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

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

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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