Blog - Cumberland Foot & Ankle Center

By Dr. Judy Kleman
March 12, 2013
Category: Fractures
Tags: fractures   Dr. Judy Kleman   baseball   ankle  

Many of you may know of Brian Cashman, New York Yankee’s general manager.  During his time with the team, the Yankees have won six American League pennants and four World Series championships.  However, spending time managing a sports team does not provide much preparation or training for skydiving.  Mr. Cashman recently jumped (twice!) from an airplane with the aim to increase exposure for the Wounded Warrior’s Project, an organization that aims to provide awareness and aid for wounded servicemen.  The Wounded Warrior’s Project also provides programs and services to help meet needs of wounded servicemen.  While this is not Cashman’s first experience with adventurous endeavors, this is the first time he has injured himself.  Upon landing from the second jump, Mr. Cashman heard a pop sustained an open ankle fracture.

Ankle fractures are typically treated by surgical correction.  Open fractures are particularly dangerous, as they can lead to infection of the soft tissue or bone.  The healing time typically ranges from four to six weeks, depending upon the type of correction the surgeon utilizes.  Ankle fractures almost always lead to a traumatic arthritis of the joint.  While it can be difficult to treat arthritis, the pain can be minimized with the use of an ankle foot orthosis, or AFO. 

It is important to be evaluated by a doctor after any traumatic injury to determine an appropriate treatment.  Pain and discomfort can be minimized with use of appropriate shoegear, physical therapy, injections, taping, orthoses, or bracing.  A doctor can help determine what will work best for each scenario.  Early treatment can help allow for better quality of life and increased functionality of the joint.

Foot Notes-Tips and Advice from Cumberland Foot & Ankle Centers

Think of the things you do every day.  You brush your teeth.  You have a meal or three.  You make your bed.  You drive your car, you go to work.

Now let's go more basic.  Every day, you stand up.  You put on shoes.  You walk.  

You probably don't give too much thought to the things on the first list, but you think about them some.  You shop for toothpaste, decide where to go for lunch, buy Egyptian cotton sheets and haggle at least once or twice with a salesperson.  But you don't think about the second list at all.  Your feet, they're just there - ready to take you wherever you need to go, right to the very last step.

But your feet want some attention.  In fact, they are probably screaming out for some TLC right now.

April 1st marks the start of National Foot Health Awareness month, and this is a perfect time to renew your focus on your feet - even if you don't have a foot fetish.  To get on that path though, you need to start paying attention to your feet...every day. 

Above taken from: 

At Cumberland Foot & Ankle Centers, we offer the newest in innovated care for every disorder that affects the feet and ankles. Our providers- Jonathan Moore, DPM, Pamela Jensen-Stanley, DPM, Christopher Miller, DPM and Denita McDonald, ARNP - are experienced, highly trained and well-known in the medical community for providing conservative but effective solutions and excellent outcomes. Once we’ve exhausted all options for treating your problem “biomechanically,” we provide the same level of capability and experience with surgical solutions.  

Follow MyHappyFoot on Twitter and Like Cumberland Foot & Ankle on Facebook. During the month of April we will be sharing a daily foot note packed full of tips and advice on how to get and keep your feet healthy. Then at the end of the month the tips will be compiled into a calendar for your reference.

We encourage you to schedule an appointment in celebration of Foot Health Awareness Month!  Contact your local Podiatrists at Cumberland Foot & Ankle Centers.  606-679-2773 or toll free    1-800-600-6740.  We have many convenient locations: Somerset, Corbin, Stanford, Russell Springs,Monticello, and Whitley City



February 18, 2011
Category: Orthotics
Tags: orthotic   insoles   custom   support   arch support   foot support  

Consumers Beware

Orthotic Advertising on Radio and TV
You may have heard advertisements on the local radio or television commercials promoting "custom fit" orthotics you can get at discount department stores. While these devices are not bad, we feel that they are extremely over-priced. You can get over the counter (OTC) devices that we feel are more effective for most people for less than $40.00. Our advice is to be very careful - you should never pay more than $50.00 for an "orthotic" unless it is made from a cast or a mold of your foot by an experienced and skilled medical professional.

What these stores and companies call "custom fit" just means that they use a machine to scan the shape, pressure points and size of your foot. They then give you a recommendation of what pre-packaged insole to purchase. Using the word "custom" seems to be misleading to potential customers - these are not custom made orthotics -they are simply very overpriced over-the-counter arch supports.

There is high quality, doctor recommend off-the-shelf orthotics on the market and they can be purchased at Cumberland Run-Walk, your total foot care center. Most cost about $30.00.

Just be careful. If you have a foot problem, see your local podiatrist at Cumberland Foot & Ankle for a diagnosis - not a clerk in a shoe store. And NEVER spend more than $50 on an arch support or orthotic unless it is made from a cast of your foot by a trained medical professional.

If you are interested in more information on custom othothics or the doctor recommended over the counter orthotics; contact Cumberland Foot & Ankle at 606-679-2773, toll free 1-800-600-6740 or Cumberland Run-Walk, located in Somerset. at 606-678-9864. Follow us on Facebook and Twitter.
Cumberland Foot & Ankle Center has ten convenient locations to serve you in: Somerset, Barbourville, Corbin, Danville, London, Monticello, Russell Springs, Stanford, Whitley City and Williamsburg.

The feet and legs are one of the most overlooked areas in relation to skin cancers. The most common areas are between the toes, on the soles of the foot and around the nails.

