Join us for a lecture on common foot and ankle injuries, diseases, and conditions, including skin lesions/soft tissue masses, fungal nails, plantar fasciitis, bursitis, hammertoes, bunions, tendonitis, ankle sprains, and arthritis. In addition to discussing causes, the lecture will focus on treatments that can help you get back on your feet!
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Common Foot and Ankle Injuries: You Don’t Have to Suffer!
1. Warren A. Chiodo, DPM
Summit Medical Group- Berkeley Heights
Bensley Pavilion, 2nd Fl.
2.
Understand what a Podiatrist is and how they
can help you
Understand that painful feet and ankles are
not normal and can indicate/lead to bigger
issues
Understand why you are having foot and
ankle pain
Understand what treatment options are
available to resolve your foot and ankle pain
3.
Dermatological
◦ Plantars warts
◦ Fungal nails and
Athlete’s feet
◦ Melanomas and other
cancerous lesions
Biomechanical
Bunions and
hammertoes
Heel pain
Flat Feet and High
arches
6.
Plantar Warts
◦ Caused by virus
◦ Can be found in
gyms, locker
rooms, pools, salons
◦ Can be painful if on
weight bearing
surface of foot
7.
Treatments
◦ 1st Visit: Biopsy and
topical treatment
◦ Subsequent Visits:
Debridement and
repeat applications of
topical treatments
◦ Possible surgical
excision, oral antiviral, or topical antiviral as needed
8.
Onychomycosis
◦ Fungal infection of
nails
Generally occurs after
any microtrauma to nail
plate that exposes nail
bed
Athlete’s Foot
(Tinea pedis)
◦ Fungal infection of
skin
9.
Onychomycosis
Tinea Pedis
◦ Prescription topical
anti-fungal
solutions, gels, crea
ms, lotions
◦ Over-the-counter
creams and powders
◦ Soak in tea tree oil or
tanic acid (black tea)
13.
Bunions and Hammertoes
◦ Conservative Care
Injection therapy
Toe sleeves
Alternative shoe gear
Custom Molded Orthoses
◦ Surgical Intervention
Generally considered the only long-term treatment for
symptomatic bunions and hammertoes
15.
Heel Pain a.k.a Plantar Fasciitis
◦ Caused by excessive strain on the ligament on
bottom of foot
◦ May develop a heel spur
◦ Generally worst when getting up from rest or
after long periods of activity
◦ Pulling, sharp pain in bottom of heel or
throughout the arch
17.
Plantar fasciitis
◦ 90% of people get
resolution of
symptoms with
conservative care
The unlucky 10%
have minimally
invasive options
◦
◦
◦
◦
Radiofrequency
Platelet rich plasma
Shockwave therapy
Fasciectomy with or
without heel spur
resection
18.
Ankle Sprains
◦ Generally caused by
twisting ankle
towards outside
(inversion)
◦ Can damage
ligaments and
tendons
◦ Common in sports or
when you least
expect it
20.
Ankle Sprains
◦ Generally 4-6 week
recovery
◦ Should see steady
improvement
◦ If no
improvement, may
need an MRI
21.
Achilles Tendonitis
◦ Pain at insertion on
posterior heel or
lower leg
◦ Due to overuse
and/or excessive
tightness
◦ Could lead to rupture
if chronic
degeneration of
tendon
22.
Achilles Tendonitis
◦ Immobilization with
heel lift
◦ Stretching and icing
◦ Prolotherapy
Injection therapy
◦ Night Splint
◦ Physical Therapy
◦ Surgical Intervention
24.
Foot Fractures
If no
displacement, can try
conservative care
If displaced or
unstable, requires
surgical intervention
Complications: nonunions, malunions, posttraumatic arthritis
25.
Clubfoot
◦ Typically 1st born
child
◦ Requires serial
casting ASAP
◦ May require surgical
intervention
Flat Feet
◦ All foot bones are not
developed until 6 yrs
of age
◦ Can be flexible or
rigid
◦ If rigid, may require
CT or MRI
26.
Flat feet
◦ Normal ligamentous
laxity
◦ How do I know if my
child’s flat foot is a
problem or normal?
◦ If rigid
Coalition- abnormal
joint fusion
Tendon spasm
Stretching
Physical Therapy
Orthotics
Surgical
Intervention??
28.
Foreign Bodies
◦ Splinters, needles, gl
ass
May be taken out
and irrigated in
office
◦ Aftercare may include
soaking and topical
antibiotic vs. oral
antibiotic
May require
surgical procedure
if deep
30.
Rheumatoid
Arthritis
◦ Leads to foot
deformity
Custom molded
orthoses
Injection therapy for
pain
Possible Surgical
intervention
Gout
◦ Uric Acid causing
inflammation of joint
◦ Generally seen in big
toe joint
◦ Treated with injection
therapy or antiinflammatories