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Posts for: March, 2015

Spring is ankle sprain season

(Reston, Manassas, and Leesburg, VA – 3/27/15) Spring is sports season for many amateur athletes and weekend warriors in the Northern Virginia area. It's also ankle sprain season for one area foot and ankle surgeon.

Steven Gordon, DPM, FACFAS, a foot and ankle surgeon with offices in Reston, Manassas, and Leesburg, VA, says ankle sprains are one of the most common sports injuries he treats this time of year.

"As people emerge from their winter hibernation and start to get active again, they can injure their ankles playing sports such as basketball, baseball, tennis and soccer," he says.

Anyone who injures an ankle requires prompt medical treatment, whether it's their first sprain or their fifth. Rest, ice, compression and elevation (R.I.C.E.) can reduce swelling and pain until the ankle can be evaluated and treated by a foot and ankle surgeon. A sprain may not always be a sprain; the ankle could be fractured.

Gordon notes that many athletes develop chronic ankle instability from repeated ankle sprains, causing their ankle to frequently "give way." In some cases these players may require surgery. Proper rehabilitation of an ankle sprain reduces the likelihood of developing chronic ankle instability.

Dr. Gordon shares three spring ankle sprain prevention tips from FootHealthFacts.org:

1. Perform warm-up stretches and exercises before playing sports.

2. Wear the right shoes for the sport. For example, don't wear running shoes for sports that involve a lot of side-to-side movement, such as tennis and basketball.

3. Wear an ankle brace if you're recovering from an injury or have repeatedly sprained your ankle.


Power Mowers Pose Danger to Feet
Thousands of Foot Injuries Can be Prevented Each Year

Reston, Virginia, Lawn care season is back and Reston foot and ankle surgeon, Dr. Steven A. Gordon, DPM, FACFAS cautions homeowners to protect their feet and the feet of those around them when using rotary-blade lawnmowers.

Each year, some 25,000 Americans sustain injuries from power mowers, according to reports issued by the U.S. Consumer Products Safety Commission. “The blades whirl at 3,000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet, each year we continue to see patients who have been hurt while operating a lawnmower barefoot,” said Dr. Gordon, a member of the American College of Foot and Ankle Surgeons.

Dr. Gordon said children under the age of 14 and adults over the age of 44 are more likely to be injured from mowers than others. (HE/SHE) advises anyone who operates a power mower to take a few simple precautions:

  • Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
  • Wear heavy shoes or work boots when mowing – no sneakers or sandals.
  • Don’t allow small children to ride on the lap of an adult on a lawn tractor. Children can be severely injured by the blades when getting on or off the machine.
  • Mow across slopes, never go up or down.
  • Never pull a running mower backwards.
  • Keep children away from the lawn when mowing.
  • Keep the clip bag attached when operating a power mower to prevent projectile injuries.
  • Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.

“If a mower accident occurs, immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection,” says Dr. Gordon. “Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be surgically reattached unless toes have been amputated,” he adds.

Find information on this and other foot and ankle injury topics at FootHealthFacts.org, the consumer website of the American College of Foot and Ankle Surgeons.


Hikers and hunters: Long, vigorous hikes take toll on feet, ankles

(Reston, Manassas, and Leesburg, VA, 3/13/15) –As brightly colored leaves dazzle the fall landscape, hikers and hunters nationwide will migrate to mountains, woods and fields, but many, unfortunately, are ill prepared for the beating their feet will take, warns a local foot and ankle surgeon.

“Hikers, hunters and others who love the outdoors often don’t realize how strenuous it can be to withstand constant, vigorous walking on uneven terrain,” said Shaun Hafner, a member of the American College of Foot and Ankle Surgeons (ACFAS) located in Northern Virginia. "Lax physical conditioning and inappropriate footwear bring scores of outdoor enthusiasts into our office each fall for treatment of foot and ankle problems such as chronic heel pain, ankle sprains, Achilles tendonitis, fungal infections and severe blisters."

“Walking up and down steep hillsides and tramping through wet, slippery fields and wooded areas puts stress on the muscles and tendons in the feet and ankles, especially if you haven’t conditioned properly before hitting the trail,” said Dr. Hafner. “Also, many don’t realize that cross-training athletic shoes aren’t the best choice for extended hiking and hunting. Had some of my patients worn sturdy, well-constructed hiking boots, they wouldn’t have suffered sprained ankles or strained Achilles tendons.”

