The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.
To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery on lower extremity fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.
When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.
Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise and referrals will be made to specialists that handle the greater health problems.
Some podiatrists have their own solo small private practices or clinics where they have a small staff and administrative personnel but many work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals or visiting patients in nursing homes. They typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Some other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.
Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that result from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.
When non-invasive procedures fail to help with issues pertaining to the foot, sometimes foot surgery may be necessary. Some cases that demand surgery can include foot deformities such as bunions and bone spurs, arthritic problems, and reconstruction as a result of injuries caused by accidents and congenital malformation. Regardless of age or race, foot surgery can help all individuals.
If foot surgery is necessary, the reason you will need the surgery will affect the type of surgery you need. For example, a bunionectomy may be performed to remove a growth such as a bunion. If you need to have bones realigned and fused together, you will likely undergo a surgical fusion. Surgical removal of painful nerves are used when it comes to problems dealing with nerve pain and the tissues surrounding it. Normally other, less drastic treatments are applied for most symptoms, but if those treatments are not effective, surgery is used.
Although foot surgery is considered a last resort by many physicians, there are benefits if it used to fix the problem. The first advantage is that the pain associated with the problem is normally alleviated, allowing you to resume the activities you could not do as a result of your foot problem. The second advantage is that once the surgery is complete, the problem with your foot is generally eliminated since it was addressed in a permanent fashion.
The history of podiatry shows that foot surgery techniques advance each year. For example, endoscopic surgery is one of the many advancements in the realm of foot surgery. As this technology evolves and improves, so will surgical techniques. Many procedures can now be completed with the use of a very small incision and smaller, more refined surgical instruments. Due to these better and more useful tools, surgeries are less invasive and recovery time has become a lot shorter. Shorter recovery periods allow you to be back on your feet in no time.
Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.
Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.
Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.
Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility.
Whether out on the field or on the courts, in practice or in game, athletes put their bodies through great strain. There are some sports that are more demanding and taxing on the body than others, but the fact is that every sport has an element of unnatural motion or inorganic movement. Take baseball for example. A pitcher winds up and flings their body with incredible amounts of torque in order to get the most possible velocity out of their pitches. This motion is incredibly taxing on the body and can cause serious damage to people.
Yet one of the most salient issues with regards to athletic injuries is with the feet. Whether its simple turf toe, which can leave athletes sidelined for months, or a damaging fracture, foot injuries can be very frustrating. No matter the sport, athletes need to use their feet in some fashion. This is why foot therapies are so important in order to get athletes back on the right track and training again.
No matter the injury, the best way to expedite a convalescence period is to receive physical therapy. Physical therapy is an empirically founded practice that has been proven to work for millions of people. Physical therapists have gone through years of schooling specifically so that that they are able to help people return to form from any injury.
During physical therapy for foot injuries, you will go through regimented training in order to get back to form. Sometimes the training can be very difficult, especially in the beginning when the foot feels awkward, almost like you may have forgotten how to use it. At first you will do basic stretching and twisting exercises in order to get the foot mobility and flexibility back up. The therapist will also massage the injured area in order to activate the muscles as well as to relax them. Over time, however, you will eventually move up to strengthening exercises. These exercises will be designed specifically so that activation of the injured area is ensured. These exercises are extremely important so that the foot regains its strength and mobility.
Foot therapy for sports is a miracle in modern science. Although devoid of fancy chemicals and terminology, therapy is an evidence based practice that is just as intelligent and well designed as any other. Because of huge advancements with regards to knowledge surrounding how muscles and joints work, physical therapists are able to turn catastrophic injuries around so that athletes can get back on their feet again.