Tag Archives: OrthoConnecticut

What You Should Know – Running Right to Avoid Common Injuries

By Ross Henshaw, M.D., Sports Medicine Specialist, OrthoConnecticut

RUNNING-1024x576Running is a wonderfully efficient way to improve your health, except when it produces chronic injuries. The best way to safely enjoy a running program is to gradually build the intensity of your workouts.

WHAT THE PROS SAY

Typically, a running coach or trainer will recommend increasing distances no more than 10 percent a week. If you have an underlying health condition or are new to exercise, make your first step a consultation with your physician. If you have a history of orthopedic injury or joint pain, seek the advice of an orthopedic surgeon.

THE TOP FIVE COMPLAINTS

Hip Bursitis – This is an overuse injury caused by friction between the iliotibial tendon band and the hip bone. This large tendon travels over the bony prominence on the outside of the hip, goes all the way down to the leg and attaches just below the outer side of the knee. When we run, this band rubs back and forth over the outer hip bone; over time the friction creates inflammation. Our bodies have natural “cushions” called “bursa” that are designed to reduce this friction, but if they have not had time to adapt they can swell and hurt, causing pain in the front of the knee. This condition is common among runners.

Kneecap Pain and Patella Tendonitis – This results in pain in front of the knee and is common among runners. The quadriceps muscle in the front of the thigh powers our ability to straighten the knee. It works by using the kneecap or “patella” for leverage across the knee. This generates pressure and can cause the kneecap to become sore. The quadriceps muscle tapers to become a tendon that attaches to the kneecap and then to the shin bone (tibia) via the patella tendon. When strained, the quadriceps and patella tendons can also develop micro tears and become inflamed. Treatment includes rest, anti-inflammatories, strengthening exercises, cross training and progressing back to running while avoiding hills.

Shin Splints – This can occur on one or both shins, but most commonly on the dominant leg. This condition is caused by inflammation where the Soleus muscle in the calf attaches to the tibia. As the muscle helps runners with “pushing off,” it pulls on the attachment site, which may become inflamed and swollen. This pain usually hurts only when running. Treatment for this overuse is rest and cross training.

Achilles Tendonitis – The strong Achilles tendon is prone to inflammation when starting a running program. Our calf muscle tapers off to become the Achilles tendon that inserts into the heel and powers the push-off of the running stride. Running uphill demands more stretch from the calf, forcing it to work harder. This can lead to micro tears of the small Achilles fibers.

Micro tears do not become full tendon ruptures, but cause inflammation and swelling as the body tries to repair and regenerate the area. The usual treatment is rest, stretching, strengthening, cross-training and as the pain dissipates, a gradual return to running with limited hills.

Plantar Fasciitis – The most common early symptom of this comes with morning’s first step. The plantar fascia is a tight band of tissue that supports the foot arch. It attaches to the heel and traverses across the sole, attaching broadly across the end of the foot.

When we run, the plantar fascia can become overstressed at the smaller attachment on the heel, especially in individuals with tight calf muscles. Initially, inflammation starts after the run and hurts upon standing after a period of inactivity. When the foot and ankle bend to stand flat, the fascia stretches and hurts. The best treatment is to recognize it early and rest.

PAIN IS A WARNING!

Most of us can enjoy running without ever suffering from these common maladies. My best advice is to cross train and to recognize symptoms early and not ignore the pain. If you pay attention to symptoms, you can help avoid painful injuries and stay active.

About OrthoConnecticut
OrthoConnecticut is the region’s premier, multi-specialty orthopedic and pain management practice. Thirty-one fellowship- trained, board-certified physicians offer patient care at nine offices in Danbury, Darien, New Canaan, New Milford, Norwalk, Ridgefield, Sharon, Southbury and Westport. The practice’s urgent care service, OrthoCare Express, is open 7 days a week for emergencies and is available in Danbury, Darien, Norwalk and Westport. To make an appointment with Dr Henshaw, or to learn more about OrthoCare Express, please visit http://www.myorthoct.com/, or call 1.833.ORTHOCT (1.833.678.4628).

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pdf(English) Running Right to Avoid Common Injuries
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Osteoarthritis (OA)

By Lisa M. Cyr, OTD, OTR/L, CHT
Occupational Therapist/Hand Therapist, OrthoConnecticut

Strong Male Hands Twisting a Stubborn Jar Lid (Close-Up)OSTEOARTHRITIS (OA) is one of the most common joint disorders and is one of the leading causes of disability in the United States. It affects as many as 12% of the American population over 25. One in 4 women and at least 1 in 12 men will suffer from the pain and loss of function caused by osteoarthritis (OA) of the carpometacarpal joint (CMC) of the thumb during their lifetimes. When the smooth cartilage covering the ends of the bones in the thumb wears away, the bones rub against each other, causing friction and damage to the bones and the CMC joint. This can cause severe pain, swelling, and decreased strength and range of motion, making it difficult to do simple daily tasks. This may lead to loss of function, depression and decreased quality of life, causing many people to ultimately seek surgical intervention for relief.

