Reston, Manassas, and Leesburg, March 2, 2018 Foot and ankle problems in children often go unnoticed. Signs and symptoms can be subtle, and sometimes children can’t explain what’s wrong. But it’s important to protect growing feet and have problems checked out early.
Steven Gordon, DPM, AACFAS, a member of the American College of Foot and Ankle Surgeons, offers five warning signs parents should watch for.
1. Your Kids Can’t Keep Up with Their Peers
If children lag behind in sports or backyard play, it may be because their feet or legs are tired. Fatigue is common when children have flat feet. The muscles in the feet and legs tire easily because the feet are not functioning as well as they should.
2. Children Voluntarily Withdraw from Activities they Usually Enjoy
If they are reluctant to participate, it may be due to heel pain — a problem often seen in children between the ages of 8 and 14. Repetitive stress from sports may cause muscle strain and inflammation of the growth plate, a weak area at the back of a child’s heel.
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5 Signs Your Child May Have a Foot Problem
3. They Don’t Want to Show You Their Feet
Children may feel pain or notice a change in the appearance of their feet or nails but don’t tell their parents because they fear a trip to the doctor’s office. Dr. Gordon encourages parents to make a habit of inspecting their child’s feet starting at a young age. Look for any changes such as calluses, growths, skin discoloration, or redness and swelling around the toenails.
4. Your Child Often Trips and Falls
Repeated clumsiness may be a sign of in-toeing, balance problems or neuromuscular conditions.
5. The Child Complains of Pain
It is never normal for a child to have foot pain. Injuries may seem minor, but if pain or swelling last more than a few days, have your child’s foot examined.
If you’ve noticed any of these signs in your children, call Dr. Gordon’s office at (703) 437-6333 for an assessment.
For more information on foot conditions visit the American College of Foot and Ankle Surgeons’ Web site, FootHealthFacts.org.
Reston, Manassas and Leesburg, foot and ankle surgeon says new procedures, techniques speeding patients' recoveries
Reston, Manassas, and Leesburg February 16, 2018 Many Achilles tendon surgery patients in Reston, Manassas, and Leesburg are getting back on their feet faster, thanks to new procedures and techniques.
Steven Gordon, DPM, FACFAS , a foot and ankle surgeon with offices in Reston, Manassas, and Leesburg, says the introduction of tissue graft products, bone anchors, radio frequency treatments and new arthroscopic procedures provide patients with less invasive treatments and speedier recovery times.
"These surgical advances will shorten recovery times for many patients, allowing them to get back to their jobs and active lifestyles in less time," says Gordon.
The Achilles tendon connects the calf muscle to the heel bone in the back of the leg and facilitates walking. The most common Achilles condition is tendonitis, an inflammation of the tendon. Gordon says most tendonitis cases can be successfully treated with non-surgical methods such as rest, ice, anti-inflammatory medications and physical therapy.
But some tendonitis patients develop scar tissue on the tendon, or their tendon fibers weaken and develop microscopic tears, a condition called Achilles tendonosis. Fixing these problems may require surgery and weeks to months of recovery.
Gordon says recently-introduced radio frequency technology can shorten recovery time for some patients by using radio waves to stimulate healing in the tendon. The procedure requires smaller incisions to insert the wand-like radio frequency device. Smaller incisions mean less damage to skin and muscle, less pain, and lower risk of surgical infections. Patients recover faster.
Overuse, especially in athletes, can cause the Achilles tendon to tighten and pull so hard on the heel bone that a bone spur, or bump, develops. Shoes can rub against the spur and cause pain. In addition, a painful fluid-filled sac called a bursa can develop between the heel bone and the tendon. Traditionally, correcting this tightness involved cutting the tendon, removing the bone spur or bursa, and then reattaching the tendon.
According to Gordon, new arthroscopic techniques can provide a minimally invasive option to removing bone spurs and bursas without significant damage to the Achilles tendon. When the tendon does have to be surgically detached, new bone anchor constructs (screws that are drilled into the heel bone to secure the tendon and tissues) can reattach the tendon, minimizing the chance of a potentially painful knot developing on the back of the heel.
