1k/6jQ8sKtoS_I/s1600/New+Picture+%252830%2529.jpg" imageanchor="1" style="clear: left; display: inline !important; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-6WyBXnKs2tg/ToMXHatwddI/AAAAAAAAA1k/6jQ8sKtoS_I/s320/New+Picture+%252830%2529.jpg" width="283" /></a><br />
<div class="MsoNormal">
The subtalar joint sits below the ankle joint, and is
composed of the articulation between the talus and the calcaneus. It plays a crucial role in the normal
function of the foot, and allows for motion along an axis that runs through
three planes of the body; the frontal plane, the sagittal plane, and the
transverse plane. Motion along the
subtalar joint axis is defined as pronation and supination. The pronation and supination allows the foot
to adapt to uneven surfaces, and functions as the connecting joint between the
ankle and the rest of the foot. </div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The articulation between the talus and the calcaneus is
actually composed of three separate articular surfaces; the posterior articular
facet, the middle articular facet, and the anterior articular facet. Together, these three articulations create a
joint between the two bones. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The joint is stabilized by a number of ligaments that
connect the talus to the calcaneus. The
ankle ligaments also help to stabilize the talus within the ankle joint, and
keep it improper alignment with the calcaneus. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Pathology of the subtalar joint may include primary
osteoarthritis, arthritis secondary to fractures of the ankle and/or calcaneus,
tarsal coalition, inflammatory conditions, and a number of other problems that
can affect bones and joints. Subtalar
joint arthritis is a very common etiology of subtalr joint pain. When the subtalar joint becomes an area of
pain, it is often confused for ankle pain.
Thus, when people come to the doctor with a complaint of ankle pain,
they are often shocked to find out that it is not actually their ankle that
hurts, but their subtalar joint. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Subtalar joint pain, particularly when it is due to
arthritis, can be differentiated from ankle pain with a careful clinical exam,
as well as the use of diagnostic injections.
Diagnostic injections involve injecting a small amount of local
anesthetic, a numbing agent, into the painful joint. If all of the pain is relieved, than it can
be deduced that the subtalar joint is the source of pain. If some, but not all of the pain is relieved,
than it is possible that the ankle or other surrounding joints, or the soft
tissues around the joint may be the source of the problem. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Treating subtalar joint arthritis begins with conservative
therapy. This may consist of various
padding and strapping methods, orthotics, and the use of cortisone injections
into the joint. Oral
anti-inflammatories, ice, physical therapy, and other modalities may be tried
as well.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Occassionally, the arthritis is severe enough to warrant
surgical intervention. Most commonly,
subtalar joint arthritis is treated surgically with a fusion of the joint, also
known as an arthrodesis. In subtalar
joint arthrodesis, the talus is fused to the calcaneus. This removes all motion available at the
joint, thus eliminating the pain associated with its movement. The joint will not move after it has been
fused. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Screws are used to hold the bones in place while they heal
together, and a period of non-weight bearing is generally employed for a minimum
of 6-8 weeks. After this period of time,
the patient may be transitioned to a partial weight-bearing status, for another
period of 4-6 weeks. After the bones
have completely healed, normal activity may begin again.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />
<br />
Central Florida Foot & Ankle Center, LLC
101 6th Street N.W.
Winter Haven, FL 33881
Phone: 863-299-4551
http://www.FLFootandAnkle.comCentral Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-88106711527883727612011-08-19T10:45:00.004-04:002011-08-19T14:11:22.520-04:00Plyometrics for Lower Extremity Power Training<a href="http://4.bp.blogspot.com/-Tk-tj6HTpmU/Tk6nLBK7zVI/AAAAAAAAA04/WclLak77EHo/s1600/New%2BPicture%2B%252828%2529.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><span class="Apple-style-span" ><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 396px; height: 158px;" src="http://4.bp.blogspot.com/-Tk-tj6HTpmU/Tk6nLBK7zVI/AAAAAAAAA04/WclLak77EHo/s400/New%2BPicture%2B%252828%2529.png" border="0" alt="" id="BLOGGER_PHOTO_ID_5642631190876507474" /></span></a><div><p class="MsoNormal"><span class="Apple-style-span" style="font-family: Times, serif; " >Plyometrics is a form of exercise that is designed to improve muscular power, speed of contraction, and improve the response time of the neuromuscular system. It is typically used by competitive athletes as a form of cross-training, but recently has become more po pular in the non-professional athletic community. The technique involves combining muscle loading and fast contractions in order to improve muscle power. Muscle power includes not just strength of muscles (i.e., how much weight a person can lift) but also considers the speed at which that force is delivered.</span></p> <p class="MsoNormal"><span style="font-family: Times, serif; " >In particular, plyometrics are used to strengthen and train the muscles and reflexes of the lower extremity, as well as improve core strength. Research has shown that the use of plyometrics in professional athletes has increased performance as well as decreased the incidence of injury. </span></p> <p class="MsoNormal"><span style="font-family: Times, serif; " >Specific exercises include a variety of different lunge and squat techniques. The plyometric exercise consists of a fast elongation phase of contraction (eccentric phase) followed by an amortization or resting phase, which is then followed by a short burst contraction phase. For example, this may involve a quick squat, followed by a brief period of rest, followed by a jump off the ground.</span></p> <p class="MsoNormal"><span style="font-family: Times, serif; " >The science behind plyometrics revolves around the specific muscle fibers being trained. The muscle fibers of the body consist of slow-twitch (type I), fast twitch type A (type IIA), and fast twitch type B (type IIB). In plyometrics, the fibers being worked are the fast-twitch fibers. Plyometrics also helps train the muscle reflexes that help control muscle contractions.</span></p> <p class="MsoNormal"><span style="font-family: Times, serif; " >Plyometrics can be a excellent adjunct to an training or exercise program, but should only be undertaken by those in good physical condition.<span> </span>Because of the high impact nature of many of the exercises, those engaging in plyometrics should be ready for this impact.<span> </span>The technique used is of utmost importance, so as to avoid injury when training.<span> </span>Age is also a consideration, as many people of advanced age are advised against high impact activity due to arthiritis, osteoporosis, or other conditions that may jeopardize the safety of the individual.<span> </span></span></p> <p class="MsoNormal"><span style="font-family: Times, serif; " >There is not usually much equipment required for plyometrics.<span> </span>Generally a pair of sturdy training shoes designed for lateral movements, comfortable clothes, and enough space to move around is all that is needed.<span> </span>Many people follow instructional videos, or participate in organized classes that can help with technique.<span> </span>Plyometrics is an intense workout, so if you’re planning on trying it, be sure that it is safe by talking to your doctor about your new exercise plan.<span> </span>And bring plenty of water. <o:p></o:p></span></p></div><div><span class="Apple-style-span" >
