Items filtered by date: August 2024

Open reduction and internal fixation, or ORIF, is a surgical procedure used to treat severe ankle fractures. When a bone in the ankle is broken and cannot be realigned through non-surgical methods, ORIF is typically recommended. This procedure involves making an incision over the fracture site to reposition the bone fragments into their correct alignment. Once aligned, the bones are secured with metal plates, screws, or rods to ensure stability and proper healing. ORIF is usually performed when the fracture is displaced, unstable, or involves multiple fragments. It can restore the normal anatomy of the ankle, allowing for proper function and preventing long-term complications such as arthritis. While ORIF is generally successful, it carries risks like any surgery, including infection, nerve damage, blood clots, and complications related to the hardware. If you have sustained a severely broken ankle, it is strongly suggested that you schedule an appointment with a podiatrist to discuss the possibility of ORIF surgery as a treatment worthy of consideration.

Broken ankles need immediate treatment. If you are seeking treatment, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Joint pain in the big toe can be caused by several conditions. One of the most frequent causes is gout, a type of arthritis resulting from a buildup of uric acid crystals in the joint, leading to intense pain and swelling. Another common cause is bunions, where a bony bump forms at the base of the big toe, causing pain and misalignment. Arthritis, including osteoarthritis and rheumatoid arthritis, can also affect the big toe joint, causing stiffness and discomfort. Trauma or injuries, such as fractures or sprains, may contribute to joint pain as well. Identifying the underlying cause is vital for effective treatment, which may include medication, wearing proper footwear, and in some cases, surgical intervention. Pain in the big toe can cause difficulty in completing daily activities. If you have developed this type of pain, it is suggested that you consult with a podiatrist who can effectively diagnose and treat toe pain. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A biomechanical assessment of the foot and ankle is a detailed evaluation conducted to understand the movement patterns and structural alignment of these areas. This assessment involves examining how the foot and ankle move during various activities, such as walking or running and identifying any abnormalities or dysfunctions. The primary purpose of a biomechanical assessment is to diagnose issues that may cause pain, discomfort, or impaired function. Common conditions identified through this process can include flat feet, overpronation, supination, and alignment issues affecting the knees, hips, and lower back. The assessment typically includes visual and physical examinations, gait analysis, and sometimes advanced imaging techniques. Conducting a biomechanical assessment is important for developing personalized treatment plans. It helps in prescribing appropriate orthotics, footwear, and exercises to correct identified problems. This evaluation is essential for athletes, individuals with chronic pain, and those recovering from injuries. If you have chronic foot or ankle pain, it is suggested that you visit a podiatrist for a biomechanical assessment and treatment based on results.

If you have any concerns about your feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

High heels, while fashionable, can contribute to various foot deformities in women. Prolonged wearing of high heels alters the natural alignment of the foot, leading to conditions like bunions, where the big toe is angled inward towards the smaller toes. Hammertoes may develop, causing the toes to bend abnormally due to pressure and restricted space in narrow shoe designs. Additionally, high heels can worsen existing foot conditions, such as plantar fasciitis, contributing to chronic heel pain and inflammation. Achilles tendon shortening and calf muscle tightening are also common, affecting mobility and increasing the risk of injury. To decrease these risks, women can opt for lower-heeled shoes with adequate arch support and a roomy toe box. Regular stretching exercises and alternating heel heights can help maintain foot flexibility and may help reduce the likelihood of developing painful deformities. If you have developed foot pain as a result of wearing high heels, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief remedies and guide you on more suitable shoes to wear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.