Monday, August 31, 2015

Post-Op Patient Testimony after Dr Wellens performs Achilles Tendon Sur...

Central Florida Foot & Ankle Center, LLC101 6th Street N.W.Winter Haven, FL 33881Phone: 863-299-4551

Tuesday, June 9, 2015

4 months Post-Treatment after Toenai Fungusl Laser Treatment w/ Dr. Wellens

Central Florida Foot and Ankle Center, LLC.101 6TH St. NW. Winter Haven, Fl. 33881 863-299-4551

Monday, June 1, 2015

Patient testimony 2 years after using functional orthotics

Central Florida Foot and Ankle Center101 6th St Nw Winter Haven, Fl 33881Phone: (863)

Monday, April 20, 2015

Patient Testimony after Partial Tear Achilles Tendon Surgery with Dr We...

Central Florida Foot & Ankle Center, LLC101 6th Street N.W.Winter Haven, FL 33881Phone: 863-299-4551

Tuesday, July 22, 2014

Hyperhidrosis of the Feet

Hyperhidrosis of the feet, also termed plantar hyperhidrosis, is characterized by excessive sweating of the feet that is not onset by any cause, such as exercise, fever, or anxiety. Most people suffering from hyperhidrosis of the feet also experience hyperhidrosis of the hands, or palmar hyperhidrosis. Approximately 1-2% of Americans suffer from this disorder.

Sweating is a healthy process utilized by the body in order to cool itself and maintain a proper internal temperature, which is controlled by the sympathetic nervous system. In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than is actually needed.
Plantar hyperhidrosis is considered primary hyperhidrosis. Secondary hyperhidrosis refers to excessive sweating that occurs in an area other than the feet, hands, or armpits, and this indicates that is related to another medical condition, such as menopause, hyperthyroidism, or Parkinson's disease.

The symptoms of hyperhidrosis of the feet can include foot odor, athlete's foot, infections, and blisters. Because of the continual moisture, shoes and socks can rot which creates an additional foul odor and can ruin the materials, requiring shoes and socks to be replaced frequently. In addition to the physical symptoms, emotional health is often affected as this disorder can be very embarrassing.

If left untreated, hyperhidrosis will usually persist throughout an individual's life. However, there are several treatment options available. A common first approach to treating hyperhidrosis of the feet is a topical ointment. Aluminum chloride, an ingredient found in antiperspirants, can be effective at treating hyperhidrosis if used in high concentration and applied to the foot daily. Some individuals can experience relief this way, while others encounter extreme irritation and are unable to use the product. Another procedure is the use of Botulinum Toxin A, commonly referred to as Botox. This is injected directly into the foot, and is effective at minimizing the sweat glands in the injected area. These injections must be repeated every 4 to 9 months.

If these treatments are ineffective, oral prescription medications may be taken in an effort to alleviate the symptoms. Again, some will experience relief while others do not. Going barefoot reportedly provides relief for most sufferers.

A final approach to combating hyperhidrosis of the feet is through surgery. Surgery has been less successful on patients with plantar hyperhidrosis than on those with palmar hyperhidrosis. It is only recommended when sweating is severe and other treatments have failed to work. This kind of surgery usually involves going into the central nervous system, and cutting nerves to stop the transmission of signals telling the foot to sweat.

Central Florida Foot and Ankle Center, LLC. 101 6TH St. NW. Winter Haven, Fl. 33881 863-299-4551

Monday, April 23, 2012

Ryan Howard Eager to Return to Phillies

Philadelphia Phillies’ first baseman Ryan Howard may be returning to play soon, following his surgery at the end of last season for a torn Achilles tendon.  Howard sustained the injury while making the final out in the 2011 NLDS game.  He had been showing signs of improvement during spring training, but developed an infection at the site of the repair, requiring revisional surgery.  He reportedly took his first batting practice last week.

What is an Achilles tendon rupture?

The Achilles tendon runs along the back of the leg and connects the calf muscles to the heel bone.  It is one of the strongest tendons in the body, and functions to help lift the heel while walking.  The Achilles tendon may sometimes be referred to as the “heel cord”.

The Achilles tendon can rupture when excessive forces run through the tendon as the muscle is contracting.  This may come from landing on the heel during sports such as basketball, or from accelerating too quickly.  It may also be caused by direct trauma to the back of the leg or foot. 

Achilles tendon ruptures are most commonly seen in the “weekend warriors”.  These are typically middle-aged individuals who participate in high-intensity sport for recreation, but do not have proper conditioning.  Less commonly, ruptures can be seen secondary to systemic inflammatory conditions such as rheumatoid arthritis, or with certain types of drugs such as steroids.