<br /></span></div><b><span class="Apple-style-span" >Central Florida Foot & Ankle Center, LLC</span></b><div><b><span class="Apple-style-span" >101 6th Street N.W.</span></b></div><div><b><span class="Apple-style-span" >Winter Haven, FL 33881</span></b></div><div><b><span class="Apple-style-span" >863-299-4551</span></b></div><div><b><a href="http://www.flfootandankle.com/"><span class="Apple-style-span" >www.FLFootandAnkle.com</span></a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-17198536245528147092011-06-20T10:14:00.003-04:002011-06-20T10:23:51.709-04:00Smart Toe implants for Hammertoes<a href="http://3.bp.blogspot.com/-5cyA2h_yX88/Tf9X6Vds4rI/AAAAAAAAAzQ/JQ-MB_dVMVk/s1600/New%2BPicture%2B%252816%2529.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 98px;" src="http://3.bp.blogspot.com/-5cyA2h_yX88/Tf9X6Vds4rI/AAAAAAAAAzQ/JQ-MB_dVMVk/s400/New%2BPicture%2B%252816%2529.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5620307519687418546" /></a><div><p class="MsoNormal">Hammertoes involve a contracture deformity at one or more of the joints in the toe.<span style="mso-spacerun:yes"> </span>The most common deformity seen involves a flexion contracture at the proximal interphalangeal joint and an extension contracture at the distal interphalangeal joint.<span style="mso-spacerun:yes"> </span>There are also isolated deformities of the distal interphalangeal joint known as mallet toe, and dual flexion contractures at the distal and proximal interphalangeal joints known as claw toes.<span style="mso-spacerun:yes"> </span>A deformity may also be present at the metatarsophalangeal joint in any of these hammer digit variations.</p> <p class="MsoNormal">Clinically, it is important for the evaluating physician to recognize if the deformity is flexible or rigid.<span style="mso-spacerun:yes"> </span>Flexible deformities can be treated in some cases conservatively with orthotics, which serve to neutralize the deforming forces.<span style="mso-spacerun:yes"> </span>Hammertoes are typically caused by a biomechanical abnormality that leads to a loss of muscle balance in the digits.<span style="mso-spacerun:yes"> </span>Flexible hammertoes can also be treated surgically with a flexor tendon transfer or a simple flexor tenotomy.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">For rigid deformities, conservative therapy involves accommodation and palliation.<span style="mso-spacerun:yes"> </span>Corns that develop from the prominent joint rubbing against shoes can be shaved down, and corn pads and toe spacers can be used to make the person more comfortable.<span style="mso-spacerun:yes"> </span>Wider and deeper shoes will also help for many.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Surgical correction of a rigid hammertoe can involve either an arthroplasty or an arthrodesis.<span style="mso-spacerun:yes"> </span>Arthroplasty involves cutting some of the bone out of the joint, which creates a wider, more mobile joint.<span style="mso-spacerun:yes"> </span>Arthrodesis is a fusion of the joint, which helps to straighten out the toe.<span style="mso-spacerun:yes"> </span>The Smart Toe implant is a newer piece of hardware that helps in arthrodesis procedures.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">The smart Toe device is placed in the two bones that create the joint, either at the proximal or distal interphalagenal joints of the digit.<span style="mso-spacerun:yes"> </span>This allows for a fusion of the joint.<span style="mso-spacerun:yes"> </span>The hardware is composed of metal that expands once placed into the body, and keeps a rigid fusion of the joint.<span style="mso-spacerun:yes"> </span>They are kept frozen, and heat allows them to expand.<span style="mso-spacerun:yes"> </span>Using a Smart Toe avoids having a pin coming out of the tip of the toe, which can potentially lead to infection or loss of correction at the joint.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Smart Toe comes in both straight models and in models that have a slight bend to them.<span style="mso-spacerun:yes"> </span>The 10 degree bend allows for the tip of the toe to touch the ground easier, and provides a more natural looking correction.<span style="mso-spacerun:yes"> </span>Smart Toe has become a popular option in the treatment of hammertoes by podiatrists, due to the ease of use and to patient satisfaction.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">If you are considering treatment for hammertoes, talk to your provider about the different options, and which options would be best for you.<o:p></o:p></p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-25530025412820441022011-04-27T08:57:00.004-04:002011-04-27T09:08:29.882-04:00Corns and Calluses<a href="http://2.bp.blogspot.com/-dffxQ9ksNOw/TbgVRjGVx1I/AAAAAAAAAyA/WlTlgBnGN0k/s1600/New%2BPicture%2B%252811%2529.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 354px; height: 229px;" src="http://2.bp.blogspot.com/-dffxQ9ksNOw/TbgVRjGVx1I/AAAAAAAAAyA/WlTlgBnGN0k/s400/New%2BPicture%2B%252811%2529.png" border="0" alt="" id="BLOGGER_PHOTO_ID_5600249527859005266" /></a><div><p class="MsoNormal" style="font-family: arial; "><span class="Apple-style-span"><span style="font-family:"Times","serif";mso-bidi-font-family: "Times New Roman"">Corns and calluses of the feet are a common problem for many people. They develop because of repeated friction to the area. This may be the result of poorly fitting shoes, or biomechanical abnormalities that cause a person to put excessive pressure in one area of the foot. A corn develops on either the top or outside of the foot, while a callus develops on the bottom of the foot. Corns are usually in one particular area, such as on the tops of the toes, while calluses can be more diffusely located on the bottoms of the feet. A corn can also develop in between the toes as a result of the bones of the toes rubbing against each other and the skin between them becoming thickened. When this occurs, the corn is known as <i>heloma molle</i>. </span></span></p><span class="Apple-style-span"> <p class="MsoNormal" style="font-family: arial; "><span style="font-family:"Times","serif";mso-bidi-font-family: "Times New Roman"">A corn will appear as a thickened lesion, which may or may not be painful. Because of the increased friction to the area, the body's response is to increase skin production to protect the tissues below the skin. This is what causes the skin to thicken, become dry and flaky, and to often become elevated compared to the surrounding skin. Corns and calluses may become painful if they are neglected.</span></p> <p class="MsoNormal" style="font-family: arial; "><span style="font-family:"Times","serif";mso-bidi-font-family: "Times New Roman"">Generally, corns and calluses are not a huge problem. They can cause local discomfort, but will usually resolve quickly when the outside force causing increased pressure or friction is removed. This may be something as simple as changing a pair of ill-fitting shoes or using a small piece of padding in the area.</span></p> <p class="MsoNormal" style="font-family: arial; "><span style="font-family:"Times","serif";mso-bidi-font-family: "Times New Roman"">For diabetics and other people prone to peripheral neuropathy, corns and calluses can be more of a concern. Becuase of the loss of sensation to the feet in diabetic and other forms of peripheral neuropathy, a person may never feel the pain from increased friction and callus formation. Without feeling that pain, the skin can break down and an ulcer can form. When an ulcer forms, they can be very difficult to treat and rely on off-loading the area to remove unwanted pressure. Because of this concern, it is important for diabetics to check their feet daily, and to have their doctor or podiatrist inspect them as well. </span></p> <p class="MsoNormal" style="font-family: arial; "><span style="font-family:"Times","serif";mso-bidi-font-family: "Times New Roman"">Professional treatment may become necessary when corns and calluses become painful, particularly if it is difficult for one to care for their own feet. This would include elderly and diabetic populations, as well as those with chronic back pain and other conditions limiting mobility. Removing the callus with a scalpel blade is often a quick way to make a patient feel better. Treatment should also focus on removing the causative factor of corns and/or calluses. This may include padding, strapping, or orthotics. In some situations when a bony prominence may exist causing undue pressure and pain in the area, a small piece of the bone can be removed surgically to relieve the pressure. <o:p></o:p></span></p></span><p></p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>863-299-4551</b></div><div><a href="http://www.flfootandankle.com/"><b>www.FLFootandAnkle.com</b></a></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-66735889344261739902011-03-17T09:44:00.004-04:002011-03-17T09:55:30.187-04:00Achilles Tendon Ruptures<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/-G71RbnuFll8/TYISx-kc_LI/AAAAAAAAAxA/MqebSARzjFA/s1600/New%2BPicture%2B%25287%2529.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 104px;" src="http://4.bp.blogspot.com/-G71RbnuFll8/TYISx-kc_LI/AAAAAAAAAxA/MqebSARzjFA/s400/New%2BPicture%2B%25287%2529.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5585047137711619250" /></a><div><p class="MsoNormal">The Achilles tendon, or tendo-Achilles, is a large, rope-like tendon that runs along the back of the leg and inserts into the calcaneus, or heel bone.<span style="mso-spacerun:yes"> </span>The tendon is comprised of two muscles coming together, the gastrocnemius and the soleus.<span style="mso-spacerun:yes"> </span>It is the longest tendon in the body, and functions to lift up the heel when the calf muscles contract.<span style="mso-spacerun:yes"> </span>This is a vital function for activities such as walking, running, and jumping.