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Very unfortunate but also devastating injury for Mr. Canaan. From just assessing the picture, he definitely needs surgery right away. Sometimes surgeons have to wait for several days prior to the surgery to help with swelling.

Even though I have not seen the x-rays, most likely we’re dealing with Bimalleoli ankle fracture which means that both fibula and tibia which are the two main bones of the lower leg are broken and displaced.

Usually that requires either placing an external fixation frame on the ankle or using screws and plates to put the fracture back together to realign the joint. Fractures of the talus can also be present as well as multiple ligament injuries.

After the surgery, he will be nonweightbearing for six weeks and will require extensive physical therapy to prevent arthritis in his ankle. He will probably return to normal activity within the next 6 to 9 months but osteoarthritis is very common. 

At Central Florida foot and  ankle we treat everything, from most simple conditions to devastating injuries like this.

Dr. Tatiana Wellens, DPM, PhD

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.

December 07, 2017
Category: Podiatry
Tags: Untagged

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. 

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