Ankle Therapy Part 3

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I have some great ankle therapy exercises for you!
I have some great ankle therapy exercises for you!

Ankle Physical Therapy

St. Augustine Foot and Ankle

Longevity Physical Therapy St. Augustine

This is the third and final part in a 3 part series covering ankle therapy for an ankle injury. These are exercises you can do at home but it is recommended that you see a podiatrist and physical therapist to start your recovery. Longevity Physical Therapy St. Augustine is the preferred physical therapy practice of Dr. Thomas LeBeau and St. Augustine Foot and Ankle.

Partial Weight-Bearing Exercises
These ankle therapy exercises will help put more weight on the injured foot as well as strengthen it. Each one should be performed 10 times in a row.

Seated Calf Raise

  1. Sit in a chair with the injured foot on the floor.
  2. Lift your heel as far as possible while keeping your toes on the floor.
  3. Return heel to the floor.

Single Leg Stand

  1. Stand upright while holding onto a stable object.
  2. Shift some of your weight onto the injured foot.
  1. Hold the position for 15 seconds.
  2. Relax and put your weight back onto your uninjured foot.

Full Weight-Bearing Exercises
These ankle therapy exercises will help put more weight on the injured foot as well as strengthen it. Perform each one 10 times in a row.

Single Leg Stance

  1. Stand on the injured foot while lifting the uninjured foot off the ground.
  2. Hold the position for 15 seconds.
  3. Relax and put your weight back onto your uninjured foot.

Standing Calf Raise

  1. Stand on the injured foot while lifting the uninjured foot off the ground.
  2. Raise up, standing only on the ball of the injured foot and lifting your heel off the ground.
  1. Hold the position for 15 seconds.
  2. Relax and put your weight back onto your uninjured foot.

Lateral Stepping

(Increase the speed of this ankle therapy exercise as your healing progresses.)

  1. Place a rolled towel or short object on the ground to the side of your injured foot.
  2. Step over the towel with the injured foot and remain on that foot.
  3. Then bring the uninjured foot over the object and stand on both feet.
  4. Step back over the towel with the uninjured foot and remain on that foot.
  5. Then bring the injured foot back over the towel and stand on both feet.

Lateral Jump

(Increase the speed of this ankle therapy exercise as your healing progresses.)

  1. Place a rolled towel or short object on the ground to the side of your injured foot.
  2. Hop over the towel and land on the injured foot.
  3. Then hop back over the towel and land on the uninjured foot.

Balance Activities
Injury to ankles can often result in decreased balance ability. Towards the end of your rehabilitation performing balance activities is an important way to prevent future injury. Perform this ankle therapy exercise 10 times in a row.

Single Leg Stance on a Towel

  1. Fold a towel into a small rectangle and place on the ground.
  2. Stand with the injured foot on the towel.
  3. Lift the uninjured leg off the ground standing only on the towel with the injured leg.
  1. Hold for 15 seconds. (As balance improves, increase stance time on injured leg up to 45 seconds.)
  2. Return your uninjured foot to the floor.

With our experience at St. Augustine Foot and Ankle and Longevity Physical Therapy we will do everything we can to help with your ankle injury. If you suspect you have an ankle injury, require ankle physical therapy, or are feeling pain in your ankle or foot 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

Toenail Fungus

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We can help rid you of that annoying toenail fungus!
We can help rid you of that annoying toenail fungus!

Toenail Fungus

Dr. Thomas LeBeau

St. Augustine Foot and Ankle

 

fungal toenail infection (toenail fungus) occurs when a fungus attacks the toenail or nail bed. Fungi (plural of fungus) can attack your nails through small cuts in the skin around your nail or through the opening between your nail and nail bed.

If you have a healthy and strong immune system, a fungal toenail infection is not likely to cause serious problems. Instead the toenail fungus may look bad, hurt, or cause permanent damage to your nail or nail bed. A toenail fungus infection could lead to more serious problems if you have diabetes or a weak immune system.

Yeasts, molds, and different kinds of fungi can cause toenail fungus infections. Most are caused by the same type of fungus that causes athlete’s foot.

Fungi grow best in warm, moist places, and they can spread from person to person. You can get a fungal nail infection from walking barefoot in public showers or pools or by sharing personal items, such as towels and nail clippers. If you have athlete’s foot, the fungus can spread from your skin to your nails.

A nail with a fungal infection may:

Continue reading below…

  • Turn yellow or white.
  • Get thicker.
  • Crumble and split, and it may separate from the skin.

When you have a fungal toenail infection, it can be uncomfortable or even painful to wear shoes, walk, or stand for a long time. The fungus could also spread to other nails or your skin.

At St. Augustine Foot and Ankle we will diagnose your fungal nail infection by examining the nail, discussing your health history, and possibly doing tests to look for fungi.

Whether to treat a fungal nail infection is up to you. If it isn’t treated, it won’t go away. It might get worse. At St. Augustine Foot and Ankle we have a number of methods to treat fungal toenails without oral medications. These methods include topical oils and creams in addition to advanced laser treatment. We have a very high success rate in treating fungal toenails. The sooner you get in to us to be treated the more likely and more quickly we can help you get rid of your toenail fungus.

With our experience at St. Augustine Foot and Ankle we will do everything we can to help you overcome a toenail fungus as quickly as possible. If you think you may have a toenail fungus, give us a call to set an appointment 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

Wound Care

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Dr. Thomas LeBeau is a board certified Wound Care specialist.
Dr. Thomas LeBeau is a board certified Wound Care specialist.

