Lateral ankle sprains are the most common type of ankle sprains. These sprains happen after an inversion injury or inward rolling of your foot on your ankle and affect the ligaments on the outside of your ankle. They most commonly occur in sports, especially seen in basketball and football, but also can occur in everyday activity. The lateral ankle is composed of three major ligaments, the anterior talofibular ligament (ATFL), the calcaneal fibular ligament (CFL), and the posterior talofibular ligament (PTFL). There are varying degrees of severity of ankle sprains, but the most commonly injured ligament is the ATFL.
Certain people are more prone to ankle sprains than others, especially those with a higher arch foot or those who have had a severe or multiple sprains in the past. It is normal after suffering from a sprain to have varying levels of swelling and bruising. The most important thing following a sprain is over the first 24-72 hours to practice the pneumonic RICE. RICE stands for rest, ice, compression, and elevation. Studies also show that initiation of early range of motion is key in the recovery process. Once the swelling goes down, then strengthening of the muscles around the ankle joint should be initiated to help prevent chronic ankle instability. Taping, bracing, and balancing exercises also can help in preventing re-injury. Most people start to feel better after a sprain over a couple of days, but in the case of severe sprains this could take several weeks to recover. If you develop a sprain that is not improving over a couple days, especially if you have followed the pneumonic RICE, then make sure you schedule an appointment with your doctor.
-Dr. Colleen Law
If you begin to develop a nagging pain without significant change in your mileage or training, you must consider your shoe gear. Running shoes typically are good for about 300-500 miles depending on running surfaces, experience, and size of the runner. These first few signs of a nagging pain is usually a way of your body telling you that you need a new pair of sneakers.
Another important way to prevent injuries when it comes to running shoes is to find a type of shoe that is most compatible with your foot structure. Everyone’s feet are different so a type of shoe that works well for your friend, may not work as well for you. People who have a flatter arch and overpronate need more of a motion controlled stability type shoe, whereas those who have a high arch and underpronate do better with more cushioned and neutral type shoe. Especially if you are new runner, I would recommend going to your local running store to help you find a pair of sneakers. These stores typically have experienced runners who will evaluate your foot type as well as running goals to help find you a shoe that would work the best for you. Once getting your new sneakers, make sure you take a couple of days walking around in them prior to running in order to help break them in. Also, another good tip is to buy two pairs at once and alternate running in them every other day in order to slow down the wear of an individual pair.
-Dr. Colleen Law
I am very excited to be joining Dr. Murray, Dr. Chang, Dr. Baglio, and Dr. Schustek and the rest of the team at Blue Ridge Foot and Ankle Clinic in July! I graduated from Temple University School of Podiatric Medicine in Philadelphia, Pennsylvania and completed my residency at St. Luke’s University Health Network in Allentown, Pennsylvania. While at St. Luke’s, I had experience training in both the inpatient and outpatient setting, as well surgical training in elective and non-elective foot and ankle surgery, and experience with wound care and diabetic limb salvage.
I am interested in treating a variety of different pathologies in the foot and ankle, but one area that I am particularly interested in is sports medicine. In college, I competed on the cross country and track teams at Lehigh University. After suffering from a foot injury, which required surgery during my freshman year, I was introduced to the field of podiatry. I really like that I can relate my love for running with my job as a podiatrist and understand what it is like recovering from an injury and returning to activity.
In my free time I like to spend time with my husband Matt and viszla, Zoey. We enjoy running and other outdoor activities and look forward to getting involved with the Charlottesville community.
I am really excited about the move to the Charlottesville area and am eager to start meeting and working with patients in July!
-Dr. Colleen Law
The frequent rising on the toes of an aerobics routine often creates pain and tightness in the large muscles in the back of the legs, which can create pain and tightness in the calf and inflammation in the Achilles tendon. Again, stretching the calf muscles gently and gradually before and after the workout will ordinarily help alleviate the pain and stiffness.
Aside from ankle sprains, shins splints are perhaps the most common injury to the lower body, as the muscles attached to the shin bone bring the foot up and down. The pain is usually an inflammation of the shin muscle and tendon due to stress fractures. Treat shin pain with cold compress immediately after a workout to reduce inflammation. Proper stretching before the workout should prevent the onset of shin splints. Strengthening of muscles also helps reduce shin splints.
What is Sesamoiditis?
Sesamoids are sometimes referred to as the ball bearings of the foot. They are a set of accessory bones found beneath the large first metatarsal bone. Incredible forces are exerted on the sesamoid bones during aerobics, and inflammation and fractures can occur. Proper shoe selection and custom orthotic devices can be useful in treating sesamoiditis.
Heel spurs are a common injury that many runners experience along with plantar fasciitis. Below is a brief description of heel spurs, and how you may be available to avoid this uncomfortable injury.
Heel spur syndrome, related to plantar fasciitis, occurs after calcium deposits build up on the underside of the heel bone. Heel spurs form gradually over many months. Both plantar fasciitis and heel spurs can be avoided by proper warm-up that includes stretching the band of tissue on the bottom of the foot. The soft tissue injury is usually the cause of the pain, and not the spur itself. If you are having pain in this area of the foot, please give Blue Ridge Foot & Ankle a call!
Common Running Injuries-Plantar fasciitis
Plantar fasciitis is a common injury that many runners experience. Below is a brief description of the injury, and what you may be able to do to prevent plantar fasciitis.
Plantar fasciitis (arch pain)—Arch Pain is often caused by frequent stress on the plantar aspect, or the bottom of the foot. When the plantar fascia, a supportive, fibrous band of tissue running from the heel to the ball of the foot, becomes injured, pain on the bottom results. Forefoot or rear-foot instability with excessive pronation may result in plantar fasciitis. Overtraining may contribute. Shoes with good mid-foot stability may prevent plantar fasciitis. If pain persists, visit us at Blue Ridge Foot & Ankle!
Colleen Law graduated from Temple University School of Podiatric Medicine in Philadelphia, Pennsylvania and completed her residency at St. Luke’s University Health Network in Allentown, Pennsylvania. At St. Luke’s, she underwent extensive training in elective and reconstructive forefoot, rearfoot, and ankle surgery, as well as experience in wound care and diabetic limb salvage.
Prior to her medical education, Dr. Law attended Lehigh University, where she was a member of the cross country and track and field teams. Through this experience, she developed an interest in sports medicine, which led her to pursue a career in podiatry. In addition to her interest in sports medicine, she is also interested in elective and reconstructive foot and ankle surgery and diabetic limb salvage.
During her free time, Dr. Law enjoys spending time running and hiking with her husband Matt and vizsla.
Dr. Law is accepting new patients beginning July 17, 2017.
The doctors of Blue Ridge Foot and Ankle Clinic are pleased to welcome a new colleague. Dr. Colleen Law will be joining the Blue Ridge Foot and Ankle’s team of podiatrists in July 2017. Dr Law is coming to the Blue Ridge Foot and Ankle Clinic from the exceptional and renowned podiatry foot and ankle surgical residency training program at St. Luke’s University Health Network in Allentown, Pennsylvania. We are busy getting ready for Dr Law’s arrival. Dr Law is accepting new patients beginning July 17, 2017.