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<h2>Understanding Achilles Tendon Tears</h2><p>The Achilles tendon, the largest tendon in the body, plays a crucial role in our mobility. It connects the calf muscles to the heel bone, allowing us to walk, run, and jump. However, this tendon is also vulnerable to injury, especially in athletes. <strong>Achilles tendon tears</strong>, a common sports injury, can significantly impact an athlete's performance and lifestyle.</p><figure id="figure-p1swaosznolmk0dh0m"><img id="p1swaosznolmk0dh0m" src="https://cdn.durable.co/blocks/1e71gTDKh7wN3nIKWQc10uV0hRPFP4zh2X22lgBvZkGf8KNqBALiEv6fcNsJLTrR.jpg" alt=" Achilles tendon" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: 45% center;" data-corners="default" data-aspect="16:9" data-caption="Examination after Achilles Tendon Tear " data-positionx="45%" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/1e71gTDKh7wN3nIKWQc10uV0hRPFP4zh2X22lgBvZkGf8KNqBALiEv6fcNsJLTrR.jpg" data-mce-style="aspect-ratio: 16/9; object-position: 45% center;"><figcaption class="body-normal text-gray-500 mt-2">Examination after Achilles Tendon Tear</figcaption></figure><h2>Causes of Achilles Tendon Tears</h2><p>Achilles tendon tears often occur due to sudden increases in stress on the tendon. This can happen during activities that involve sudden starts or stops, such as tennis or basketball. Other risk factors include tight calf muscles, flat feet, and wearing high heels frequently, which can shorten the tendon.</p><h3>Overuse and Degeneration</h3><p>Overuse of the Achilles tendon can also lead to a tear. Athletes who suddenly increase their training intensity or duration are at a higher risk. Over time, repeated stress on the tendon can cause it to weaken and deteriorate, making it more susceptible to injury.</p><figure id="figure-4uqf8zt4wlmk0dq81"><img id="4uqf8zt4wlmk0dq81" src="https://cdn.durable.co/blocks/eDSxm0heFWaybvS4szqDyQ255DgGG6cvKFJdzShVJ78JIK2PKGeioZVgkv7o6I8s.jpg" alt="overuse injury" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Achilles Tendon strain after slipping off of a curb" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/eDSxm0heFWaybvS4szqDyQ255DgGG6cvKFJdzShVJ78JIK2PKGeioZVgkv7o6I8s.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Achilles Tendon strain after slipping off of a curb</figcaption></figure><h2>Symptoms of an Achilles Tendon Tear</h2><p>When an Achilles tendon tear occurs, the symptoms can be immediate and noticeable. Athletes often report a sharp pain in the back of their ankle or calf - often described as a <strong>"pop"</strong> or <strong>"snap"</strong>. Other common symptoms include swelling in the back of the leg, difficulty walking, and a gap or depression where the tear occurred. Coincidetally, many people report having no pain with this injury!</p><h2>Diagnosis and Treatment</h2><p>Diagnosis of an Achilles tendon tear typically involves a physical examination and imaging tests such as ultrasound or MRI. The treatment for a torn Achilles tendon often depends on the severity of the tear and the patient's overall health.</p><figure id="figure-ejk6smlrvlmk0e2yk"><img id="ejk6smlrvlmk0e2yk" src="https://cdn.durable.co/blocks/33ukPv9w8uJoVvo1h4nm1XG3g3kmxiOFxf72mitCVn4hbysmCTISLAJEAQ9jVxpa.jpg" alt="diagnosis treatment" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Heel Lifts after Partial Achilles Tendon Tear" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/33ukPv9w8uJoVvo1h4nm1XG3g3kmxiOFxf72mitCVn4hbysmCTISLAJEAQ9jVxpa.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Heel Lifts after Partial Achilles Tendon Tear</figcaption></figure><h3>Non-surgical Treatment</h3><p>Non-surgical treatment options include rest, physical therapy, and using a walking boot or cast to immobilize the tendon. Treatment can also consist of <a data-mce-href="https://calendly.com/drdonaldharrison/regenerative-medicine-appointment?month=2023-10" href="https://calendly.com/drdonaldharrison/regenerative-medicine-appointment?month=2023-10" title="Regenerative Medicine for Achilles Tendon Tears" target="_blank" rel="noopener">Laser Therapy and Shockwave Therapy</a>. These treatments can help reduce pain and swelling and promote healing.</p><h3>Surgical Treatment</h3><p>Surgical treatment, on the other hand, involves stitching the torn tendon back together. Innovative techniques offer minimally invasive ways to repair at torn achilles with decreased post-op hgealing timeframe. This option is often recommended for athletes or individuals who lead very active lifestyles, as it typically results in a lower re-rupture rate and better overall strength.</p><h2>Prevention Tips</h2><p>While it's not possible to completely prevent an Achilles tendon tear, certain precautions can reduce the risk. These include regular stretching and strengthening exercises, gradually increasing the intensity and duration of workouts, and wearing proper footwear.</p><ol><li>Regular stretching: Keeping the Achilles tendon flexible can help prevent injuries.</li><li>Gradual training: Avoid sudden increases in workout intensity or duration.</li><li>Proper footwear: Shoes that support the arch and cushion the heel can reduce stress on the Achilles tendon.</li></ol><figure id="figure-fnfgp7esfmlmk0eksv"><img id="fnfgp7esfmlmk0eksv" src="https://cdn.durable.co/blocks/33Jb6CcR18DGJWLyYlaQTrtdXaMTh6BJ9bRlEddvmZl94PoYFqQhrxw8K0MEFUU5.jpg" alt="prevention tips" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Bike Riding after Achilles Tendon Tear" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/33Jb6CcR18DGJWLyYlaQTrtdXaMTh6BJ9bRlEddvmZl94PoYFqQhrxw8K0MEFUU5.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Bike Riding after Achilles Tendon Tear</figcaption></figure><p>In conclusion, an Achilles tendon tear is a serious injury that requires immediate attention and treatment. By understanding the causes and symptoms, athletes can contact Dr. Harrison at 240-437-3861 and seek prompt treatment and take steps to prevent future injuries.</p>

