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Posts for: April, 2013

Avisail Garcia, outfielder for the Detroit Tigers, has been given permission by doctors to come back to baseball again.  This comes after enduring a major heel injury during a game last month against the St. Louis Cardinals. The MLB player placed all of his body weight onto his right heelshortly after trying to beat out a grounder during the game’s second inning.

After sustaining the injury, Garcia was benched for several weeks. "We'll take our time," Rand said. "Basically, at this point in time, hopefully we'll get him hitting and get him throwing and we'll have a better feel for that later."

Even though Garcia is not ‘presently complaining of heel pain,’ he will be under the watchful eye of athletic trainer coach Kevin Rand. An injury like Garcia can be managed and taken care of by a podiatrist like Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can examine your heel pain, determine the severity of your injury, and work with you to provide the appropriate treatment options.

Causes of Heel Pain

● Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
● Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
● Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

- Wearing ill-fitting shoes                 
- Wearing non-supportive shoes
- Weight change          
- Excessive running


Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress free environment will help.

With the advancements in technology and greater knowledge of how muscles and joints work, physical therapists can turn things around dramatically.    

If you have any questions, please contact our offices in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more on Heel Pain.

Description: MudRunFootStrikeA research study published in Footwear Science shows only 20% of subjects landed on their mid-foot or forefoot on a soft surface, while on a hard surface the percent grew to 65%.

According to UMass running biomechanics group, a study they conducted also showed most test subjects switching to a mid- or forefoot strike on the hard surface when running on hard surface versus soft EVA foam like material. Researchers believe runners tend to be forefoot strikers due to a mechanism to “reduce pain.”   

The biomechanics of the foot, ankle, and lower leg are essential to understanding the proper functioning of the lower leg and foot. If you suspect a problem with your biomechanics and believe it is causing foot pain, ankle pain, or walking instability, it is recommended to see a podiatrist, like Dr. Nicholas Crismail of Crismali Foot & Ankle for immediate consultation, care, and treatment options.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body causing an interference with the biological structure and focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974 biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination to the area.

Modern technology improvements are based on past theories and therapeutic processes providing a better understanding of podiatry concepts for biomechanics. Computers provide accurate determinations about the forces, moments and patterns of the foot and lower legs with the most important information captured.

To learn more about biomechanics in podiatry please follow link below.

If you have any questions, please feel free to contact our office located in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more on Biomechanics in Podiatry.

Description: Cyclones Gymnastics Beauty and the BeastJunior gymnast Milan Ivory returned to competition this season after being sidelined for her sophomore year after tearing her achilles tendon. Ivory was unaware of her injury and continued practice until her team noticed there was something wrong. “I tried to get up and shake it off,” Ivory commented, “Everyone else heard it pop but I was in the middle of a routine so I didn’t hear it or anything. It just felt like (someone) kicked me”. After a year of physical therapy she was able to return to competition although she has not fully recovered. “She’s not there yet-not at all- I would say she’s probably 75 percent of the athlete she was but she’s on her way back,” ISU gymnastics coach Jay Ronayne said, “You will see a progression. You will see her getting back.”

Dealing with anAchilles tendon injurysuch as Milan Ivory’s can be a painful and troublesome ordeal. Fortunately such injuries like this can be treated by a podiatrist Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismalican examine your Achilles tendon, determine your injury’s severity, and work with you to provide appropriate treatment options.

What Are the Common Injuries to the Achilles Tendon?

Tendon Ruptures:One may hear a popping or snapping sound if their Achilles tendon ruptures.  Symptoms are swelling, pain, and difficulty walking or bending the foot forward. There are surgical and non-surgical procedures available, and depending on the treatment you take, recovery can last up to a year from treatment.

Achilles tendinitis:Achilles tendinitis is the milder of the two injuries, and can be recognized by the following symptoms: inflammation, dull to severe pain, an increased flow of blood to the tendon, portions of the tendon growing in thickness, and a slower movement time. Tendinitis can be treated in many different ways and is often diagnosed by an MRI.

To learn more about how you can avoid injuries, like Achilles tendinitis please follow link below.

If you have any questions, please feel free to contact our office located in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read our Article to learn more about Achilles tendon injuries.

Description: Bendle and Nice, his 6 ½- year-old dog, walked more than 6,000 miles for diabetes awareness. Nice was treated to the University of Florida College of Veterinary Medicine for a ruptured cranial cruciate ligament in the knee as a result of the strenuous walk.

To take his mind off the dog’s procedure, Bendle took a walk through Gainesville Florida, stating “it was peer pressure.” Bendl’s mother Gerta Bendl, 54, passed away from complications of diabetes, which is why he started to create this awareness. Gerta had lost her toes and had gallbladder surgery because of the disease. One obese woman had neuropathy -- or lack of feeling -- in her feet. She started walking and lost a lot of weight, Bendl said. "She could move her feet again. She was as happy as a schoolgirl." Bendl's motto is simple: "Love yourself -- go for a walk."

If you are currently suffering from diabetes and need help with diabetic foot care, it is recommended to seek the care of a podiatrist like Dr. Nicholas Crismali of Crismali Foot & Ankle.  Dr. Crismali can help you manage your diabetic feet to ensure that they remain healthy, while also providing you with any treatment options if any problems do arise.

Diabetic Foot Care

Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

The Importance of Caring for Your Feet

- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

For more information on caring for your diabetic feet, visit our link below.

If you have any questions, please feel free to contact our office located in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read the full article on Diabetic Foot Care.