Osteomyelitis (Bone Infection): What to Expect

source ; http://www.staugustinefoot.com/blog/?p=155

Dr Thomas LeBeau can help treat your bone infection

Osteomyelitis: What to Expect

Thomas A. LeBeau, DPM

St. Augustine Foot and Ankle

Osteomyelitis is a rare but serious bone infection. Infections may exist in bones for a number of reasons: Infection from another part of the body may spread to the bone, or an open fracture or surgery may expose the bone to infection also. In many cases, a staph bacteria causes osteomyelitis and diabetics are at a particularly high risk.

A bone infection is rare only affecting 2 out of every 10,000 people. Osteomyelitis can affect children and adults. Bone surgery, including joint replacements; also increase the incidents of bone infection. Immune system weakening conditions and behaviors also increase a person’s risk for osteomyelitis, including:

  • Diabetes (most cases of osteomyelitis stem from diabetes)
  • Sickle cell disease
  • HIV or AIDS
  • Rheumatoid arthritis
  • Intravenous drug use
  • Alcoholism
  • Long-term use of steroids
  • Hemodialysis
  • Poor blood supply
  • Recent injury

Acute osteomyelitis develops rapidly over a period of seven to 10 days. The symptoms for acute and chronic osteomyelitis are very similar and include:

  • Fever, irritability, fatigue
  • Nausea
  • Tenderness, redness, and warmth in the area of the infection
  • Swelling around the affected bone
  • Lost range of motion

Diagnosing osteomyelitis can sometimes be difficult. At St. Augustine Foot and Ankle we may order X-rays, blood tests, MRI, and bone scans to get a picture of what’s going on. A bone biopsy is necessary to confirm whether a bone infection exists or not. The biopsy also helps determine the type of bone infection, typically bacterial, is causing the problem so we can get you the correct medication. Treatment will usually consist of an antibiotic regiment that will kill the bacteria causing the bone infection. In extreme cases, surgery may be required to remove the infected bone to prevent further spread.

With our experience at St. Augustine Foot and Ankle we will do everything we can to get you back on your feet as quickly as possible.  If you suspect you have a bone infection (Osteomyelitis) in your foot or ankle or if you are feeling pain in your foot or ankle of any kind please give us a call to set an appointment as soon as possible at (904) 824-0869 or feel free to email us at info@staugustinefoot.com.

MRI: No More Claustrophobia!

source ; http://www.staugustinefoot.com/blog/mri-no-claustrophobia/

Dr Thomas LeBeau photo
MRI: No More Claustrophobia!

MRI: No More Claustrophobia!

Thomas A. LeBeau, DPM

St. Augustine Foot and Ankle

Magnetic Resonance Imaging (MRI) is an imaging test that uses a magnetic field and pulses of radio wave energy to create detailed images of the body that are not usually visible with other diagnostic images. An MRI often gives different information about the body through the image than can be seen with an x-ray, ultrasound, or CT scan. As a podiatrist I may order an MRI to help me diagnose several types of issues including injuries like sprains and tears to bone infections like osteomyelitis.

An MRI requires the area of the body being studied to be placed inside a machine that contains a strong magnet. Usually these machines are very large and require the patient to lie in a tube or tightly enclosed area. Most often, regardless of what part of the body is being imaged, a patient must lay with their entire body enclosed in a tight space. Once positioned in the machine the imaging begins. A typical MRI will take 45-90 minutes to complete. The images from the MRI scan are digital and can be saved and stored on a computer for more study. Digital images can be viewed from virtually anywhere including on a home computer, tablet, and can even be shown in the operating room during surgery.

As mentioned earlier, most MRI machines require someone to lie in a tightly enclosed space. In podiatry, we typically only call for MRI images of the lower leg like the ankle or foot. At St. Augustine Foot and Ankle we questioned why it was necessary for our patient to lay entirely in a tight space when we are only imaging the lower leg. Based on patient feedback we found that this can be very uncomfortable. To address this concern for our patients and provide a better service we invested in an extremity only MRI machine. This type of machine only requires you to put your leg into an enclosed space as opposed to the entire body. After two years of using this machine we have found that our patients are far more comfortable. This has allowed us to perform more MRI’s on patients that would normally prefer not to. Further, this has led to improved care because we have been able to diagnose problems that we would not be able to without the MRI and also make the diagnosis much more quickly. That’s a great win for our patients!

MRI: No More Claustrophobia!
MRI: No More Claustrophobia!

If your doctor has requested that you get an MRI performed on your leg (knee, ankle, foot) or your arm (elbow, wrist, hand) and you are anxious about lying in a tightly enclosed space, please give us a call so we can help! Once we complete the MRI we can get the image to your doctor in about 24 hours time.  Or if you prefer to work with us on your lower extremity issue we can do that also.

