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LISFRANC INJURY

Summary

  • Lisfranc injuries occur at the midfoot where a cluster of small bones forms an arch on top of the foot between the ankle and the toes.Lisfranc fracture-dislocations are swollen and painful with some bruising and inability to put any weight on the foot.

How did I get this?

  • Lisfranc injuries occur as a result of direct or indirect forces to the foot. A direct force often involves something heavy falling on the foot. Indirect force commonly involves twisting the foot.Commonly occur in automobile accident victims, military personnel, runners, horseback riders, football players and participants of other contact sports, or something as simple as missing a step on a staircase.

What can I do about it?

  • Refrain from putting weight on the foot.
  • Oral anti-inflammatory medications (ibuprofen) help reduce pain and inflammation.
  • Swelling is reduced by icing the affected area and keeping the foot elevated.

What help can I get for this?

  • Podiatrist will place the affected foot in a cam walker to keep it immobile, and crutches are used to avoid putting weight on the injured foot.
  • Orthopaedic foot surgeon for possible surgical treatment to realign the joints and return the broken (fractured) bone fragments to a normal position.
  • A surgeon to correct the associated deformity which is causing the synovitis.

When will it get better?

  • The majority of the recovery occurs in the first 6 months, but it is often a year or more before patients reach their point of maximal improvement. If the surgical treatment fails or the joint damage from the injury leads to severe arthritis, then a fusion (arthrodesis) of the Lisfranc joints may be necessary. Despite the stiffness of a fused joint most patients with successful fusion of the midfoot joints have good function of the foot.

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Synovitis

Summary

  • Inflammation of the tissues that line the joints, often under the ball of the foot. It causes redness, swelling, warmth, and pain on weightbearing or with joint motion.

How did I get this?

  • Pressure overload on the toes due to an associated deformity, wearing inappropriate footwear such as high heels or isufficient width, and arthritis.

What can I do about it?

  • Wear good fitting shoes.
  • Avoid high heels.
  • Wear a protective pad.
  • Hot or cold packs may help.
  • See a podiatrist.

What help can I get for this?

  • A podiatrist may provide padding to reduce pressure on the area, footwear advice, orthotics, strapping.
  • Your doctor may administer a cortisone injection in the injured area.
  • A surgeon to correct the associated deformity which is causing the synovitis.

When will it get better?

  • The earlier the diagnosis and treatment, the better and sooner the outcome will be. If left untreated synovitis could result in rupture and permanent deformity.

Sinus Tarsi Syndrome

Summary

  • The sinus tarsi is a small cavity located on the outside of the ankle. This cavity contains numerous anatomical structures including ligaments and joint capsule. These structures may be injured following an ankle sprain or due to the repetitive strain associated with an excessively pronated (flat) foot. When this occurs, the condition is known as sinus tarsi syndrome. Patients with sinus tarsi syndrome typically experience pain over the outside of the ankle. There may also be swelling and tenderness in the region. Symptoms are typically worse in the morning and may present as pain and stiffness that slowly improves as the patient warms up. Symptoms may also be aggravated during walking or running especially on slopes or uneven surfaces.

How did I get this?

  • Sinus tarsi syndrome usually occurs following an ankle sprain or due to the repetitive strain associated with walking or running on an excessively flat foot.

What can I do about it?

  • Rest sufficiently from any activity that increases your pain.
  • Icing and short term anti-inflammatory medication (e.g. Ibuprofen) may help to significantly reduce inflammation.
  • Elevation of the affected foot to decrease inflammation.
  • Seek podiatry consultation.

What help can I get for this?

  • Podiatrist may prescribe an ankle brace, appropriate footwear, and orthotics, along with strengthening exercises.
  • Your doctor may prescribe a steroid injection.

When will it get better?

  • Most patients with this condition heal well with an appropriate treatment program. This can be a lengthy process and may take several months in patients who have had their condition for a long period of time. Minor cases of this condition that are identified and treated early can usually settle within a few weeks. Early treatment is vital to hasten recovery and ensure an optimal outcome.

Sesamoiditis Fact Sheet

Summary

  • The sesamoids are two baked bean sized bones in the tendons under your big toe joint.
  • They can become inflamed and even fracture causing pain particularly when wakling quickly or running.

How did I get this?

  • Sesamoidits is usually seen in people who have a sharp blow to the joint, or have a high arched foot with a prominent big toe joint. Dancers and people that wear high heels are more prone to this.

What can I do about it?

  • Wear flat cushioning footwear such as joggers. Ice the area.
  • Short term use of anti inflammatory drugs such as ibuprofen may relieve the symptoms.

What help can I get for this?

  • See a podiatrist for footwear advice, padding, strapping, and possible orthotics to relieve stress on the sesamoids.
  • Immobilisation in a cam walker may be necessary for severe cases.
  • If there is a fracture that does not respond to conservative treatment then surgery may be necessary.

When will it get better?

  • Conservative measures should see improvement over a few months.
  • Surgical intervention will require a longer recovery period.

Pump Bump

Summary

  • It is a condition where there is bony enlargement on the back of the heel due to irritation if rubs against the shoes. Symptoms include a noticeable bump on the back of the heel, pain in the area where the Achilles tendon attaches to the heel, swelling in the back of the heel, and redness near the inflamed tissue.

How did I get this?

  • Any shoes with a rigid back, such as ice skates, men’s dress shoes, or women’s pumps can cause this irritation.

What can I do about it?

  • Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be taken to reduce the pain and inflammation.
  • Apply an ice pack to the inflamed area for reducing the inflammation.
  • Stretching exercises help relieve tension from the Achilles tendon. Heel lifts placed inside the shoe to decrease the pressure on the heel.
  • Heel pads placed inside the back of the shoe to cushion the heel may help reduce irritation when walking.
  • Shoe modification (Backless or soft backed shoes help avoid or minimize irritation).

What help can I get for this?

  • Podiatrist may prescribe orthotics to control the motion in the foot.
  • Foot and ankle surgeon if non-surgical treatment fails to provide adequate pain relief.

When will it get better?

  • Nonsurgical approach control symptoms if treated early but will not shrink the bony protrusion.
  • Surgical recovery time depends greatly on which procedure your surgeon performed.

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Plantar Plate tear/rupture

Summary

  • The plantar plate is a thick ligament on the underside of your foot, running along the first joint of each toe. Its purpose is to act like a support cable and protect the toe joints from pressure and injury, and to prevent the joint from bending upward beyond the normal range of motion. Injury to the plantar plate results to mild to severe pain and swelling under the ball of the foot, extending toward the toes (most commonly the 2nd or 3rd). One or more of your toes may be splayed or clawed. You may also have a sensation of numbness or “burning pain” in your toes, or a feeling like you’re walking on the bones of your foot.

How did I get this?

  • Injury to the plantar plate is usually caused by overuse, such as from running; obesity, which puts too much body weight on the ligament; or wearing high heeled shoes too often which locks the forefoot into a flexed position and requires the plantar plate to carry all of your body weight.

What can I do about it?

  • Icing the injured area.
  • Short term anti inflammatory medications (e.g. ibuprofen) to reduce pain and inflammation.
  • Seek podiatry consultation.

What help can I get for this?

  • Podiatrist may prescribe strapping the toe into a downward position to align it in order to help healing, footwear modifications, orthotics.
  • Podiatrist prescribe special boot or shoe if your case is severe to keep weight completely off the ball of your foot.
  • Foot and ankle surgeon for surgical treatment when non-surgical measures fail to alleviate pain and begin to limit your lifestyle.

When will it get better?

  • Treatment for this acute condition can take time, with most patients pain free with 3-4 months. Initial symptoms improvement allows most people to return to activity within 1 month.

LISFRANC INJURY

Summary

  • Lisfranc injuries occur at the midfoot where a cluster of small bones forms an arch on top of the foot between the ankle and the toes.Lisfranc fracture-dislocations are swollen and painful with some bruising and inability to put any weight on the foot.

How did I get this?

  • Lisfranc injuries occur as a result of direct or indirect forces to the foot. A direct force often involves something heavy falling on the foot. Indirect force commonly involves twisting the foot.Commonly occur in automobile accident victims, military personnel, runners, horseback riders, football players and participants of other contact sports, or something as simple as missing a step on a staircase.

What can I do about it?

  • Refrain from putting weight on the foot.
  • Oral anti-inflammatory medications (ibuprofen) help reduce pain and inflammation.
  • Swelling is reduced by icing the affected area and keeping the foot elevated.

What help can I get for this?

  • Podiatrist will place the affected foot in a cam walker to keep it immobile, and crutches are used to avoid putting weight on the injured foot.
  • Orthopaedic foot surgeon for possible surgical treatment to realign the joints and return the broken (fractured) bone fragments to a normal position.

When will it get better?

  • The majority of the recovery occurs in the first 6 months, but it is often a year or more before patients reach their point of maximal improvement. If the surgical treatment fails or the joint damage from the injury leads to severe arthritis, then a fusion (arthrodesis) of the Lisfranc joints may be necessary. Despite the stiffness of a fused joint most patients with successful fusion of the midfoot joints have good function of the foot.

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Intermetatarsal Bursitis

Summary

  • A bursa is a fluid-filled cushioning sac. They are located near tendons, ligaments, skin, and muscles that would otherwise rub directly across the surface of a bone. They are very important to prevent friction, absorb shock, and decrease the wear and tear between moving structures. The intermetatarsal bursae are located on the bottom of the foot near the base of the toes. They can be irritated when one metatarsal bone takes more load than the others. When this happens, the soft tissue between the bone and the skin becomes compressed and inflammation in the bursa can begin. Walking barefoot on a hardwood or tiled floor without cushioning will increase pain noticeably due to the direct pressure on the metatarsal bursa.

How did I get this?

  • It is commonly due to strain or irritation of the bursa. Wearing narrow or excessively worn footwear throughout the day or while playing sports also increase your chance of bursitis developing in your feet and toes.

What can I do about it?

  • Anti-inflammatory tablets (e.g. Ibuprofen) can help although should not be taken for long periods without professional advice.
  • Hot or cold ice packs can help symptoms to improve.
  • Rest the foot.
  • Perform stretching exercises to improve joint motion.
  • Wear good fitting shoes.
  • Avoid high heels.
  • Wear a protective pad.
  • See a podiatrist.

What help can I get for this?

  • Podiatrists may advise appropriate shoes or add padding to your existing shoes, consider prescribing orthotics, advise taping / strapping.
  • Your Doctor may administer a cortisone injection to reduce inflammation if indicated, and possibly suggest surgical management.

When will it get better?

  • Conservative treatments may be sufficient to resolve symptoms and prevent recurrence. However, if the bursitis becomes chronic surgery may be necessary.