Signs and symptoms of an Achilles tendon rupture include a sudden onset of pain, which is often described as a snapping sensation in the back of the leg, as if one has been kicked.  There is often an audible “snap” or “pop”, and the area between the calf muscles and the heel will swell up almost instantly.  A person with an Achilles tendon rupture will usually have difficulty walking, particularly uphill or upstairs. 

Prompt treatment is required in the event of Achilles tendon rupture.  Until the person can be seen by a doctor, RICE therapy should be applied.  This includes rest, ice, compression, and elevation.  Rest should include staying off the foot, with a wheelchair or crutches if they are available.  Ice should be applied to the area, often with a towel protecting the skin from direct exposure.  Compression may be achieved with the use of an elastic bandage.  Elevation of the leg above the level of the heart will help decrease swelling and pain in the area. 

Diagnosis of an Achilles tendon rupture can be made through a thorough clinical exam.  This includes inspection of the back of the leg for a delve where the tendon is normally taught.  Motor testing will reveal a decrease in strength of plantarflexion (pointing the toes towards the ground) with associated pain.  Squeezing the back of the calf where the muscles are will also recreate the pain, and may show that the foot has limited or no motion compared to the unaffected side.  Imaging studies such as x-rays or MRI may be used to further evaluate the leg for any associated injury such as fracture or dislocation, as well as measure the extent of the tear. 

Treatment for Achilles tendon ruptures is broken down into non-surgical and surgical treatment.  Non-surgical treatment involves placing the foot and leg into a cast, and limiting the motion of the ankle joint.  This allows the ends of the tendon to repair and heal themselves.  This process can take anywhere from 8-12 weeks, and avoids surgery.   However, research has shown that there is a higher rate of re-rupture following conservative treatment versus surgical intervention.

Surgical intervention for Achilles tendon ruptures is often used, and there are a number of different procedures and techniques available.  Essentially, all of these techniques revolve around rejoining the broken ends of the tendon.  This may be done with sutures, tendon grafts, or techniques of lengthening the muscle and tendon, or even transferring a nearby tendon to help in the repair.  There are inherent risks involved in surgical treatment, including delayed healing and infection.  However, surgical intervention has been shown to have a lower rate of re-rupture, and is often used in younger patients and high performance athletes. 

Whether the treatment for an Achilles tendon rupture is surgical or conservative, physical therapy is required for rehabilitation.  This involves a number of exercises designed to help strengthen the muscles and tendons, and help retrain the body to adapt to the repair.  It can often take up to six months for a patient with an Achilles tendon rupture to return to their pre-injury level of athleticism and performance.  

Central Florida Foot and Ankle Center, LLC. 
101 6TH St. NW. 
Winter Haven, Fl. 33881 

Thursday, March 29, 2012

Springtime Running Tips

Springtime is here and running season is back!  If you're looking to get back into running shape, shed a few winter pounds, or even run your first marathon, here are a few tips to get you started.

Check your gear. How old are your running shoes?  Did you get them last summer?  Maybe the year before?  Have you been beating them up on the treadmill all winter long?  Chances are, you'll need a new pair to start running with.

Look at the EVA padding along the shoe. The EVA, or ethylene-vinyl acetate, is that layer of foam between the upper and the rubber sole of the shoe. Are there vertical creases in the EVA that don't go away?  This is one of the signs that the shoe's padding is wearing thin, and isn't doing its job anymore. Also take a look at the bottom of the shoe. The sole of the shoe should have a nice tread on it, and the wear pattern should go down the middle of the shoe. If the sole is very worn down, particularly if it unevenly worn down, a new pair may be necessary.

Start slow. Even if you've been running on the treadmill all winter, running outside can take some adjusting. Pavement is much harder than treadmill running, and can be much less forgiving on your muscles and joints. Overuse injuries like stress fractures and tendinitis are extremely common in the beginning of the training season.

If you haven't been running at all, starting slow is especially important. Going from the couch to running several miles can be very hard on the body. Warm up with stretching and a brisk walk before getting into a quicker pace.
Stay hydrated. Running outside in the heat can cause you to sweat even more than usual. Drink a glass of water about 20 minutes before going for a run, and be sure to bring some extra water with you for longer runs. Gatorade and other sports drinks can help replenish electrolytes, which are also lost during heavy sweating.

Watch the sun exposure. While it may feel great spending time in the sun, too much exposure can increase the risk of skin damage and development of skin cancer. Be sure to wear sunscreen, sunglasses, and a sun hat to limit your exposure. If you are fair-skinned and burn easily, you may consider wearing a lightweight long-sleeved t-shirt when running outside.

Enjoy yourself. Spending time outside running can boost your mood and energy level, and can make you feel great. It is a great way to get exercise, and a great way to enjoy the weather.

Central Florida Foot and Ankle Center, LLC. 
101 6TH St. NW. 
Winter Haven, Fl. 33881 

Central Florida Foot and Ankle Center