There are many potential causes for arthritis at the base of the thumb. Since the thumb is involved in at least 40% – 50% of every task that we do with our hands, it is subjected to many forces and strains throughout each day. Each time we pinch something between the fingertip and thumb tip, there is up to 25 times more force at the CMC joint than at the tip! Straining to open a new jar, holding a pen tightly when writing, buttoning tight buttons, pulling tight weeds, twisting a key in a stiff lock, trying to pull open a new bag of cereal or chips, holding pliers or other tools or overly large cups are all examples of ways we repeatedly strain our thumbs each day. Texting, with its repeated thumb motion, can irritate an already inflamed CMC joint.

These techniques are most effective when incorporated early in the disease when people first notice twinges of pain at the base of the thumb with pinching or gripping activities.


Research shows that the disabling effects of basal joint disease can be minimized with conservative interventions such as joint protection strategies, short term immobilization to rest the painful joint, and hand exercises.

A referral to a skilled Occupational Therapist/Hand Therapist for two or three sessions can help significantly decrease pain at the base of the thumb, and enable people to continue doing the activities most important for their quality of life. A skilled Occupational Therapist/Hand Therapist accomplishes this by educating the patient in joint protection techniques and adaptive equipment. Patients are either fitted with a custom thumb stabilizer or educated about an over the counter soft support to help rest the painful CMC joint. The patient is given a home exercise program to help delay the progression of the arthritis. These simple techniques have been shown to dramatically improve pain and function for many people with basal joint arthritis.

Preventing Shoulder Injuries

Story by Dr. Albert Diaz, Sports Medicine Specialist at Danbury Orthopedics

Many of the patients I see with shoulder pain have injured themselves as the result of strenuous, weight-bearing exercise.

As high impact, strength-related exercise programs have increased in popularity, many people are putting too much weight on their shoulder joints. While the benefits of exercise are indisputable, it is important to understand how the shoulder works and how best to avoid injuring this delicate joint.

The shoulder is built for range of motion rather than stability. It is a ball-and-socket joint held in place by a thin sleeve of muscles and tendons called the rotator cuff. Excessive weight on the shoulder can damage the cuff as well as other soft tissues around the joint. Exercise programs that work the large chest and back muscles should also include exercises with light weight or elastic bands for the smaller rotator cuff muscles.

If you feel shoulder pain when exercising or playing sports, DO NOT WORK THROUGH THE PAIN. Rest your shoulder for two weeks and take over-the-counter anti-inflammatory medication such as ibuprofen, if necessary. If, after two weeks, you return to your activity and still feel pain, you should consult an orthopedist.

Repetitive or continuous use of the shoulder at a young age can lead to injury. Children under the age of 16 should avoid playing any single sport for more than 8 months of the year, especially swimming, baseball or tennis, to prevent shoulder overuse. Heavy weight training is also a potential cause of injury.

Danbury Orthopedics, a member practice of OrthoConnecticut, offers an expert group of orthopedic specialists, including a team of sports medicine doctors who work with sports-related injuries and conditions of all kinds. The practice has its own x-ray, MRI and on-site physical therapy specialists, allowing patients to recover in one single, integrated location. All the practice’s physicians are fellowship-trained, and experts in their specialty area.

Danbury Orthopedics’ areas of expertise include five Centers of Excellence where you will find integrated comprehensive treatment for bone or joint pain injury and subspecialized orthopedic surgery to get you back to leading a healthy active life.  These include:

All of Danbury Orthopedics’ services are available at our new state-of-the-art location at 2 Riverview Drive in the Berkshire Corporate Park in Danbury.  For more information, go to: myorthoct.com

Dr. Albert Diaz, who is a fluent Spanish speaker, specializes in the field of sports medicine, minimally invasive arthroscopic shoulder and knee surgery. He completed his sports medicine fellowship at the Minneapolis Sports Medicine Center where he served as Assistant Team Physician to the Minnesota Vikings and Timberwolves. He currently serves as Team Physician for Joel Barlow High School in Redding.  He is board certified by the American Board of Orthopedic Surgery and is a member of the American Orthopedic Society for Sports Medicine, the American Academy of Orthopedic Surgeons, and the Arthroscopy Association of North America.

