Sesamoiditis: El dedo gordo y sus dolores 4/5

Sesamoiditis

Hay dos huesos debajo de "La Bola del Pie", estos se llaman los Sesamoides.  Uno es el sesamoide tibial y el otro el sesamoide fibular. Estos tendones estan dentro de los tendones flexores del dedo  gordo.  

Estos dos huesos sirven como poleas para los tendones de la propulsión del pie.  Los sesamoideos son importantes a la gran zona de la puntera, ya que absorben la presión de soporte de peso y reducen la fricción en la cabeza del metatarsiano.

Cuando estos huesos se irritan generan un gran dolor.  Estos huesos son irritados luego de un accidente, una torcedura en el dedo o el uso constante de zapatos sin soporte en el área. El dolor es situado en la parte inferior del dedo gordo del pie.

El Tratamiento conservativo

·                Detener la actividad que causa el dolor.

·                Tome antiinflamatorios para aliviar el dolor.

·                Aplique hielo envuelto con una toalla en el área

·                Use zapatos con suela suave y tacón bajo.

·                Use cinta adhesiva para mantener hacia abajo el dedo gordo

·                Inyección esteroide

·                Uso de un CAM boot

Tratamiento quirurgico si el tratamiento conservativo no funciona

 Cualquier condición del hueso sesamoideo crónica que no responde al tratamiento conservador puede requerir cirugía.

·                Remoción de parte o todo de uno de los huesos sesamoides.  Cuando un solo sesamoide es eliminado, el otro hueso sesamoide puede todavía proporcionar un punto de fulcro para los flexores del dedo del pie.

·                Raspado del sesamoide si el paciente tiene un callo debajo de un sesamoide hipertrófico

·                Reparación y fijación de la fracture, esto se hace con tornillos pequeños y alambre metálico

 

Rolando Meléndez, DPM en Corona y Jackson Heights, NY lo ayudará con su problema de pie y tobillo. 

Es gratificante poder ayudar a restaurar la calidad de vida de una persona

Nice shoes, nasty toes

A condition that usually affects the big toe or the fifth toe, which is characterised by loss of function of the interossei and lumbricale muscles resulting in overpowering of the flexor tendon with resultant overriding toe and depressed metatarsal heads, both prone to ulceration, soft tissue tears, digital dislocation or painful calluses.

Surgery is indicated in nearly every instance and will produce a corrected or improved result. The type of surgery--whether reefing, lengthening, or transposition of tendons, implant arthroplasty, or arthrodesis--is tailored to the underlying cause.  Management Dorsal and plantar-shaped incisions around the toe and extensor digitorum longus tenotomy and circumferential MTP joint release.

Rolando Melendez, DPM in Jackson Heights, NY was the experience and knowledge to treat this kind of foot and ankle injuries. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

Beautiful heels on X-ray

X-rays are a very useful tool in medicine and podiatry.  The first X-Ray was taken on December 22, 1895.  Podiatrists use X-rays to find pathologies, confirm findings and plan surgeries.  X-rays of the foot and ankle help determine whether a bone has been fractured or injured or damaged by conditions such as infection, arthritis, or other disease. 

Rolando M Melendez, DPM in Jamaica, NY and Corona, NY offers in-office X-ray diagnosis, this way the we can confirm diagnoses of bone and joint the problems the same day.  This allows for a more proactive and specific treatment to be initiated.

Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Corona NY can help you with your toe pain or any joint pain in your feet. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

Make your appointment

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Shaq foot surgery

In 2002, Shaquille O'Neal was suffering from great toe arthritis.  In September 2002, Shaq received a 1st MPJ fusion. The goal of this surgery was to immobilize the joint to prevent pain and keep the basketball player functional.  

The procedure took only 45 minutes, and it was performed on an outpatient basis. A six-week rehabilitation program had O'Neal ready to play ball a week before the regular season began. The typical patient who receives this procedure can return to work in 3 weeks.  

Rolando Melendez, DPM in Jackson Heights, NY, Jamaica NY and Hampton Bays NY can help you with your toe pain or any joint pain in your feet. Because we want you to keep doing all the fun things you like to do without having pain in your feet!

Make your appointment

Ellen DeGeneres being a podiatrist

Mark Wahlberg and Ellen DeGeneres

Ingrown toenails are a very common problem that podiatrist see everyday.  People get ingrown toenails for different reason: improper nail clipping, genetics, infections or trauma.  

Some tips on this issue:

1. Clip your toenails square, avoid clipping them round or too close on the corners
2. If you get the ingrown toenail soak your feet twice a day on Epsom salt and keep a band aid with antibiotic ointment, this will soften the nail and decrease the symptoms
3. If you are diabetic, be careful, infections symptoms will not be felt, so inspection is very important, infection should be treated promptly
4. If the ingrown is not getting better call your local podiatrist or primary care doctor for a prescription of antibiotic while you wait for the appointment 

Ingrown nail procedures are done by podiatrist.  The incurvated nail is excised and in many case a chemical can be added to prevent the nail corner to grow again.  Like Mark Wahlberg the day of the procedure you will have a bulky dressing then a band aid will be enough.

