Next Step: Foot Care In Connecticut

Posts for: September, 2012

ankle fracturefracture is a partial or complete break in a bone. Fractures in the ankle can range from the less serious avulsion injuries (small pieces of bone that have been pulled off) to severe shattering-type breaks of the tibia, fibula, or both.

Ankle fractures are common injuries that are most often caused by the ankle rolling inward or outward. Many people mistake an ankle fracture for an ankle sprain, but they are quite different and therefore require an accurate and early diagnosis. They sometimes occur simultaneously.

An ankle fracture is accompanied by one or all of these symptoms:

  • Pain at the site of the fracture, which in some cases can extended from the foot to the knee.
  • Significant swelling, which may occur along the length of the leg or may be more localized.
  • Blisters may occur over the fracture site. These should be promptly treated by a foot and ankle surgeon.
  • Bruising that develops soon after the injury.
  • Inability to walk- however, it is possible to walk with less severe breaks, so never rely on walking as a test of whether a bone has been fractured.
  • Change in the appearance of the ankle- it will look different from the other ankle.
  • Bone protruding through the skin- a sign that immediate care is needed. Fractures that pierce the skin require immediate attention because they can lead to severe infection and prolonged recovery.

Following an ankle injury, it is important to have the ankle evaluated by a foot and ankle surgeon for proper diagnosis and treatment. If you are unable to do so right away, go to the emergency room and then follow up with a foot and ankle surgeon as soon as possible for a more thorough assessment.

The affected limb will be examined by the foot and ankle surgeon by touching specific areas to evaluate the injury. In addition, the surgeon may order x-rays and other imaging studies, as necessary.



Treatment of ankle fractures depends upon the type and severity of the injury. At first, the foot and ankle surgeon will want you to follow the R.I.C.E. protocol:

  • Rest: Stay off the injured ankle. Walking may cause further injury.
  • Ice: Apply an ice pack to the injured area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
  • Compression: An elastic wrap should be used to control swelling.
  • Elevation: The ankle should be raised slightly above the level of your heart to reduce swelling.

Additional treatment options include:

  • Immobilization. Certain fractures are treated by protecting and restricting the ankle and foot in a cast or splint. This allows the bone to heal.
  • Prescription medications. To help relieve the pain, the surgeon may prescribe pain medications or anti-inflammatory drugs.

For some ankle fractures, surgery is needed to repair the fracture and other soft tissue related injuries, if present. The foot and ankle surgeon will select the procedure that is appropriate for your injury.

It is important to follow your surgeon's instructions after treatment. Failure to do so can lead to infection, deformity, arthritis, and chronic pain.

If you believe you have an ankle fracture or other ankle injury, call one of our six offices to make an appointment. 

Connecticut Foot Care Centers

Podiatrists in CT

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Happy fall! On this first day of autumn, we are ready to toss aside sandals and flip-flops for this fall's latest and greatest shoes. Hot on the runway for this season were classics with a twist. Here's our list of must have shoes:

1. Booties. If you're only going to buy one new pair of shoes this season, booties are your best bet- you can dress them up or down, and they look hot while still being practical.


2. Sexy pointy heels. This trend is probably inspired by the fashion of Mad Men (think sexy secretary!). These shoes are also perfect for work.


3. High heeled loafers. Ok, so not everyone is going to like this trend. Some comments have been that they look like granny shoes. But seriously, would granny wear a 2 inch heel and rock them with a pair of skinny jeans?


4. Snakeskin print. You don't have to purchase shoes that have real snakeskin; make the choice to go faux! They make an outfit seem cooler, go with just about anything, and there are a lot of options this season.


5. Preppy shoes. Feel studious and fashionable with classic shoes that are good in every season!

If you have a foot problem or injury, call one of our six locations to make an appointment. 

Connecticut Foot Care Centers

Podiatrists in CT

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Despite the fact he has two broken bones in his foot, Motley Crue frontman Vince Neil is refusing to bail on his concert tour, insisting he'll play through the pain (which we don't recommend!).

Neil fractured two bones on his left foot while performing the band's finale at the Blossom Music Center last Wednesday night when extra steps were added to a stage exit production number and he wasn't told about the change. He tweeted a picture of his swollen foot before going to the doctor and said: "Cleveland tonight. Paramedics think I broke my foot. I hope not. Getting x-rays tomorrow in Toronto. Thanks Cleveland for understanding!"

