How healthy are your arteries?
Do you ever experience extremely painful muscle cramping in your hips, buttock, thighs or calves when walking or exercising? Does this pain stop after a few minutes after you stop walking or exercising? If you answered yes, to these questions you might be at risk for PAD.
What is PAD?
It’s estimated that Peripheral arterial disease affects approximately 8.5 million Americans. This cramping pain that you feel is called intermittent claudication. This is basically when your muscles are alarming the rest of your body that it needs more blood, in order to keep walking or exercising. Sometimes blockages in your arteries, due to plaques, won’t allow enough blood to get to the muscles that it is demanding. The older you are the more at risk you are for having PAD.
How can you diagnose PAD?
PAD can be diagnosed through a series of non- invasive vascular test, such as ABIs (Ankle Brachial index). This is an exam where you compare the blood pressure of your ankles to the blood pressure to your arms, this determines how well your blood is flowing.
We simple place blood pressure cuffs on your arms, thighs, calves and ankles and take your blood pressure at each level. This is a painless test that is quick and easy to perform in our office. If you think you might need a test please don’t hesitate we will be glad to perform the exam and review your results.
If you or someone you know might be interest in discussing more about PAD signs and symptoms, come into our office Frederick Foot & Ankle. We would be more than happy to schedule an appointment, at any of our 3 offices in Frederick, MD or Urbana, MD.
October is Breast Cancer Awareness month, so show your pink pride to support Breast Cancer Awareness and wear some pink. This month we aim to raise awareness of this devastating disease. While many people are aware of breast cancer in general, however we strive to educate people about early detection. With all cancers, but especially breast cancer, the treatment options have better prognosis and outcomes with earlier detection and diagnosis.
In October the National Breast Cancer Foundation takes the social medial world by storm. They have their own Facebook, Twitter and even their own YouTube channel! With all this promotion over social media they can spread the word about their amazing community reach out programs. From "Early Detection Plan” to "Beyond the Shock" to their generous fundraisers.
The "Early Detection Plan" aims to preemptively fight Breast Cancer, in the best way we know how... by having a plan that help you detect this disease sooner than later. If you go on the National Breast Cancer Foundation you can customize a calendar so that you can receive reminders to do a self-breast exam at home and to have scheduled mammograms. The time period between your mammograms, differs from person to person, because it is based on your age and/or your family's health history.
The "Beyond the Shock" program aims to help recent diagnosed people or family member better understand the disease; from staging to the different treatment options. If you go to the official website for the National Breast Cancer Foundation there is a Beyond the Shock, link that leads you into a comprehensive online guide to all the ins and outs of breast cancer as a disease.
October is a huge month not only for raising awareness, it is also a big month for fundraising opportunities. The National Breast Cancer Foundation holds fundraisers to help provide mammograms for women in need. Also, the Susan G. Komen walk is held in October. One of our Frederick Foot and Ankle team members has volunteered, at the medical tent for the "Race for the Cure" in Philadelphia for the past 2 years. "It’s amazing to hear their stories and to be able to give back is a wonderful experience. Its touching how each and every one of the race participants is a fighter, whether they are a survivor themselves or a friend or family member."
By Nikki Ho
On a Saturday recently SoldierFit hosted a tournament called Mission Submission, which included different disciplines of Martial Arts to showcase their abilities. They are known to be the Greatest Grappling Tournament in the DMV area!
Common Injuries of Grappling?
Overtime the constant jamming or micro-trauma to the big toe joint (1st metatarsalphalangeal joint (1st MPJ)) can turn into Turf Toe, yes even though grappling usually occurs on mats. The term Turf Toe originated from football players wearing their flexible cleats, allowing their big toe to jam into their 1st metatarsal head, at each push off for a tackle or a sprint. With each hyperextension of their 1st MPJ it causes micro-trauma to the joint, resulting in chronic painful movement down the line.
Hallux Limitus/Hallus Rigidus
Turf Toe official term is Hallux Limitus/Hallus Rigidus (HL/HR). You might start complaining of a painful big toe, with a constant aching, dull, and/or throbbing pain. This pain could result from some acute trauma or a repetitive micro-trauma, such as pushing off the mat while preparing for Mission Submission grappling tourney. You might experience decrease range of motion (up and down motion) in your big toe joint.
Conservative treatment options for hallux limitus/hallux rigidus are orthotics, rocker bottom soled shoes, NSAIDs or intra-articular corticosteroid injections. There are also multiple surgical options for HL/HR that can be discussed and scheduled with anyone of your wonderful doctors.
If you or someone you know might be interest in discussing more about your hallux limitus or hallux rigidus, come into our office Frederick Foot & Ankle. We would be more than happy to schedule an appointment, at any of our 3 offices in Frederick, MD or Urbana, MD.
What is Sever’s disease?
Sever’s disease is also known as calcaneal apophysitis. It is not as severe as its name may lead you to think. Sever’s disease is an inflammation (swelling) of the growth plate in the calcaneus bone, or the heel bone. SD is very common in active growing kids, effecting boys more than girls. SD usually occurs during a growth spurt around the age ranges of 8-13 years old in females and 10-15 years old in males. Kids often complain about certain shoes or cleats hurting them during practices, games, or even at recess. You will notice a decrease in physical activity in your child. Certain extreme foot types can exacerbate their symptoms, such as a flat feet or high arches. SD is also common in overweight children.
How is it treated?
Sever’s disease, or childhood heel pain, is often treated similarly to adult heel pain (plantar fasciitis). Stretching exercises are usually the first line of defense. You really need to help release all these tight posterior compartment muscles in your lower leg, i.e. your calf muscles. Your local podiatrist should have more information and can properly train your child on how to do these exercises. There’s also RICE: Rest, Ice, Compression and Elevation. The RICE treatment is used to relieve some of the swelling at the heel bone. Also heel cups and inserts can be worn in shoes, such as sneakers and cleats, to help the posterior calf muscles pull less on the heel bone. If the pain isn’t relieved by the above listed treatments, maybe an oral anti-inflammatory medication would help relieve some symptoms. However, oral anti-inflammatory medicines will only help with symptom relief and won’t be treating the underlying cause. To treat the root cause, one must loosen up the posterior calf muscles and allow the heel bone to rest. This is the main source of treatment for Sever’s disease.
If you or someone you know might be interest in discussing more about your child’s heel pain, come into the office of Frederick Foot & Ankle. We would be more than happy to schedule an appointment for you, at any of our 3 offices in Frederick, MD and Urbana, MD.
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