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Posts for: January, 2014


Timberline High School senior donaven dorseyDonaven Dorsey fractured his left ankle during his team’s game against Lincoln. Because the severity of the injury is unknown, whether or not Dorsey will be able to return this season is still unclear.  Dorsey fractured his ankle when a player from the opposing team stepped on it, forcing it to roll in the opposite direction. Dorsey currently wears an air-cast and has not returned to the court.  

“It was one of those weird, little tweaks,” coach Allen Thomas said. “I could tell how he was yelling that it wasn’t a good sign.” “We’re still optimistic he’s going to be back by the playoffs if he doesn’t need surgery,” Thomas said. “Right now, it’s a chip in his ankle. If that’s the case, then it depends on how bad it is."."

Broken ankles are a common injury. If you injured your ankle, seek out podiatrist Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can treat your ankle injuries as well as any other foot and ankle condition.

Broken Ankles

The ankle consists of three bones- the tibia, the fibula, and the talus. The tibia and the fibula are the two bones that connect to your knees. They sit directly above the talus bone, which is protected by a fibrous membrane and allows slight movement in the ankle joint. A break usually occurs in one of these bones after the foot is twisted too far, a strong impact like jumping from a great height, or repeated stresses like running.

Diagnosis

If you suffer an ankle injury, it is essential that you receive a correct diagnosis. One of the first signs that the ankle is broken is an inability to put any weight on it. There will often be severe bruising and swelling at the sight of the injury. Your doctor may also order an x-ray be taken to determine the exact location and extent of the injury.

Treatment

Without proper care, a broken ankle may not heal properly and could cause arthritis and instability later in life. Therefore, seeking proper treatment is essential to making a full recovery.

There a number of steps you can take to accelerate the healing process however. Elevating your feet above your head and icing the ankle can reduce pain and swelling. Your doctor may decide that surgery is the best option, meaning you will likely be in a cast for at least three months.

To learn more about Broken Ankles, follow the link below.

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 about Broken Ankles.


Nathan van BerloAdelaide Crows captain Nathan van Berlo will be out for the rest of the season after a weighted training sled cut open his heel and ruptured his Achilles tendon. Training sleds are weighted equipment that athletes pull around to build their strength. Injuries caused by sleds are very rare, and since the particulars of the incident are still unconfirmed, the Crows have decided to perform their own internal examination of the events.

Achilles tendon injuries are often serious, and leaving them untreated is usually impossible. For help caring for this type of injury, you can turn to Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can present you with a wide array of treatment options to assist you in getting back on your feet.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body, and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot
- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation. Often the doctor will order an MRI to confirm the diagnosis. Treatment will involve rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
- Proper fitting shoes
- A healthy diet

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 about Achilles Tendon Injuries.


Stress FractureThe New England Patriots wide receiver missed a team practice game due to a stress fracture he incurred in his left foot. Dobson who is a rookie is dealing with a foot injury which he sustained in Week 17 against the Buffalo Bills.

Dobson was able to take a week off to recover, since the Patriots held the No.2 place in the AFC, and first-round bye in the playoffs. However, it is still uncertain if Dobson will be able to return to practice or if he will be ready to go for the next match-up. During the season, Dobson has caught 37 of 74 passes thrown his way, for 519 yards and four touchdowns. The Patriots offense has seen a dent in their numbers due to the amount of significant injuries on the offensive side of the team.

Any athlete knows that stress fractures can keep you from the activities you enjoy. Luckily, if you have this condition podiatrist Dr. Nicholas Crismali of Crismali Foot & Ankle can help. Dr. Crismali can assess the level of injury you have sustained and work with you to find an appropriate way to care for it.

Dealing with Stress Fractures of the Foot and Ankle

The Stress Fractures occur on the foot and ankle when muscles in these areas weaken from too much or too little use.  Then the feet and ankles lose support when walking or running from the impact of the ground. Since there is no protection the bones receive the full impact of each step. The stress on the feet causes cracks to form in the bones, thus called stress fractures.

What are Stress Fractures?

Common among individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

-runners                                 
-people affected with Osteoporosis
-play tennis or basketball
-gymnastics
-high impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures, and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves in high impact will aggravate pain.

Treatment

The individual and the degree of injury depend on the fracture of the foot. Some fractures heal very fast while others take a long times and one would need crutches.

- Surgery with support pins around the fracture helps
- A great intake of Calcium and Vitamin-D helps for strong bones
- Set a regimen for running or other activity

For more information about Stress Fractures of the Foot and Ankle, follow the link below.

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 about Stress Fractures of the Foot and Ankle.


Diabetic Foot CareDiabetics affected by neuropathy are very likely of getting infections or other foot conditions from pedicures, according to Dr. Christina L. Rowe. Because neuropathy often entails a loss or lack of sensation in the feet, you may not notice if your feet get burned or cut during the procedure.

Though professionals offer varying opinions, Rowe suggests opting out of pedicures altogether, or at least checking with the nail technician beforehand to ensure they utilize safe techniques. Rowe also recommends treating your feet at home with products made without harsh chemicals.

For diabetics, foot complications can much messier and harder to heal. If you want to know more about diabetic foot care, talk to a podiatrist like Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can teach you about the effects diabetes can have on your feet and how to avoid painful conditions.

Diabetic Foot Care

Diabetes affects millions of people every 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 proper signaling to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is mandatory that the feet are well taken care of to avoid amputation.

The Importance of Caring for Your Feet

- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels. This test allows the physician to know how well the blood sugar levels are being controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). Visiting a podiatrist is highly recommended if the diabetic patient is experiencing any conditions involving his or her feet.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet. For diabetic patients, the risk of amputation and sepsis heightens if you do not seek medical treatment right away, especially involving the feet.

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 about Diabetic Foot Care.


Scientists at the University of Nottingham have gathered more evidence that a person’s likelihood of getting gout is strongly affected by genetics. Their studies have identified people with first-degree relatives like parents, siblings, or children with gout as more likely to contract it themselves.

In addition, the researchers reported online in Annals of the Rheumatic Diseases that a person is also more likely to get it if a second-degree relative, like an aunt or uncle or grandparent, has it, although this effect is less dramatic than the effect first-degree relatives have.

Health scientists today are still debating whether gout is more affected by heredity or by externalities like diet, weight, and high blood pressure. "Currently, the balance between genetic and environmental contributions is still unclear," said Chang-Fu Kuo, one of the study’s researchers.

Gout is a systematic disease of the foot that can usually be avoided with proper care. If you are suffering from gout, consider seeing a podiatrist like Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can determine if you have gout or another systemic disease and provide you with care to help restore your feet to good health.

What is gout?

Diseases of the feet can affect the whole body, and symptoms usually arise within the feet. A condition like gout can make a patient’s ability to walk unbearable.  The pain caused by this disease is often so agonizing that it requires elevation of the feet and some time off of them to recover.

Known in the past as “the disease of kings”, Gout is caused by an excess of uric acid in the body.  This buildup of acid is typically seen on the big toe of the foot and can cause inflammation, redness and swelling. Although these are common symptoms of the diseases others include joint pain, extreme fatigue and a high fever.  Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

To learn more about Gout, follow the link below.

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 about Gout.