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Center for Foot & Ankle Care, PC
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The WHO has reported that the number of people with diabetes has almost quadrupled from 108 million in 1980 to 422 million in 2014.
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Dr. Nodelman was recently published in the Journal of Foot and Ankle Surgery with his colleagues Dr. Tyler Silverman and Dr. Michael Theodoulou.
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For many, winter is fall season
Icy conditions cause falls and broken ankles

Serious injuries from ice-related falls inevitably occur. Falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.

The ankle joint is vulnerable to serious injury from hard falls on ice. Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping. In cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment. Never assume the ability to walk means your ankle isn’t broken or badly sprained. Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life.
Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture. 

It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment. If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.

According to the ACFAS consumer Web site, FootHealthFacts.org, even though symptoms of ankle sprains and fractures are similar, fractures are associated with: 

1. Pain at the site of the fracture that can extend from the foot to the knee
2. Significant swelling
3. Blisters over the fracture site
4. Bruising soon after the injury
5. Bone protruding through the skin—a compound fracture, which requires immediate attention!

Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly. 

For further information about ankle fractures and sprains or other foot and ankle problems please contact our office.
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This recent article examines the musculoskeletal effects of high-heeled shoes from a population-based perspective. The main conclusions drawn include:

1. Most studies in the medical literature focus on the biomechanics of wearing high-heeled shoes, and not on the relationship of wearing these shoes to foot injuries and other musculoskeletal issues (developing arthritis, bunions, etc…)

2. There is strong evidence that high-heeled shoes are associated with injuries

3. There is an association between wearing high-heeled shoes and bunion formation

4. Surprisingly, there is no evidence to suggest association of high heels to developing arthritis. In contrast, there is strong biomechanical evidence that high heels cause abnormal knee biomechanics, leading to hyperextension (called genu recurvatum), and increased patellofemoral joint pressure, both of which could theoretically lead to arthritis.
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We are pleased to announce that our upgraded digital x-ray system is now fully functional! We are thoroughly impressed with the significantly improved crystal-clear image quality and 6-second processing time. Check out Dr. Nodelman's foot! 
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