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Stephan J. LaPointe, DPM, PhD, FACFAS

November 2023

Tuesday, 28 November 2023 00:00

Treating Diabetic Foot and Ankle Trauma

Managing foot and ankle injuries in diabetic patients is complex. There is no one-size-fits-all approach for surgeries in these cases. Diabetic injuries can involve different types of bone breaks and dislocations, making treatment difficult. A major challenge is dealing with the limited soft tissue in the foot and ankle, which can easily become damaged. This is especially difficult in diabetic patients who might have other health issues like poor blood circulation or weak immune systems. Podiatrists treat surgeries in diabetic patients carefully to avoid harming the soft tissue and ensure proper healing. They often use special techniques, like minimal cuts or external supports, to repair the bones while protecting the skin and muscles. In severe cases, they may perform the surgery in stages. For diabetic patients, keeping bones stable and avoiding further injury is crucial, which sometimes involves additional support for nearby joints. If you are a diabetic patient and have sustained a foot or ankle injury, it is suggested that you make an appointment with a podiatrist immediately. This medical professional can make a proper diagnosis and evaluation, with a determination of whether surgery is right for you.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Trauma
Published in Blog
Tuesday, 21 November 2023 00:00

Swollen Feet and Ankles During Pregnancy

The journey of pregnancy, though miraculous, often brings with it the discomfort of swollen feet and ankles. This common ailment, known as edema, results from increased pressure on blood vessels and the growing uterus, leading to fluid retention. To mitigate this discomfort, expectant mothers can embrace simple yet effective strategies. Elevating the legs when possible aids in fluid circulation, reducing the severity of swelling. Wearing comfortable, supportive shoes and avoiding prolonged periods of standing or sitting can also contribute to relief. Staying well-hydrated supports the body in maintaining a healthy fluid balance. Incorporating gentle exercises, such as walking or prenatal yoga, promotes circulation and minimizes swelling. Additionally, mindful salt intake can prevent excessive fluid retention. By incorporating these nurturing practices into their daily routines, pregnant women can enhance their well-being and navigate the pregnancy with greater comfort and ease. If you suffer from swollen feet and ankles during your pregnancy or have foot pain for any reason, it is suggested that you speak with a podiatrist who can guide you toward additional relief strategies.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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

Read more about Foot Care for Pregnant Women
Published in Blog
Tuesday, 14 November 2023 00:00

Diagnosing an Achilles Tendon Rupture

An Achilles tendon rupture often presents suddenly, typically accompanied by a sharp pain in the back of the leg and sometimes an audible snapping sound. Many people with this injury mistakenly believe they have been hit in the calf. When examining for an Achilles rupture, the presence of swelling and bruising varies and is not entirely reliable. The gap in the tendon that indicates a rupture is often not easily palpable due to local swelling. In terms of mobility, patients can usually still perform some active movement in the ankle because other tendons also connect the calf to the foot. Pain affects passive movement but does not always limit it. Despite a ruptured Achilles, those affected can often still walk and may even be able to stand on tiptoes when using both feet, though not on the injured limb alone. The Simmonds' calf squeeze test is a reliable way for podiatrists to check for an Achilles tendon rupture. The test is done by having the patient kneel or lie prone with dangling feet. The healthy calf is used to see the foot flex, while no movement on the injured side indicates a ruptured Achilles tendon. If you believe you may have injured your Achilles tendon, it is strongly suggested that you make an appointment with a podiatrist for a thorough evaluation, diagnosis, and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and 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 create immense 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 injuries 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, which can include an MRI. Treatment involves 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

If you have any questions please feel free to contact our office located in Rome, GA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries
Published in Blog
Friday, 10 November 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Published in Blog
Tuesday, 07 November 2023 00:00

Types of Ankle Ligament Surgery

The ankle is a complex joint consisting of the subtalar joint, tibiotalar joint, and distal tibiofibular joint. It relies on ligaments to prevent excessive movement and ensure stability. When these ligaments become compromised, ankle surgery may be an option. In such cases, anatomical reconstruction is the preferred approach for repairing damaged ankle ligaments. This procedure aims to restore torn or stretched ligaments and can use either the patient's own tissue or a cadaver tendon, depending on the ligament's condition. During anatomical reconstruction, an ankle surgeon may also tighten the fibrous tissue band to improve ankle alignment and prevent future injuries. In contrast, peroneal substitution ligament reconstruction involves replacing the damaged ligament with another tendon harvested from the patient's ankle. While a viable option, it is generally considered less effective than anatomical reconstruction. Recovery times for both procedures are roughly six weeks, but it may be much longer before you can safely resume sports activities. The choice of surgery should be made in consultation with a podiatrist who is a qualified foot and ankle surgeon. This foot doctor will tailor the surgery to your specific needs and follow with thorough post-operative care and rehabilitation. If you have severely injured your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

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

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

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

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

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

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

Read more about Foot Surgery
Published in Blog
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