Skin Cancers of the feet and legs are related to not only sun exposure, but, also caused from viruses, exposure to chemicals, chronic irritation or inheritance.

The feet and legs are commonly exposed during the spring and summer months and most commonly forgotten when we consider sunscreen application. Unfortunately, the most common skin cancers of the feet are malignant melanomas which have the potential of losing your limb or your life.

The most common finding is the change of appearance in a mole, such as irregular shape or margin, color changes, increase in size, bleeding or ulceration. Any lesion in question should be monitored and biopsied. This can be done during a routine foot evaluation and screening. Unfortunately, some lesions that appear benign are cancerous thus, early screening and biopsy is essential to ensure that these potentially malignant lesions are not missed.
The most common skin cancers of the feet and legs include the following:

  1. Basal Cell Carcinoma- common on the top of the foot or front of the legs where there is sun exposure. These are the least aggressive, appear as pearly white bumps or patches that may ooze or crust and may look like an open sore. Easily treated by excising.
  2. Squamous Cell Carcinoma- this is the most common lesion of the foot that appears as a scaly bump or plaque, can be mistaken as a callous with recurrent cracking or bleeding. It is usually painless and may itch. It can also be mistaken as a plantar wart, a fungal infection, eczema or ulceration.
  3. Malignant Melanoma- one of the deadliest skin cancers known. It is known as "The Green Masquerader." Commonly it is brown and black in color but roughly one third are pink or red and do not have brown pigmentation. These may resemble moles, but upon close inspection have asymmetry, irregular borders and alterations in color. Nonsurgical treatments are rarely effective and must be detected early to ensure patient survival. Melanomas may resemble benign moles, blood blisters, ingrown nails, plantar warts, ulcers caused by poor circulation, foreign bodies or bruises.

Skin Cancers in the lower extremities have a different appearance from those arising on the rest of the body. Podiatrists are lower extremity specialists that can recognize and treat abnormal skin conditions of the legs and feet.

If a lesion is identified that may need further evaluation, a biopsy will be performed and evaluated. If the lesion is then determined malignant, your podiatrist will recommend the best course of treatment.

For prevention, protect your feet and legs with appropriate shoe wear and sunscreens and present to your podiatrist if you have any questionable changing moles, lesions, ulcerations, and calluses for early evaluation and treatment.

If you are interested in more information on skin cancer or are concerned you may have skin cancer on your feet contact your local Podiatrists at Cumberland Foot & Ankle Centers. 606-679-2773 or toll free 1-800-600-6740. We have ten locations near you: Somerset, Barbourville, Danville, London, Monticello, Corbin, Russell Springs, Stanford, Williamsburg, and Whitley City. Follow us on Facebook and Twitter to stay informed and watch for contests and prizes.
By: Dr. Pamela Jensen-Stanley
Article can also be found in the February issue of the Southern Kentucky Health & Family Journal.

By Dr. Jonathan Moore
January 27, 2011
Category: Fractures

Quarterback of the New England Patriots did. Tom Brady underwent foot surgery last week on a stress fracture in his right foot.

Stress Fractures are one of the most common injuries in sports and are caused by overuse. Stress fractures occur when your muscles become fatigued and are unable to absorb added shock, eventually, transferring the stress from your fatigued muscle to your bone causing a tiny crack. This tiny crack is called a stress fracture. Improper footwear is another cause of stress fractures. Most stress fractures occur in the weight bearing bones of the lower leg and foot. Symptoms of stress fractures include: pain with or after normal activity, pain that goes away after rest and then returns with activity, pain at the site of the fracture when touched and swelling but not bruising.

The key thing to remember in dealing with stress fractures is EARLY recognition and EARLY offloading and rest. Offloading is when 100% pressure is taken off of the stress area which can be achieved by either a pneumatic (air filled) boot or a cast. If pressure and stress is NOT relieved around the stressed area, a full break of the bone can occur or a chronic nonunion of the bone.

In cases where the stress fracture is not treated in a timely fashion, surgery is indicated, as in the case of Tom Brady. Brady underwent a procedure where a screw was placed across the fracture site in order to create compression across the two ends of the bone in order to promote healing. Brady will be off of his feet for at least a month, then resume in a walking boot or cast until final healing is achieved in about 6 weeks.

All of these treatments are provided by the board certified experts at Cumberland Foot & Ankle Centers of Kentucky. Locations in Somerset, London,Monticello, Russell Springs and Whitley City, Kentucky.

Here are a few tips to prevent stress fractures:

  • Use good quality equipment. Eliminate the use of worn or old exercise equipment. This includes your shoes. Do not wear old or worn out athletic shoes.
  • Maintain a healthy diet. Make sure to include variety of vitamin D and calcium rich foods or take them as supplements. Studies have shown them to be very effective in terms of reducing overuse injuries.
  • Cross-train. Alternate activities that accomplish your fitness goals. A variety of exercises including cardiovascular, flexibility and strength training exercise can help you prevent stress fractures.
  • Slowly add to your exercise routine. If you are adding to the routine or making changes take it slow! Set small incremental goals and work up to your overall goal. Avoid trying to do too much too soon.
  • If you experience pain or swelling, immediately stop your activity and rest. If pain persists, see a podiatrist.

If you are interested in more information on stress fractures or are concerned you may have a stress fracture contact your local Podiatrists at Cumberland Foot & Ankle Centers. 606-679-2773 or toll free 1-800-600-6740. Find us on Facebook and Twitter.

By: Dr. Jonathan Moore

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