FOOT & ANKLE INJURIES

FOOT & ANKLE

Shanna McDonough

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Ankle Sprain Plantar Fasciitis Achilles Tendonitis Turf Toe Ingrown Toenail

ANATOMY OF THE FOOT AND ANKLE

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ANKLE SPRAIN

Discussion:

  • The term “sprain” indicates injury to the soft tissues of the ankle, usually the ankle ligaments.
  • There are three ligaments that make up the lateral ligament complex (located on the outside of the ankle)
  • .

  • Three ligaments are the anterior talofibular ligament (ATF), calcaneofibular ligament (CF), and posterior talofibular ligament (PTF)
  • A sprain results in tearing of the ligaments which may be complete of incomplete
  • An inversion injury is the most common cause of sprain

Treatment:

  • RICE (Rice, Ice, Compression, Elevation) will help control swelling
  • Pain relievers such as Advil, Aspirin, and Tylenol will help control the pain
  • Crutches will help the patient stay off of that foot
  • Ankle wraps, ACE bandages will help support the ankle and combat instability

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PLANTAR FASCIITIS (Heel Spur)

Discussion:

  • One of several causes of heel pain, sometimes called a “heel spur”
  • Plantar Fasciitis causes pain on the bottom of the foot/heel when bearing weight on the foot
  • The Plantar Fascia is a structure that runs from the front of the heel bone (calcaneus) to the ball of the foot. It supports the “arch” of the foot.
  • Classic symptoms include a gradual onset of severe pain which is worse in the morning or after rest, and improves after moving around.
  • Pain is aggravated by weight bearing, and becomes progressively worse when you’ve been on your feet all day.

Treatment:  

*Caution: avoid repeated corticosteriod injections, for they have been associated with tendon rupture in the plantar fascia! (J-Bone-Surg-Am. 1978 Jun; 60(4): 537-9)

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ACHILLES TENDONITIS

Discussion:

Treatment:

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TURF TOE

Discussion: turf-toe_mech.gif (3121 bytes)

Treatment:

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INGROWN TOENAIL

Discussion:

Treatment:

*CAREFUL Toenails should be cut straight across, leaving the nail slightly longer than the toe, and then filed straight across with a nail file. 


LINKS

minifoot.gif (326 bytes)www.footandankle.com

minifoot.gif (326 bytes)www.heelspurs.com

minifoot.gif (326 bytes)www.footweb.com

minifoot.gif (326 bytes)www.footcaredirect.com

minifoot.gif (326 bytes)www.foottalk.com

minifoot.gif (326 bytes)Wheeless’ Textbook of Orthopaedics (www.medmedia.com/med)

 

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DEDICATION

To Lubow Pronchick, DPM, James V. Ganley, DPM,

Michael McDonough, DPM, Daria McDonough, DPM, and Michael Younes, DPM

The podiatrists in my family who founded my interest in the medical profession, and who have all contributed immeasurably to my life. I love you all. –Shanna

 

webpage created by: Shanna D. McDonough, PA-S1
smcdonou@ufl.edu

Questions on weg page technical matters - email Mike @ florthopa@yahoo.com

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