With our experience at St. Augustine Foot and Ankle we will do everything we can to make you feel comfortable so your MRI can be performed without issue.  If you are in need of an MRI or if you are feeling pain in your foot or ankle of any kind please give us a call to set an appointment as soon as possible at (904) 824-0869 or feel free to email us at info@staugustinefoot.com.

Turf Toe: Not Just a Football Injury

source ; http://www.staugustinefoot.com/blog/turf-toe-not-just-football-injury/ 

Dr Thomas LeBeau photo

Turf Toe: Not Just a Football Injury

Thomas A. LeBeau, DPM

St. Augustine Foot and Ankle

Turf toe is a colorful term often used to describe an injury that involves spraining the ligaments around the big toe joint. Turf toe can be very painful and prevent you from performing your best as an athlete or it may even cause enough discomfort to take you off your feet completely. Often associated with football, a turf toe injury can happen anytime, anywhere, and in any sport.

Turf toe is a sprain to the ligaments around the big toe joint. These ligaments work primarily as a hinge to permit up and down motion of the big toe. Behind the big toe joint are two small bones embedded in the tendon that moves your big toe. These bones work like a pulley for the tendon and provide leverage when you walk or run. These bones also absorb the pressure from the ball of the foot.  When you are walking or running you push off the ground with your big toe and ball of your foot. If for some reason the big toe stays flat on the ground then you run the risk of causing a turf toe injury. Ultimately, it is the hyperextension of the big toe joint from this position that will cause the ligaments in this area to become sprained. Symptoms include: pain, swelling, and limited joint movement. These symptoms may become progressively worse if the toe is not treated.

Here at St. Augustine Foot and Ankle we may diagnose turf toe by doing a health history exam asking questions about the moment you noticed pain, what activities you are involved in, What your occupation is, what type of shoes you wear most often, etc. A physical exam will likely come next which may be followed by x-ray and MRI depending on the doctors findings. The diagnosis will then be made based on the results of the physical examination and imaging tests.

The initial treatment for turf toe is a combination of rest, ice, compression, and elevation. This basic treatment approach is to give the injury ample time to heal, which means the foot will need to be rested and the joint protected from further injury. Non-steroidal anti-inflammatory drugs (NSAIDS) may be recommended to reduce inflammation. The joint will need to be immobilized next. This may be done by taping, casting, or wearing a special boot. You may also be asked to use crutches so that no weight is placed on the injured joint. In severe cases surgery may be suggested.

It typically takes two to three weeks for the pain to subside. After the immobilization of the joint ends, some patients require physical therapy in order to re-establish range of motion, strength, and conditioning of the injured toe. Full recovery time depends on the person and how severe the injury is. Several weeks beyond the pain subsiding could be possible.

With our experience at St. Augustine Foot and Ankle we will do everything we can to help you with your turf toe and get you back to your regular activity. If you suspect you have turf toe or are feeling pain in your foot or ankle of any kind please give us a call to set an appointment as soon as possible at (904) 824-0869 or feel free to email us at info@staugustinefoot.com

Some of the information above was found at www.WebMD.com

Safe Nails Spa Membership Program

source ; http://medinailsandspa.com/safe-nails-spa-membership-program/ 

Dr Thomas LeBeau photo

Medi Nails and Spa Membership Program Announcement 

 

Hello Valued Clients and future clients!

Medi Nails and Spa is introducing the, much anticipated, MEMBERSHIP PROGRAM!

As a VIP member you will receive your choice of a monthly service at a discount and further discounts on additional services and retail products, as listed below.

Do not miss out on this fantastic membership opportunity. The charter rate of $59.99 will only be available to the first 300 members. Reply to this email for enrollment or call us at (904) 342-5948.

VIP Member Benefits: $59.99

–          Your choice: (Choose one of the following points)

  • Signature Manicure/Pedicure (together)
  • Signature Facial
  • Signature Massage

–          15% off ALL additional services

–          10% off ALL retail products

–          Preferred bookings

–          Family sharing available

Get a complimentary 30 minute massage for every five friends you nominate for the charter VIP Membership rate! Ask us for details!

Medi Nails and Spa is the safest and highest quality spa experience in St. Augustine, providing a unique opportunity to maintain your health and beauty at a discount. Dr. Thomas LeBeau brought the safe nail spa concept to St. Augustine in answer to several nail and foot infection cases he came across at his podiatry practice. These cases stood out because each of the patients had visited a nail spa and were either cut, scratched, and/or had their feet in an unsanitary tub of water. The infections present in these patients were Staph/MRSA in nature and could have caused serious health issues. At Medi Nails and Spa your risk of contracting serious infection is virtually eliminated because nothing that touches your body has ever touched someone else’s body. This includes all instruments, products, tubs, water, etc. At no point will you need to feel stressed out about whether or not the person who had their feet in that tub of water before you was suffering from some kind of infection or other health issue. Finally, you can actually relax at the spa and enjoy yourself.

Please don’t miss out on this great opportunity to pamper yourself safely at a discount. We will be honored to have you as a client.