117 Lazelle Rd East Ste. B
Columbus , OH 43235
5130 Bradenton Avenue Ste. A
Dublin, OH 43017
Phone: (614) 859-FEET (3338)
Fax: (877) 877-4797

Our Blog

Posts for tag: foot injury

By drbhatia
January 16, 2012
Category: Foot Care

Although they do not have a date set in Columbus, fans traveling to see the Red Hot Chili Peppers tour for their 2011 album may be wondering what has led them to reschedule many of their appearances.   The cause of these major changes in concert dates is due to lead singer Anthony Kiedis’s painful foot injury of the two small bones at the base of the big toe called sesamoids. 

While many people believe there are 26 bones in the foot, there are technically 28 due to the 2 small constant sesamoids that Kiedis appears to have injured.  Normally the term sesamoid refers to a bone that is not found as part of the normal bones of the body and only appears in a small percentage of the population.  Sesamoids form in tendons and joint capsules to reduce the friction or alter the pull of the tendon.  The 2 constant sesamoids at the base of the big toe are found in a tendon; however they are present in the majority of the population unlike a typical sesamoid and thus are termed “constant”.  Sesamoids can also form elsewhere in the foot not as part of the normal anatomy and thus can occasionally cause discomfort.  Anthony Kiedis unfortunately discovered that the constant sesamoids can become irritated or fractured.  Because these bones are placed under tremendous pressure with each step we take as the foot propels off the ground, any damage to them can cause immense pain and trouble ambulating. 

Irritation and inflammation of the tendons surrounding the sesamoids is called sesamoiditis.  This is a type of tendonitis that does not typically require surgery as part of its treatment.  Fracture of the sesamoids occurs more commonly to the medial sesamoid, or the sesamoid that is located to the side of the big toe away from the other toes.  This is because the two sesamoids are separated from each other by a bony ridge called a crista on the bone they lie beneath.  The medial sesamoid can often slide under this crista and burst or fracture into many small pieces of bone when placed under pressure.  Surgery may be required to remove pieces of the sesamoid bone that have “died” from loss of blood supply.  Kiedis underwent this surgery to not only clean up the sesamoid fracture but also to correct the placement of the muscle tendon that the sesamoid usually lies within. 

Continuing to walk with a painful injury could have led to additional problems by the body attempting to compensate and avoid placing pressure on the sesamoid.  By undergoing the appropriate treatment soon after identifying his sesamoid injury, Kiedis should enjoy immense pain relief and regaining the ability to give high energy performances at his newly scheduled tour dates!

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Lewis Center. If you would like to see a podiatrist in Dublin, Ohio near Tuttle Crossing, call 614-885-3338 for an appointment.

By Dr. Animesh (Andy) Bhatia

0 Comment(s) Permalink
By drbhatia
September 20, 2011
Category: Foot Care

 

Many diabetic patients may have heard warnings to look out for “charcot foot” but they may not know exactly what this means.  Different from diabetic charcot foot is an inherited disease with another characteristic foot type called Charcot-Marie-Tooth disease.  As a part of September’s Charcot-Marie-Tooth (CMT) disease awareness month, it is critical for patients to understand the differences between these two neurological disorders. 

CMT

Charcot-Marie-Tooth disease is caused by a gene defect that is often inherited.  If CMT is seen in other family members, parents should be on the lookout for the development of slowly progressing muscle weakness in the lower extremities before age 20.  Individuals with CMT have nerves that lose their myelin covering, which normally allows signals to be sent to and from skin and muscles at a normal speed allowing sensation and muscle contraction.  Patients will not usually complain of any numbness because their sensation was likely never completely normal.  As a result of the weakness and loss of sensation, first in the legs then typically seen in the upper extremities, kids with CMT may seem clumsy and have difficulty walking without tripping or rolling their ankles. The feet will often have a high arch appearance and may be prone to ulcers from damage caused by lack of ability to sense pain. 

Diabetic Charcot Foot

Patients with diabetes need to be concerned about charcot arthropathy when they develop areas of the foot where they can no longer feel anything.  The combination of lack of sensation allowing damage to the foot that patient cannot feel and an increased blood flow supplying mediators of the inflammatory process allows a “charcot joint” to develop.  In the charcot joint, the repeated small injuries occurring cause bones to gradually fracture and dislocate.   This causes deformity (often an extreme flat foot) which typically places the diabetic patient’s foot at a greatly increased risk of developing ulcers and subsequent infection with severe consequences.  The most common signs of the development of charcot arthropathy are swelling and increased temperature of the affected area of the foot, redness, pain and the feeling of a “loose bag of bones” when the joint is moved. 

In both diabetes with loss of sensation, and Charcot-Marie-Tooth, foot self-exams are immeasurably important in preventing ulceration and further complications.  Protective shoe gear and custom made orthotics can provide additional protective measures for the foot.  As shown by these two disease processes, loss of sensation in the foot is a major problem that should always be evaluated by your podiatrist.  

Please visit www.columbusfoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, Ohio. Columbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington. To schedule an appointment with a podiatrist in Dublin, Ohio, near Tuttle Crossing Mall, please call 614-885-FEET (3338).

By Dr. Animesh (Andy) Bhatia

0 Comment(s) Permalink


Archive:

Tags

Categories:

Our Blog Facebook Twitter Myspace

 

Podiatrist - Animesh Bhatia, D.P.M., C.W.S. , Sarah Newby, D.P.M. , Columbus OH, 43235, Dublin, OH 43017, (614) 885-3338
If you are in search of an experienced podiatrist in Columbus Ohio, you have come to the right place. Our podiatrists in Columbus, OH and Dublin, OH are highly skilled in many aspects of podiatric treatments. Selecting a foot doctor in your area can be a difficult task, but it doesn't have to be, especially when you have Dr. Bhatia and Dr. Newby as options.