Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture). Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, when the injured person experiences fever or chills throughout their body, and when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications, but it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe with the affected foot elevated on pillows. Swelling can be alleviated by placing an ice pack on the broken toe for 15 minutes every two hours during the first two days after the fracture. The broken toe should be immobilized by placing a small cotton ball between the injured toe and the toe beside it, then taping the two toes together with medical tape. 

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery; especially when the big toe has been broken. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications, and prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. 

U.S. Army lieutenants held a study that attempted to correlate the frequency of injuries while running and the amount of force used when the foot hits the ground. The reason for this study is to try and lower the rate of running injuries among soldiers in the military.  

To hold this test, 1027 Army men and women were monitored as the researchers examined their record of injuries and running techniques. The study would ultimately come to the conclusion was that the amount of force used while running had no relationship to any injuries sustained by the runners.

Running injuries can happen to even the most cautious person. If your foot or ankle was injured while running, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can treat your foot and ankle injuries.  

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscles and sports orthotic. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned. Physical therapy can help you learn the best exercises to heal runner’s knee.

What Are Some Causes of Running Injuries?

- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries

- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility. 

In order to physically prepare himself to star in the upcoming film Chapter 27, actor Jared Leto gained seventy pounds. Leto’s increased weight did more than just make him look bad.. Leto’s cholesterol went upward which resulted in Leto contracting the painful condition gout.  "Really, it's a stupid thing to do (gaining weight),” Leto said

“I got gout, and my cholesterol went up so fast in such a short time that my doctors wanted to put me on Lipitor, which is for much, much older people." Fortunately Leto toured with band 30 Seconds to Mars after the filming, which expedited the process of getting Leto down to a much healthier weight.

Gout can affect day to day living. If you are experiencing pain in your foot or ankle, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can assist you with your foot and ankle needs.

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 for them to fully recover.

Known in the past as “the disease of kings”, Gout is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. 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.

For more information about gout, please follow the link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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Gout is a form of arthritis that is unusually painful. A slight touch can send shooting pain. The most common area for gout to occur is in the metatarsal phalangeal joint of the big toe. Other areas of the body frequently affected by gout are the knees, elbows, fingers, ankles and wrists.
Gout occurs when there are elevated levels of uric acid in the blood. This condition is called hyperuricemia. Hyperuricemia is a genetically pre-disposed condition about 90% of the time and occurs because the kidneys do not produce the correct amount of uric acid. Children of parents who have had gout will have a 20% chance of developing it themselves. The excess uric acid in the blood forms crystals that deposit in between joints causing friction with movement.

Symptoms of gout caused by this friction include pain, redness, swelling, and inflammation. Fever and fatigue may occur as well, although these symptoms are rare. The pain can be worse during the night when the body’s temperature lowers.

Gout can be diagnosed clinically by a doctor’s observation of the redness, swelling, and pain. More definitive tests can be performed by the doctor as well. Blood tests check for elevated uric acid levels in the blood. The synovial fluid in the joint can also be withdrawn through a needle to be checked for uric acid crystals. Chronic gout can be diagnosed by X-ray.

Treatment given for acute gout diminishes the symptoms. Non-steroid anti-inflammatory drugs such as Colchicine and other corticosteroid drugs will stop the swelling, redness, and inflammation in cases of acute gout. If gout becomes chronic, there are multiple ways to combat it. Lifestyle changes and changes in diet may be necessary, as well as preventative drugs.

Gout can be aggravated by a sedentary lifestyle. Exercise will reduce probability of future cases of gout. Certain foods cause or increase the risk of gout and their consumption should be avoided or kept at a minimum. These foods include red meat, alcohol, sea foods, and drinks sweetened with fructose.

Lifestyle changes and diet that help prevent gout include exercise and certain foods that help decrease the chance of gout recurring. Gout preventative foods include Vitamin C, coffee and some dairy products. New drugs have been discovered that inhibit the body’s production of certain enzymes. These are the enzymes that produce uric acid. Lowering your levels of uric acid will greatly reduce the chances of developing further cases of gout.

Many kids engage in running whether as a sport, part of a sport or just general play. Running by itself serves as an excellent physical activity since it can keep children active and prevent conditions such as obesity. Since running needs only a good pair of shoes, the activity is very accessible and can even serve as a great bonding experience for friends and family.

As with any physical activity, keep in mind there is always the chance of sustaining an injury. This is especially important for parents to know since children’s bones are still gradually developing. Fortunately, with enough training and adult supervision, injuries should not be a huge issue.

All children deserve to have feet that are well accounted for. To ensure your child has healthy feet, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can care for your child’s foot and ankle needs.   

Keeping Children's Feet Healthy

Having healthy feet in childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care from birth to school-age.

Although babies do not walk yet, it is still very important to take care of their feet.

• Avoid putting tight shoes or socks on his or her feet
• Allow the baby to stretch and kick his or her feet to feel comfortable

As a toddler, kids are now on the move and begin to develop differently. At this age toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.