<span style="mso-spacerun:yes"> </span>When the calf muscles contract, the heel is pulled up, allowing us to point or toes.<span style="mso-spacerun:yes"> </span>A complete tear through the tendon is known as a rupture, and most frequently occurs in the area 2-3 inches above the heel.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">As a person ages, a tendon can become weak and thin.<span style="mso-spacerun:yes"> </span>This underlying weakness of the Achilles tendon is typically present in a total rupture.<span style="mso-spacerun:yes"> </span>Some medications such as corticosteroids or certain antibiotics, as well as illnesses such as arthritis or diabetes may also weaken the Achilles tendon.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Most frequently, Achilles tendon ruptures are seen in middle-aged male athletes.<span style="mso-spacerun:yes"> </span>These “weekend warriors” will usually injure themselves during a sport that requires sudden bursts of activity, in particular racquet sports like tennis or squash, and basketball.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Symptoms of an Achilles tendon rupture are a sudden and severe pain in the back of the calf.<span style="mso-spacerun:yes"> </span>There may be an audible popping or snapping sound when the tendon ruptures.<span style="mso-spacerun:yes"> </span>Walking may still be possible, but strength of push-off with the toes will be weakened.<span style="mso-spacerun:yes"> </span>Bruising and difficulty walking may follow the initial pain and swelling.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">If you are exhibiting signs of an Achilles tendon injury, there are several tests that a doctor can perform in the office to determine the likeliness of a total rupture.<span style="mso-spacerun:yes"> </span>The doctor may have you lie flat on your stomach, while they feel the back of your calf.<span style="mso-spacerun:yes"> </span>A slight depression can often be felt where the tendon should be tight.<span style="mso-spacerun:yes"> </span>Another test is to squeeze the calf muscles of the affected side.<span style="mso-spacerun:yes"> </span>In a normal person, squeezing the calf will cause the foot to plantarflex, or point the toes.<span style="mso-spacerun:yes"> </span>In someone with a total rupture of the Achilles tendon, this motion will be lost.<span style="mso-spacerun:yes"> </span>A partial tear of the Achilles tendon will typically still cause the motion to occur, as some of the residual fibers are left intact.</p> <p class="MsoNormal">An MRI or ultrasound may also be ordered in order to confirm the diagnosis.<span style="mso-spacerun:yes"> </span>These imaging studies can show the foot and ankle surgeon whether or not the injury is a partial tear or complete rupture, and will help determine the extent of the injury.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Treating an Achilles tendon rupture can either be surgical or non-surgical.<span style="mso-spacerun:yes"> </span>The non-surgical method involves placing the foot and ankle in a cast for 2-4 weeks, at which time the cast may be replaced.<span style="mso-spacerun:yes"> </span>This allows the foot to be immobilized while the tissues heal.<span style="mso-spacerun:yes"> </span>Casts are typically changes in order to allow slow stretching of the tendon so that it does not heal in a contracted position.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">PRICE therapy also applies to Achilles tendon injuries.<span style="mso-spacerun:yes"> </span>This involves protection (via a cast or brace), rest, ice, compression, and elevation to relieve some of the swelling.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Surgical treatment involves repairing the ruptured tendon by suturing it back together.<span style="mso-spacerun:yes"> </span>Research has shown that in both competitive and non-competitive athletes, there is a decreased risk of re-rupture with surgical repair.<span style="mso-spacerun:yes"> </span>There has also been some evidence to show that the time to recovery is faster using surgical repair than with non-surgical management.<span style="mso-spacerun:yes"> </span>There are inherent risks involved with any type of surgery, however, including risks associated with anesthesia, infection, non-healing of wounds, scarring, bleeding, nerve injury, and blood clots developing in the legs.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Preventing Achilles tendon injuries, especially in older athletes, revolves around stretching the muscles before activity.<span style="mso-spacerun:yes"> </span>This is a critical step in any workout, yet is often skipped over.<span style="mso-spacerun:yes"> </span><span style="mso-spacerun:yes"> </span><o:p></o:p></p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com1tag:blogger.com,1999:blog-2112341686577375612.post-32047000196554429012011-01-11T11:32:00.002-05:002011-01-11T11:36:59.445-05:00Jones Fracture<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_FbZFJYFhBB0/TSyHJGw5BQI/AAAAAAAAAwE/0U_hfjtIXN8/s1600/New%2BPicture%2B%25281%2529.png"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 164px; height: 247px;" src="http://4.bp.blogspot.com/_FbZFJYFhBB0/TSyHJGw5BQI/AAAAAAAAAwE/0U_hfjtIXN8/s400/New%2BPicture%2B%25281%2529.png" border="0" alt="" id="BLOGGER_PHOTO_ID_5560968230399968514" /></a><div><p class="MsoNormal"><span class="Apple-style-span" style="font-family: Times, serif; ">A Jones fracture is a fracture of the fifth metatarsal base. The pain will be located in the middle of the foot in the area of the fracture. A person who has sustained a Jones fracture will have pain and swelling in the area, and will typically have difficulty walking. In injury was first described in 1902 by Sir Robert Jones, a British orthopedist. </span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">Jones fractures are diagnosed by using x-rays. The ordering physician will usually be able to see the fracture line through the fifth metatarsal. The fracture is located at the proximal end of the fifth metatarsal, through the diaphyisis. This is the long, tubular part of the bone.</span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">Because of the location of a Jones fracute, they can often be difficult to heal. The area of bone that is fractured lies between the insertion point of two tendons. These tendons function to pull the bone in two different directions. When there is a fracture between theses two insertion points, that can lead to a lot of motion at the fracture site and therefore, prolonged healing time. </span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">This area of bone also has a decreased blood supply when compared to the bone surrounding it. This is sometimes referred to as a watershed area in the medical community, meaning that the area of bone is not well vascularized, which can also lead to a longer time to heal. </span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">In order to allow a Jones fracture to heal, the patient must be non weight-bearing for a minimum of four to eight weeks. However, due to the decreased vascularity and excessive motion caused by tendon insertion and muscles originating from the area, this is often not enough time for the fracture to heal. In some cases, it may take up to twenty weeks for the fracture to heal.</span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">Surgery is often indicated for a Jones fracture. Reattaching the broken bone using pins, screws, or plates will frequently allow a stable fixation of the fracture. This stable fixation is key to the healing process.<span style="mso-spacerun:yes"> </span>The prognosis for Jones fracture is greatly improved with the use of surgical correction.<span style="mso-spacerun:yes"> </span></span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:10.0pt;font-family:"Times","serif"; mso-bidi-font-family:"Times New Roman"">Other fractures of the proximal fifth metatarsal include avulsion-type fractures as well as stress fractures.<span style="mso-spacerun:yes"> </span>These types of fractures generally heal faster and more readily than the Jones fracture, partly because of where they occur in the bone.<span style="mso-spacerun:yes"> </span>The areas of the bone affected by these other fractures are generally more protected by the tendons inserting in the area, and have a greater vascular supply.<span style="mso-spacerun:yes"> </span>These types of cases typically will not require surgery, and will respond well to casting and immobilization.<span style="mso-spacerun:yes"> </span></span></p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-48085982099247882522010-11-05T10:47:00.003-04:002010-11-05T10:51:09.153-04:00Tinea Pedis<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_FbZFJYFhBB0/TNQZbcIzJSI/AAAAAAAAAu4/TB_TjYdL5C8/s1600/New+Picture+(13).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 124px; height: 160px;" src="http://3.bp.blogspot.com/_FbZFJYFhBB0/TNQZbcIzJSI/AAAAAAAAAu4/TB_TjYdL5C8/s400/New+Picture+(13).