One of the biggest challenges in a sports medicine practice is deciding when an athlete has sufficiently recovered from an injury and can return to his or her sport. Often, the podiatric physician is under pressure from various sources to return the athlete back to play quickly after injury. More often than not, it is not the athlete who puts the pressure on the doctor. Rather,... Read More.
How many of us have put on a low Dye strapping that successfully alleviated the patient’s symptoms only to prescribe foot orthotic devices that did not have the same outcome? I would think anyone who has been in practice long enough has done this. What happened between the low Dye strapping and the foot orthotic device that changed the outcome we anticipated?
One can use the low Dye as a... Read More.
To have a successful sports medicine practice, it is crucial to understand not only the foot and ankle but also the knee and hip, and the mechanism of injuries affecting these areas. Having the opportunity to treat and travel with the best runners in the world has forced me to have a stronger understanding of lower extremity biomechanics, the mechanics of running and the injuries associated with... Read More.
After completing my residency and an orthopedics fellowship at the New York College of Podiatric Medicine, I quickly became a medical advisor to world-class athletes. In the dawn of the sports medicine era back in 1980, I joined a multidisciplinary dance-health facility and saw up to 30 dancers a day. New York City was the dance capital of the world and some surveys reported that 80 percent of... Read More.
Overuse injuries represent the single largest classification of sports-related injuries that require medical attention. All too often, athletes report these injuries to the sports medicine specialist after weeks, if not months, of denial and failed self-treatment. However, with the recent advances in medicine today, injured athletes can recover from injuries that otherwise could end their... Read More.
Occasionally, a podiatrist may encounter an athletic patient who does not improve with traditional treatment. We tend to focus on the injured area and may overlook weakness of the core muscles, which may contribute to foot or leg pain. The core muscles are extremely important in lower extremity muscle function. The core muscles include the stomach muscles (the rectus abdominus, transverse... Read More.
For professional athletes and weekend warriors alike, having the right shoe and the correct fit can mean the difference between participating and sitting on the sidelines. Since most podiatrists now fit shoes in their offices, it is imperative that they develop a true expertise in this critical aspect of foot care, particularly with respect to the special needs of athletes. Providing proper shoe... Read More.
The irritation is the result of biomechanical deformities such as limb length discrepancy, gastrocsoleus equinus, and excessive foot or leg varus, producing midtarsal and subtalar hyperpronation. In turn, this pronation produces a stretch of the plantar fascia as well as unwanted pulling on the origin of the fascia (the medial calcaneal tubercle).
The classic history of plantar fasciitis is... Read More.
By Mark A. Caselli, DPM and Mohsen Khoshneviszadeh
Foot injuries are one of the most common injuries for athletes. Specifically, among all the joints and bones of the foot, the first metatarsophalangeal joint with its sesamoid complex is the most commonly affected. It is usually clear when an athletic injury involves the first metatarsophalangeal joint complex. However, identifying the specific injured structures and arriving at a precise... Read More.