Achilles Tendon Tears in Athletes

<h2>Introduction</h2><p>Plantar fasciitis is a common foot condition that causes heel pain, particularly in the morning or after periods of rest. However, there are several other conditions that can be misdiagnosed as plantar fasciitis due to similar symptoms. It is important to be aware of these conditions to ensure accurate diagnosis and appropriate treatment. In this article, we will explore some of the conditions that are commonly misdiagnosed as plantar fasciitis.</p><h3>1. Heel Spurs</h3><p>Heel spurs are bony growths that develop on the underside of the heel bone. They often occur alongside plantar fasciitis, leading to confusion in diagnosis. While plantar fasciitis is characterized by inflammation of the plantar fascia, heel spurs are actually calcium deposits that form over time. Diagnostic imaging, such as X-rays, can help differentiate between the two conditions.</p><h3>2. Tarsal Tunnel Syndrome</h3><p>Tarsal tunnel syndrome is a condition that occurs when the tibial nerve is compressed or irritated as it passes through the tarsal tunnel, located on the inside of the ankle. This can cause pain and tingling in the heel and arch of the foot, similar to the symptoms of plantar fasciitis. Proper examination and nerve conduction studies can help identify tarsal tunnel syndrome.</p><p><img src="image:plantar fasciitis" alt="Plantar Fasciitis" data-mce-src="image:plantar fasciitis"></p><h3>3. Stress Fractures</h3><p>Stress fractures are small cracks in the bone that can occur due to repetitive stress or overuse. These fractures often develop in the metatarsal bones of the foot, causing pain and tenderness. The symptoms of stress fractures can mimic those of plantar fasciitis, making it important to consider this possibility, especially if symptoms persist despite conservative treatment.</p><h3>4. Nerve Entrapment</h3><p>Nerve entrapment occurs when a nerve is compressed or irritated by surrounding tissues. In the foot, the most common nerve involved is the posterior tibial nerve, which can cause pain and numbness in the heel and arch. Nerve conduction studies and electromyography can help diagnose nerve entrapment and differentiate it from plantar fasciitis.</p><p><img src="image:heel pain" alt="Heel Pain" data-mce-src="image:heel pain"></p><h3>5. Achilles Tendinitis</h3><p>Achilles tendinitis is an inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition often causes pain and stiffness in the back of the heel, similar to the symptoms of plantar fasciitis. However, the pain with Achilles tendinitis is typically more localized to the tendon itself. A thorough examination can help distinguish between the two conditions.</p><h3>6. Fat Pad Atrophy</h3><p>Fat pad atrophy is a condition where the fat pad on the heel becomes thin or degenerates. This can result in increased pressure on the underlying structures, leading to heel pain that may be mistaken for plantar fasciitis. Physical examination and imaging can help determine if fat pad atrophy is the cause of the symptoms.</p><p><img src="image:foot pain" alt="Foot Pain" data-mce-src="image:foot pain"></p><h3>Conclusion</h3><p>While plantar fasciitis is a common foot condition, it is crucial to consider other possible diagnoses when symptoms persist or do not respond to treatment. Heel spurs, tarsal tunnel syndrome, stress fractures, nerve entrapment, Achilles tendinitis, and fat pad atrophy are just a few examples of conditions that can be misdiagnosed as plantar fasciitis. <a data-mce-href="https:calendy.com/drdonaldharrison" href="https:calendy.com/drdonaldharrison" title="Medical Advise--Heel Spurs">Seeking professional medical advice </a>and appropriate diagnostic tests can help ensure accurate diagnosis and effective treatment for these conditions.</p>