Hafner advises hikers and hunters to make the investment in top-quality hiking boots. He said strong, well-insulated and moisture-proof boots with steel or graphite shanks offer excellent ankle and foot support that helps lessen stress and muscle fatigue to reduce injury risk. “The supportive shank decreases strain on the arch by allowing the boot to distribute impact as the foot moves forward. So if a boot bends in the middle, don’t buy it.”

In wet and cold weather, wearing the right socks can help prevent blisters, fungal infections and frostbite. Dr. Shaun Hafner recommends synthetic socks as the first layer to keep the feet dry and reduce blister-causing friction. For the second layer, wool socks add warmth, absorb moisture away from the skin, and help make the hiking boot more comfortable. “Wool lets moisture evaporate more readily than cotton, so fewer blisters develop,” he added.

What happens if your feet or ankles hurt during a hike or hunt? Dr. Hafner said pain usually occurs from overuse, even from just walking. “If you’re not accustomed to walking on sloped or uneven ground, your legs and feet will get tired and cause muscles and tendons to ache,” he explained. “To avoid a serious injury, such as a severe ankle sprain or an Achilles tendon rupture, rest for a while if you start hurting.”

According to the ACFAS consumer website, FootHealthFacts.org, pain is a warning sign that something is wrong. “Serious injury risk escalates significantly if you continue hiking in pain.” He likened hiking to skiing, in that beginners should take on less difficult trails until they become better conditioned and more confident.

Evaluation by a foot and ankle surgeon is recommended if there is persistent pain following a hiking or hunting outing. “I’m most concerned about ankle instability and strained Achilles tendons. Inattention to these problems at their early stages may lead to a serious injury that will keep you off the trails for a long time,” Hafner said.


FOR IMMEDIATE RELEASE

For press inquiries, contact:

Dr. Steven Gordon, Dr. Shaun Hafner, and Dr. Nancy Han

Reston, Manassas and Leesburg Foot and Ankle Centers

(703) 437-6333

[email protected]

Reston, manassas and leesburg foot and ankle centers offer patients a new MINIMALLY INVASIVE treatment option for heel pain and tendon-related injuries USING TENEX Health TX

Dr. Steven Gordon, Dr. Shaun Hafner and Dr. Nancy Han of Reston, Manassas and Leesburg Foot and Ankle Centers announce the offering of a new advanced treatment that quickly and safely treats the most common source of heel pain. Based on technology developed in collaboration with the Mayo Clinic, TENEX Health TX™ is a minimally invasive treatment option for ligament, tendon and soft tissue injuries, such as plantar fasciitis and Achilles tendinitis.

“I am extremely pleased with the results I am seeing in my heel pain patients who have been treated with TENEX Health TX,” says Dr. Gordon. “They have reported experiencing a nearly painless treatment, a quick recovery, and lasting pain relief.”  

TENEX Health TX is performed using a local anesthetic to numb the area—patients are awake and alert the entire time. During the treatment, sophisticated ultrasound imaging is used to identify the location of the damaged soft tissue. Once located, a small MicroTip™ is inserted into the damaged plantar fascia ligament. The instrument delivers ultrasonic energy specifically designed to cut, break down, and remove damaged tissue safely and quickly, without disturbing the surrounding healthy ligament or tendon tissue.

“In the past, there were few good minimally invasive solutions for ligament and tendon-related injuries, such as plantar fasciitis and Achilles tendinitis that did not respond to traditional conservative treatments,” says Dr. Hafner. “By using the TENEX Health TX System, I am able to intervene earlier in my patients’ care, change the nature of the disease, and get them back to their daily activities more quickly.”

Currently, over 10 million people in the United States suffer from severe pain due to damaged ligament and tendon tissue, which limits their range of motion and keeps them from living an active life. Common treatment options such as rest, pain medication, cortisone injections, or physical therapy address the pain but often not the damaged plantar fascia ligament, a major source of heel pain. While an open surgical procedure removes the damaged tissue, it carries the risk of invasive procedures, including damage to the surrounding healthy tissue and a lengthy recovery time with restricted activity.