Tennis Elbow

By Paul D. Protomastro, M.D.
Hand & Upper Extremity Surgeon, OrthoConnecticut

Mixed race Woman Playing TennisTENNIS AND GOLFER’S elbow are common orthopaedic conditions that lead to pain, weakness and disfunction of the elbow. Both conditions actually represent tears of the forearm tendons off of the humerus bone at the elbow. A tear on the outside (lateral) part of the elbow is known as Tennis elbow. A tear on the inside is known as golfer’s elbow. The muscles involved in this condition help to extend (tennis) and flex (golfer’s) the wrist. With both disorders there is degeneration of the tendon attachment usually following repetitive grasp or lifting activities and subsequent weakening of the anchor site leading to tendon detachment. Patients usually experience the insidious onset of elbow pain associated with activities in which this muscle is active, such as lifting, gripping, and/or grasping. Sports such as tennis, golf and weight training are common causes. The problem can occur with many different types of activities such as home renovation and gardening.

A direct blow to the bony prominence of the elbow may result in an acute tear or swelling of the tendon that can lead to degeneration. A sudden extreme action, force, or activity, such as starting a lawn mower, can also injure the tendon. The most common age group that this condition affects is between 30 to 50 years old. It affects both men and women with equal frequency. Pain is the primary reason for patients to seek medical evaluation. With tennis elbow the pain is located over the outside aspect of the elbow, over the bone region known as the lateral epicondyle, and is exacerbated by overhand lifting or power grip activities. With golfer’s elbow the pain is on the inside part of the elbow (medial epicondyle) and exacerbated by resisted wrist flexing or underhand lifting. The bone and tendon insertion often becomes tender to touch. Pain is also produced by any activity which places stress on the tendon, such as gripping or lifting. With activity, the pain usually starts at the elbow and may travel down the forearm to the hand. Occasionally, any motion of the elbow can be painful.


The bone and tendon insertion often becomes tender to touch. Pain is also produced by any activity which places stress on the tendon, such as gripping or lifting. With activity, the pain usually starts at the elbow and may travel down the forearm to the hand.

There are several theories as to why the elbow is so prone to these tendon injuries. Firstly, these tendons are taut and under great stress with repetitive wrist and hand activity. Secondly, the tendon origin is very small relative to the muscles that attach to them which leads to high forces on a tiny insertion site. Thirdly, these tendons have a very poor blood supply and take a long time to heal. All these factors result in prolonged pain and dysfunction in most cases. On average a case of tennis or golfer’s elbow takes 12-18 months to fully heal. On rare occasions people can be pain free and return to their sports, work or hobbies in 2-3 months.

TENNIS ELBOW TREATMENT OPTIONS

Activity modification
Initially, the activity causing the condition should be limited. Limiting the aggravating activity, not total rest, is recommended. Modifying grips or techniques, such as use of a different size racket and/or use of 2-handed backhands in tennis, may relieve the problem.

Medication
Anti-inflammatory medications may help alleviate the pain temporarily to make the tendon tear heal.

Bracing
A tennis elbow brace, a band worn over the muscle of the forearm, just below the elbow, can reduce the tension on the tendon and decrease pain while using the arm and possibly allowing the tendon to heal.

Occupational Therapy
May be helpful, providing stretching and/or strengthening exercises. Ultrasound, lasers, deep friction massage and heat treatments may be helpful by increasing blood flow and decreasing pain.

Steroid injections
A steroid is a strong anti-inflammatory medication that can be injected into the area. These injections have been shown to temporarily decrease the pain of elbow tendonitis but do not help the tear heal. In fact, steroids may further harm the tendon and lead to chronic tendon damage. No more than (3) injections should be given.

Surgery
Surgery is considered when the pain is incapacitating, has not responded to conservative care, and symptoms have lasted more than six months. Surgery involves removing the diseased, degenerated tendon tissue and then repairing healthy tendon back to the humerus bone. This 15-20 minute procedure is performed in the outpatient setting under sedation and local anesthesia.  Recovery from surgery requires physical therapy to first regain motion of the arm and then a strengthening program after 6 weeks. Most patients can return to usual activities by 3-4 months. Complete recovery, including a return to tennis, golf and high impact/repetition work, can be expected to take 4–6 months. The success rate of this surgery is over 90%.

Today’s Hip Replacements Have Shorter Recovery Times and Longer-Lasting Results

hip replacement photo_8in wide 1.3 megsIf you suffer from persistent hip pain due to osteoarthritis, rheumatoid arthritis, an injury, or joint deterioration, a hip replacement could both relieve pain and improve mobility.

During the procedure, your damaged hip joint is replaced with implants that recreate the ball and socket of a healthy hip. Most patients can return to an active lifestyle after hip replacement, often becoming more mobile than they had been for years while suffering from hip pain.