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5536077801145443618" /></a><div><p class="MsoNormal">Tinea pedis is a superficial infection of the feet with dermatophytes, a subset of fungus that lives off of the keratin in the skin.<span style="mso-spacerun:yes"> </span>It is the most common fungal infection of the body, and is typically characterized by a burning, tingling, or stinging feeling in the feet and toes.<span style="mso-spacerun:yes"> </span>Tinea pedis may also be referred to as athlete’s foot.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Tinea pedis is often broken down into four distinct entities.<span style="mso-spacerun:yes"> </span>The first is chronic tinea pedis, which is most classically described as a silvery, scaly appearance of the bottoms of the feet, in a moccasin-like appearance.<span style="mso-spacerun:yes"> </span>This means that the extent of the infection is diffusely spread across the entire plantar surface of the foot, and commonly expands up into the toes and the sides of the foot, where a moccasin may come in contact with the skin.<span style="mso-spacerun:yes"> </span>The organism that most commonly causes this form of tinea pedis is trychophyton rubrum, or t. rubrum.</p> <p class="MsoNormal">Another distinct form of tinea pedis is the vesiculobullous or acute vesicular form.<span style="mso-spacerun:yes"> </span>This condition is most commonly caused by the organism trychophyton mentagrophytes (t. mentagrophytes).<span style="mso-spacerun:yes"> </span>In addition to the burning, tingling, or stinging sensations associated with tinea pedis, the acute vesicular form will also show very small blisters, typically in the arch of the foot.<span style="mso-spacerun:yes"> </span>This form of tinea pedis shows acute inflammation, and is often treated with a topical steroid as well as a fungicide.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Acute interdigital tinea pedis is also a common form caused by t. mentagrophytes, and is seen in between the toes, extending down onto the bottom of the feet towards the ball of the foot.<span style="mso-spacerun:yes"> </span>This condition may or may not be inflammatory.<span style="mso-spacerun:yes"> </span>When acute inflammation is present, a steroid/fungicide combination may also be used for treatment.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Acute interdigital tinea pedis may progress to the more serious but less common ulcerative tinea pedis.<span style="mso-spacerun:yes"> </span>Ulcerative tinea pedis occurs when a case of untreated interdigital or vesicular tinea pedis causes severe breakdown of the skin, and a secondary bacterial infection ensues.<span style="mso-spacerun:yes"> </span>This bacterial infection superimposed on a fungal infection can cause a great amount of skin loss on the bottoms of the feet, and can lead to a disabling condition.<span style="mso-spacerun:yes"> </span>Treatment typically involves a fungicide/steroid combination as well as oral antibiotics.</p> <p class="MsoNormal">With the exception of the more serious ulcerative form, most cases of tinea pedis are successfully treated with topical medications.<span style="mso-spacerun:yes"> </span>Topical medications consist of a fungicide with or without a very low dose of steroid.<span style="mso-spacerun:yes"> </span>The steroid is included in forms of tinea that include inflammation, and serves to decrease some of that inflammation.<span style="mso-spacerun:yes"> </span>However, in cases without inflammation, a steroid should not be used so as to avoid the unnecessary side effects associated with steroids.<span style="mso-spacerun:yes"> </span>In cases such as chronic tinea pedis, a plain fungicide will suffice.</p> <p class="MsoNormal">Patients with severe inflammatory tinea pedis or a case that has not responded to topical treatment after at least one month may be considered for oral medications.<span style="mso-spacerun:yes"> </span>Oral medications do come with inherent risks, in particular the risk of liver damage.<span style="mso-spacerun:yes"> </span>Blood work is performed before oral anti-fungal medications are prescribed for tinea pedis and/or fungal nail infections.<span style="mso-spacerun:yes"> </span><o:p></o:p></p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-84207367637774944322010-10-05T16:31:00.004-04:002010-10-05T16:35:25.230-04:00Ganglion Cyst<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_FbZFJYFhBB0/TKuL2Q2VJiI/AAAAAAAAAt4/ARil9J2rh00/s1600/New+Picture+(10).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 120px;" src="http://4.bp.blogspot.com/_FbZFJYFhBB0/TKuL2Q2VJiI/AAAAAAAAAt4/ARil9J2rh00/s400/New+Picture+(10).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5524663132252087842" /></a><div><p style="margin-bottom: 0in">A ganglion cyst is a soft tissue mass that is filled with a protein-rich fluid. They are walled off from the surrounding soft tissues with a thin wall, and may be single or multi-chambered. Ganglion cysts are most commonly found on the backs of the hands and wrists, or on the top of the foot and ankle. They can sometimes be worrisome to the patient when they develop, but it should be comforting to the patient to know that they are benign and usually harmless.</p> <p style="margin-bottom: 0in">Ganglion cysts can develop in a variety of different tissues, including nerves, tendons, and joints. The exact mechanism of their development is not completely understood, but they are usually attributed to repetitive trauma. In the foot and ankle, an irritating shoe may be the cause.</p> <p style="margin-bottom: 0in">The symptoms are dependent on which structures are affected and on the size of the growth. If nerves ate involved, there may be a bunring or tingling sensation, or the area may go numb. There is typically pain involved in any ganglion cyst, particularly when they grow in size and become irritated.</p> <p style="margin-bottom: 0in">Historically, ganglion cysts used to be referred to as “bible bumps”. This is due to the fact that they used to be treated by slamming a large book, such as a bible, onto the back of someone’s hands with a ganglion cyst. Not surprisingly, this turns out to be a terrible treatment for ganglion cysts. It leads to a high rate of recurrence, and is probably quite painful.</p> <p style="margin-bottom: 0in">Today, ganglion cysts are treated in a more precise manner. X-rays are typically taken as a first line diagnostic exam to rule out other pathological processes, such as invasive tumors, malignancy, and soft tissue calcifications. Ultrasound is becoming more popular as a diagnostic exam for ganglion cysts, as it is a quick, easy, and inexpensive method of visualizing the cyst beneath the skin. MRI may be used as well, but is more expensive, time consuming, and is generally reserved for surgical planning.</p> <p style="margin-bottom: 0in">Treatment of a ganglion cyst usually begins with aspiration of the cyst with a small needle. Removing the fluid can relieve some of the pressure on the area, as well as serve as a definitive diagnosis. The area is typically numbed prior to aspiration, to provide comfort for the patient. A steroid is often injected into the area as well to reduce swelling and inflammation. Padding the area may also prove to be helpful in treatment, but is usually not sufficient on its own.</p> <p style="margin-bottom: 0in">Some ganglion cysts may require surgical removal for complete relief. It should be noted, however, that the recurrence of ganglion cysts is very high in both surgical and non-surgical treatment. </p></div><div><span class="Apple-style-span" ><br /></span></div><b><span class="Apple-style-span" >Central Florida Foot & Ankle Center, LLC</span></b><div><b><span class="Apple-style-span" >101 6th Street N.W.</span></b></div><div><b><span class="Apple-style-span" >Winter Haven, FL 33881</span></b><div><b><span class="Apple-style-span" >Phone: 863-299-4551</span></b><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div></div></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-35049175730445015832010-08-16T11:12:00.001-04:002010-08-16T11:15:08.178-04:00Tarsal Coalition<div><p style="margin-bottom: 0in">A tarsal coalition is when two tarsal bones (the bones of the mid- and rear-foot) become fused. This can cause pain and a loss of motion at the effected joint, as well as other biomechanical symptoms.</p> <p style="margin-bottom: 0in">The most common joint to be effected by a tarsal coalition is the subtalar joint, which is a joint formed by the articulation between the talus and the calcaneus. There are actually three facets between the two bones that help to form the joint – the anterior, middle, and posterior facets. Most commonly, a talocalcalcaneal coalition is formed between the middle facets. When a coalition exists between the talus and the calcaneus, it may present as a rigid flatfoot deformity with considerable decrease in range of motion.