Rolando M Melendez, DPM in Jamaica, NY and Hampton Bays, NY is here to help you with all your foot and ankle problems.  Because we want you to keep doing all the fun things you like to do, without having pain in your feet!

Make your appointment 

Celebrities can be diabetic too! (Halle Berry)

 

Diabetes is on the rise: an estimated 1.3 million adult New Yorkers (almost one in eight) now have diabetes.  Halle Berry, Drew Carey and Larry King are among the celebrities who live with diabetes.  This disease has not stopped their lives. However, Diabetes can cause serious complications like nerve damage, blindness and foot amputations. 

To prevent these problems make sure to have tight control of your diabetes, monitor your feet daily and visit a podiatrist regularly for foot exams.

Rolando M Melendez DPM is in Jamaica NY to help you with all your foot and ankle problems.  Because we want you to keep doing all the fun things you like to do, without having pain in your feet!

Make your appointment

Kim Kardashian's feet

Leg and ankle swelling is one of the most common complains pregnant patient present to my office.  During pregnancy hormone changes make the body retains more water and the growing uterus also press again the leg vein making it difficult to push blood from the legs to the heart.

Some tips for you and Kim Kardashian next pregnancy: 

1. Avoid standing for long periods, and don't cross your legs
2.  sleep on your left side
3. Drink plenty of fluids ( ~10 cups)
4. Take daily walks, ride a stationary bike or swim laps in a pool.
5. apply cold-water compresses to swollen areas.

Visit your local podiatrist he/she can provide you with compression stocking.  This devices will help pump blood up your leg, decrease ankle pain, avoid any serious complications, and give you more stability.

Rolando M Melendez, DPM in Jamaica, NY and Hampton Bays, NY is here to help you with all yours and your baby's foot and ankle problems.  Because we want you to keep doing all the fun thing you like to do without pain on your feet!

Make your appointment

Credit to mayoclic

Oprah's bunions

Bunions are a common deformity of feet.  People get bunions for many reasons but genetics is the most common.  Symptoms vary from pain on the joint to pain at the bony prominence.  The bunion deformities can occur on the inside of the foot (regular bunion) and/or outside of the foot (Tailors bunion) 

Oprah Winfrey has both, a regular bunion and a Tailors bunion, in this case this deformity is call a Splay foot.

Conservative treatments include padding and wider shoes.  Surgical treatments are more curative of the deformity.  Bunion surgery or bunionectomy is one of the most common procedure done by podiatrist.  

Rolando M Melendez, DPM in Jamaica NY is here to help you with all your foot problems.  We want you to continue doing all the fun things you like to do without pain on your feet!!!

Make your appointment

Angelina Jolie flat feet

Photo credit: http://ohnotheydidnt.livejournal.com

Los Pies Planos no son siempre un problema que necesita tratamiento. Los pies planos son tratados solamente cuando se vuelven dolorosos y causar dificultades funcionales. Los pacientes pueden experimentar dolor en el arco medial y dolor en las articulaciones. Desafortunadamente deformidades de los pies son progresivos. Los tratamientos conservadores incluyen calzado adecuado, insertos personalizados y férula de tobillo. Hay muchos tratamiento quirúrgico seguro ofrecida a los pacientes pediátricos y adultos.

Dr. Rolando Meléndez  es el podiatra Latino, el especializa del pie y el tobillo.

• Jackson Heights, NY
• Corona, NY
•  Jamaica, NY
• Hampton Bays, NY

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Plantar fasciitis in the NBA

The Chicago Bulls player P.J. Brown was recently sidelined with a right foot plantar fascia strain. The repetitive nature of activities such as basketball —running, jumping, and other explosive movements that cause increased foot demands—are especially hard on the Plantar Fascia ligament and can cause an acute plantar fasciitis. If the activity causing the pain is not modified, the condition will likely worsen.

Dr Rolando M Melendez DPM has 2 goals.  The first to relieve your pain and second to prevent this pain interfering with your life again.

Dr Rolando M Melendez, DPM in Jackson Heights, NY Jamaica, NY and Hampton Bays, NY has the experience and tools to diagnose and treat all kinds of foot and ankle injuries.  Because we want you to keep doing all the fun things you like to do without having pain in your feet!

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Forefoot surgery, easy stuff!

The majority of forefoot surgeries are perform on outpatient bases in a surgical center.  

Forefoot surgery include 

• bunionectomy, 
• hammertoe toe correction, 
• tailors bunion correction
•  excision of soft tissue masses

For any Forefoot surgery expect:

·         1^st-3^rd week:  limited and protecteAd WB with a surgical shoe, (coach-bathroom-bed), Rest, elevate, ice (20min in, 20min out), anti-inflammatory

·         4^th week: Begin ROM exercises

·         3^rd-6^th week: active WB, transfer to tennis shoe progressively

·         4^th week : return to sitting job,

·         5-6^th week: return to walking job