Wound Care 

Dr. Thomas LeBeau

St. Augustine Foot and Ankle

Foot ulcers and other open foot wounds are a major cause of disability, morbidity and mortality.

Varicose veins, poor circulation and diabetes can lead to open foot wounds.

Approximately 15 percent of diabetic patients develop diabetic foot ulcers. Some even suffer foot amputations, many of which are preventable with proper foot wound care treatment.

Foot and ankle wounds can be caused by traumatic injury or could be arterial and venous wounds, pressure ulcers, diabetic wounds and wounds related to diseases such as lupus, rheumatoid arthritis and scleroderma. Older patients are also vulnerable to poor circulation, decreased sensation and impaired healing.

Wounds can be treated conservatively or aggressively depending on the severity. Like any ailment the best treatment is prevention. For example someone with diabetes should get on a diabetic foot care regiment. A regular diabetic foot care regiment will help prevent future problems that could not only include wounds but also amputations.  Diabetics should be on a diabetic foot care regiment no ifs, ands, or buts about it. However, if you have a foot ulcer/ foot wound that has already developed the sooner you are treated the better. Some foot wounds can be treated with wraps and antibiotics while others may require procedures and skin grafts. All of this often depends on the severity of the foot ulcer / foot wound and how soon it is treated.

Fortunately, wound care is a specialty of podiatry doctor Thomas A. LeBeau, DPM.

See Dr. LeBeau for foot and ankle wound care that includes:

• Foot ulcer treatment and other foot wound care treatment
• Leg ulcer treatment and other leg wound care treatment

Take a step toward saving your feet. Call Dr. LeBeau’s office today at 904-824-0869. Please feel free to use our online Request an Appointment at info@staugustinefoot.com

 

Plantar Fasciitis

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Plantar Fasciitis
We can help you with your Plantar Fasciitis and foot pain!

Plantar Fasciitis: Foot Pain

St. Augustine Foot and Ankle

How Do I Know If I Have Plantar Fasciitis?

Most cases of Plantar Fasciitis are diagnosed by a health care provider based on your symptoms and a physical exam in which he or she will press on the bottom of your feet — the area most likely to be painful in plantar fasciitis, inflammation of the thick, fibrous band of tissue (”fascia”) that reaches from the heel to the toes and supports the muscles and arch of the foot. He or she may suggest that you have an X-ray of your foot to verify that there is no stress fracture causing your pain.

What Are the Treatments for Plantar Fasciitis?

Most health care providers agree that initial treatment for plantar fasciitis should be quite conservative. You’ll probably be advised to avoid exercise that is making your pain worse. Your doctor may also advise one or more of these treatment options:

A Heel Pad

A heel pad is sometimes used to cushion the painful heel if you spend a great deal of time on your feet on hard surfaces.

Also, over-the-counter or custom-made orthotics, which fit inside your shoes, may be constructed to address specific imbalances you may have with foot placement or gait.

Stretching

Stretching exercises performed three to five times a day can help elongate the heel cord and the ligaments on the bottom of the foot.

Ice

You may be advised to apply ice packs to your heel or to use an ice block to massage the plantar fascia before going to bed each night.

Pain Relievers

Simple over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are often helpful in decreasing inflammation and pain. To avoid stomach discomfort, NSAIDs should be taken with meals. If you can’t tolerate such drugs, ask your health care provider about an alternative.

A Night Splint

A night splint is sometimes used to hold your foot at a specific angle, which prevents the plantar fascia from contracting during sleep.

Ultrasound

Ultrasound physical therapy can be performed to decrease inflammation and promote healing.

Steroid Injections

Anti-inflammatory steroid injections directly into the tissue around your heel may be helpful. However, if these injections are used too many times, you may suffer other complications, such as shrinking of the fat pad of your heel, which you need for insulation and cushioning. Loss of the fat pad could actually increase your pain — or could even rupture the plantar fascia in rare cases.

What Are the Treatments for Plantar Fasciitis? continued…

Walking Cast

If your plantar fasciitis is unresponsive to typical treatments, your doctor may recommend that you wear a short walking cast for about three weeks. This ensures that your foot is held in a position that allows the plantar fascia to heal in a stretched, rather than shortened, position.

Shock Wave Therapy

Extracorporeal shock wave therapy is a procedure that may be performed prior to considering open surgery, if your symptoms have persisted for more than six months. This surgery does not involve any actual incisions being made; rather, it uses a high intensity shock wave to stimulate healing of the plantar fascia.

Surgery for Plantar Fasciitis

Most practitioners agree that treatment for Plantar Fasciitis is a slow process. Improvement usually takes six to 12 weeks, and the condition may still linger, at a lower level of pain, for up to six months or longer. If these more conservative measures don’t provide relief in a reasonable length of time, your doctor may suggest surgical options.

The most common surgery for Plantar Fasciitis is called a plantar fascia release, which involves releasing a portion of the plantar fascia from the heel bone. A plantar fascia release can be performed as a traditional surgery through a regular incision, or as endoscopic surgery, in which a tiny incision allows a miniature scope to be inserted and surgery to be performed.

About one in 20 patients with Plantar Fasciitis will need surgery. As with any surgery, there is a chance that you will continue to have pain afterwards.

How Can I Prevent Plantar Fasciitis?

While there are no sure ways to prevent Plantar Fasciitis, these prevention tips may be helpful:

  • Keep your weight under reasonable control.
  • Wear comfortable, supportive shoes.
  • Use care when starting or intensifying exercise programs.

With our experience at St. Augustine Foot and Ankle we will do everything we can to help you with your Plantar Fasciitis  and/0r foot pain to keep your feet healthy and functioning. If you are experience foot pain of any kind 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