</p> <p style="margin-bottom: 0in">Other tarsal coalitions that are occasionally seen include calcaneo-navicular and talo-navicular coalitions, though these are much less common than talocalcaneal coalitions. Overall, the incidence of tarsal coalitions is about 1% of the population. There is a familial inheritance that is often seen with tarsal coalition, though it is not thoroughly understood.</p> <p style="margin-bottom: 0in">The cause of congenital tarsal coalition has been an area of interest for quite some time. It was first proposed in 1897 that they were caused by the incorporation of accessory bones within the joint, but was later postulated that the bones actually failed to separate in the fetus. The latter of the two explanations is the more commonly accepted situation.</p> <p style="margin-bottom: 0in">Tarsal coalitions may also be acquired from trauma to the joint, degenerative changes to the joint such as what is seen in osteoarthritis, and fractures through the joint space.</p> <p style="margin-bottom: 0in">Diagnosis of tarsal coalition comes from a combination of clinical findings, as well as x-ray, CT, and MRI imaging. Imaging techniques allow a doctor to visualize the joints to evaluate for fusion.</p> <p style="margin-bottom: 0in">Clinical findings include pain, stiffness and decreased range of motion at the joint, rigid flatfoot deformity, and local tenderness and possibly swelling.</p> <p style="margin-bottom: 0in">Conservative treatment is usually initiated once the diagnosis is made. This most commonly includes custom-made orthotic devices that prevent the effected joint from moving too much. The movement of the fused joint is what causes much of the pain. Immobilization may be required with an ankle brace or other device. Physical therapy can help in some cases, as well as shoe modifications to accommodate the coalition.</p> <p style="margin-bottom: 0in">Surgical treatment can include either removal of the coalition or a fusion of the joint to prevent movement altogether. There are several different ways of performing each of these types of procedures, depending on the individual patient and situation.</p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-34250561657520396932010-06-25T12:22:00.004-04:002010-06-25T12:28:04.206-04:00Heel Spur vs. Plantar Fasciitis<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_FbZFJYFhBB0/TCTYZPGRiFI/AAAAAAAAArI/b5-t6q8c8wQ/s1600/New+Picture+(23).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 106px;" src="http://4.bp.blogspot.com/_FbZFJYFhBB0/TCTYZPGRiFI/AAAAAAAAArI/b5-t6q8c8wQ/s400/New+Picture+(23).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5486748174105282642" /></a><div><p class="MsoNormal">The terms “heel spur” and “plantar fasciitis” can often be confused.<span style="mso-spacerun:yes"> </span>The two diagnoses are unique from one another, but are related and are often seen together.<span style="mso-spacerun:yes"> </span>It is helpful to understand the difference between the two, and to understand how they relate to each other.</p> <p class="MsoNormal">Plantar fasciitis refers to a process that elicits pain in the bottom of the heel, along the bottom of the foot, and sometimes even into the toes.<span style="mso-spacerun:yes"> </span>It is caused by excessive stress placed on the plantar aponeurosis, a thick piece of fibrous tissue that expands the length of the foot.<span style="mso-spacerun:yes"> </span>The pain is most commonly seen at the origin of the plantar aponeurosis, or the plantar fascia, which is at the bottom of the calcaneus (heel bone).<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">The term plantar fasciitis is somewhat of a misnomer.<span style="mso-spacerun:yes"> </span>The suffix “-itis” at the end of the word implies that there is inflammation in the plantar fascia.<span style="mso-spacerun:yes"> </span>While this may be present in some cases, a majority of cases do not have any associated acute inflammation.<span style="mso-spacerun:yes"> </span>Because of this, the term plantar fasciosis is probably a more appropriate term, which would refer to the condition as a chronic condition of pain.<span style="mso-spacerun:yes"> </span>In scientific research, it is commonly referred to as plantar fasciosis.</p> <p class="MsoNormal">A heel spur, on the other hand, is a piece of bone coming off of the bottom of the calcaneus.<span style="mso-spacerun:yes"> </span>This is called an ostephyte.<span style="mso-spacerun:yes"> </span>The cause of heel spurs is not completely understood, but it is generally accepted that they form from tractional pull on the calcaneus from the structures attached to the bone. <span style="mso-spacerun:yes"> </span>This may include several muscles of the foot as well as the plantar aponeurosis.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Heel spurs are commonly associated with obesity, and can be seen in a number of different foot types.<span style="mso-spacerun:yes"> </span>It has been reported that up to 92% of patients with heel spurs will develop ostephytes at other parts of their body.<span style="mso-spacerun:yes"> </span>A heel spur on an x-ray can look like a very sinister problem, but it should be noted that the size of the heel spur does not correlate with the amount of pain associated with the problem.<span style="mso-spacerun:yes"> </span>In fact, it is common to find that people will have heel spurs on both of their feet, yet only one side will be symptomatic.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Because both of the conditions are associated with each other, and the complaints of each are so similar, they may often be treated in the same manner.<span style="mso-spacerun:yes"> </span>Generally a combination of rest, ice, stretching of the plantar fascia, and anti-inflammatory medications are sufficient in treating the conditions.</p> <p class="MsoNormal">Strapping and taping are often employed by a physician to treat the problems, and orthotics may be prescribed as well.<span style="mso-spacerun:yes"> </span>Functional orthotics may help to correct some of the biomechanical problems that lead to these two related conditions.<span style="mso-spacerun:yes"> </span>By forcing the foot to function in a neutral position, much of the pull on the calcaneus can be eliminated.<span style="mso-spacerun:yes"> </span>This can prevent the tensile pull on the calcaneus that can form heel spurs, as well as relieve the tension on the plantar fascia that may be causing the plantar fasciitis.<span style="mso-spacerun:yes"> </span>Soft cushioning materials may also be used in the case of heel spurs to alleviate the pain.</p></div><div><br /></div><b>Central Florida Foot & Ankle Center, LLC</b><div><b>101 6th Street N.W.</b></div><div><b>Winter Haven, FL 33881</b></div><div><b>Phone: 863-299-4551</b></div><div><b><a href="http://www.flfootandankle.com/">www.FLFootandAnkle.com</a></b></div>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-71070903995077745062010-04-19T15:59:00.005-04:002010-04-19T16:07:03.527-04:00Morton’s Neuroma<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_FbZFJYFhBB0/S8y2pa8P0sI/AAAAAAAAAqA/T-blSDq7w-8/s1600/New+Picture+(1).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 139px; height: 160px;" src="http://3.bp.blogspot.com/_FbZFJYFhBB0/S8y2pa8P0sI/AAAAAAAAAqA/T-blSDq7w-8/s400/New+Picture+(1).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5461941270816477890" /></a><b><div><b><b><div style="display: inline !important; "><b><p class="MsoNormal" style="display: inline !important; "><span class="Apple-style-span" style="font-weight: normal;">A neuroma is a benign growth in the tissue surrounding a nerve. This growth causes an enlargement of the nerve, which can lead to pain. Neuromas are fairly common in the feet, and are typically seen in the intermetatrsal nerves. These are the nerves that run up the metatarsal bones in your foot. The most common site for a nueroma to form is in the third intermetatarsal space, which is in the ball of the foot between the third and fourth toes. This is referred to as a Morton’s Neuroma. </span></p></b></div></b><p></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;"> Morton’s Neuroma can occur in anyone, but is most typically seen in females between the ages of forty and sixty. Early symptoms of a neuroma may include sharp or shooting pains in the affected area, a burning sensation in the area, or numbness and tingling in the toes. Many of these symptoms may resolve with rest and taking off the shoes, and you may feel some relief from rubbing the area. A common compliant of patients with a Morton’s Neuroma is that it feels like they are stepping on a pebble, or that there is a lump in their shoe. </span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;"> There is no single clear cut reason that neuromas form, but there have been several proposed mechanisms. The one that is the most universally accepted is the idea that the neuroma is a response to the pressure of the metatarsals sqeezing on the nerve. This may be due to poorly fitting shoes, especially high heels. Why it occurs so frequently at the third intermetatarsal nerve in particular may be due to the thickness of this particular nerve – it is slightly thicker than the other intermetatarsal nerves. </span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;"> The clinical picture of a neuroma is usually enough to diagnose the problem, but x-rays are usually taken to rule out things like stress fractures and other problems. MRI may also be used to diagnose neuromas more definitively, but due to cost is not generally done. </span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;"> Treatment of neuromas including Morton’s Neuroma may include a change in shoes, padding, orthotics, medications, injections, and physical therapy. Generally a wider shoe will help relieve some of the pressure on the neuroma, which is often the source of the pain. Padding the area underneath the ball of the foot can also prevent the nerve from being pinched by the bones. Orthotics are typically used to treat biomechanical problems such as over-pronation, which may be the underlying cause of a neuroma. Injections of steroids as well as oral pain-relief medication are typically used in the acute setting, but will not address the underlying cause of the neuroma.