What is Commonly Misdiagnosed as Plantar Fasciitis

<p>As an athlete, you are constantly pushing your body to its limits to achieve peak performance. Whether you are a professional athlete or a weekend warrior, you know that every small advantage can make a big difference in your performance. That's where podiatric sports medicine comes in.</p><p>Podiatric sports medicine is a specialized branch of medicine that focuses on the diagnosis, treatment, and prevention of foot and ankle injuries in athletes. It combines the expertise of podiatrists, who specialize in foot and ankle care, with the knowledge of sports medicine physicians, who specialize in the treatment of sports-related injuries.</p><h2>Preventing Injuries</h2><p>One of the key ways that podiatric sports medicine can improve athletic performance is by preventing injuries. Podiatrists who specialize in sports medicine have a deep understanding of the biomechanics of the foot and ankle and how they relate to athletic performance. They can assess your gait, foot structure, and footwear to identify any potential issues that could lead to injury.</p><p>By addressing these issues early on, podiatric sports medicine can help you avoid common sports injuries such as sprained ankles, stress fractures, and plantar fasciitis. This means less time spent on the sidelines and more time doing what you love.</p><figure id="figure-fqvhd8247glnyn9uco"><img id="fqvhd8247glnyn9uco" src="https://cdn.durable.co/shutterstock/12tXm8G9OzMrxCiTWj6dIPmhtpTWjzlOazDFLMTI9s0ylyDbDOWV9oDYsOeyoJvT.jpeg" alt="" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Gait Assessments, stretching, muscle strengthening all combine to provide a firm foundation against potential injury" data-positionx="undefined" data-positiony="undefined" data-mce-src="https://cdn.durable.co/shutterstock/3slqVK8t3Gnxdsn3gKR859GgzesUX5o2kqJEJBGUYe385bt2CaTeF7dNaIUTSeMh.jpeg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Gait Assessments, stretching, muscle strengthening all combine to provide a firm foundation against potential injury</figcaption></figure><p><br></p><h2>Enhancing Performance</h2><p>In addition to preventing injuries, podiatric sports medicine can also help enhance your athletic performance. Podiatrists who specialize in sports medicine can provide you with personalized treatment plans and recommendations to optimize your foot and ankle function.</p><p>For example, if you have a biomechanical issue such as overpronation or underpronation, a podiatrist can prescribe orthotic inserts or recommend specific footwear to correct your gait and improve your performance. They can also provide guidance on proper warm-up and stretching techniques to help you perform at your best.</p><figure id="figure-xdb1l8dc7lnyn88m4"><img id="xdb1l8dc7lnyn88m4" src="https://cdn.durable.co/blocks/1f4s8rizuIzlnXf5kMIsLM6f5KOzqInnyiKRhNjWwh5vS2M355sRmvHoVsb3zjxZ.jpg" alt="" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Runner back on the track after an achilles tendon injury" data-positionx="undefined" data-positiony="undefined" data-mce-src="https://cdn.durable.co/blocks/1f4s8rizuIzlnXf5kMIsLM6f5KOzqInnyiKRhNjWwh5vS2M355sRmvHoVsb3zjxZ.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Runner back on the track after an achilles tendon injury</figcaption></figure><p><br></p><h2>Rehabilitation and Recovery</h2><p>If you do experience a foot or ankle injury, podiatric sports medicine can help you recover faster and get back in the game. Podiatrists who specialize in sports medicine have extensive knowledge of the unique demands that sports place on the foot and ankle, and they can provide targeted rehabilitation programs to promote healing and prevent re-injury.</p><p>Whether you need physical therapy, bracing, or other treatments, a podiatrist can tailor a recovery plan to your specific needs. They can also provide guidance on when it is safe to return to your sport and how to gradually increase your activity level to avoid further injury.</p><figure id="figure-6ij295ysdlnyneo4e"><img id="6ij295ysdlnyneo4e" src="https://cdn.durable.co/shutterstock/16sZF7UAbjtG3HpBBeOgLYxNGbkTq7mOgtJq1MzulNmTVb7W7D0U1kGU56ORmKCx.jpeg" alt="" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: undefined undefined;" data-corners="default" data-aspect="16:9" data-caption="Kinesiology Taping helps increase stress load and return to activity" data-positionx="undefined" data-positiony="undefined" data-mce-src="https://cdn.durable.co/shutterstock/16sZF7UAbjtG3HpBBeOgLYxNGbkTq7mOgtJq1MzulNmTVb7W7D0U1kGU56ORmKCx.jpeg" data-mce-style="aspect-ratio: 16/9; object-position: undefined undefined;"><figcaption class="body-normal text-gray-500 mt-2">Kinesiology Taping helps increase stress load and return to activity</figcaption></figure><p><br></p><h2>Conclusion</h2><p>Podiatric sports medicine is a valuable resource for athletes of all levels who want to improve their performance and reduce their risk of injury. By working with a podiatrist who specializes in sports medicine, you can receive personalized care and treatment plans that address your unique needs as an athlete.</p><p>Investing in your foot and ankle health is investing in your athletic performance. Don't let foot and ankle pain hold you back from reaching your full potential. Consult with a podiatric sports medicine specialist today and take your performance to the next level!</p><p>Give us a call at 240-437-3861 and schedule your appointment today!</p>

