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Posts for tag: pain in foot

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

running, running injury, foot pain, podiatrist in Columbus OH, athletic injury, stress fracture, foot injury, ankle injury

This past Wednesday, June 1, National Running Day was celebrating by runners of all levels across the country.  Only a few minutes from the office here at Columbus Podiatry and Surgery, there were meetings in both Worthington and Dublin, Ohio to have an extra celebratory run and train for upcoming races. 

All runners out there know that foot and leg soreness and sometimes pain can go along with running, but when pain becomes an aggravation to the runner, they need to contact their podiatrist to prevent more serious issues from developing.  One of the most common athletic injuries seen in both the foot bones and shin bone, or tibia is a stress fracture.  Stress fractures are a small crack in the surface of the bone caused by overuse.  Running is a common trigger for this type of injury because the repetitive motion of each stride on the foot can allow too much pressure to be absorbed by an area of bone.  This results in a fracture that can often be difficult to conclusively diagnose without taking an x-ray or bone scan.  By obtaining an image of the bone through one of these methods, a stress fracture in the shin can often be differentiated from an even more common, but less serious running injury called a shin splint.   In a shin splint, the bone itself is not damaged, but the area of muscle attachments on the bone has become irritated and painful. 

Runners should take measures, not only on National Running Day, but everyday to try to prevent stress fractures.  Properly fitting, supportive running shoes are a key to prevention.  Gradually building up your training and adding on miles slowly also can help in avoiding both stress fractures and shin splints.  If even with these measures you begin to feel a persistent, localized pain in your foot or leg, a stress fracture could be the culprit.   Taking recovery time from sports and icing the area can often help to lessen or alleviate more minor causes of pains.  If pain continues, it is important to remember that the earlier a stress fracture is diagnosed; the quicker the recovery will be and the better the chances are that it can be treated without surgery.  By taking proper care of feet and visiting a podiatrist at the first signs of injury, runners can limit what they often despise more than anything else: having to take time off from running!!

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

By Dr. Animesh (Andy) Bhatia



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