Posts for tag: Myrtle Beach SC
Every mile you walk places a tremendous amount of stress on your feet. The good news is your feet can handle a heavy load, but, too much stress may push them past their limit. The shoes you wear or surfaces you walk on can increase the stress level. Heel pain is one of the first signs that too much stress is being placed on your feet. A sore heel will usually get better on its own with adequate rest. The problem is that many people try to ignore the early signs of heel pain and continue the activities that caused it.
It is important to see the podiatrists at Coastal Podiatry Associates right away to determine why there is foot pain and determine the proper treatment. The doctors will begin by asking where exactly the pain is located and when it began. Next, they will examine your foot, looking and feeling for signs of tenderness, swelling, and bruising. The doctors may ask you to walk, stand on one foot, or other physical tests that help determine the pain’s cause. Conditions that cause heel pain generally fall into two main categories: pain beneath the heel and pain behind the heel.
If the pain is greatest under you heel, you may have a condition causing inflammation in that area. A stone bruise occurs after stepping on a hard object such as a rock or stone. The object can bruise the fat pad on the underside of the heel and pain gradually reduces with rest. Plantar fasciitis typically occurs after too much running, jumping, or stretching of the tissue band that connects the heel bone and the base of the toes. The pain is centered under the heel and is most intense with taking your first steps after resting. A heel spur is another cause of pain and can form from long standing plantar fasciitis. An x-ray may be used to visualize the boney projection from the heel.
Pain behind the heel is generally due to the Achilles tendon. This condition is called retrocalcaneal bursitis and is an inflammation of the insertion of the Achilles tendon into the heel bone. People often develop this by running too much or wearing shoes that rub or cut into the back of the heel. This irritation can cause a slow increase in skin thickness, redness, or swelling. A bump that is tender and warm to touch may also develop. Pain is most severe with first activity after resting. It is not uncommon for the pain to be so severe that normal shoes cannot be worn. After taking x-rays, a podiatrist will prescribe stretching exercises, anti-inflammatory medications, and icing.
Septic arthritis is an extremely painful infection of a joint where germs infiltrate a joint and cause damage that leads to severe pain, warmth, and swelling. Bacteria and other microorganisms are the cause of septic arthritis and commonly target the knee, hip, or ankle. In the United States, 20,000 cases are reported each year in mostly young children and older adults. Septic arthritis is considered a medical emergency, as the microorganisms can destroy the joint in a few short days or can spread to other areas of the body.
There are four main causes of septic arthritis. The first is called contiguous spread. This occurs when a preexisting bone infection travels down the bone and reaches a joint. Direct implantation of bacteria can occur when a puncture or stab wound occurs in the joint. Heamtogenous source of septic arthritis develops when an infection enters the bloodstream from another area of the body and reaches a joint. The last cause takes place after joint surgery and is due to contamination.
Septic arthritis typically causes extreme discomfort and difficulty using the affected joint. Signs and symptoms can include fever, severe pain especially when moving the joint, swelling, joint warmness, and redness. Medications for other types of arthritis may mask the pain and fever. It is important to seek a doctor if these signs develop. It is especially important if signs and symptoms of infection such as fever and chills occur, as this may indicate a severe infection. To diagnosis septic arthritis, a doctor will consider the clinical presentation, vital signs, x-rays, and blood labs. Generally, septic arthritis is treated with joint aspiration, removal of infected tissue, and antibiotics.
Ankle sprains are so common that many people never seek medical care. One simple misstep can cause the ankle to twist at just the wrong angle leading to pain for days. Two important questions to ask after spraining an ankle include; when is it appropriate to see a podiatrist and what can be expected during the visit?
During the most common ankle sprains, the outer ligaments of the ankle are injured due to an excessive stretching force. This can happen by awkwardly planting the foot while walking, stepping, or running. In these situations, the foot rolls in and forces the ankle to move away from the body. Ankle sprains can cause pain, swelling, bruising, and weakness. This pain intensifies with movement or touching of the ankle joint.
For mild sprains, the RICE principle should offer enough treatment. RICE stands for rest, ice, compression, and elevation. RICE combined with a reduction in activity and over the counter anti-inflammatory medications such as ibuprofen may offer full relief. If pain, swelling, and weakness last longer than a week, it is important to seek medical attention. The podiatrists at Coastal Podiatry Associates are trained to evaluate ankle injuries. They will examine the ankle to make sure that a serious injury, such as an ankle fracture has not occurred. In the office, they will evaluate the ankle’s range of motion, strength, and locate the area of maximum tenderness. They may use x-ray or MRI to ensure their diagnosis and check for bone or ligament damage. Depending on the severity of the sprain, a doctor might recommend a brace, splint, or crutches to keep pressure off the ankle joint. Physical therapy may be needed to help regain full range of motion and strength.
So now I have a 2nd running injury. Very frustrating and very common when starting barefoot running. It takes the body time to adapt. (A middle age 56 year old body even longer) This time it's my right calf muscle. 3 weeks ago it was the left calf muscle. The calf muscle and achilles tendons are very vulnerable to injury because of the midfoot strike in the barefoot running. It will take them time to adjust. In the meantime all I can do is listen to my body and back off until these annoying little aches and pains subside. What's interesting is that the muscles in front of the leg get sore when running with shoes due to the heel strikes these shoes encourage. Luckily I've got cycling to fall back on and I'll continue to walk with short (100 yard) running spurts to test the healing of the calf muscles. Next week I'll give you tips to avoid the mistakes I've made.
By Dr. Scott Hamilton of Coastal Podiatry Associates, Myrtle Beach SC.
For those who run as their passion or primary method of excercise you may find my weekly blogs on barefoot running interesting and informative. I have become interested in barefoot running after reading Chris McDougalli's popular book "Born to Run". I recommend this book to anyone who would like to learn more about running barefoot. Most of the concepts of unshod running made sense to me both as a running athlete and as a healthcare professional. In order to determine whether running barefoot is all it's hyped up to be, I have decided to start a barefoot running program, this goal of which is to run the half marathon in Myrtle Beach, SC next February barefoot. In my weekly blog updates I will keep you all posted on my experience. I will also share my professional insight on the differences of running shod vs. unshod. Next week 's blog will introuduce my initial experience into running barefoot including my first (and hopefully last) barefoot running injury.
By Dr. Scott Hamilton of Coastal Podiatry Associates, Myrtle Beach SC.