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    • Hammertoes
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    • Metatarsal Disorders
    • Pediatric Foot And Ankle Problems & Injuries
    • Plantar Fasciitis
    • Plantar Warts
    • Reconstructive Surgery Of The Foot And Ankle
    • Sports Related Injuries
    • Traumatic Surgery Of The Foot And Ankle
    • Treatment Of Charcot Foot And Ankle Deformities
    • Treatment Of Ingrown, Fungal And Thickened Nail Conditions

    Welcome to the Patient Information Center! Here you will find information about the most common foot and ankle ailments. Click on any of the issues below to find out more about specific problems and what treatment options are available. Here you will also find links to interesting websites pertaining to podiatry. If you have any questions, feel free to Contact Us through the website or give us a call!

    Common Ailments

    Helpful Information & Links

    The path to board certification by the American Board of Podiatric Surgery (ABPS) begins after graduating from an approved podiatric surgical residency program after which our doctors pass a rigorous written examination to become board qualified. Next, doctors spent up to 6 years of their initial practice time collecting various patient cases which demonstrate to the ABPS their decision-making, competency, and skills as a foot and ankle surgeon. After submission of these cases, detailed review, and acceptance to the ABPS, doctors sit for the ABPS oral examination held in Chicago, IL.

    • Dr. Paradoa has satisfied requirements by the ABPS to become board certified in Foot, Reconstructive Rearfoot/Ankle Surgery.

    Our patients can feel confident that they are being treated by a foot and ankle surgeon who has dedicated years of her education, training, and experience to achieving board certification status by the American Board of Podiatric Surgery.
    The American Board of Podiatric Surgery website has a wealth of information about podiatry and the requirements that must be met.

    A Doctor of Podiatric Medicine (DPM) is to the foot and ankle what a dentist is to the mouth, or an ophthalmologist to the eye — a doctor specializing in the prevention, diagnosis and treatment of foot disorders resulting from injury or disease. A DPM makes independent judgments, prescribes medications and performs surgery. The human foot has a complex interrelation with the rest of the body which means that it may be the first area to show signs of serious conditions such as diabetes and cardiovascular disease. Since the podiatric physician is often the first to detect symptoms of these disorders, he or she becomes a vital and sometimes lifesaving link in the health care team.

    The American College of Foot & Ankle Surgeons is a professional society of thousands of foot and ankle surgeons. Their website contains a plethora of information about advances in podiatry and connects its members to share that knowledge.

    FootHealthFacts.org is the official consumer website of the American College of Foot and Ankle Surgeons. This is a wonderful resource of information! From what foot injuries Olympians have suffered from during the 2012 London Olympics to a growing trend in lawn mower accidents, you will find interesting, informative and compelling articles in the world of Podiatry.

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    The Lisfranc Joint
    LisfrancThe Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. This is important for maintaining proper alignment and strength of the joint.

     

    How Do Lisfranc Injuries Occur?
    Injuries to the Lisfranc joint most commonly occur in automobile accident victims, military personnel, runners, horseback riders, football players and participants of other contact sports, or something as simple as missing a step on a staircase.

    Lisfranc injuries occur as a result of direct or indirect forces to the foot. A direct force often involves something heavy falling on the foot. Indirect force commonly involves twisting the foot.

    Types of Lisfranc Injuries
    There are three types of Lisfranc injuries, which sometimes occur together:

    • Sprains. The Lisfranc ligament and other ligaments on the bottom of the midfoot are stronger than those on the top of the midfoot. Therefore, when they are weakened through a sprain (a stretching of the ligament), patients experience instability of the joint in the middle of the foot.
    • Fractures. A break in a bone in the Lisfranc joint can be either an avulsion fracture (a small piece of bone is pulled off) or a break through the bone or bones of the midfoot.
    • Dislocations. The bones of the Lisfranc joint may be forced from their normal positions.

    Symptoms
    The symptoms of a Lisfranc injury may include:

    • Swelling of the foot
    • Pain throughout the midfoot when standing or when pressure is applied
    • Inability to bear weight (in severe injuries)
    • Bruising or blistering on the arch are important signs of a Lisfranc injury. Bruising may also occur on the top of the foot.
    • Abnormal widening of the foot.

    Diagnosis
    Lisfranc injuries are sometimes mistaken for ankle sprains, making the diagnostic process very important. To arrive at a diagnosis, the foot and ankle surgeon will ask questions about how the injury occurred and will examine the foot to determine the severity of the injury.

    X-rays and other imaging studies may be necessary to fully evaluate the extent of the injury. The surgeon may also perform an additional examination while the patient is under anesthesia to further evaluate a fracture or weakening of the joint and surrounding bones.

    Non-surgical Treatment
    Anyone who has symptoms of a Lisfranc injury should see a foot and ankle surgeon right away. If unable to do so immediately, it is important to stay off the injured foot, keep it elevated (at or slightly above hip level), and apply a bag of ice wrapped in a thin towel to the area every 20 minutes of each waking hour. These steps will help keep the swelling and pain under control. Treatment by the foot and ankle surgeon may include one or more of the following, depending on the type and severity of the Lisfranc injury:

    • Immobilization. Sometimes the foot is placed in a cast to keep it immobile, and crutches are used to avoid putting weight on the injured foot.
    • Oral medications. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
    • Ice and elevation. Swelling is reduced by icing the affected area and keeping the foot elevated, as described above.
    • Physical therapy. After the swelling and pain have subsided, physical therapy may be prescribed.

    When is Surgery Needed?
    Certain types of Lisfranc injuries require surgery. The foot and ankle surgeon will determine the type of procedure that is best suited to the individual patient. Some injuries of this type may require emergency surgery.

    Complications of Lisfranc Injuries
    Complications can and often do arise following Lisfranc injuries. A possible early complication following the injury is compartment syndrome, in which pressure builds up within the tissues of the foot, requiring immediate surgery to prevent tissue damage. A build-up of pressure could damage the nerves, blood vessels, and muscles in the foot.

    Arthritis and problems with foot alignment are very likely to develop. In most cases, arthritis develops several months or longer following a Lisfranc injury, requiring additional treatment.

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    Vero Beach Location

    Monday:

    9:00 AM-5:00 PM

    Tuesday:

    9:00 AM-5:00 PM

    Wednesday:

    9:00 AM-5:00 PM

    Thursday:

    9:00 AM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

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    Sunday:

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    Sebastian Location

    Monday:

    Closed

    Tuesday:

    1:00 PM-5:00 PM

    Wednesday:

    Closed

    Thursday:

    1:00 PM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

    Closed

    Sunday:

    Closed