Footnotes, The Foot & Ankle Blog - Page 29 of 32

The treatment of Achilles tendinopathy is a complex and difficult orthopedic pathology. Acute Achilles tendinitis typically responds well to nonoperative therapy including; rest, immobilization, anti-inflammatories, stretching, and physical therapy. However, sometimes the pain can become chronic and develop into tendinosis. Chronic Achilles tendinosis is a complex pathology involving microscopic degenerative injury to the tendon with local disruption of the collagen read more »

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Every year, during the first week of October, the Women’s All American Tennis Championships (W.A.A.T.C) is held in Los Angeles and hosted at The Riviera Tennis Club. This year more than 120 collegiate players from over 40 Division I colleges will be competing in this, the thirtieth anniversary of this great event. The W.A.A.T.C. event was first held at the read more »

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Epidermal Nerve Fiber Density (ENFD) testing is the analysis of a 3mm punch biopsy of skin to quantify the number of unmyelinated C-fibers and myelinated A delta-fibers within the epidermis. The skin has a rather consistent number of epidermal nerves at specific anatomical sites. This density is also found to be consistent between different age groups and genders. Small fiber read more »

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A scar is an area of fibrous tissue that forms after an injury to the skin. It can result after a cut, scrape, burn, or ulcer. The appearance of a scar can vary depending on various factors, including the depth of the wound, the location of the wound, genetics, and age. Most scars will tend to fade over time but read more »

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Since the release of Christopher McDougall’s book “Born to Run” (published 2009) there has been a significant increase in the hype of barefoot running and minimalist shoes. When I am confronted by a patient inquiring on my thoughts of them trying barefoot running or minimalist shoes, I first ask the patient their underlying motivation for doing so. Most common responses read more »

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If you are like me or the other 25,000 people in the US who suffer an ankle sprain each day, then you have suffered through the recovery of an ankle injury. More than 1 million Americans present to emergency rooms annually because of ankle injuries. Approximately one-half of ankle injuries occur during athletic activity. Adolescents age 10-19 have 1.5x greater read more »

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Tenex is a state-of-the-art treatment for Achilles Tendinosis, but generally is not for Achilles Tendonitis. So let’s first discuss the difference between a Tendonitis condition and one that is a tendinosis? Tendonitis refers to an inflammation or irritation to a tendon, which subsequently causes pain and tenderness. This is often aggravated with activity. Commonly, tendonitis is treated with rest, ice, read more »

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A plantar wart is a growth in the skin that occurs if it is infected with a virus called the human papillomavirus (HPV). This virus is spread through direct contact and typically they occur on the sole of the foot. They can occur as a single, solitary wart, or as a cluster of warts. Symptoms: Patients with warts will often read more »

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As it turns out many of our patients have something in common with the President of the United States: plantar fasciitis , a painful heel condition commonly found with active people. An avid basketball player, Obama is a prime candidate for plantar fasciitis. Though pre-existing conditions such as flat feet or high arches can increase your risk of developing plantar read more »

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Over the past few years there has been a trend in the running world toward minimalistic shoes. A minimalistic shoe is defined as a shoe that allows the foot to function as close to its natural state as possible. They are generally manufactured with less cushioning and support – overall much less material than standard running shoes. There are two read more »

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