Achilles tendon ruptures are the most serious Achilles injuries. Most patients require surgery to decrease the likelihood of a re-rupture. Various techniques are available, and increasingly may include tissue grafts used as a bridge to link the detached tendon lengths. The graft provides a scaffold on which new tissue grows, increases the overall strength of the repair, and is usually absorbed by the body within a year.
Gordon is a member of the 6,000-member American College of Foot and Ankle Surgeons (ACFAS) and is board Certified in podiatric surgery. He earned his podiatric medical degree from Temple University School of Podiatric Medicine and has been practicing in Reston, Manassas, and Leesburg since 1995. Gordon's phone number is (703) 437-6333 and his Web site is FootVA.com
Go to the ACFAS consumer Web site, FootHealthFacts.org, for reliable information on Achilles tendon problems.
Local foot surgeon urges patients not to ignore foot pain
(Reston, Manassas, and Leesburg, VA, 2/9/18) -- Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.
According to Northern Virginia foot and ankle surgeon Shaun Hafner, DPM, FACFAS, osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Hafner, a member of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Hafner. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”
While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. (LAST NAME). “The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”
Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. “This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians,” Dr. Hafner explains.
If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.
Don’t let foot injuries keep you from your fitness resolutions
Reston, Manassas, and Leesburg Virginia --In the New Year, don’t forget to keep your feet in tip-top shape while following through with your resolutions to get fit. Reston, Manassas, and Leesburg foot and ankle surgeon Steven Gordon DPM, AACFAS, offers tips for foot safety while at the gym.
Start new workouts gradually— Increase your stamina and the length of your workouts gradually to avoid overuse injuries such as stress fractures or tendon strains and sprains. Stretching your muscles before and after workouts also helps prevent these types of injuries. “If you do feel you’ve sprained your ankle, be sure to seek treatment right away,” Dr. Gordon, a member of the American College of Foot and Ankle Surgeons explains. “Untreated or repeated ankle sprains may lead to chronic ankle instability, a condition that causes persistent pain and a ‘giving way’ of the ankle.”
Wear the right shoe and sock—Wear well-fitting athletic shoes designed for the exercise or sport. According to Dr. Gordon, shoes that don’t support the arch of the foot and provide cushion for the heel can cause heel pain (plantar fasciitis). Shoes that are too small can also cause a neuroma or a thickening of the nerve tissue, in the foot and may require injections, medication or physical therapy. Wearing cotton or non-slip socks are also key to help avoid painful blisters, which can become infected and cause more serious issues.
Use good technique— Improper exercise techniques can result in injury to the tendons or ligaments in your feet and ankles. “Incorrect posture or misuse of exercise equipment can cause decreased stabilization in the foot and ankle, leading to joint sprains and muscle strains,” Dr. Gordon says.
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Protect yourself from bacteria—Sweaty shoes, public showers, exercise equipment and the pool deck at the gym are breeding grounds for fungus, viruses and bacteria, including drug-resistant strains like MRSA (methicillin-resistant Staphylococcus aureus) which has become increasingly more common. Never go barefoot while in public areas; water shoes can provide a great barrier between your feet and the wet surfaces. “It’s also best to cover cuts and cracks in the skin or ingrown toenails since these minor tears in the skin’s surface can act as entry points for bacteria. If you have a cut or scrape that becomes red or swollen and is not healing in a timely manner, don’t hesitate to see a foot and ankle surgeon for an examination,” Dr. Gordon says.
Above all, it’s important to listen to your body. If you experience an injury or pain, call Dr. Gordon’s office at 703-437-6333 for an evaluation. To learn more about foot and ankle health topics, visit the American College of Foot and Ankle Surgeons’ website, FootHealthFacts.org.
A bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.
Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.
Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:
- An enlarged, visible bulge on your big toe joint
- Restricted movement of your big toe or foot that prevents you from performing normal activities
- Irritation, corns or calluses caused by the overlap of the first and second toes
- Frequent pain, swelling or redness around your big toe joint
Treatment For a Bunion
Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.
We recommend the following for reducing pressure and pain caused by bunions:
- Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
- Apply ice to reduce inflammation and pain
- Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion
When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.
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