Neil has since had the foot in a cast, but told TMZ nothing would keep him from the stage, even though he might have to tone down the physical stuff.

"Even though he's got two broken bones in his foot, he is performing for the rest of the tour. He is a trooper," said bandmate Nikki Sixx.

"The show must go on," said Neil. I thank my fans for their support and am sorry to disappoint them with a limited performance. I'm sorry it's impossible to give them the show they deserve."

If you believe you have a broken foot and have not seen a podiatrist, call one of our six offices to make an appointment. 

Connecticut Foot Care Centers

Podiatrists in CT

Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter.

The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. The top of the talus is dome-shaped and is completely covered with cartilage- a tough, rubbery tissue that enables the ankle to move smoothly. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). Osteo means bone and chondral refers to cartilage.

Talar dome lesions are usually caused by an injury, such as an ankle sprain. If the cartilage doesn't heal properly following the injury, it softens and begins to break off. Sometimes a broken piece of the damaged cartilage and the bone will float in the ankle.

Unless the injury is extensive, it may take months, a year, or even longer for symptoms to develop. The signs and symptoms of a talar dome lesion may include:

  • Chronic pain deep in the ankle- typically worse when bearing weight on the foot (especially during sports) and less when resting.
  • An occasional clicking or clacking feeling in the ankle when walking.
  • A sensation of the ankle locking or giving out.
  • Episodes of swelling of the ankle- occurring when bearing weight and subsiding when at rest.

A talar dome lesion can be difficult to diagnose, because the precise site of the pain can be hard to pinpoint. To diagnose this injury, the foot and ankle surgeon will question the patient about recent or previous injury and will examine the foot and ankle, moving the ankle joint to help determine if there is pain, clicking, or limitation of motion within that joint.

Sometimes the podiatrist will inject the joint with an anesthetic (pain-relieving medication) to see if the pain goes away for a while, indicating that the pain is coming from inside the joint.

X-rays are taken, and often an MRI or other advanced imaging tests are ordered to further evaluate the lesion and extent of the injury.

Treatment depends on the severity of the talar dome lesion. If the lesion is stable (without loose pieces of cartilage or bone), one or more of the following non-surgical treatment options may be considered:

  • Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus. During this period of immobilization, nonweightbearing range-of-motion exercises may be recommended.
  • Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
  • Physical therapy. Range-of-motion and strengthening exercises are beneficial once the lesion is adequately healed. Physical therapy may also include techniques to reduce pain and swelling.
  • Ankle brace. Wearing an ankle brace may be help protect the patient from re-injury if the ankle is unstable. 

If non-surgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. Surgery may involve removal of the loose bone and cartilage fragments within joint and establishing an environment for healing. A variety of surgical techniques in available to accomplish this. The surgeon will select the best procedure based on the specific case.

Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop in the joint, resulting in chronic pain, swelling and limited joint motion. Treatment for these complications is best directed by a foot and ankle surgeon, and may include one or more of the following:

If you believe you have a talar dome lesion, call one of our six offices to make an appointment. 

Connecticut Foot Care Centers

Podiatrists in CT

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Dancing With the Stars Gilles Marini has been seen wearing a bandage around his right ankle while leaving the studio. 

In the spring Marini had stepped on a sewing needle and broken his toe. Part of the needle was lodged in his toe, and Marini visited a specialist in Las Vegas in June to have the needle surgically removed. He filmed and posted the footage of his surgery to his Twitter page. While we're not going to post the gory footage here, the doctor is seen slowly extracting the needle from his toe and Marini declares: "I did not feel a thing. The anaesthetic shots are painful, but let me tell you, I did not feel a thing."

The needle accident does not seem to have anything to do with the bandage that is around Marini's right ankle. Marini is also having some knee pain, saying he "hurt something already," and speculated that it was his MCL. The medial collateral ligament (MCL) is one of four ligaments that stabilizes the knee joint.

We'll have to watch and see how Marini's foot injury plays out this season on DWTS, and who else injures their foot- seems like someone always goes down with a foot injury! The season premiere is Monday September 24th on ABC.

Connecticut Foot Care Centers, Podiatrists in CT

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