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Ankle Sprains and Strains: Similar but Different

The words sprain and strain are very similar. So too, are several symptoms of an ankle sprain and ankle strain. Ankle sprains involve the ligaments which hold the bones of the ankle together and support it, while strains involve ankle muscles, often where the muscle attaches to a tendon. In a sprain, the pain is immediate and there may be bruising, while pain from a strain can sometimes come on gradually and a bruise is typically not visible. Both injuries can produce localized swelling, inflammation, and redness. Yet, there may be a noise—an audible popping sound the moment the ligament is injured—in an ankle sprain, which does not occur when you strain the muscles in your ankle. However, you may experience cramps, spasms, or weakness in the muscle when you’ve strained your ankle, which usually doesn’t occur if you’ve sprained the ligaments of your ankle. Both conditions can make it difficult or impossible to move your ankle or to place weight on it. If you are experiencing any type of pain, inflammation, redness, or swelling in your ankles, contact a podiatrist to have your condition properly diagnosed and treated.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Blake Zobell from Utah. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in Richfield and Ephraim, Utah . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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The Dangers of Gangrene

Several chronic diseases that affect the feet – such as diabetes, peripheral artery disease (PAD), and Raynaud’s disease – can lead to a severe deterioration of the tissues that causes gangrene. When blood circulation to an area of the body, such as the feet or legs, is blocked, the tissue breaks down and eventually dies. Symptoms include coldness and numbness; pain, redness, and swelling; a foul odor emanating from the affected area; and discoloration of the skin. If left untreated, gangrene may lead to amputation and can sometimes be fatal. Treatments include antibiotics, removal of dead tissue, hyperbaric oxygen therapy, and removal of the blocked artery, depending on age, physical condition, and severity of the case. If you have any of the conditions listed above, and especially if you are experiencing these symptoms, it is strongly suggested that you consult a podiatrist as quickly as possible for an examination, diagnosis, and treatment plan. 

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Blake Zobell from Utah. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact one of our offices located in Richfield and Ephraim, Utah . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout May Not Be the Only Arthritis Affecting Your Joints

Gout is a painful arthritic condition caused by an excessive amount of uric acid in the body that hardens into crystals that lodge in the joints. Gout can occur in any joint, however, it is most common in the metatarsophalangeal, or MTP, joint at the base of the big toe. People with gout may also have other forms of arthritis, such as osteoarthritis (OA), rheumatoid arthritis (RA), and psoriatic arthritis (PsA)—particularly because they all share obesity as a risk factor. In addition, the degenerative effects OA has on joints, and the faster skin cell turnover cycle in PsA can make a person more susceptible to developing gout. If you have any pain in your MTP joint, or any joint in your feet or ankles, a podiatrist can examine you and make a proper diagnosis with a CT scan and/or joint (synovial) fluid analysis. Once your podiatrist determines the presence of gout or any other form of arthritis, they can treat you accordingly.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Blake Zobell from Utah. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact one of our offices located in Richfield and Ephraim, Utah . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How Is Tarsal Tunnel Syndrome Diagnosed?

The tibial nerve in the ankle enables movement and feeling in areas of the foot. When this nerve gets compressed, it forms what is known as tarsal tunnel syndrome.  This can happen as a result of a sprained ankle, or medical conditions that can include flat feet, high arches, or diabetes. Tarsal tunnel syndrome often causes severe pain and discomfort and is noticeable in the bottom of the foot and toes. Some of the tests that are performed to reach a diagnosis can include a nerve biopsy, and electromyography, which is a recording of electrical activity in the muscles. Treatment options can include resting and elevating the affected foot, and surgery may be recommended that can permanently reduce the pressure. Tarsal tunnel syndrome is diagnosed and treated by a podiatrist, and it is advised to consult with this type of doctor if you think you may have this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Blake Zobell of Utah. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact one of our offices located in Richfield and Ephraim, Utah . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
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