If you are dealing with a lingering pain in your ankle, it’s possible that those shin splints you initially thought you were suffering from could actually be a more serious stress fracture.

Shin Splints vs. Stress Fractures
Shin Splints vs. Stress Fractures

Shin splints and stress fractures can become chronic or severe if not treated properly and it is important to immediately discontinue whatever activity is being performed and seek medical guidance if you believe you are suffering from either.

The issue, however, is identifying which particular injury you are dealing with in order to correctly treat the problem as the nature of the pain for both shin splints and stress fractures can sometimes be virtually identical.

A common exercise-related injury, shin splints are the result of inflammation due to an injury of the soft tissues in the front of the outer leg (tibia). It has been known to occur most commonly in runners, but in reality any rigorous activity in which repetitive stress is placed on the shinbone can bring about this condition.

One of the main symptoms of shin splints is a shooting, aching pain in the front of your lower leg(s) when that is often felt while running, but later subsides when the intensity of your workout is lowered. If you have shin splints, it’s more than likely that you don’t feel this pain when you’re inactive.

It is also more likely for a person to incur shin splints when their leg muscles and tendons are tired or if the intensity of their workout is rapidly increased. Women, people with flat feet or rigid arches, athletes, military recruits, and dancers all have an increased likelihood of developing shin splints.

Stress fractures, on the other hand, are caused by actual cracks or breaks in either of the bones in the lower leg, the tibia or fibula. If you suffer from this injury, you’ll experience pain that’s usually in the lower third part of the shin, tenderness or swelling in the specific injured area, and pain when you press on your shin.

Unlike shin splints, however, the pain caused by a stress fracture doesn’t subside when you stop running and can often be felt during even the most minimal physical activity.

So how can you distinguish between the two injuries? Well, in order to receive a proper diagnosis, it’s always best to consult your doctor.

At Delray Beach Podiatry, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, likes to perform several tests in order to properly identify what is ailing his patients.

“First of all, we’ll take an x-ray,” said Dr. Goldbaum, who has offices in Delray Beach, Boca Raton and Boynton Beach. “Then, we’ll go through range of motion to check the ligaments and see if we can pinpoint the pain.”

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If you are an active person, it’s more than likely that you’ll suffer any injury at some point, so it’s important to know what running injuries a podiatrist can fix for you.

In fact, nearly 80 percent of runners will sustain at least one injury each year, mostly due to the repeated stress that frequent exercises puts on your body’s tissue and joints.

At Delray Beach Podiatry, Dr. Ian S. Goldbaum treats numerous patients every week that have sustained running-related injuries and know for a fact that although these injuries can be painful, they all can be treated fairly easily with a quick trip to the podiatrist.

“I see runnings coming through my doors constantly,” said Dr. Goldbaum, who has offices in Delray Beach and Boynton Beach, Fla. “Well, actually, most of the time they’re walking or limping because of an injury they sustained during a run. Luckily, most of these injuries are very treatable and can be identified during a single visit. At our office, we have the tools to get runners back on their feet in no time.”

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Ask your doctor if Neurvasia is right for you!
Ask your doctor if Neurvasia is right for you!

If you are suffering from any sort of vascular or nerve-related deficiencies, it might be time to ask your doctor about the benefits of Neurvasia™.

Neurvasia™ is a dual action product medical food used for treating peripheral neuropathy and supporting good vascular health. It an effective natural treatment with no side effects that can be used in conjunction with various treatments or simply for generalized aches and pains in legs and feet.

This revolutionary medication can effectively replace other medications with serious side effects such as Plavix, Trental, Coumadin, Lyrica, Cymbalta and Neurotin. Unlike the aforementioned medications, patients don’t have to be as closely monitored while taking Neurvasia™.

“It can be used to treat any type of neuropathy, and it’s not just for diabetics,” said Dr. Ian S. Golbaum, who uses successfully uses Neurvasia™ to treat patients at his office in Delray Beach, Fla. “The product is great because it puts a coating on the nerve.

