FOOT AND ANKLE INJURIES

Foot and ankle injuries happen daily. Broken bones, dislocations, sprains, contusions, infections, and other serious injuries occur without warning. Whenever you sustain a foot or ankle injury you should seek immediate treatment from a podiatrist.

There are many myths concerning foot and ankle injuries.

"It is not broken because I can walk on it." This myth has kept many fractures from receiving proper treatment. The truth is that often you can walk with certain kinds of fractures.

"There is nothing you can do for a broken toe." A toe fracture needs prompt attention. If x-rays reveal it to be a simple fracture then care by your podiatrist can provide rapid relief of pain; however, if x-rays identify a displaced or angulated break prompt realignment of the fracture is needed to prevent improper or incomplete healing.

"If you have any foot or ankle injury, soak it in hot water." Do not use heat or hot water on an area where you think a fracture, sprain, or disclocation may be present. Heat promotes blood flow causing increased swelling, more swelling means more pressure on the nerves; this causes more pain. Instead apply an ice bag wrapped with a towel which has a cooling affect on the blood vessels and produces a numbing sensation and prevents some swelling and pain. Dr. Honick may make additional recommendations upon examination.

"Ankle sprains only require an Ace wrap for treatment." An ankle sprain often means torn or severely over stretched ligaments and they should receive immediate care. An x-ray examination, immobilization by casting or splinting, and physical therapy to ensure normal recovery all may be indicated. Surgery may even be necessary if you fail to respond to conservative care.

If an injury or accident occurs, there are steps you may take to help yourself until you can reach your podiatrist. Remember the word RICE.

R=Rest. Restrict your activity and get off your foot or ankle.

I=Ice. Gently place a plastic bag of ice wrapped in a towel on the injured area, 20-minutes-on and 30-minutes-off.

C=Compression. Lightly wrap an Ace bandage around the area and take care not to pull it too tight.

E=Elevation. To reduce swelling and pain, sit in a position that allows you to elevate the foot/ankle higher than your heart.

Preventing foot and ankle injuries:

  • Wear the correct shoes for your particular activity.
  • Wear hiking shoes or boots in rough terrain.
  • Change your sports shoes when they show signs of wear.
  • The toe box in your shoe should be deep enough to accommodate your toes comfortably.
  • Always wear enclosed shoes when operating a lawnmower or other grass cutting equipment.
  • Do not walk barefoot on paved streets or sidewalks.
  • If you get up during the night, turn on a light. Many fractured toes and other foot injuries occur while attempting to find one's way in the dark.
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