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Posts for tag: podiatry

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

Hyeon Chung defended his decision to retire in the second set of the Australian Open semi-final against Roger Federer after succumbing to the pain of a badly blistered "red raw" foot.

This is a truly disturbing picture that shows that the blister in this tennis player had ruptured and he has an infection. The wound is deep to subcutaneous tissue. Usually, it is very painful unless patient is diabetic and has neuropathy. It was probably caused by the friction of the shoe or the tape that was put on too tight. Bottom line, if I was his physician, I would advise him to stop playing immediately and take the pressure completely off his foot. He will also need to go on very strong antibiotics, starting with intravenous antibiotics and progressively transitioning to oral antibiotics.

Obviously, this is not common in weekend athletes or recreational athletes, but this situation is very common in diabetics. Due to diabetes, patients do not have normal feeling on the bottom of their foot therefore a blister cannot be felt until it gets deeply infected.

When a ruptured infected blister or a wound is present in the foot, we are concerned about circulation. In general, feet do not have a lot of soft tissue coverage and there is not a lot of space between skin and bone and bone infections (osteomyelitis) are very common.

Do not delay your care, a couple of days can be a difference between simple oral antibiotics and six weeks of intravenous antibiotics and hospital admission.

Anthony Davis injured himself in pregame warmup and he is listed as day to day. He was diagnosed with a right big toe sprain and will be having an MRI to check on the severity of it. The prognosis is yet to be determined since it is hard to pinpoint on most foot injuries. Considering the Pelicans are currently 6.5 games out of the eight spot, this injury could keep him out for a few more games. 

This type of sprain needs to be treated right away because delayed medical attention can make it much longer to heal. We see this all the time and a lot of the times we will see sesamoid injuries which are highly associated with big toe sprains. If you are having this type issue or may have any other foot pain questions please call us at 863-299-4551 so we can help.