“More importantly, though, is the fact that this product vasodilates the smaller vessels that other products don’t. By vasodilating those vessels, the oxygen and the nutrients can get to the nerve so that it can heal. If you don’t have the oxygen and the nutrients getting there, it doesn’t matter what you take.”

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The peroneal muscles originate from the outer lower leg bone (fibula) and travel down along the outside of the leg where they insert into various bones in the foot via the peroneal tendons. These muscles are responsible for movement of the foot and ankle away from the body. Whenever these muscles contract, tension is placed through the peroneal tendons. Peroneal tendonitis occurs when an excessive amount of tension is put on this soft tissue, causing the tendons to become damaged and inflamed.

As this injury tends to come as a result of over use, pain is likely to increase gradually over a period of time and is typically more prominent in the morning.

[Base Image via MorgueFile.com]
[Base Image via MorgueFile.com]
The function of the peroneal muscles is to evert the foot as well as plantar flexion of the ankle. They are also important ankle stabilizers and are commonly injured during an inversion ankle sprain.

For this reason, peroneal tendonitis typically occurs following excessive walking or running (especially on slopes or uneven surfaces) or during sporting activities requiring frequent change of direction. Peroneal tendon injuries may occur suddenly or develop slowly over an extended period of time.

Those suffering from peroneal tendonitis tend to complain of pain around the back and outside of their foot. It will most likely be tender to touch and tends to gets worse with activity and eases with rest.

Luckily, peroneal tendinitis will typically heal without surgery if proper measures are taken. Like most overuse injuries, one of the best things you can do to treat this injury is to get ample amounts of rest.

“You’ve got to stabilize the area,” says Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience. “The key to treating peroneal tendonitis is to stabilize the area, reduce the inflammation and to limit the amount of exercise or stress on the area so it can essentially cool down.”

If there is significant pain, a doctor may suggest using a CAM Walker boot for several weeks to help stabilize the area. If there really is no tenderness with walking, an ankle brace might be the next best step.

Other treatment options typically include:

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Tired of dealing with unsightly toenail fungus? Maybe it’s time to ask your podiatrist about the benefits of laser therapy treatment.

At Delray Beach Podiatry, we use laser therapy to treat fungal infections in toenails — also known as onychomycosis — in order to vastly improve the appearance of the nails in our patients. This painless therapy does not harm the surrounding tissue of the toe and nail bed. Furthermore, the laser therapy has no known side-effects and is considered a safer option than drug therapy.

Dr. Goldbaum (pictured) using laser technology to treat toenail fungus.
Dr. Goldbaum (pictured) using laser technology to treat toenail fungus.

Treatment is performed by Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, who utilizes laser therapy to treat hundreds of patients a year at his offices in Delray Beach and Boynton Beach.

The laser works by penetrating the nail plate and destroying the fungus under the nail. During this process, the laser light is absorbed by pigment in the fungi, which causes the pigment to heat, and this heat kills or damages the fungal organism. The fungus is irradiated without any damage to the surrounding nail or skin, allowing your nail to grow normally.

Laser treatments are delivered in a short 20-30 minute session with additional treatments, if needed. At Delray Beach Podiatry, Dr. Goldbaum insists that all his patients adhere to a strict treatment protocol that involves three separate sessions as well as the use of topical treatments in between visits to work in conjunction with the laser therapy.

“In our office, we do it three times. In many other offices, they only do it one time,” said Dr. Goldbaum, who notes that his 91 percent success rate in treating fungal infections with laser therapy is slightly higher than the national average of 85 percent. “We have a whole treatment protocol. We utilize the laser, but we also utilize other things to make sure. We want to make sure the patient has the best chance of getting rid of fungus that we can. That’s why we use these other products in the interim.”

After completing all three of these recommended sessions, which requires an office visit every 5-6 weeks during treatment, Dr. Goldbaum insists that his patients should be happy with the results.

“They’ll see a nice pink formation growing from the base of the nail — known as the matrix area,” said Dr. Goldbaum. “As the nail grows out, we keep cutting away the fungus part and using the topical as well. By the time we’re done, the nail is all clear and it looks good.”

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