DMFA Blog

Posts for: February, 2019

By Dr. Diana Emini
February 27, 2019
Category: Uncategorized
One of the most common foot fractures is a fracture that occurs in the 5th metatarsal - the long bone on the outside of the foot that connects to the little toe. Two types of fractures that often occur in the fifth metatarsal:
  • Avulsion fracture. In an avulsion fracture, a small piece of the bone is pulled off the main portion of the bone by a tendon or ligament. This type of fracture is the result of an injury in which the ankle rolls. Avulsion fractures are often overlooked when they occur with an ankle sprain. 
  • Jones fracture. Jones fractures occur in a small area of the fifth metatarsal that receives less blood and is therefore more prone to difficulties in healing. A Jones fracture can be either a stress fracture (a tine hairline break that occurs over time) or an acute (sudden) break. Jones fractures are caused by overuse, repetitive stress or trauma. They are less common and more difficult to treat than avulsion fractures. Other types of fractures can occur in the fifth metatarsal. Examples include midshaft fractures, which usually results from trauma or twisting, and fractures of the metatarsal head and neck. 
Symptoms
Avulstion and Jones fractures have the same signs and symptoms which include:
  • Pain, swelling and tenderness on the outside of the foot
  • Difficulty walking
  • Bruising
Diagnosis
Anyone who experiences any of the mention symptoms should schedule an evaluation with one of our Board Certified foot and ankle surgeons as soon as possible for proper diagnosis and treatment. To properly diagnose, Dr. Diana Emini or Dr. Michelle Kim will request on site, digital x-rays to be taken during your evaluation at our office. Upon reviewing the x-rays with you, our physicians will then ask a series of questions about how the injury occurred or when the pain started. They will then discuss your treatment options with you based on your initial evaluation.

Nonsurgical Treatment
Our doctors will create a specific treatment plan for reach patient based on their symptoms and diagnosis. Many times, Dr. Emini and Dr. Kim will recommend the following nonsurgical treatments:
  • Rest: Stay off the injured foot to avoid further injury. No exercising, walking or any activities that require pressure to the injured foot.
  • Ice: Ice reduces inflammation and swelling. Our doctors recommend applying an ice pack wrapped in a thin towel to the site for 15-20 minutes/1-2 times a day.  
  • Compression: Your treatment plan may include compressing the area with an elastic wrap or soft cast to control swelling.
  • Elevation: When idle, the injured foot should be raised slightly above the level of your heart to reduce swelling.
  • Immobilization: Depending on the severity of the injury, the foot will be immobilized with a hard cast, walker boot or soft cast and surgical shoe. We can do all casting and dispensing of necessary immobilization devices during a patient's initial evaluation.
  • Bone stimulation: A pain-free external device that is used to speed the healing of some fractures. 
When is Surgery Needed?
If the injury involves a displaced bone, multiple breaks or has failed to adequately heal, surgery may be required. As Board Certified foot and ankle surgeons, Dr. Diana Emini or Dr. Michelle Kim will determine the type of procedure that is best suited for the individual patient based on their physical exam findings. Our doctors perform these surgeries as outpatient procedures at Amita Bolingbrook Hospital or Preferred Surgicenter in Orland Park.

Any time pain, swelling, difficulty walking or bruising occurs, an evaluation with a podiatrist is recommended. Dr. Emini and Dr. Kim are proud to serve Lemont, Lockport, Homer Glen, Orland Park and all surrounding areas. Don't wait! Call (630) 863-7517 to schedule a visit with one of our podiatrists today. 

By Dr. Michelle Kim
February 15, 2019
Category: Uncategorized
The structure of the foot is complex, consisting of bones, muscles, tendons and other soft tissues. The foot consists of 28 bones, 19 of those being toe bones. Fractures of the toe bones are common and require evaluation by one of our podiatrists, Dr. Diana Emini or Dr. Michelle Kim.

What is a Fracture?
A fracture is a break in the bone. One of the most common fractures is a bedpost fracture, which is a toe fracture.  Bedpost fractures get their name because they are typically caused by the accidental stubbing of the toe on a solid structure, such as a bedpost, desk or table. These types of fractures can be either displaced (the bone is broken in such a way it has changed position), or non-displaced (the bone is cracked, but remains in the same position).

Signs and symptoms of a bedpost fracture include:
  • You may hear a sounds at the time of the injury.
  • Pinpoint pain at the time the fracture occurs.
  • Crooked or abnormal appearance of the toe. 
  • Bruising and swelling around the injured area the next day.
Dr. Emini and Dr. Kim stress that the old saying "if you can walk on it, it's not broken" is just not true. Evaluation by one of our Board Certified foot and ankle surgeons is always recommended. 

Treatment of Toe Fractures
Many people believe that nothing can be done to treat the broken toe bone. This is typically not true. Treatment options for bedpost fractures may include:
  • Rest. Sometimes rest is all that is needed
  • Splinting. The toe may be fitting with a splint to keep it in a fixed position. 
  • Immobilization. Our doctors may recommend the use of a surgical shoe or walker boot. Being the one-stop-shop for all your podiatry needs, we carry these items on site at our office and can bill most insurance for these types of devices. 
  • Surgery. If the break is badly displaced or if the joint is affected, surgery may be necessary. Both Dr. Diana Emini and Dr. Michelle Kim are Board Certified in Foot and Ankle Surgery by the American Board of Foot and Ankle Surgery. 
Fractures should never be left untreated. If you experience any symptoms of a fracture, call our office to schedule an appointment. We will try to get you in for an evaluation with one of our doctors right away!

By DM Foot & Ankle Associates
February 12, 2019
Category: Uncategorized
Tags: Untagged

We’d like to wish a very happy birthday to one of our DMFA team members, Megan. As her co-workers and our patients know, Megan has a contagious smile and is always keeping things positive. We are proud to have her as part of our team. To celebrate Megan and get to know her a bit better, we’ve put together a few questions for her to answer:

 

Q: What is the most relaxing place you’ve ever been?

A: Bahamas

 

Q: What are some small things that make your day better?

A: Making others smile

 

Q: Who’s your go to band or artist when you can’t decide on something to listen to?

A: Lana Del Ray

 

Q: What TV show are you in to?

A: Grey’s Anatomy

 

Q: What do you like most about your family?

A: The unconditional love, encouragement and joy they bring into my life.

 

Team DMFA wishes you the happiest of birthdays, Megan. May all of life’s blessings be yours, on your birthday and always.