SOURCE: AOFAS

AOFAS

December 28, 2009 18:34 ET

Does Your New Year's Resolution Include an Exercise Plan?

American Orthopaedic Foot & Ankle Society Cautions Against Overdoing It

ROSEMONT, IL--(Marketwire - December 28, 2009) - Are you one of the millions of Americans who will resolve to exercise more in the New Year? If so, take advice from the American Orthopaedic Foot & Ankle Society (AOFAS) and take it slowly. Too much activity too quickly can cause a multitude of foot and ankle problems including stress fractures, ruptured tendons, or plantar fasciitis.

According to the AOFAS, stress fractures happen with a sudden increase in physical activity. Stress fractures appear as tiny cracks in the bone surface and frequently occur in the bones of the forefoot that extend from the toes to the middle of the foot. Pain is the typical symptom of a stress fracture; it may be sudden or it may gradually increase over several days. Swelling of the foot and lower leg may also occur. Treatment includes modification of physical activity and use of a stiff-soled shoe for several weeks. Immobilization in a cast or use of crutches may also be required.

Keith L. Wapner, MD, clinical professor of orthopaedic surgery at Pennsylvania Hospital and President-Elect of the AOFAS, sees many patients with overuse injuries and he offers the following advice, "Plantar fasciitis, tendonitis and stress fractures are the most common overuse injuries. These can be avoided by remembering to include a stretching protocol prior to your workout and following the 'rule of tens' by not increasing your exercise amount by more than ten percent per week."

Achilles tendonitis (inflammation of the tendon) is another common overuse injury. Achilles tendonitis may occur when rapidly increasing running mileage or speed, starting up too quickly after a layoff, or when adding hill running or stair climbing to a training routine. Symptoms of Achilles tendonitis include: mild pain after exercise that gradually worsens; a noticeable sense of sluggishness in the leg; episodes of diffuse or localized pain, sometimes severe, along the tendon during or after exercise; morning tenderness above the point where the Achilles tendon is attached to the heel; and stiffness and swelling or pain in the back of the heel where the tendon attaches to the bone. Treatment for Achilles tendonitis includes rest, which may require withdrawal from exercise for a week, or simply switching to a different type of exercise such as swimming, that does not stress the Achilles tendon; and non-steroidal anti-inflammatory medication. Devices used to help support the muscle and relieve stress on the tendon, such as a heel pad or shoe insert, may also be used.

Another overuse injury is plantar fasciitis, a painful injury affecting the sole of the foot; it typically starts gradually with mild heel pain. The pain classically occurs with the first step in the morning. Treatment options include stretching exercises and modifying activities until the initial inflammation goes away. Ice application to the sore area for 20 minutes three or four times a day may also relieve symptoms. Non-steroidal anti-inflammatory medication may also be prescribed.

The best way to avoid these foot and ankle injuries is to know your limits and to follow a sensible program when exercising. Preventative measures include:

--  Select the proper footwear for the specific type of exercise
--  Start out slowly when beginning an exercise program following a
    layoff period
--  Walk and stretch to warm up gradually before running or walking
--  Focus on stretching and strengthening the muscles in the calf
--  Increase running or walking distance and speed gradually, in
    increments no greater than 10% per week
--  Avoid unaccustomed strenuous sprinting
--  Take the time to cool down properly after exercise
    

By adhering to these simple measures you may avoid painful overuse ankle injuries and achieve success with your New Year's resolution. For more information on overuse injuries as well as resources on foot and ankle care go to the AOFAS website www.aofas.org. The site also features a surgeon referral service that makes it easy for patients to find a local orthopaedic surgeon specializing in foot and ankle care.

About the AOFAS

The AOFAS promotes quality, ethical and cost-effective patient care through education, research and training of orthopaedic surgeons and other health care providers. It creates public awareness for the prevention and treatment of foot and ankle disorders, provides leadership, and serves as a resource for government, industry and the national and international health care community.

About Orthopaedic Foot and Ankle Surgeons

Orthopaedic foot and ankle surgeons are medical doctors (MD and DO) who specialize in the diagnosis, care, and treatment of patients with disorders of the musculoskeletal system of the foot and ankle. This includes the bones, joints, ligaments, muscles tendons, nerves, and skin. Orthopaedic foot and ankle surgeons use medical, physical, and rehabilitative methods as well as surgery to treat patients of all ages. They perform reconstructive procedures, treat sports injuries, and manage and treat trauma of the foot and ankle.

Orthopaedic foot and ankle surgeons work with physicians of many other specialties, including internal medicine, pediatrics, vascular surgery, endocrinology, radiology, anesthesiology, and others. Medical school curriculum and post-graduate training provides the solid clinical background necessary to recognize medical problems, admit patients to a hospital when necessary, and contribute significantly to the coordination of care appropriate for each patient.

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