The Whole Foot: Blog

Tag Archives: biomechanics

Ankle sprains and stategies to prevent them

Ankle sprains are an unfortunate and common injury in sports including basketball, soccer, and football. Often ankle sprains heal without a great deal of treatment, but at times, they can take a long time to finally resolve. So what are ankle sprains, why do they occur, and what can you do about them?
An ankle sprain is a tearing of the ligaments that support the outside of the ankle. These ligaments guide the ankle through its motion, ensuring that the joint surfaces do not rock into an abnormal position so that they do not become damaged. When the ankle ligaments tear, there is bleeding, which leaks into the skin usually causing bruising along the heel, back of the calf, and top of the foot.

Platelet-rich Plasma and Plantar Fasciitis

     Although it has been around for over 15 years and has been used with some success in treating difficult-to-heal wounds, platelet-rich plasma (PRP) has come into the literature recently for the treatment of many musculoskeletal conditions including tennis elbow, patellar and Achilles tendonitis. In addition, the successful use of PRP in the treatment of the injuries of many sports figures has been widely publicized. Some physicians that treat these problems are beginning to offer these treatments to their patients, sometimes as a last resort before surgery, sometimes, unfortunately, as an initial  treatment.

Why is the plantar fascia important?

The plantar fascia is a crucial structure in the foot. It is also often painful. Scarring in the plantar fascia near its attachment in the heel is the most common cause of heel pain and is also sometimes referred to as “heel spur syndrome”. When non-operative care for this condition fails to heal it, surgery is sometimes recommended. Although alternatives do exist, surgery on the plantar fascia is usually a cutting or release of the plantar fascia either open (meaning through an incision 1-2 inches in length) or endoscopically (meaning through smaller ΒΌ inch incisions using a fiber optic camera for visualization). This is called plantar fasciotomy.