How Podiatric Sports Medicine Can Improve Athletic Performance

<h2>Understanding Plantar Fasciitis</h2><p>Plantar Fasciitis is one of the most common causes of heel pain, affecting thousands of people every year. It involves inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes. This condition can be incredibly painful and debilitating, making it difficult to walk or stand for extended periods of time.</p><figure id="figure-sdepj6amwalmk0nc38"><img id="sdepj6amwalmk0nc38" src="https://durable.sfo3.cdn.digitaloceanspaces.com/covers/0QERBDnb3gZEdiwHO9CD1th2xiPixrP1OJhF4TGzQyo33RZfnr8FTiyjYp5gUbu6.jpg" alt="Shockwave for Plantar Fasciitis and Achilles Tendonitis" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Shockwave for Plantar Fasciitis and Achilles Tendonitis" data-positionx="null" data-positiony="null" data-mce-src="https://durable.sfo3.cdn.digitaloceanspaces.com/covers/0QERBDnb3gZEdiwHO9CD1th2xiPixrP1OJhF4TGzQyo33RZfnr8FTiyjYp5gUbu6.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Shockwave for Plantar Fasciitis and Achilles Tendonitis</figcaption></figure><h2>The Role of Shockwave Therapy</h2><p>Shockwave therapy, also known as Extracorporeal Shock Wave Therapy (ESWT), is a non-invasive treatment that uses pressure waves to treat various musculoskeletal conditions. The main benefits of shockwave therapy for plantar fasciitis are pain relief and mobility restoration. This innovative therapy is particularly beneficial for people who have not responded to other treatments such as physiotherapy, orthotics, or injections.</p><figure id="figure-5gbe7pyssolmk0nhc1"><img id="5gbe7pyssolmk0nhc1" src="https://cdn.durable.co/blocks/18AxLrztNwSes6Fayrp6dduLK2cTlGvZk0A5DDXEl3U5k3deZZ4zbyHB0H17aeUN.jpg" alt="shockwave therapy" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/18AxLrztNwSes6Fayrp6dduLK2cTlGvZk0A5DDXEl3U5k3deZZ4zbyHB0H17aeUN.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure><h2>How Shockwave Therapy Works</h2><p>During a shockwave therapy session, a device is used to deliver sound waves to the inflamed tissue. These waves stimulate the body's natural healing process by increasing blood flow to the area, accelerating tissue repair and cell growth. The shockwaves also have a direct analgesic effect, providing immediate pain relief.</p><h3>The Process of Shockwave Therapy</h3><p>The therapy usually takes about 15-20 minutes per session. Initially, a gel is applied to the treatment area to help the shockwaves penetrate the tissue. The therapist then uses a handheld device to deliver the shockwaves. The intensity of the treatment can be adjusted to suit the patient's comfort level.</p><figure id="figure-ochzikofqclmk0nopm"><img id="ochzikofqclmk0nopm" src="https://cdn.durable.co/blocks/1btiliDT4njuULmLGx9HIffOWSmVq1uIsdA7EOQt5eYnTul784r3tfcFkCAB4R65.jpg" alt="Shockwave Therapy for Plantar Fascitiis" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Chronic Heel Pain alleviated with Shockwave Therapy" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/1btiliDT4njuULmLGx9HIffOWSmVq1uIsdA7EOQt5eYnTul784r3tfcFkCAB4R65.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Chronic Heel Pain alleviated with Shockwave Therapy</figcaption></figure><h2>Effectiveness of Shockwave Therapy</h2><p>Research has shown that shockwave therapy can be very effective in treating plantar fasciitis. A <strong><a data-mce-href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029898/" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029898/" title="Shockwave Therapy Study">study published by the National Institutes of Health</a> </strong>found that patients who underwent shockwave therapy showed significant improvement in pain levels and function compared to those who received traditional treatments.</p><h3>Long-Term Benefits</h3><p>Aside from the immediate pain relief, shockwave therapy also offers long-term benefits. The treatment <a title="Promotes the healing of the plantar fascia" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687890/" target="_blank" rel="noopener" data-mce-href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687890/">Shockwave Therapy Improves the Plantar Fascia and Pain Levels</a>, reducing the risk of future flare-ups. Additionally, because it is non-invasive, there is no risk of infection or complications associated with surgery. Shockwave therapy significantly reduced the pain that accompanies tendinopathies and improves functionality and quality of life. It might be first choice because of its effectiveness and safety</p><figure id="figure-i2j1aa2nmilmk0nv8c"><img id="i2j1aa2nmilmk0nv8c" src="https://images.unsplash.com/photo-1496449903678-68ddcb189a24?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxNHx8c2hvY2t3YXZlJTIwdGhlcmFweSUyMGJlbmVmaXRzfGVufDB8fHx8MTY5NDc0NzA5NHww&amp;ixlib=rb-4.0.3&amp;q=80&amp;w=1080" alt="shockwave therapy benefits" class="object-cover bg-gray-100" style="aspect-ratio: 16/9;" data-mce-src="https://images.unsplash.com/photo-1496449903678-68ddcb189a24?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxNHx8c2hvY2t3YXZlJTIwdGhlcmFweSUyMGJlbmVmaXRzfGVufDB8fHx8MTY5NDc0NzA5NHww&amp;ixlib=rb-4.0.3&amp;q=80&amp;w=1080" data-mce-style="aspect-ratio: 16/9;"></figure><h2>Conclusion</h2><p>In conclusion, national studies show shockwave therapy is a safe and effective treatment option for plantar fasciitis. It offers immediate pain relief and promotes long-term healing of the plantar fascia. However, as with any treatment, it is important to <a data-mce-href="https:calendy.com/drdonaldharrison" href="https:calendy.com/drdonaldharrison" title="Shockwave Therapy Session">discuss this option with your healthcare provider </a>to determine if it is the right choice for you.</p>

