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Posts for category: Ankle sprains, fractures, sports injuries

 

Running events that involve obstacles are becoming more popular with runners and non-runners alike. Events like Tough Mudder, Warrior Dash, and Spartan Races are getting jotted down on more calendars each year, and are motivating new fitness goals and bragging rights on Facebook. Many of these runs boast strenuous physical exertion while providing a fun, often team oriented environment. This combination attracts many physically fit individuals as well as those who haven’t been keeping up with their health as zealously. These events usually require a release form in case of injury, which is why it’s important for participants to be aware of the obstacles they will be undertaking.

At the Silverdale Mud Run, a police offer who participated decided to sue the organizers involved after shattering her ankle on an obstacle at the event. Two others also joined the suit after ankle injuries and foot fractures sustained at the same obstacle, called “Gravity’s Revenge”, which displayed a steep slope that allowed participants to slide down into a water bed on a tarp. The slope was cleared of debris and kept slick to assist in the slide, but participants argued there was no regulation of speed down the slope. Runners that slid down the slope were stopped abruptly by an impact of rocks at the bottom of the obstacle. This impact, mixed with the long run the participants had endured, caused ankle and foot fractures, according to the runners. Fractures can involve long rehabilitation and can make it difficult to return to a career that involves long hours on your feet. This was the case for Wendy Davis, the police officer who sustained an ankle fracture from the event.

Although these events can be an exciting change from the same gym routine, it is important for participants to be aware of all the obstacles at an event. Most events provide a detailed description of the obstacles that will be present and all events provide alternatives for people who are not comfortable doing a certain obstacle, or provide ways to bypass obstacles. Participants should be aware of their limits with these events—there are not special medals for the people who do every obstacle and get hurt!  Things that involve slopes, jumps, or twisting can put you more at risk for an injury, especially when you’re muscle are fatigued and not working at their best.

If you anticipate running in a “Mud Run”, or any outdoor course for that matter, be sure to look at all the obstacles involved and map out your personal route for the race, including which obstacles you may want to bypass to ensure your safety. Take the advice of the training regimens provided by the races, and know your own limits as to what events may be too strenuous for your activity level. As always, Have Fun!

If you do experience an injury after a race or event, be sure to schedule an appointment with Dr. Purdy at The Foot Clinic. It’s important to pay attention to pain and not mistake “routine soreness” after an event with a serious injury. Listen to your body, and what doesn’t quite feel right probably isn’t right!

Dr. Jon Purdy

 

Mark Harrison, an undrafted free agent from Rutgers, was predicted to be in the seventh round draft pick for the Chicago Bears, until a foot injury held him back from rookie minicamp at Halas Hall. After a workout on May 13, Harrison stepped awkwardly and suffered a fractured fifth metatarsal. He underwent surgery to repair the bone, and is currently recovering. He is expected to be ready for training camp with hopes the Bears will give him another look down the road.

Fractured bones in the foot are quite common, but are usually not very disabling and usually do not need surgical treatment. However, a fracture to the fifth metatarsal, such as the one Harrison experienced, can be more difficult to heal depending on the location of the fracture site, in which case surgery may be an appropriate intervention. A fracture may present with pain, swelling and sometimes bruising.  It is a common misperception that if you can walk on your foot, it is not broken.  That is not the case and neglecting a fracture can lead to long term pain and possible disability. 

Although Harrison’s chances of being drafted may have been affected by this injury, he has been doing a great job turning heads in the NFL with his performance for the Scarlet Knights. With an impressive 40-yard dash time, and good performance statistics, Harrison will be an exciting pick when he is healthy. 

If you ever experience a sports injury, or fear you may have experienced a fracture, it is important to seek medical attention to ensure proper healing. Schedule an appointment with Dr. Jon Purdy at The Foot Clinic and get diagnosed and put your mind at ease.

Jon Purdy, DPM

 

The New York Knicks have lost some valuable players this season to injuries.  Rasheed Wallace, will be retiring for the second time after failing to recover from a foot injury back in February. Wallace underwent surgery for a left foot fracture that he endured due to repeated strain to the area (often referred to as a stress fracture) which is a common injury in team sports.

Stress fractures are due to an abnormal amount of force being applied to the bone in a repetitive manner. The bones of the foot may very well be healthy and of normal density, but the added stress being applied to the area causes the bone to fracture.

Athletes are especially susceptible to stress fractures because of their repetitive, strenuous routines. However, non-athletes can get stress fracture.  Most patients that present with this problem usually have had some change in activity or routine lately, for example, starting a new fitness program, adding more miles to their daily runs, training for a marathon, or changing their shoe type.