Unlike conventional treatment methods, TENEX Health TX replicates the goal of an open surgical procedure by removing the damaged tissue, but in a minimally invasive manner. The procedure usually takes 20 minutes or less, requires only a small adhesive bandage to close the micro-incision, and offers quick recovery time for patients, usually within 6 weeks or less.

“I am excited about being able to provide the most technologically advanced treatment option for resistant heel pan due to plantar fasciitis here in Reston, Manassas, and Leesburg, Virginia, that will truly benefit my patients,” says Dr. Han. ‘It is profoundly rewarding to see them really enjoying their lives—without pain. TENEX Health TX has made a world of difference, especially for my patients with resistant heel pain.”

 

To learn more about the use of TENEX Health TX in procedures medically known as Percutaneous Tenotomy and Percutaneous Fasciotomy, contact Dr. Gordon, Dr. Hafner or Dr. Han at our Reston, Manassas and Leesburg office locations, or visit our website: www.FootVA.com

About Dr. Steven Gordon;

Dr. Steven A. Gordon graduated with a Bachelor of Arts from the University of Pennsylvania in 1987, and received his doctorate degree from Temple University College of Podiatric Medicine in Philadelphia, Pennsylvania in 1991. He completed his residency in Reconstructive Surgery of the Foot and Ankle as well as Postgraduate Training/Fellowship in Lower Extremity Reconstructive Plastic Surgery at the Northern Virginia Podiatric Residency Program in 1994.  In addition to sponsorship by the Medical College of Virginia, this comprehensive surgical residency involved training at multiple affiliated hospitals including Georgetown University Hospital and Inova Fairfax Hospital.

Dr. Gordon is Board Certified by the American Board of Foot and Ankle Surgery and a Fellow of the American College of Foot and Ankle Surgeons. He currently serves as chairman of the podiatric surgery section of Reston Surgery Center, where he sits on the Medical Executive Committee. In addition, Dr. Gordon serves as a member of the Infection Control Committee at Reston Hospital Center.  He is continually involved with training surgical residents at the Medstar Washington Hospital Center Podiatric Surgical Residency Program, and serves as the liaison for the Residency Program at the Reston Surgery Center.

Dr. Gordon’s special interests include reconstructive foot and ankle surgery and all aspects of medical and surgical management of the diabetic foot. He is a member of the American Podiatric Medical Association, the Virginia Podiatric Medical Association, the American Diabetes Association's Foot Council, and regularly participates in the Novant Health Prince William Medical Center's Diabetes support group meeting and annual Diabetes Fairs. In 2015, Dr. Gordon had the distinction of being named one of Northern Virginia Magazine’s Top Doctors.  Dr. Gordon is currently on the staff of Reston Hospital Center, Reston Surgery Center, Novant Health Prince William Medical Center and Inova Loudoun Hospital.

He enjoys traveling, skiing, fishing, and tennis, and is an avid fan of the Washington Capitals and Nationals.  His greatest enjoyment comes from spending time with his wife and three children and their many sporting activities, including ice hockey, field hockey, soccer, basketball and lacrosse. 

About Dr. Shaun Hafner;

Dr. Shaun C. Hafner was raised in New York State's Hudson Valley. As a young man he obtained the Eagle Scout award. He attended Potsdam College where he played on the collegiate soccer team and received a Bachelor of Arts in Biology and Chemistry. He obtained his doctorate from the New York College of Podiatric Medicine. Dr. Hafner completed intense three year residency training in reconstructive foot and ankle surgery at the Yale - New Haven Medical Center, the primary teaching hospital of the Yale School of Medicine, in New Haven, Connecticut. He served as Chief Resident and was recognized for his academic achievements. Dr. Hafner has been published on his original research on the Etiology of Recalcitrant Plantar Heel Pain and his review of Emerging Techniques in Revascularization for the Lower Extremity.