How Shockwave Therapy Improves Plantar Fasciitis

<h2>Understanding Diabetic Foot Amputations</h2><p>Diabetes is a prevalent health condition globally, affecting millions of people. One of the severe complications that can arise from uncontrolled or poorly managed diabetes is the risk of foot amputations. This article delves into the statistics surrounding diabetic foot amputations, highlighting the need for adequate diabetes management and foot care.</p><figure id="figure-qtz828vbpdlmilghuk"><img id="qtz828vbpdlmilghuk" src="https://cdn.durable.co/blocks/16X2myFkVRzlYpHff0OY0yyHhePfmc4Z758rKj9ShWYKgtksy4INVbnQDDvb5QBz.jpg" alt="diabetic foot neuropathy ulcer" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center 30%;" data-corners="default" data-aspect="16:9" data-caption="Diabetic Amputation due to Chronic Neuropathic Ulceration" data-positionx="null" data-positiony="30%" data-mce-src="https://cdn.durable.co/blocks/16X2myFkVRzlYpHff0OY0yyHhePfmc4Z758rKj9ShWYKgtksy4INVbnQDDvb5QBz.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center 30%;"><figcaption class="body-normal text-gray-500 mt-2">Diabetic Amputation due to Chronic Neuropathic Ulceration</figcaption></figure><h2>The Prevalence of Diabetic Foot Amputations</h2><p>According to the <a data-mce-href="https://www.apma.org/" href="https://www.apma.org/" title="Society of Podiatric Professionals" target="_blank" rel="noopener"><strong>American Podiatric Medical Association (APMA)</strong>,</a> every year in the United States, more than 65,000 lower limb amputations are performed due to complications from diabetes. This number is alarmingly high, considering that most of these amputations can be prevented with proper diabetes management and foot care.</p><h2>Who is at Risk?</h2><p>While all individuals with diabetes are at risk of foot complications that could lead to amputations, certain factors significantly increase this risk. These include poor blood glucose control, nerve damage, peripheral vascular disease, a history of foot ulcers, and smoking. According to the<a data-mce-href="https://www.who.int/" href="https://www.who.int/" title="Diabetic Amputations" target="_blank" rel="noopener"> <strong>World Health Organization (WHO)</strong></a>, people with diabetes are 15 to 40 times more likely to require lower limb amputations compared to those without the disease.</p><figure id="figure-uqyqmanzxklmilgqlw"><img id="uqyqmanzxklmilgqlw" src="https://cdn.durable.co/blocks/31Brl5dySZGvXTK5J5DrvaeDwrLdkuHXBK9CxfrJNW5toJGFtzXXTWfcxswrG5Ep.jpg" alt="diabetes risk factors" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="Diabetic Ulcer at Back of Inner Ankle" data-positionx="null" data-positiony="null" data-mce-src="https://cdn.durable.co/blocks/31Brl5dySZGvXTK5J5DrvaeDwrLdkuHXBK9CxfrJNW5toJGFtzXXTWfcxswrG5Ep.