Premier - Local Pedorthist
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Common Foot Issues
Foot and ankle problems usually fall into the following categories:
- Acquired from improper footwear, physical stress, or small mechanical changes within the foot.
- Arthritic foot problems, which typically involve one or more joint.
- Congenital foot problems, which occur at birth and are generally inherited.
- Infectious foot problems, which are caused by bacterial, viral, or fungal disorders.
- Neoplastic disorders, usually called tumors, which are the result of abnormal growth of tissue and may be benign or malignant.
- Traumatic foot problems, which are associated with foot and ankle injuries.
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How an Orthopaedic Surgeon Can Help You With Foot Fractures
Fractures in the feet can occur due to various sources of trauma. The feet are exposed to different types of injuries, some of which can result in fractures. I'll address your points:
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Car accidents: During car accidents, the feet are particularly vulnerable because they are no longer protected by airbags. The force and impact of the collision can lead to fractures in the feet.
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Falls from height: Falling from a significant height can cause fractures in the feet. The feet may absorb the impact of the fall, resulting in broken bones.
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Twisting injuries during sports: Participating in sports activities that involve sudden twisting or pivoting movements can cause foot fractures. The bones in the feet may be subjected to excessive stress and force, leading to fractures.
It's important to note that fractures can vary in severity, ranging from low-energy injuries to high-energy injuries. High-energy injuries, such as those mentioned in car accidents or falls from height, can cause more extensive damage and may require surgical intervention.
Regarding the specific bone you mentioned, the distal tibia, it is indeed one of the bones in the foot that can be affected by fractures. The distal tibia refers to the lower part of the shinbone (tibia), closer to the ankle joint. Fractures in this area can result from high-energy injuries and may lead to joint collapse and subsequent arthritis.
If you have any more questions or need further information, feel free to ask!
The main goal of surgery in such cases is to restore the anatomy of the joint and alleviate pain. If the ankle joint is not properly aligned, it can lead to ongoing pain and limited mobility, potentially requiring additional surgery in the future.
The indication for surgery is generally based on the presence of deformity in the foot or persistent pain. The front of the foot should be aligned straight with the ground, and the back of the foot should be positioned correctly beneath the long axis of the leg. The overall alignment of the foot should be straight, and the goal is to achieve a pain-free condition.
After an injury, restoring range of motion can be challenging due to stiffness. In some cases, reducing range of motion is necessary to ensure a pain-free foot. The analogy of wearing different types of footwear (favorite sneakers vs. rigid hiking boots) helps illustrate the trade-off between pain and mobility.
Surgery aims to address foot deformities, relieve pain, and restore alignment. However, it should be considered after other conservative measures such as physiotherapy, bracing, and shoe modifications have been attempted without success.
Depending on the specific injury, multiple joints or bones may require correction. If post-traumatic arthritis is present, fusion of the ankle joint or other affected joints may be necessary to eliminate pain and achieve stability. Fusions may also be performed in other areas of the foot to correct deformities.
In some cases, plates, screws, or realignment of bones may be performed during the initial injury treatment within the first two or three weeks. This approach can help prevent or minimize the need for additional surgeries.
If you have experienced a severe foot or ankle injury resulting in pain and deformity, it is advisable to consult with a physician to discuss possible surgical options. They will be able to assess your specific condition and determine if any of the mentioned procedures are applicable and beneficial for your situation. Additionally, a local physiotherapist can provide guidance and support throughout the rehabilitation process.
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