His comprehensive surgical residency training at Yale-New Haven Medical Center has given him an abundance of experience in elective, reconstructive and trauma procedures of the foot and ankle. Dr. Hafner's training included plastic surgery techniques as well as a multidisciplinary approach toward complex lower extremity deformities. Dr Hafner is Board Certified by the American Board of Podiatric Medicine, the American Board of Foot and Ankle Surgery, and is a Fellow of the American College of Foot and Ankle Surgeons.  He is a member of the American Podiatric Medical Association and the Virginia Podiatric Medical Association, and is on staff at Novant Health Prince William Medical Center, Reston Hospital Center, Reston Surgery Center and Inova Loudoun Hospital. In 2014 and 2015, Dr. Hafner had the distinction of being named one of Northern Virginia Magazine’s Top Doctors.

In his spare time, he enjoys hiking, golf, soccer and taking long walks with his family. For several years, he and his family are proud to call Northern Virginia their home.

 

About Dr. Nancy Han;

 Dr. Nancy Han received her undergraduate degree from Rutgers College in New Brunswick, NJ.  She earned her doctorate degree from New York College of Podiatric Medicine where she held academic honors and was a recipient of several scholarships. Dr. Han also actively participated in extra-curricular activities and held numerous leadership roles. She completed her residency training at Yale - New Haven Medical Center, the primary teaching hospital of the Yale School of Medicine, where she received training in reconstructive foot and ankle surgery.  During this time, Dr. Han published several research articles in prestigious journals such as The Journal of Foot and Ankle surgery.  Additionally, she has completed courses in AO fixation and foot/ankle arthroscopy.

Dr. Han specializes in both conservative and surgical care of all foot and ankle conditions that range from pediatric to geriatric care, including wound care and sports medicine. She is Board Certified by the American Board of Podiatric Medicine, and is an Associate of the American College of Foot and Ankle Surgeons. Dr. Han is a member of the American Podiatric Medical Association and Virginia Podiatric Medical Association, and is on staff of the Reston Surgery Center and Inova Loudoun Hospital.  Dr. Han is excited to be part of the Reston, Manassas and Leesburg Foot and Ankle Centers, and to continue to provide dedicated care to her patients. 


By Complete Foot and Ankle Care
March 10, 2015
Category: Foot Care
Tags: Bunions  

BunionsA common foot problem that the doctors at the Reston, Manassas and Leesburg Foot and Ankle Centers treat is bunions. Many of the patients who come in with this problem are women and that’s because of the shoes they choose to wear. Even though they are very attractive on the feet and some women find them more comfortable than flats, high heels often lead to pain from bunions. If you love heels and wear them often, learn how bunions develop and how you can prevent or slow them down from forming on your feet.
 
Painful Bunions
A bunion is an inherited deformity of the foot that happens when the bone begins to protrude. Over time a large bump appears on the inside of the foot and the great toe begins to move outward. As this condition progresses, it becomes painful to walk, stand and wear normal shoes. Bunions cause the entire foot to become ill-shaped, making it difficult to find a pair of shoes that fit comfortably.
 
Risk of High Heels
Female patients of the Reston Foot and Ankle Center are often at risk of painful bunions when (not because) they choose to wear high heeled shoes. Painful bunions usually develop from wearing poorly designed shoes—the taller the heel and the smaller the “toe box” the more likely there will be a problem over time as the bunion gets progressively larger. Women who wear these types of high heels on a regular basis, to work or while dancing for hours, are most at risk.
 
Preventing Bunions
The best way to prevent painful bunions is to take a break from high heels and wear more “sensible” shoes. But if you love your heels, there are a few things that you can do to prevent or slow down the development of bunions. First, reevaluate your shoe choices—it is worthwhile to invest in a very good pair of heels that are no more than 1-2 inches high, and provide you with sufficient support, width and cushioning on all sides. Next, consider custom orthotics, to help address the flatfoot that is often related to and the cause of the bunion, and help reduce pressure to the bunion  bump and prevent it from getting worse. (eliminate other sentence that was here) 
 
A Preventative Podiatrist Appointment
If you think you have the beginnings of what appear (not appeared) to be bunions and wear high heels, it is important that you see your local Reston podiatrist and foot surgeon as soon as possible. Bunions can often be successfully treated with custom orthotics and in more serious cases, corrective surgery. Call the office at 703-437-6333 to schedule an appointment or consult today.