</span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;"> Ultimately, you and your doctor may decide that surgery is an option. This is generally a decision that will have to be made after some other therapies are employed first.</span></p></b></div><div><b><span class="Apple-style-span" style="color:#000099;"><br /></span></b></div><span class="Apple-style-span" style="color:#000099;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/"><span class="Apple-style-span" style="color:#FF0000;">http://www.FLFootandAnkle.com</span></a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com1tag:blogger.com,1999:blog-2112341686577375612.post-27208617227832475902010-01-14T11:47:00.006-05:002010-04-19T16:07:24.041-04:00What is Clubfoot?<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_FbZFJYFhBB0/S09MMK4dYcI/AAAAAAAAAm8/IMD-KC2xVmM/s1600-h/New+Picture+(5).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 122px;" src="http://3.bp.blogspot.com/_FbZFJYFhBB0/S09MMK4dYcI/AAAAAAAAAm8/IMD-KC2xVmM/s400/New+Picture+(5).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5426639847968039362" /></a><div><p class="MsoNormal">Clubfoot, or talipes equinovarus, is a fairly serious deformity of the foot and ankle that may be treated by a podiatrist or an orthopedic surgeon.<span style="mso-spacerun:yes"> </span>It is defined as a deformity in which the ankle is in a fixed equinus position (meaning that the ankle is pointed down, or plantarflexed), and the rearfoot is in a fixed varus position (meaning that the heel is inverted, or pointed towards the middle of the body).<span style="mso-spacerun:yes"> </span>These two abnormalities will additionally position the forefoot towards the middle of the body.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Clubfoot has an incidence of about 1-2 per 1000 live births.<span style="mso-spacerun:yes"> </span>This number, however, increases with a family history of clubfoot.<span style="mso-spacerun:yes"> </span>In those with a parent, sibling, or cousin with clubfoot, the incidence rate jumps to 1 in 20.<span style="mso-spacerun:yes"> </span>When two family members were born with clubfoot, the chances are 1 in 5.<span style="mso-spacerun:yes"> </span>Though the exact cause of talipes equinovarus remains unknown in the majority of cases, these numbers strongly suggest a hereditary nature of the deformity.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">When a child is born with a clubfoot deformity, the situation is best addressed immediately, while the bones and ligaments of the foot and ankle are still the most pliable.<span style="mso-spacerun:yes"> </span>This means that within the first 24 hours of the infant’s life, an attempt will be made to correct the deformity without surgery.<span style="mso-spacerun:yes"> </span>Casting methods are used, where the foot, ankle, and leg are manipulated into a more normal position, and a cast is put on in an attempt to correct the positional deformity.<span style="mso-spacerun:yes"> </span>Casts are changed every couple of days, until hopefully the deformity is corrected.<span style="mso-spacerun:yes"> </span>The specifics of this casting technique were developed by Igancio V. Ponseti, MD, an orthopedic surgeon who just recently passed away at the age of 95.</p> <p class="MsoNormal">In many cases of clubfoot, the Ponseti method is successful in correcting the deformity within the first six to eight weeks of life.<span style="mso-spacerun:yes"> </span>Unfortunately, there are cases that do not respond to this casting technique, and surgery may be required to achieve a foot that is more functional.<span style="mso-spacerun:yes"> </span>Additionally, some cases of clubfoot go unnoticed or undiagnosed until later in the child’s life, where non-surgical intervention may not be a viable option anymore.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Clubfoot is often seen co-existing with other musculoskeletal anomalies and other abnormalities.<span style="mso-spacerun:yes"> </span>Some of these conditions include cleft lip, cleft palate, scoliosis, deformities of the upper extremities, torticollis (a fixed contraction of the sternocleidomastoid, a muscle in the neck), cardiac abnormalities, and hip dislocation.<span style="mso-spacerun:yes"> </span>Clubfoot is also seen as an occasional or regularly occurring deformity in over fifty named congenital syndromes.<span style="mso-spacerun:yes"> </span></p></div><b><span class="Apple-style-span" style="color:#000099;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://flfootandankle.com/"><span class="Apple-style-span" style="color:#FF0000;">http://www.FLFootandAnkle.com</span></a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-30695375648217973612009-11-23T09:49:00.004-05:002010-01-14T11:56:50.633-05:00What is Deep Vein Thrombosis?<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_FbZFJYFhBB0/SwqiXqgWgZI/AAAAAAAAAlc/EM-cegBphEA/s1600/New+Picture+(5).png"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 234px;" src="http://1.bp.blogspot.com/_FbZFJYFhBB0/SwqiXqgWgZI/AAAAAAAAAlc/EM-cegBphEA/s400/New+Picture+(5).png" border="0" alt="" id="BLOGGER_PHOTO_ID_5407312830042374546" /></a><div><p class="MsoNormal">Deep Vein Thrombosis, commonly abbreviated DVT, is a condition of blood clotting in the veins that lie deep within the body.<span style="mso-spacerun:yes"> </span>A blood clot forms when the blood thickens and clumps together.<span style="mso-spacerun:yes"> </span>A DVT can occur anywhere in the body, but most commonly forms in the deep veins of the leg.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">When a blood clot forms in the deep veins, it can break off from the sides of the veins, forming what is known as an embolism.<span style="mso-spacerun:yes"> </span>The embolus can then travel through the body, and get lodged into the small veins of the lung.<span style="mso-spacerun:yes"> </span>When this occurs, it is known as pulmonary embolism (PE).<span style="mso-spacerun:yes"> </span>Pulmonary embolism can cause shortness of breath and difficulty breathing, and can sometimes progress to a more serious condition, which can even cause death.</p> <p class="MsoNormal">Blood clots can also form in the superficial veins of the body, or the veins closer to the skin surface.<span style="mso-spacerun:yes"> </span>This is often seen in varicose veins.<span style="mso-spacerun:yes"> </span>Blood clots in the superficial veins, however, are not a risk factor for pulmonary embolism.</p> <p class="MsoNormal">When a clot forms in the deep veins, it may completely block off blood return to the heart through that vein.<span style="mso-spacerun:yes"> </span>This can cause pain, redness, and swelling, typically seen in the leg around the calf.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Risk factors for deep vein thrombosis include increased age, obesity, heart disease, infections, use of oral contraceptives, and pregnancy.<span style="mso-spacerun:yes"> </span>The major risk factor for DVT, though, is immobilization.<span style="mso-spacerun:yes"> </span>Any situation that limits walking and movement for a prolonged period of time is a potential risk factor for deep vein thrombosis.<span style="mso-spacerun:yes"> </span>They are common in post-operative settings, as well as in hospitalized patients.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Special care is taken to make sure that clots are prevented from forming during a hospital stay.<span style="mso-spacerun:yes"> </span>If deep vein thrombosis does form in the hospital, they can be managed before they turn into a more serious condition such as pulmonary embolism.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Treatment of deep vein thrombosis centers around medicines that help prevent the growth of a clot, as well as break down the clot once it has formed.