Trauma to the Foot and Ankle
Trauma to the foot and ankle can occur as a result of a variety of incidents including vehicular accidents, falls from heights, burns, lacerations and other traumas such as sport-related injuries.
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Fractures to Foot and/or Ankle
Fractures involving the bones of the toes, foot, or ankle are common during trauma events.
These types of injuries typically require an immobilization period of the affected limb with a cast or boot dispensed by Dr. Castelein in our office. When alignment needs to be restored to the bones, surgical intervention may be needed. As a board-certified podiatric surgeon of both the foot and ankle, Dr. Castelein is able to expertly treat your fracture from diagnosis to fully recovery.
Joint Dislocation of the Foot and Ankle
Symptoms of a subtalar joint or ankle dislocation include severe pain, swelling, and deformity of the affected area. The patient may also experience difficulty bearing weight on the affected limb, as well as numbness, tingling, or loss of normal temperature in the foot or ankle.
Diagnosis of a subtalar or ankle joint dislocation typically involves a physical examination and imaging studies such as an in-office X-ray or an MRI to evaluate the extent of the injury. In some cases, a CT scan may also be necessary to evaluate the alignment of the bones and determine the best course of treatment.
Treatment of a subtalar or ankle joint dislocation typically involves immediate reduction of the dislocation to return the bones to their normal position. This is usually done under sedation or anesthesia to minimize pain and discomfort for the patient. Once the bones are back in place, the affected limb is immobilized with a cast or splint to allow for proper healing of the bones and soft tissue. Depending on the severity of the injury, surgery may be necessary to repair any damage to the ligaments or tendons surrounding the joint. This may involve the use of screws, plates, or rods to stabilize the affected area and promote proper healing.
Rehabilitation following treatment for a subtalar or ankle joint dislocation typically involves physical therapy to restore mobility, strength, and flexibility in the affected limb. Dr. Castelein provides personalized treatment plans to help patients recover from this type of injury and return to their daily activities as soon as possible.
Burns and Lacerations
Burns or lacerations can occur due to various causes, such as accidents, chemical exposure or contact with hot surfaces. These injuries can cause pain, swelling, bleeding and damage to the skin and underlying tissues.
When treating burns, Dr. Castelein employs advanced techniques to assess the extent and depth of injury. This may involve categorizing the burn into different degrees (superficial, partial-thickness, or full-thickness) and determining the appropriate treatment approach. For minor burns, the focus is on pain management, wound cleansing, and applying dressings to protect the affected area and promote healing. In cases of more severe burns, Dr. Castelein collaborates with other healthcare professionals to provide specialized care and perform in-clinic skin grafting procedures to aid in the healing process. Occasionally, surgical procedures may be needed to ensure the burn is completely prepared for the healing process. It is extremely important to make sure the burn remains free from infection during all aspects of the healing process.
Lacerations, or cuts on the feet and ankles also require careful evaluation and treatment. Dr. Castelein will assess the depth, size and location of the laceration to determine the best course of action. Monitoring for infection and tetanus status are key considerations as well. This may involve cleaning the wound, suturing the borders of the wound together, and applying appropriate dressings to facilitate healing and minimize the risk of infection. In some cases, surgical intervention may be required to clean and repair deeper tissue damage or address any associated injuries to tendons, ligaments, or bones. Other times advanced skin grafts may be used to best facilitate healing.
After the initial treatment, Dr. Castelein will provide thorough follow-up care to monitor the healing process, remove sutures, and ensure proper wound management. He also focuses on scar management techniques to minimize scarring and optimize cosmetic outcomes. Additionally, Dr. Castelein can offer guidance on pain management, infection prevention, and steps to promote a speedy recovery
If you find yourself with a burn or laceration, it is essential to seek immediate medical attention. Dr. Castelein is dedicated to providing expert care and treatment options to restore optimal foot and ankle function.
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