Town Center Foot & Ankle

5730 Bella Rosa Blvd, Suite 200
Clarkston, MI 48348


Posts for: February, 2012

By nick
February 13, 2012
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It's one week and the pundits are still talking about who's better between Eli and Peyton, whether or not Tom Brady's legacy is tarnished and if the New England Patriots dynasty is over? While both the doctor and I have opinions on each the above, we can debate those points with you in the office. However, one thing we do know is that a Town Center Foot and Ankle dynasty has just begun! Dr. Wilusz and I put our heads together and successfully crafted a championship of our own, by winningAdvanced Physical Therapy Center's Super Bowl contest.

In short, there were 20 questions and prop bets pertaining to the Super Bowl ranging from answering who would win the game to what color Gatorade would be dumped on the winning coach. And for the record, we picked the color of the Gatorade correctly. Thank you to Linda Clay for putting the contest together, and for our prize for winning! We were presented with an awesome Coleman Grill on Friday and are excited to put it to use as soon as the weather breaks. We had a lot of fun and hope to defend our championship next year!

By nick
February 07, 2012
Category: Uncategorized
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Now that we're all well on our way to a more healthy and fit 2012, I felt this was a good time to include a blog post about Achilles tendonitis. Because many of us are so busy in our daily lives, when we workout, we are so eager to get in and out of the gym we often forget - or choose not to - properly warm up and stretch. With increased physical activity it is imperative we do proper warm ups and stretches to prevent injury. One of these injuries I see a lot is "Achilles tendonitis".

I've taken the time to put together some information about what "Achilles tendonitis" is, how it can happen and what a podiatrist can do for it. While I hope you aren't experiencing any of these symptoms, if you are, I strongly advise you schedule an appointment so we can diagnose and treat the problem.

Tendonitis is the inflammation of a tendon, the structure that connects a muscle to its bone.  There are several tendons in the foot and ankle that are commonly affected.  The inflammation can occur after trauma, from overuse, or as a result of another medical problem such as arthritis or collagen vascular diseases.   The inflammation puts pressure on the surrounding nerves, causing pain and releases certain chemicals that damage the tendon, causing further pain and sometimes altering the structure of the tendon.

Most patients feel an aching pain in the area of the inflammation.  There may also be swelling and/or weakness of the involved tendon.  The pain usually increases with an increase in activity.

Your doctor will examine your foot, moving it through various motions to evaluate more specifically where the pain is originating.  You may be asked to stand or walk so your doctor can determine if your foot structure or walking pattern are affected by or causing the problem.  If tendon damage is suspected, you may be sent for a special test such as an x-ray, MRI, or ultrasound.

There are a number of ways that tendonitis may develop.  A common cause is overuse, usually occurring after an increase in your activity level, or from improper or inadequate stretching before a work out.  Improper or excess motion in the tendon around the joint may create tiny tears in the tendon, which triggers the inflammation that causes the pain.  Tendonitis may follow trauma, such as ankle sprains, or may be the result of a medical problem such as arthritis.

In most cases, applying ice and taking Tylenol, or non-steroidal anti-inflammatory medication will relieve the pain.  Keeping the foot elevated, decreasing your activity level for a couple of days, and wearing a compressive dressing such as an ace wrap will also help a great deal.

If the pain continues, your doctor may send you for physical therapy, such as contrast baths, ultrasound, massage, electrical stimulation, and/or stretching and strengthening exercises.  You may need to start wearing orthotics.  In more severe cases, the tendon may need to be surgically repaired.

The best way to prevent tendonitis is to stretch properly before any work out or athletic event.  Wear high quality, supportive shoes that are made for your specific foot type.  If you have been prescribed orthotics, wear them as directed.  Finally, keep in good communication with your doctor so that if a problem arises, it can be treated quickly and accurately.