<span style="mso-spacerun:yes"> </span>Blood thinners like Heparin and Coumadin are used to prevent the clot from getting any bigger, and different medications may be used to dissolve a clot that is already formed.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">The most important part of treating deep vein thrombosis and pulmonary embolism is the early recognition of the condition.<span style="mso-spacerun:yes"> </span>Doctors, nurses, and other hospital workers are all trained to recognize the symptoms, and treat deep vein thrombosis before it becomes a more serious issue.</p></div><div><br /></div><b><span class="Apple-style-span" style="color:#3333FF;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/">http://www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-64271888911055158032009-09-30T07:43:00.001-04:002010-01-14T11:56:26.682-05:00Vaccinations for Pregnant Women<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_FbZFJYFhBB0/SsJl6SS1nFI/AAAAAAAAAkE/7TpexSwwpoE/s1600-h/New+Picture.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 108px; height: 160px;" src="http://3.bp.blogspot.com/_FbZFJYFhBB0/SsJl6SS1nFI/AAAAAAAAAkE/7TpexSwwpoE/s400/New+Picture.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5386980156306201682" /></a><div><p class="MsoNormal">For pregnant women, getting a flu shot will be extremely important this year.<span style="mso-spacerun:yes"> </span>This message comes from the Centers for Disease Control and Prevention, with particular regard for the H1N1 vaccine.<span style="mso-spacerun:yes"> </span>The H1N1 virus, known throughout the media as swine flu, can cause premature labor in pregnant women, and can keep them in the hospital for weeks. <span style="mso-spacerun:yes"> </span>Pregnant women are at a high risk for mortality from the virus – they make up about six percent of the H1N1-confirmed deaths in the country, though they only account for about one percent of the population.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Even with all of the information available on the importance of pregnant women getting vaccinated against the flu, only about 1 in 7 will go through with it.<span style="mso-spacerun:yes"> </span>This discrepancy may be the result of women who are hesitant to take medications while pregnant, however, the CDC stresses that the vaccination is not harmful to the mother or the fetus.<span style="mso-spacerun:yes"> </span>In fact, it is highly beneficial to both.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">The antibodies that the mother makes after receiving the flu vaccine can easily cross the placenta and be delivered to the fetus.<span style="mso-spacerun:yes"> </span>This gives the infant protection against the virus after birth, until the child is old enough to get a flu vaccine themselves.<span style="mso-spacerun:yes"> </span>Babies are not vaccinated until they are six months old.</p> <p class="MsoNormal">Interestingly, most obstetricians do not currently vaccinate their patients against either H1N1 influenza or administer the seasonal flu vaccine. This can make it difficult for a pregnant woman to obtain the vaccination, as many are reluctant to go to drugstore or grocery store immunization spots.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Compounding this problem is the reluctance of vaccine providers, mainly pharmacists, to fill a doctor’s prescription for a flu vaccine.<span style="mso-spacerun:yes"> </span>There have been several accounts of pharmacists refusing to fill the prescription, though the American Pharmacists Association is urging its members to follow the CDC’s guidelines. </p> <p class="MsoNormal">It is the hope of the CDC and the <st1:place st="on"><st1:placename st="on">American</st1:placename> <st1:placetype st="on">College</st1:placetype></st1:place> of Obstetricians and Gynecologists (ACOG) to increase the number of pregnant women to get not only the H1N1 vaccine, but the seasonal flu vaccine as well.<span style="mso-spacerun:yes"> </span>Any kind of flu can be a serious detriment to the mother.<span style="mso-spacerun:yes"> </span>Surveys conducted by ACOG suggest that more obstetricians will be delivering vaccines to their patients this year.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Drugstores hoping to gain rights to distribute H1N1 vaccinations are jumping on board as well.<span style="mso-spacerun:yes"> </span>Walgreen’s, if they are to receive the vaccinations, will have signs up next to pregnancy tests, as well as written reminders for women buying prenatal supplements.</p></div><div><br /></div><b><span class="Apple-style-span" style="color:#3333FF;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/">http://www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-26663397046977263052009-09-01T07:45:00.002-04:002010-01-14T11:56:10.015-05:00Varicose Veins<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_FbZFJYFhBB0/SpvwiCOy0hI/AAAAAAAAAiY/oWhhAWrgc-k/s1600-h/New+Picture+(7).png"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 377px; height: 400px;" src="http://4.bp.blogspot.com/_FbZFJYFhBB0/SpvwiCOy0hI/AAAAAAAAAiY/oWhhAWrgc-k/s400/New+Picture+(7).png" border="0" alt="" id="BLOGGER_PHOTO_ID_5376155047701959186" /></a><div><p class="MsoNormal"><span class="Apple-style-span" style="font-weight: bold; ">What are Varicose Veins?</span></p> <p class="MsoNormal">In the legs there are deep veins found buried under layers of muscle, superficial veins that are closer to the skin, and perforating veins which connect the deep and superficial veins.<span style="mso-spacerun:yes"> </span>Normally, valves in the perforating veins allow blood to flow in a one-way direction from superficial to deep.<span style="mso-spacerun:yes"> </span>This allows all of the blood to be shunted into the deep veins, and then brought back to the heart to be re-circulated through the body.</p> <p class="MsoNormal">When someone has varicose veins, there is a problem with the valves in the perforating veins.<span style="mso-spacerun:yes"> </span>This causes blood to pool and remain in the superficial veins, which increases the pressure within the veins.<span style="mso-spacerun:yes"> </span>The veins are capable of stretching, which makes them visible through the skin.<span style="mso-spacerun:yes"> </span>When you’re looking at someone’s varicose veins (maybe your own!) you are viewing the blood within the superficial veins.</p> <p class="MsoNormal" style="mso-outline-level:1"><b>How are they treated?<o:p></o:p></b></p> <p class="MsoNormal">The main goal of treatment of varicose veins is to bring the pooling blood out of the lower extremity.<span style="mso-spacerun:yes"> </span>This may include elastic stockings or other compression device to help the veins gather enough pressure to return the blood back to the heart.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal">Surgical treatment includes stripping the veins, which may or may not include laser therapy.<span style="mso-spacerun:yes"> </span>This eliminates the veins, so that the blood is forced to return to the heart through a different vein.<span style="mso-spacerun:yes"> </span>This can eliminate a varicose vein that has already formed, but does not prevent new ones from forming.<span style="mso-spacerun:yes"> </span></p> <p class="MsoNormal" style="mso-outline-level:1"><b>What are the symptoms?<span style="mso-spacerun:yes"> </span>Are they painful?<o:p></o:p></b></p> <p class="MsoNormal">Varicose veins are usually not painful, especially in minor cases.<span style="mso-spacerun:yes"> </span>However, the pressure of blood remaining in the superficial veins can cause discomfort.<span style="mso-spacerun:yes"> </span>For this reason, as well as aesthetic reason, many people opt for surgical intervention to remove the affected veins.</p> <p class="MsoNormal" style="mso-outline-level:1"><b>Are Varicose Veins dangerous?<o:p></o:p></b></p> <p class="MsoNormal">Generally, varicose veins are not a dangerous condition.<span style="mso-spacerun:yes"> </span>Primary varicose veins are caused simply by faulty valves in the perforating veins.<span style="mso-spacerun:yes"> </span>You may be predisposed to varicose veins based on heredity or an occupation that requires you to stand all day.<span style="mso-spacerun:yes"> </span>Women are three times as likely as men to develop varicose veins, and they can be brought on by pregnancy as well.</p> <p class="MsoNormal">Varicose veins may also be indicative of a more serious condition, known as deep vein thrombosis, or DVT.<span style="mso-spacerun:yes"> </span>These are secondary varicose veins that are caused by a blockage within the veins.<span style="mso-spacerun:yes"> </span>It is important to show your doctor any new varicose veins, as they should be able to diagnose a more serious underlying condition.