Conditions of the Feet and Ankles

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Conditions of the Feet and Ankles

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At the Magaziner Center for Wellness, we have specialized in the non-surgical treatment of orthopedic pain and injury since 1999. As of 2015, we have performed over 60,000 regenerative procedures, on everyone from top professional football players to elderly patients hoping to avoid joint replacement, to the active middle age person who may have already had a failed surgery for a meniscus or rotator cuff tear. We take a holistic approach to orthopedics and look not only at the injured joint, but at where the problem originates. Whether the injury occurred in the knee, hip, back, neck, or ankle, we look at the entire body and often find problems such as a tilt in the pelvis, an abnormal gait, or a spinal misalignment. By treating the root cause of the problem, rather than the symptoms, our patients generally excellent clinical outcomes without the side effects.

Common causes of foot and ankle pain

The feet and ankles are an intricate system of tendons, ligaments, bone, and muscle tissue. They bear the weight of the entire body and are often subject to high-impact stressors, such as running. Foot and ankle pain is fairly common among athletes. Injury, overuse or repetitive stress can cause inflammation or injury to the ligaments, tendons or bone, resulting in pain or weakness.

Morton's Neuroma

What is a Morton’s neuroma?
Morton’s neuroma is a condition which causes pain in the ball of the foot. It is often described as feeling as if there is a pebble in your shoe (usually between the third and fourth toes). This sensation is caused by a thickening of the tissue that surrounds the nerves that lead to the toes.

What are the symptoms?

  • Burning sensation in the ball of the foot which may radiate into the toes
  • Worsening pain during activity
  • Numbness in the toes
  • The sensation of stepping on a pebble

What causes Morton’s neuroma?
Factors contributing to Morton’s neuroma include:

  • Tight shoes, high heels, or shoes that squeeze the toes together
  • High impact sports such as running
  • Deformities of the feet
  • Sports such as skiing that put pressure on the toes
Plantar Fasciitis

What is plantar fasciitis?
Plantar fasciitis is the most common cause of heel pain. It occurs when the plantar fascia, the thick band of tissue that runs from the heel bone to the toes, becomes inflamed. It is common among runners and the overweight.

What causes plantar fasciitis?
While it is not completely understood exactly what causes plantar fasciitis, it is believed that it results from repeated, small tears of the plantar fascia. Factors that may contribute to the condition include flat feet, obesity, and repetitive stress to the fascia, such as walking or standing on hard surfaces.

What are the symptoms?

  • Stabbing pain near the heel which worsens after periods of inactivity
  • Pain when climbing stairs
  • Pain that worsens throughout the day
Achilles Tendonitis

What is Achilles tendonitis?
Tendonitis is defined as the inflammation of a tendon. Achilles tendonitis is, therefore, the inflammation of the Achilles tendon. The Achilles tendon, the largest tendon in the body, is located directly above the heel, connecting the calf muscle to the heel bone. Activities such as running and jumping put stress on the tendon and may lead to tendonitis.

What are the symptoms?

  • Swelling in the heel area
  • Pain when walking, running or jumping
  • Tight calf muscles
  • Inability to flex the foot or stretch the ankle
  • Area may be warm to the touch

What causes Achilles tendonitis?

Achilles tendonitis is generally caused by improper or overuse of the tendon. It is a common condition among athletes, but there are also contributing factors unrelated to physical activity.

Factors contributing to Achilles tendonitis:

    • Infection
    • Rheumatoid arthritis
    • Wearing high heels for long periods
    • Activities that require quick stops and direction changes
    • Excessive running (especially without warming up first)
Hallux Limitus and Hallux Rigidus
What is hallux limitus and hallux rigidus?

Hallux is the medical term for the big toe. A healthy hallux joint should have 50-90 degrees of extension, without pain or resistance. Limitus and rigidus refer to a big toe that is restricted in its movement. Hallux rigidus is considered by many podiatrists to be the final stage of hallux limitus and is actually a form of degenerative arthritis. This stiffness may occur only when standing or walking (functional hallux limitus) or it may be constant.

What are the symptoms?

  • Immobility of big toe
  • Pain in the big toe, particularly when in motion
  • Pain and stiffness of the big toe in cold weather
  • Swelling of the joint
  • Limping
  • Pain in the lower extremities
  • Lower back pain

What causes hallux limitus?
It is not entirely known exactly what causes the big toe to lose mobility, but some risk factors have been identified as causing damage to the bone and wear and tear to the joint. These include:

  • An elongated metatarsal
  • A past traumatic injury to the big toe
  • Genetics
  • Congenital deformation of the foot
  • Overuse of the big toe
  • Rheumatoid arthritis
  • Gout
How They Treat It

Traditional Western medicine will generally treat back foot and ankle with medication — typically nonsteroidal anti-inflammatory drugs (NSAIDs)– physical therapy and possibly surgery. NSAIDs have powerful side effects and can cause secondary issues, such as stomach problems, including bleeding and ulcer, abdominal pain, fluid retention, kidney problems, heart problems, rashes and more. In fact, NSAIDs have recently been found to be more dangerous than previously thought. The FDA is now strengthening their warning that even the over-the-counter strengths can cause heart attacks or strokes. This course of treatment puts patients on a fast track to ever increasing doses of an ever increasing potency anti-inflammatories and pain-killers.

Surgery is risky, has a long recovery time and there is no guarantee that it will fix the problem. We see many patients who have had surgery and still experience severe pain regularly.

For the most part, medication is prescribed simply to suppress the symptoms, not to cure the injury or condition. Oftentimes, it can actually prevent the body from healing properly, by suppressing its natural responses, such as inflammation, which triggers the healing process. The symptoms associated with an injury or condition are the body’s way of letting us know that something is wrong. By suppressing these signals, but not working to fix the problem, we can actually do more harm than good. Medication also has plenty of risks, including side effects, addiction and the need for increasing doses, as it inevitably loses effectiveness as your body grown accustomed to it and builds a ‘tolerance’.
When ankle pain (or any joint pain) is treated with a painkiller or anti-inflammatory drug, the patient may feel some relief, because the symptoms are being suppressed. This is not a solution, however, because it is not fixing the cause of the pain. Inflammation is not the cause of the pain, it is the body’s natural response to injury and the trigger for it to begin the healing process. By suppressing the inflammation, these drugs are preventing the body from to healing itself. Painkillers are simply numbing the pain that results from the injury. If the injury is not treated, it may never properly heal and can even get worse as time goes on. Many of our patients have been on ascending doses of pain medication for years, with no end in sight.

How We Treat It

At the Magaziner Center for Wellness, we treat foot and ankle pain holistically–by learning where the problem originated and working to heal it.
Using prolotherapy, Prolozone®, platelet rich plasma (PRP) and stem cell therapy, we accelerate and enhance the body’s natural healing process. We see many patients who have already been through the gamut of traditional medicine and have not found relief. Many people who have had no success with treatments such as surgery, nerve block, epidurals and steroid injections, trigger point injections, chiropractic therapy, acupuncture and more, find relief for the first time after receiving treatment at the Magaziner Center. With no side effects, downtime or surgery, we have gotten patients off of medication, helped them to avoid surgery and gotten them back to their lives.

*The treatment that we will recommend depends on the type and severity of the injury or condition. Call 856-424-8222 or email to schedule a consultation and learn about the options that are right for you.

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