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Posts for tag: Podiatrist

Here at CFFA we specialize in foot and ankle fractures and we know exactly what to do to get people better under optimal conditions.

We offer minimally invasive and noninvasive procedures as well as surgery. 

This is not the first injury Neymar sustained in the past 12 months . His fifth metatarsal fracture required surgery last year making him miss one of the most important matches of the season.

Once the bone heals up, even in the best case scenario, after the surgery and plates and screws are replaced, the bone never heals with 100% strength therefore making people more prone to reinjury and future fractures.

Due to the high impact nature of soccer, reinjury is more likely.

Once reinjury occurs, we try not to perform surgery the 2nd time as there is a higher chance for avascular necrosis process which means that the bone does not get adequate blood perfusion and can necrose and die.

If I have to make an educated guess, I would guess that his fifth metatarsal fracture this time is in the neck of the fifth metatarsal making it more likely to heal on its own without surgical intervention.

Fractures take approximately 4–6 weeks to heal. But it takes 10 to 12 weeks for an athlete to feel confident to return back to physical activity. 

If you experience any foot pain or problems call us today so we can help. 

Dr. Tatiana Wellens, DPM, PhD
Central Florida Foot and Ankle, LLC

     At Central Florida Foot and Ankle Center, LLC we commonly see partial and complete Achilles tendon tears. Obviously, in situations with complete Achilles tendon tears in professional athletes, surgical intervention is necessary as soon as possible. Surgeons utilize different techniques and graphs to repair and reinforce the tendon during open surgery. Percutaneous Achilles repair surgery is becoming more popular as well.

Even though I am not a treating physician for Brandon Brooks, my opinion is he probably underwent surgery within the first 48 hours of his rupture. He will be required to be non-weightbearing for four weeks after the surgery and extensive physical therapy. Most likely he will walk with a limp for at least six months and it will take him nine months to a year to recover from this injury. There is always a question about complete hundred percent recovery as muscle weakness is common

We hope for his healthy return back next year.

Regenerative medicine is widely available for professional athletes but also to patients of CFFA and most likely will be utilized in the recovery process to facilitate the healing and shorten the duration of rehabilitation.

At Central Florida Foot and Ankle Center, LLC we use regenerative medicine daily to promote healing and shorten postoperative recuperation time. Call us today at 863-220-7286 to learn more about any of our procedures.

Dr. Tatiana Wellens, DPM, PhD
Central Florida Foot and Ankle Center, LLC

Nadal underwent ankle surgery in Barcelona to remove a free-floating piece of bone in his right ankle. Apparently, it had been an issue for a while due to a previous ankle injury. In a statement on social media, he said, "We detected it a while ago and it's bothered me from time to time. But as the problem with the abdominals also prevents me from playing in London, we decided to take advantage and intervene in the ankle to prevent future problems. “Usually they are caused by what we call osteochondral lesions or avulsion type injury fractures when a ligament pulls very hard on the bone and takes a piece of bone with it.

Usually this type of surgery is not an emergency, but Nadal had pulled out from a tournament in Paris due to abdominal muscle injury and took that opportunity to fix his ankle as well. He’s expected to make a full recovery by 2019.

We perform these types of surgeries routinely. Growth factors and stem cells are commonly utilized as well. 


Dr. Tatiana Wellens, DPM, PhD
Central Florida Foot and Ankle Center, LLC

It appears that Tony injured his anterior talofibular ligament when he twisted his ankle. Hopefully x-rays were obtained to be sure he does not have a fibula fracture just a type of an ankle fracture. MRI is the most accurate diagnostic tool for this type of injury.

Since he says in his post he’s feeling optimistic I’m guessing that it’s either a grade 1 or 2 ankle sprain which usually is uncomfortable but does not prevent golfers from competing.

It is treated with rest, ice, compression and elevation and usually does not have a new long-term repercussion.

Looking at the video it looks like it’s not the first time he had this ankle injury if it took him no time but to pop it back in place , that probably demonstrates that it’s more of a chronic lateral ankle instability which is basically injury to the anterior talofibular ligament over and over again. Basically, ligaments become so lax that it’s much easier to dislocate the ankle. Ankle stabilization surgery is the only way to permanently fix the problem..... and guess what? We do it at CFFA!!!!

Dr. Tatiana Wellens, DPM, PhD

It appears, her injury is due to the osteochondral lesion in her foot.

I do see those type of injuries quite often, they’re usually due to the overuse or over training. Tailor dome injuries and osteochondral lesions are common in dancers and other athletes and usually are treated with complete immobilization and if misdiagnosed can be devastating. I also see those commonly associated with severe ankle sprains.

I also advise patients who have ankle sprains to seek medical attention right away as you want to have a proper diagnosis and treatment immediately. I see a lot of patients who do not get treated by a professional and end up with chronic ankle pain and ankle instability.

Of course, since I am not a physician who treated Madison, I am not sure if this is what she had. There are 33 joints and 27 bones in the foot and ankle. Therefore, there are many bones that can possibly be affected.

The other common osteochondral lesion side is the second metatarsal, Fracture of the Carthage. It can be seen and is as called Freiberg’s in fraction. It is essential to seek medical attention and proper diagnosis and treatment. Of course, with her, being an Olympic athlete, it is not uncommon to experience reinjury.  

Dr. Tatiana Wellens, DPM, PhD
Central Florida Foot and Ankle Center, LLC