Blog - Cumberland Foot & Ankle Center

Posts for category: Fractures

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.

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