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center center;"><figcaption class="body-normal text-gray-500 mt-2">Diabetic Ulcer at Back of Inner Ankle</figcaption></figure><h2>Geographical Differences</h2><p>There are also notable geographical differences when it comes to diabetic foot amputations. For instance, the rate of amputations is significantly higher in developing countries due to inadequate access to diabetes care and education. According to a study published in the <a data-mce-href="https://www.mdpi.com/journal/ijerph/about" href="https://www.mdpi.com/journal/ijerph/about" title="Diabetes Mellitus and Amputations" target="_blank" rel="noopener"><strong>International Journal of Environmental Research and Public Health</strong></a>, low-income countries have amputation rates as high as 4.1 per 1,000 people with diabetes per year.</p><h2>Age and Gender Differences</h2><p>Age and gender also play a role in the prevalence of diabetic foot amputations. Older individuals, particularly those aged 65 and above, are at a higher risk due to the accumulation of complications over time. Men with diabetes are also more likely to undergo amputations compared to women, as reported by the <a data-mce-href="https://www.cdc.gov/diabetes/library/features/amputations.html" href="https://www.cdc.gov/diabetes/library/features/amputations.html" title="Diabetes and Amputations" target="_blank" rel="noopener"><strong>Centers for Disease Control and Prevention (CDC)</strong>.</a></p><figure id="figure-zrqicos9slmilgzs3"><img id="zrqicos9slmilgzs3" src="https://cdn.durable.co/blocks/28CmnbH9KPeDepnH0yNecSUZ8J1bZHJKgNGSqb1RfYLr4fLSilyIeTvDjVzCAlxj.jpg" alt="diabetic foot care" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center 0%;" data-corners="default" data-aspect="16:9" data-caption="Diabetes with History of Lesser toe Amputations" data-positionx="null" data-positiony="0%" data-mce-src="https://cdn.durable.co/blocks/28CmnbH9KPeDepnH0yNecSUZ8J1bZHJKgNGSqb1RfYLr4fLSilyIeTvDjVzCAlxj.jpg" data-mce-style="aspect-ratio: 16/9; object-position: center 0%;"><figcaption class="body-normal text-gray-500 mt-2">Diabetes with History of Lesser toe Amputations</figcaption></figure><h2>The Importance of Prevention</h2><p>While the statistics surrounding diabetic foot amputations are alarming, it's crucial to note that most of these amputations are preventable. <a data-mce-href="https://calendly.com/drdonaldharrison" href="https://calendly.com/drdonaldharrison" title="Diabetes Discussion with Dr. Harrison" target="_blank" rel="noopener">Regular foot examinations</a>, maintaining good blood glucose control, wearing appropriate footwear, and early detection and treatment of foot ulcers can significantly reduce the risk of amputation.</p><h2>Conclusion</h2><p>Diabetic foot amputations are a significant global health issue, particularly among people with poorly controlled diabetes and those in low-income countries. However, with<a data-mce-href="https://calendly.com/drdonaldharrison/preventatitve-care-package?month=2023-10" href="https://calendly.com/drdonaldharrison/preventatitve-care-package?month=2023-10" title="Preventing Diabetes and Its Consequences" target="_blank" rel="noopener"> proper diabetes management and foot care</a>, the risk of amputation can be significantly reduced. Therefore, it's crucial for individuals with diabetes to be aware of the risks and take proactive steps towards prevention.</p>