</p></div><div><br /></div><b><span class="Apple-style-span" style="color:#000099;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/">http://www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-84523188150852476842009-08-18T09:22:00.005-04:002009-10-16T13:20:46.941-04:00Back to School Shoes<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_FbZFJYFhBB0/Soqr0D7YXeI/AAAAAAAAAgY/VzkGXPfXniU/s1600-h/New+Picture+(1).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 106px; height: 160px;" src="http://1.bp.blogspot.com/_FbZFJYFhBB0/Soqr0D7YXeI/AAAAAAAAAgY/VzkGXPfXniU/s400/New+Picture+(1).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5371294416488652258" /></a><b><div><p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal; ">Stocking up on back-to-school items? You’ll need pencils, paper, notebooks, a new backpack, and other school supplies, but don’t forget a new pair of shoes!</span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;">Children’s footwear plays an essential role in the foot health and overall health of your child. They will be exposed to all sorts of different terrain, from the classroom to the playground, and everywhere in between. The right pair of shoes will keep them active and comfortable. Here are a few things to look for in a new pair of shoes for your kids:</span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Grab the back heel of the shoe, and press down on both sides. A supportive shoe will not collapse easily.</span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Take the shoe and try to flex it at the toes. A good shoe will allow for the toes to flex, but will not bend too easily. A shoe that is too stiff will not allow for the toes to function properly. </span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Hold the shoe in the front with one hand and at the back of the shoe with the other hand. Try to twist the shoe. If the shoe twists easily in the middle, it is not supportive enough.</span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Bring your kids with you. If you let your children have a say in their footwear, it will help promote a healthy lifestyle in the future. </span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">After your child has been wearing the shoes for a while, check the bottoms of the shoes. Uneven wear patterns, especially in the heel, can indicate a biomechanical problem, which should be evaluated by a podiatrist. </span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Bring a pair of socks when you go shopping. Sure, you can use the socks that they have in the store, but they may not be the socks that your child wears. Different socks can have different thicknesses, which may alter the fit of the shoe. </span></p> <p class="MsoNormal" style="margin-left:.75in;text-indent:-.25in;mso-list:l0 level1 lfo1; tab-stops:list .75in"><span style="font-family:Symbol; mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol;"><span class="Apple-style-span" style="font-weight: normal;">·</span><span style="font:7.0pt "Times New Roman""> </span></span><span class="Apple-style-span" style="font-weight: normal;">Look for the APMA seal of acceptance. This seal is awarded by the American Podiatric Medical Association for shoes that fit the guidelines for acceptable footwear. You can look at a complete list of these shoes </span><a href="http://www.apma.org/MainMenu/RecommendedProducts/APMAsSealofAcceptancePediatricFootProducts.aspx"><span class="Apple-style-span" style="font-weight: normal;">here</span></a><span class="Apple-style-span" style="font-weight: normal;">. </span></p> <p class="MsoNormal"><span class="Apple-style-span" style="font-weight: normal;">Keep in mind that the right shoes for your children will allow them to participate in a number of activities in school. If they are playing sports after school, it is also important that they wear sport-specific footwear. Cleats are for soccer or baseball, and running shoes are absolutely necessary for running. Taking care of your children’s feet and having them take care of themselves is the first step towards a long, healthy lifestyle. </span></p></div><div><span class="Apple-style-span" style="color:#000099;">Central Florida Foot & Ankle Center, LLC</span></div><span class="Apple-style-span" style="color:#000099;">101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/">http://www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0tag:blogger.com,1999:blog-2112341686577375612.post-60684862975120822992009-07-28T11:13:00.004-04:002009-10-16T13:20:46.942-04:00Heart Rate Monitors<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_FbZFJYFhBB0/Sm8WNylp9sI/AAAAAAAAAes/FNbkgYafvE0/s1600-h/New+Picture+(14).jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 160px; height: 133px;" src="http://2.bp.blogspot.com/_FbZFJYFhBB0/Sm8WNylp9sI/AAAAAAAAAes/FNbkgYafvE0/s400/New+Picture+(14).jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5363530107395372738" /></a><b><div><p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">Looking to take your training to the next level? You may want to consider a heart rate monitor as a way to enhance your training. Heart rate monitors are becoming increasingly more popular in the running and cycling communities. They are generally composed of a watch that keeps track of and displays the heart rate, and a chest strap that reads the pulse while you work out. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">When looking for a heart rate monitor, there are a few things to keep in mind. You’ll want to find a chest strap that fits snugly around your chest. This can sometimes pose a problem for women, as many of the chest straps are designed to fit a man’s chest. To combat this problem, many companies have developed sports bras that actually have a separate pocket for the heart rate monitor to fit into. Some of these models include the Heart Bra, made by Polar, as well as a sports bra designed by Numetrex. These items range in price from $35-50. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">Another thing to look for in a heart rate monitor is the watch. Does it have a nice, big, easy-to-read display? What about the buttons – are they easy to find a press while running? If you’ll be cycling with it, is the display large enough to read when mounted to the handlebars? These are some things you’ll want to consider when investing in a heart rate monitor. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">There is a wide range of features that can be added to a heart rate monitor watch. Some of the more basic models will simply tell the heart rate and the time, and will be fairly easy to use. Models like the </span><st1:place st="on"><st1:city st="on"><span class="Apple-style-span" style="font-weight: normal;">Omron HR-100C</span></st1:city><span class="Apple-style-span" style="font-weight: normal;">, </span><st1:state st="on"><span class="Apple-style-span" style="font-weight: normal;">Oregon</span></st1:state></st1:place><span class="Apple-style-span" style="font-weight: normal;"> Scientific SE100, and Polar FS1 all get good reviews, are easy to use, and range in price from $30-50. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">At the other end of the spectrum, there are models that have built in GPS units, and can track with great precision your exact location, speed, and distance ran/biked. These models are usually upwards of $400, such as the Suunto t6c, Polar RS800sd, or the Garmin Forerunner 405. In addition to tracking speed and distance, these watches are more like mini computers. They are able to log training programs, and the information on the watch can then be uploaded to a computer. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">Heart rate monitors are often sold at sporting goods stores, specialty running shops, or online at websites such as amazon.com. Websites that sell this equipment will generally have lots of user reviews, which can be useful in deciding which heart rate monitor to get. </span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">The most important aspect of purchasing an item like this is to decide what you would like to get out of the heart rate monitor. If you simply want to know what your pulse rate is, then a simpler model may be right for you. If you’re generally into electronics and gadgets, you may want to spring for the higher priced models that will offer lots of functions and training tools.</span></p> <p class="MsoNormal" style="text-indent:.5in"><span class="Apple-style-span" style="font-weight: normal;">A heart rate monitor is a great way to keep track of your health and your training goals. They also make good gifts for the runner in your life, or just a nice treat for yourself!</span></p></div><div><br /></div><span class="Apple-style-span" style="color:#000099;">Central Florida Foot & Ankle Center, LLC<br />101 6th Street N.W.<br />Winter Haven, FL 33881<br />Phone: 863-299-4551</span><br /><a href="http://www.flfootandankle.com/">http://www.FLFootandAnkle.com</a></b>Central Florida Foot and Ankle Centerhttp://www.blogger.com/profile/05989148682451340618noreply@blogger.com0