As your child gets older, it is important to teach them how to take care of their feet

• Show them proper hygiene to prevent infections such as fungus
• Be watchful of any pain or injury
• Have all injuries checked by a doctor as soon as possible
• Comfortable, protective shoes should usually be worn

For more information about Keeping Children’s Feet Healthy, follow the link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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As a parent, your most important job is taking care of your children in every possible way. You watch what they eat, you protect them from harm, but it is important to be proactive in taking care of their health, especially when it comes to their feet. Having healthy, well taken care of feet in childhood is crucial in helping eliminate problems later in life, especially in the back and legs. As children grow, their feet require different types of care. Here are some ways you can help keep your children's feet healthy, from birth to school age.

Babies require a lot of care in general, but don't forget their feet. Since babies don't walk yet, their feet can be easy to overlook, but it is still important to take care of them. In the first year of life a baby's feet grow and change very much, so it is important that you do not put any tight shoes or socks on your baby's feet. Let your baby stretch and kick her feet so he or she can feel comfortable.

When a baby turns into a toddler, they are now on the move and it is important that your toddler has comfortable and protective shoes to walk in. Now is the time you may notice different things about your child's feet, but know that children at this age are just getting the feel for walking, so don't be alarmed if they seem to walk funny. It is normal for a toddler to be unsteady on their feet.

When your child gets older and leaves the toddler stage behind, it is now important that you teach them how to take care of their own feet. Show them proper cleaning and hygiene so that their feet do not develop fungus or infection. Since children are constantly running and playing, it is also important to watch out for injury or pain. Children are still growing, and certain injuries can effect the bones growth and development so it is vital to have all injuries checked by a doctor as soon as possible. Comfortable shoes that cushion the foot and provide protection from hours of rough play are highly recommended.

Children and babies are constantly growing and developing, and it is your job as a parent to make sure that nothing is hindering their ability to mature at a normal rate. This includes properly taking care of the feet, as healthy feet are important in order to live a normal, fulfilling life.

The Iowa State University Cyclones made their spring debut by racking up three wins with the help of star player Ciara Capezio. Capezio had spent her time during the off season recovering from surgery she underwent in order to correct Morton’s Neuroma. ISU’s coaches were unsure if she would be ready to play at the start of the season.

An All-Big 12 player, Capezio returned to her position without much difficulty and aided her team in dominating Nebraska-Kearney, Nebraska-Omaha, and Northern Iowa. “Our offense — when we were in-system, when the ball was to center — was really, really good,” said coach Christy Johnson-Lynch.

Foot surgery is sometimes necessary, especially for athletes. If you are contending with a foot or an ankle condition, speak to Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can determine the most ideal procedure for your podiatric needs.  

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to help with the problem. Some of the cases in which surgery may be necessary are:

- Removing foot deformities like bone spurs and bunions

- Severe arthritis that has caused bone issues

- Reconstruction to attend injuries caused by accidents or malformations

What Types of Surgery Are There?

The type of surgery you receive will be dependent on the nature of the problem you have. Some of the possible surgeries include:

- Bunionectomy for painful bunions

- Surgical fusion for realignment of bones

- Nerve removal for painful nerve endings

Benefits of Surgery

Although surgery is usually a last resort, when it is undertaken, if can provide more complete pain relief than before, and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Such techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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East Orange resident Roselle Hartsfield has a lot to live for. The 84 year old mother to seven, grandmother to fifteen and great-grandmother to seven, Hartsfield has contended with diabetes since her 50’s, and is well aware that her long-term well-being is at risk.

“I have glaucoma in my eyes and two years ago, two of my toes got so badly infected that I had to go into a hyperbaric chamber for 39 days to avoid amputation,” she said. Although there have been many advances in diabetic care, diabetics need to do what they can do monitor their health with vigilance. Conscious of this, Hartsfield is determined to ensure her health is accounted for in order to avoid amputation or worse.

Diabetes is a very serious condition that can result in amputation or worse if left untreated. If you are diabetic, visit podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can treat your diabetic feet.   

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.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet.

For more information about Diabetic Foot Care, follow the link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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Detroit Tiger Jose Iglesias sustained stress fractures in both legs. As a result, Iglesias will be out for four to six months, trained on non-weight bearing exercises and upper-body conditioning for the meantime. Tigers manager Dave Dombrowski told fans the team will move forward to play the season without Iglesias. (He could) perhaps be back later in the year, but in my thought process that’s more unlikely than likely at this point,” Dombrowski said, adding he has been assured Iglesias will be ready to play by next season.

Stress fractures can place a lot of stress on someone. If you suffered a stress fracture to your foot or ankle, see  Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can treat your stress fracture injuries.   

Coping with Podiatric Stress Fractures

Stress Fractures occur on the foot and ankle when muscles in these areas weaken as a result of overexertion or underuse.  As a result, the ankles and feet lose support when walking or running from the ground. Since these bones are not protected, they receive the full impact of each step. The stress on the feet causes the bones to form cracks.

What are Stress Fractures?

Stress Fractures are very common among those who are highly active and involved in sports or activities that make excessive use of their legs and feet. Stress fractures are especially common among:

-athletes (gymnasts, tennis players, basketball players)

-runners/joggers

-osteoporosis patients

-those who engage in high-intensity workouts

Stress Fracture Symptoms

Pain from the fractures occur in the area of the fractures, and can be either constant or periodic. The pain is usually sharp or dull, accompanied by swelling and tenderness. Engagement in any kind of high impact activity will exacerbate the pain.

To learn more about stress fractures please follow link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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