My Blog
December 07, 2017
Category: Podiatry
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It is not uncommon in basketball and other contact sports to encounter lateral ankle sprains and ligament injuries. Unfortunately, it is not uncommon for athletes to have lateral ankle instability where multiple ankle ligaments on the outside are stretched to the max.

Fortunately, Stephen Curry did not break his ankle but had significant swelling to the point where he will be out for a while.

It is hard to speculate but looking at the videos and pictures of Curry, I think he probably had a partial tear of the anterior talofibular ligament.

Usually, high ankle sprain’s have a slightly different mechanism of injury. At Central Florida Foot and Ankle Center we see a lot of grade 2 and grade 4 ankle sprains. Specifically, injuries to the anterior talofibular ligament. It is very important for anybody who has an ankle injury to see a specialist right away to rule out a fracture.

Even grade 2 and grade 3 ankle sprains need to be treated by a professional. If those sprains go untreated, patients have a high chance of developing lateral ankle instability. This is due to the constant twisting of the ankle, when walking on uneven surfaces, that can cause future problems such as osteochondral lesions and osteoarthritis.

For chronic lateral ankle instability, I perform Broström lateral ankle stabilization surgery that has been proven to be extremely successful long-term. The retinaculum is also repaired, and I use the periosteum from the fibula to re-create the ligament.

This surgery can be easily prevented if only patients have proper immobilization and care right after the original injury.

Call us today if you are experiencing ankle or any type of foot pain.

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

This is a very good example of how important it is to address any pain associated with Achilles tendon before it is too late, and patients need surgery.

Richard Sherman had pain in his Achilles tendon for about one year but he was so afraid to be cut from the team that he did not properly treat it and therefore suffered a complete rupture of the Achilles tendon on Thursday night. He will need surgery now, but it is a very good medical lesson to learn not to ignore your symptoms of pain.

When Achilles tendon issues are treated in a timely fashion, those disastrous injuries can be easily prevented. And the biggest question now is, will he ever be the same? Will he be able to play again?

There are non-surgical and minimally invasive surgical options like Tenex and amniotic injections that are available that can make a difference between a major operation and a simple injection or minimally invasive procedure.

Do not wait to be on the sideline, act now, schedule an appointment today at 863-299-4551. 

November 02, 2017
Category: Podiatry
Tags: Untagged

As plantar fasciitis occurs due to repetitive motion it causes small micro tears within the plantar fascia. A new technique called Tenex percutaneous plantar fascia repair has been developed. Tenex utilizes ultrasonic energy, it is safe and quick, and specifically designed for those who are suffering from painful condition associated with chronic plantar fasciitis.

I also use it on chronic Achilles tendonitis. Now I offer this solution that does not involve general open surgery, and it gives my patients quick relief of pain and carries a 95% success rate. My patients have reported to me that they absolutely did not want to have open plantar fasciotomy where a surgeon cuts or severs the whole plantar fascia. Potentially, that can cause future problems as the severing of the tendon can cause flattening of the arch and future arthritic changes within the foot.

The Tenex plantar fascia repair procedure is done at the surgery center under intravenous sedation with local anesthesia and it allows my patients to rapidly return to normal activities and achieve quick relief of pain. No sutures are required, and it is covered by most insurances. I have performed this procedure on professional athletes and Olympic runners with a high success rate. 

November 01, 2017
Category: Podiatry
Tags: Untagged

Plantar fasciitis, or heel pain, is probably one of the most common conditions that I see in my office. In fact, approximately 40%-60% of all patients that I see are due to some sort of heel pain. In Florida, I also find it more seasonal as Floridians wear a lot of flip-flops in the summer that provide absolutely no arch support and therefore are more likely to develop heel pain.

In the United States, approximately 2 million Americans seek medical attention annually due to plantar fasciitis. It is one of the most common musculoskeletal problems in the human body. 10% of people in the world will suffer from plantar fasciitis in their lifetime. Statistics are on our side as only about 5% of patients who have this condition will end up having to have surgery. There are multiple studies that show that just a combination of foot orthotics and night splints reduces pain by 50%.

Depending on the level of pain in the heel, Cortisone injections sometimes are necessary to help with healing process. Many studies have shown that functional orthotics prevent plantar fasciitis from coming back. A lot of my patients start experiencing heel pain 3 to 4 years after they have seen me and have received a pair of orthotics because they are starting to wear out and they need a new pair. Even if nonsurgical treatments do not work, there is a light at the end of the tunnel. There is a new procedure called Tenex that has success rate of close to 95%.

October 02, 2017
Category: Uncategorized
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Panthers tight end Greg Olsen exited the game due to injury and returned back to the sideline wearing a walking boot on crutches.

Most likely he will be in a non-weight-bearing position as I am suspecting that he has a Jones type fifth metatarsal fracture which is very common in NFL players. Usually, those type of fractures take about 6 weeks to heal but it is also directly proportional to the players compliance and ability to heal. Unfortunately out of 5 different types of fifth metatarsal fractures, Jones fracture is notoriously known for difficult healing. The main reason is interpositioning of one of the small muscles in the foot between the fracture fragments. This could cause fracture not to heal. Usually, if the displacement is minimal, less than 2 mm, I do not recommend surgery. I would recommend waiting for 6 weeks to see if there any signs of bone healing. We have seen in the past several NFL players with Jones fracture that had to be taken to the operating room. Hopefully, this will not be Greg Olsen‘s case.,

If his physician decides not to perform surgery right away, Greg will need serious of CAT scans to evaluate for bone healing.

Dr. Wellens

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