Diabetic foot amputation statistics

<p>Plantar fasciitis is a common condition that affects the heel and foot, causing pain and discomfort. While it is typically manageable with proper treatment and care, there are instances where it can become so that walking becomes difficult or even impossible. So, why does plantar fasciitis reach this point?</p>

<h2>1. Delayed or Inadequate Treatment</h2>
<p>One of the main reasons why plantar fasciitis can worsen to the point of hindering walking is the delay or inadequate treatment. Ignoring the initial symptoms or failing to seek professional help can allow the condition to progress and become more severe over time. It is crucial to address plantar fasciitis promptly to prevent further damage.</p>

<h2>2. Overuse or Excessive Strain</h2>
<p>Overuse or excessive strain on the foot can exacerbate plantar fasciitis. Activities that involve repetitive movements or prolonged standing can put excessive stress on the plantar fascia, leading to inflammation and pain. Ignoring the need for rest and continuing to engage in high-impact activities can worsen the condition and impede walking.</p>

<h2>3. Poor Footwear Choices</h2>
<p>The shoes we wear play a significant role in the development and progression of plantar fasciitis. Wearing unsupportive or ill-fitting shoes can strain the plantar fascia, causing it to become inflamed and painful. High heels, flip-flops, and worn-out shoes offer little to no arch support and can worsen the condition, making walking difficult.</p>

<h2>4. Weight Gain</h2>
<p>Excess weight puts additional pressure on the feet, including the plantar fascia. This added stress can worsen the inflammation and pain associated with plantar fasciitis. As the condition progresses, the pain can become severe enough to make walking unbearable.</p>

<h2>5. Lack of Stretching and Exercise</h2>
<p>Proper stretching and exercise can help alleviate the symptoms of plantar fasciitis and prevent its progression. Failing to incorporate stretching exercises into your routine or neglecting to strengthen the muscles in your feet and calves can contribute to the worsening of the condition, making walking more challenging.</p>

<h2>6. Underlying Foot Conditions</h2>
<p>In some cases, plantar fasciitis can be exacerbated by underlying foot conditions such as flat feet, high arches, or tight calf muscles. These conditions can alter the mechanics of the foot, placing additional stress on the plantar fascia. If left untreated, these underlying conditions can contribute to the severity of plantar fasciitis and hinder walking.</p>

<h2>7. Ignoring Rest and Recovery</h2>
<p>Rest and recovery are crucial for allowing the plantar fascia to heal. Ignoring the need for rest and continuing to engage in activities that aggravate the condition can lead to further inflammation and pain. Without proper rest and recovery, plantar fasciitis can become so severe that walking becomes extremely difficult.</p>

<h2>8. Genetics and Age</h2>
<p>Genetics and age can also play a role in the severity of plantar fasciitis. Some individuals may have a genetic predisposition to developing the condition or may have weaker foot structures that are more prone to injury. Additionally, as we age, the tissues in our body, including the plantar fascia, may weaken, making us more susceptible to severe cases of plantar fasciitis.</p>

<p>Overall, plantar fasciitis can become so bad that walking becomes challenging due to a combination of factors such as delayed treatment, overuse, poor footwear choices, weight gain, lack of stretching and exercise, underlying foot conditions, ignoring rest and recovery, and genetic and age-related factors. It is essential to address plantar fasciitis promptly, seek appropriate treatment, and make lifestyle adjustments to prevent the condition from worsening and impacting daily activities like walking.</p>

Foot and Ankle Institute of Maryland

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