Despite a surgical attempt in February to repair the fracture, Wallace was unable to perform with the pain and was forced to retire once again from the game. Knick’s coach, Mike Woodson, explained that Wallace had been having trouble dealing with the aching pain he felt from the injury and it was something they had been cautious about for some time. Woodson warmly expressed that although sorry to lose the veteran, Wallace is a winner and a true professional on and off the court.

These injuries are a fairly common occurrence in podiatry clinics and surgery is not usually necessary. When changing any daily routine, it is important to be aware of the aches and pains that come along with physical activity. Don’t ignore prolonged foot pain and don’t “run through the pain”! It’s important to get checked out before the fracture progresses to a more serious injury, in which case you will have to stay off your feet for much longer. Be sure to schedule an appointment with Dr. Purdy at The Foot Clinic for any new foot pain that accompanies a new routine!

Dr. Jonathan Purdy, DPM

 

March Madness had millions glued to the television for the Louisville VS. Duke game in the Midwest Regional Finals, but regardless of your bracket, I think all our hearts went out to Louisville’s guard Kevin Ware after he experienced a gruesome compound fracture. Compound fractures, or open fractures, are breaks that result in the bone being exposed to the environment, which is considered a medical emergency that needs to be treated immediately. Bone that is exposed to the open air is at very high risk for serious infections that can lead to necrosis, which is death of the tissue, causing the bone and tissue surrounding it to become non-functional. When Ware jumped up to block a 3-point shot, he landed awkwardly, causing his leg to torque at almost a 90 degree angle leading to a dramatic break, producing inches of bone protruding through the skin. His team, horrified at the sight, were forced to cover their eyes and back away, while some were brought to tears, demonstrating their obvious affection for their fallen teammate. Ware, in his spirited attempt to get this teammates focused on the game, called them over to him for a pep talk, causing the crowd to applaud in his devotion and positive outlook.

Does this mean we should be on our guard when we play sports?! There is a certain amount of suspicion associated with Ware’s injury. It’s rather rare for a young, healthy, active individual to experience such a severe fracture during routine play, causing some physicians to question if Ware had an underlying condition causing weakening of the bone or a cyst at the fracture site. Although human bone can be as strong as steel when forces are applied vertically, it has much less strength when exposed to rotational forces, causing most to agree that the torque of the landing was too great for the bone to handle, and thus being the main cause of the break.

Thanks to the speedy reaction of the medical team, Ware received immediate medical attention, and after a two hour surgery involving some rods and screws, he is expected to make a full recovery and return to basketball. I’m sure even Duke fans can admit that Ware cradling the Midwest Regional Championship trophy, which was won that night after his pep talk, was well deserved.

If you ever experience a sports injury, be sure to set up an appointment with Dr. Purdy at the Foot Clinic so you can get back on your feet, and back into the game as soon as possible!

Jon Purdy, DPM

 

Demi Lovato, a singer-songwriter, actress, and former X-factor judge slipped on her hard wood floors this past weekend and fell, injuring her foot. Lovato’s roommate recently cleaned their hard wood floors with Pledge and when the former X-factor judge walked on it she slipped and fell and is now on crutches and in a walking boot. No reports have been released on the extent of her injuries but based on pictures that Demi posted on Twitter; it appears that it may be a lateral ankle sprain or possibly a distal fibula fracture.

Lateral ankle sprains are one of the most common ankle injuries that a person is likely to receive in their lifetime. Lateral ankle sprains occur when a person does something to injure the ligaments that are on the outer side of their ankle such as slipping on freshly cleaned hard wood floors. But that’s not the only way someone can receive a lateral ankle sprain, really anything that might cause you to twist your ankle could cause a lateral ankle sprain. Common causes include slipping on icy sidewalks in the winter time, tripping on objects that you don’t see on the ground, and most commonly from sports injuries due to cutting maneuvers that players perform in various sports such as football, soccer, and basketball.

If you think you sustained a lateral ankle injury, you should perform R.I.C.E. rest, ice, compression, and elevation and then you should get to your local New Iberia podiatrist to check it out. Often treatments include wearing a walking boot and using crutches (as in Demi’s case) for about two weeks in order for it to heal. Demi had some good advice for avoiding these types of injuries, “Never, ever, ever, EVER let your roommate clean your hardwood floors with Pledge.” Demi is maintaining a positive outlook despite her injuries and that is the most important thing a person can do for any type of injury. We here at The Foot Clinic in New Iberia wish Demi a speedy recovery and if you or a loved one is also experiencing pain from an ankle sprain or any other common foot injuries, make an appointment and we will help you get back on your feet!

Jon Purdy, DPM



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