News Category: Foot

Nonoperative Treatment Options for Achilles Tendon Ruptures

The Achilles tendon is the thick tendon that connects your calf muscles to your heel. Injury to this structure can range from a simple, but painful, tendinopathy to full rupture where the calf muscle can no longer act to plantarflex the ankle. Rate of Achilles tendon rupture is on the […]

Physician’s Beware: MRI Inadequate for Synovial Sarcoma

In this case presentation, surgeons show how repeated MRIs did NOT reveal a malignant soft-tissue tumor later diagnosed as synovial sarcoma. As a result, an accurate diagnosis and appropriate treatment were delayed by a full year for the patient in question. This young man (a 17-year-old high school football player) […]

Update on Transplantation Techniques for Osteochondral Lesions

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 […]

Morton’s Neuroma: Does Size Matter?

When it comes to the treatment of Morton’s neuroma, does size matter when results are measured between steroid injection and injection of just a numbing agent? Another way to pose the question is to ask: is there any difference in results when treating Morton’s neuroma with steroid injection versus an […]

First Report of Alternate Treatment for Hallux Rigidus

Degenerative arthritis of the big (great) toe is referred to as hallux rigidus. The joint affected is the metatarsophalangeal joint (where the main bone in the foot meets the first bone of the big toe). The condition is characterized by degeneration of the articular cartilage (lining the joint), bone spurs […]

Two Types of Osteochondral Lesions of the Ankle Described

Sprains, strains, fractures, and other trauma to the ankle can result in a condition known as osteochondral lesions of the talus or OLT. The talus is the bone located below the tibia (lower leg bone) and above the calcaneus (heel). The lesion or defect can affect just the cartilage lining […]

Italians Offer New Approach to Osteochondral Lesions.

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. Since cartilage does not heal well […]

Treatment of Achilles Tendon Rupture in Older, Less Active Adults

Older adults who rupture the Achilles (heel) tendon may end up with a case of Achilles tendinosis that requires a special kind of surgery. Tendinosis refers to replacement of normal collagen fibers in the tendon with scar tissue or fibrous material. The substandard replacement tissue is weak resulting in pain, […]

Important Factors Affecting Outcomes of OAT Treatment for the Heel

Holes referred to as “defects” in cartilage and bone can be treated with a technique called osteochondral autograft transfer or OAT. Efforts are being made to identify factors that might predict a good or favorable result. Osteochondral lesions refer to damage or defects to the joint cartilage (chondral) that go […]

Prevention and Treatment of Foot Infections

Loss of sensation in the feet is the number one cause of foot amputations among patients with diabetes. Stubbing a toe or cutting the skin can go unnoticed in the absence of pain. Infection in an area with decreased circulation can go untreated for too long ending up in loss […]

Seven Studies Shed Light on Treatment for Achilles Tendon Ruptures

You have probably heard of the “seven deadly sins” and if you watched Mickey Mouse cartoons, you may have even seen Disney’s version of “killing seven with one blow.” But you probably haven’t seen the results of seven level I random controlled trials evaluating treatment of acute Achilles tendon ruptures. […]

Evidence to Support Shock Wave Therapy for Plantar Fasciitis

Plantar fasciitis is a painful condition affecting the bottom of the foot. It is a common cause of heel pain and is sometimes called a heel spur. Plantar fasciitis is the correct term to use when there is active inflammation. Acute plantar fasciitis is defined as inflammation of the origin […]

Treatment of Achilles Tendon Rupture: What Do the Experts Say?

Researchers from the University of Western Australia are well-known for their reports and findings about Achilles tendon ruptures. Less than 10 years ago, they published a report on the use of splinting to treat this problem. Now they address the results between surgery and conservative care for this same type […]

What To Do About Hallux Rigidus

Hallux rigidus is a degenerative type of arthritis that affects the large joint at the base of the big toe. Degenerative arthritis can result from wear and tear on the joint surface over time. The condition may follow an injury to the joint or, in some cases, may develop with […]

Extra Bone in Feet Cause Problems for Dancers

Many people are born with oddly shaped bones, extra bones, or fused bones and never know about it. In fact, studies show up to one-third of the general population have what is called an accessory (extra) bone. Sometimes these extra bones are in the joint and sometimes they occur embedded […]

Changes in Treatment for Achilles Tendon Rupture

Research continues in the area of treatment for Achilles tendon ruptures. The last 10 years has brought a change from placing patients in a nonweight-bearing cast to using an ankle-foot orthosis (AFO) instead. An AFO is a brace usually made from plastic or light metal (carbon fiber). It allows for […]

Results of Surgery to Correct Tailor’s Bunions

Most people are familiar with bunions of the big toe but have you ever heard of a bunionette on the little toe side of the foot? With a bunion of the big toe, a large bump seems to grow out of the side of the great toe. But in fact […]

What Is Cuboid Syndrome?

In this review article, a physical therapist from the University of Wisconsin – La Crosse explains what a cuboid syndrome is, causes, effects, diagnosis, and treatment. A complete review of the anatomy, mechanics during standing and walking, and clinical presentation are also included. Other names for this condition are cuboid […]