Getting your leg fully examined by a qualified medical provider is a good start. They are recommended to use the Thompson test or calf-squeeze-test, which been found to be the most effective way to diagnose a full Achilles tendon tear.
A review study found supportive evidence on electing for the conservative non-surgical choice followed by rehabilitation focused on getting the person back to prior function gradually. Better outcomes, less infections, less medical cost all weighed in on the side of avoiding the knife.
Typically non-surgical treatment will be employed first. This may include anti-inflammatory medication, activity modification, night splinting, physical therapy and eliminating use of restrictive clothing or footwear. If this management fails to provide relief surgical measures may be considered.
The initial treatment protocol includes immobilization in a walking boot and, according to Weisskirchner Barfod et al, this period lasts eight weeks. During this time you may be instructed to stay off the injured leg fully, and comply with a weight bearing restriction, however this study has shown that full […]
The biggest challenges or complications occurring after an Achilles tendon rupture include possibility of re-rupture, decreased quality of life during initial immobilization phase especially if this includes limited weight bearing, time off work, difficulty regaining full strength, and difficulty with full return to previous level of sport participation.
Morton Neuroma refers to the interdigital nerve entrapment in the third webspace (occasionally the second webspace) of the foot.
Functional non-operative management is a relatively new bracing concept that involves early weight-bearing and range of motion. These two rehabilitation factors have shown to prevent detrimental alterations in muscle characteristics and increase maturation of collagen fibers during the tendon healing process. There is some difficulty with beginning early range of […]
Depending on your flat foot flexibility, you may not need orthotics at all and often custom orthotics can increase the pain in a rigid flat foot deformity. You might try no orthotics at all with some good calf stretches to see if this lessens your instep pain.
A physical therapist will at your overall alignment (joint structure), how you move, and will tease out any muscle imbalances that might be contributing to your ongoing plantar fasciitis. They also can perform adjustments if need be, fabricate orthotics, and use manual therapy as well as some modalities to help […]
Typically plantar fasciitis is described as a sharp, stabbing pain with the first steps in the morning that then diminishes as the day progresses. The pain originates more towards the edge of the heel than towards the arch. The symptoms you are describing sound more like Baxter Nerve entrapment. A […]
No, however most research shows that surgical repair results in significantly lower rerupture rates at three and a half percent compared to non-surgical repair, which has a rerupture rate around twelve and a half percent. More recently research has indicated that a functional non-operative protocol results in rerupture rates similar […]
A bent toe is typically due to ligamentous instability surrounding the toe joint. Depending on the progression of the deformity (whether or not it is rigid or still flexible) there are several options. Conservative treatment would be shoe alterations and physical therapy for foot strengthening and addressing your walking form. […]
High heels are identified as a major cause for toes crossing or becoming stuck in a bent position, called hammer toe. Shoes with a narrow toe box or shoes that place an excessive amount of force across the base of your toes can cause hyperextension of the toe joints (bending […]
As you probably know by now, synovial sarcoma is a malignant soft-tissue tumor that occurs most often in the extremities (arms and legs). A regular X-ray will not show soft tissue malignancies. It was unusual that the more advanced imaging (MRI) did not at least show some change in intensity […]
The name synovial sarcoma is a bit misleading since microscopic studies of the cells from these tumors show clear differences from true synovial cells. And the name would lead you to believe the tumors occur inside a synovial joint, when in fact, that is not the case. The tumors are […]
When a joint is injured as a result of a joint sprain or fracture, there can be damage done to the layer of cartilage just above the joint surface. These are called osteochondral or chondral lesions and they occur in up to half of all ankle injuries. It sounds like […]
When a joint is injured as a result of a joint sprain or fracture, there can be damage done to the layer of cartilage just above the joint surface. These are called osteochondral or chondral lesions and they occur in up to half of all ankle injuries. Surgical transplantation techniques […]
Interdigital neuroma (sometimes called a Morton’s neuroma) is the medical term for a painful growth in the forefoot. The pain is most commonly felt between the third and fourth toes but can also occur in the area between the second and third toes. The most common cause of pain is […]
The question of whether size matters when treating Morton’s neuroma) by steroid injection has been raised by a group of researchers from Scotland. Usually, this type of treatment involves an injection of lidocaine and cortisone into the area. There is some evidence that this approach may help temporarily relieve symptoms. […]
Ankle sprains and other significant trauma (e.g., bone fractures) can cause a condition known as osteochondral lesions. These are defects or “holes” in the cartilage lining a joint. Sometimes the damage is enough to create a hole all the way down into the bone.It sounds like this might be what […]