Foot and Ankle

Some of the most common orthopaedic problems people have involve areas in the foot and ankle. All-Star Orthopaedics and our lead foot and ankle surgeon, Dr. Brian E. Straus, offer a variety of treatments to help you reduce the pain and discomfort associated with injuries or conditions afflicting the feet and ankles. We offer only the most advanced techniques and therapies, and we only recommend surgery when all other options have been exhausted. If surgery is necessary, our board-certified orthopaedic surgeon can help to improve your condition and get you back to living an active lifestyle.

Please contact All-Star Orthopaedics to schedule a consultation with our specialists here in the Dallas-Fort Worth, Texas region.

Visit the American Association of Foot and Ankle Surgeons patient education page Foot Care MD for additional topics and information.

Common afflictions of the foot and ankle include:

Ankle Sprain

When the foot rolls, turns, or twists beyond its normal abilities, a sprained ankle is often the result. Ankle sprains typically occur when the foot lands in an odd position and with great force, causing stretched ligaments and sometimes an actual tearing of elastic fibers. Pain, swelling, and trouble walking are common symptoms from this very common injury. Depending on the severity of the sprain, most ankle sprains need only time and adequate protection to heal. Rest and elevation of the ankle, along with ice and compression are often recommended. Sometimes immobilization and/or crutches may be necessary. Medication can help with pain and swelling in many cases of ankle sprain. Severe sprains may require physical therapy, casting, and – only in rare cases – surgery. Ankle sprains can often be prevented by properly warming up before exercise, paying close attention to surfaces while walking, and wearing good, comfortable shoes.

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Click on the image below to download Dr. Straus’s Ankle Sprain Interview

Bunions

Bunions are typically enlarged joints in the big toe which can become very swollen and painful. Usually caused by ill-fitting shoes or an inherited genetic trait, bunions can often be treated by wearing shoes that conform to your foot and does not cause undue stress on the toe. Painful symptoms may be treated by various show inserts and padding. Severe cases of bunions may require surgery.

Heel Pain /Plantar Fasciitis

Sometimes, the connective tissue between the sole of the foot and the heel bone can become inflamed and cause pain and discomfort. Although this condition often improves by itself, medication, shoe inserts, and stretching exercises can help alleviate the pain. However, more severe cases may need steroid injections or walking casts to treat the condition, and prolonged cases of heel pain may require surgery.

Morton’s Neuroma

Morton’s Neuroma occurs most commonly between the third and fourth toes, but may occur between any of the toes. A nerve between these toes can become pinched because of wearing tight shoes or other factors, leading to pain and discomfort in the toes. Wearing wider shoes and taking oral medications can reduce the inflammation and swelling around the nerve, and a foot pad to help keep the bones spread may also be helpful. Cortisone injections may also be beneficial; if pain persists, surgical intervention may become necessary.

Achilles Tendonitis

The Achilles tendon connects the calf muscle to the heel bone, and is the most frequently injured tendon in the body. Achilles Tendonitis is typically caused by inflammation and overuse, often after a sudden change or increase in your exercise routine, trauma from a calf muscle contraction, or inadequate stretching before and after exercise. Pain in the area after exercise and swelling are common symptoms of Achilles Tendonitis. All-Star Orthopaedics generally recommends rest of the inflamed area, avoidance of activities which may exacerbate the condition, gentle stretching, a shoe insert or heel pad, oral anti-inflammatories, or complete immobilization for a temporary period of time. Surgery is typically a last-resort option. To avoid problems like Achilles Tendonitis, individuals should choose comfortable running shoes, always do stretches and warm-ups before exercise, increase speed or distance on a gradual basis (no more than 10% a week), and perform the proper cool-down regimen after exercise.

Hammertoes

A hammertoe is characterized by a deformity of the second, third, or fourth toe. The toe is bent at the middle joint, and can be aggravated by ill-fitting shoes. Pain maybe felt along the top or bottom of the toe, and can lead to the development of a hard corn in the area. Better-fitting shoes can often lessen the pain from hammertoe, and shoe pads or inserts may also be beneficial. Surgery may become necessary if non-surgical options are not helping.


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