Stress Fractures:   a tiny crack in the bone, often not seen on x-ray for 2 weeks can cause swelling and bruising and pain when walking. this can often keep you from your favorite sports. when untreated it can worsen. 

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Ankle Sprains:   these can occur whenever you roll, twist  or turn your ankle beyond its limits. often a sharp pain is felt and then swelling, continued pain and sometimes bruising. depending on the severity of the injury the ligaments stretch, tear or completely tear. Frequent sprains can leave you with ankle instability which we can surgically repair. 

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Plantar Fasciitis:  an overuse injury with inflammation and severe pain on initiation of walking. This is usually at the bottom of the heel where the plantar fascia inserts into the heel bone. Sometimes a heel spur has formed due to the long standing duration of  tension on this ligament. 

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Sesamoiditis: pain on the bottom of the foot, on the ball. There are 2 small bones near the base of the great toe that can break as a result of injury or constant stress. The ligaments attaching the bones to the foot can also tear. these result in sesamoditis. 

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Tendonitis: Inflammation of any of the tendons about the foot and ankle. Most often it is the Achilles, large tendon in the back of your ankle and heel. This can cause pain in the back of the heel or in the middle of the tendon often with a swelling. Peroneal tendonitis is pain on the outside of your ankle behind the ankle bone. this can extend to the outside of your foot. sometimes after a sprain or running.

 

Treatment:  We will obtain a detailed history and examination and may order x-rays, MRI or other imaging.  We develop an individualized treatment plan depending on severity of injury and may include

- Rest, ice, compression, elevation (RICE)

-immobilization in brace or boot

-crutches maybe needed and partial weight bearing

-anti inflammatory medications

-Platelet rich plasma injection

-Physical Therapy 

-custom foot orthotics improve biomechanical problems and prevent re-injury 

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severe injuries, Achilles ruptures, fully torn ligaments and those that do not improve with conservative care may require surgical stabilization or repair.