While it is not uncommon for your doctor to recommend a hip replacement to those suffering from chronic hip pain, many people still think of the procedure as the last step to treating hip problems.  They fear post-operative complications and months of recovery time. However, the procedure has made tremendous strides in the last few years.  “New technology and new approaches have made hip replacement surgery less invasive, with decreased recovery time,” says specialist Dr. Robert Deveney of the Total Joint Center at Danbury Orthopedics.  “In fact, some minimally invasive approaches, when medically appropriate, can have patients on their feet within days of surgery.”

New Approaches to Hip Replacement

The anterior approach gently pushes muscles and surrounding tissue apart, sparing the muscle tissue from trauma. This enables a much faster recovery and a quicker return to normal function after the operation. It also results in fewer post-operative restrictions than other types of hip replacement surgeries. Ask your orthopedist if you are a candidate for this procedure.

There is also a new, minimally-invasive procedure called a Mini-Posterolateral total hip replacement, which allows for a small incision, no cutting of the abductor muscles aand full weight bearing immediately after surgery. Shorter recovery time and fewer post-operative complications are observed with this procedure.

New Materials Last Longer

In addition, hip sockets are now often being replaced with ceramic or plastic materials, instead of metal. These newer materials are significantly less corrosive and result in improved joint longevity. “State-of-the-art materials and leading edge technology have made hip replacement a very strong option for so many people these days,” says Dr. Deveney. “We are eager to inform patients about all the options so they can make the best decision for themselves and get back to their active lives.”

About Danbury Orthopedics

Danbury Orthopedics, founded in 1954, is a multi-specialty practice staffed by leaders in orthopedic care; the practice is a member of OrthoConnecticut, along with New Milford Orthopedics and Coastal Orthopedics, providing comprehensive care to the community. The practice’s Centers of Excellence provide integrated treatment, offering individualized and compassionate care by a team of specialists. The goal of the practice is to help patients regain mobility, lead active lives and attain optimal well-being. To make an appointment with any of the practice’s specialists, please visit myorthoct.com or call 203.797.1500.

How Do You Prevent Winter Sports Injuries? The Pros at Danbury Orthopedics Give Tips

iStock-153765931Winter is the time some sports enthusiasts look forward to enjoying skiing, ice skating, snowboarding and more.  However, winter is also when orthopedists see many injuries related to those very sports.

Most Common Winter Injuries Orthopedists See

According to Dr. Angelo Ciminiello, a Sports Medicine Specialist at Danbury Orthopedics, the most common injuries he sees this time of year are torn ACLs from skiers, broken or fractured wrists from snow boarders and skaters, and many concussions.

Proper Gear Can Prevent Common Injuries

He recommends always wearing a helmet for any of these winter sports, since this simple step can prevent a serious concussion.  To prevent against broken wrists, he suggests using a specialized glove with a wrist guard built-in, which can help prevent a fracture.  Wearing mouth guards and other protective equipment when playing hockey is also a must.

For skiers, be sure the bindings are appropriate for your weight and height so they will disengage when needed.  A torn ACL occurs when the foot is planted and the knee is turned.  If the bindings release your foot after a fall, you are less likely to tear the ACL.

How to Determine if the Injury is Serious

How do you know if you’ve torn your ACL? “You usually hear a pop in the knee, followed by swelling and pain when putting weight on the knee.  If that happens see an orthopedist immediately,” Dr. Ciminiello advises.  The same holds true for a broken wrist.  If you have swelling after a fall and are unable to use the hand properly, see an orthopedist.  “Do not take a wait and see attitude, since immediate treatment will result in a much more successful recovery,” he adds.

Stretching Really is Important for Injury Prevention

Stretching, too, is important for all winter sports. Athletes who play winter outdoor sports are often cold before they begin playing, so stretching your muscles helps warm them up and prevents hamstring pulls and other injuries.  This includes winter outdoor runners, too.

The Premiere Sports Injury Practice in the Region

Danbury Orthopedics treats more than 2,000 sports injury cases each year — from ACL and rotator cuff surgeries to complicated multi-ligament injuries to tendonitis. They are also at the forefront of concussion management.

With offices in Danbury, Ridgefield and Southbury, Danbury Orthopedics is the area’s premier multi-specialty orthopedic practice. The Sports Medicine Center at Danbury Orthopedics is dedicated to the complete care of the athlete — from professional, collegiate and high school athletes to recreational, youth players and weekend warriors. The Sports Medicine Center specializes in sports injury treatment and rehabilitation through both surgical and non-surgical techniques.  The team of four fellowship-trained Sports Medicine Specialty Physicians include: Dr. Michael G. Brand, Dr. Angelo Ciminiello, Dr. J. Albert Diaz and Dr. Ross Henshaw.  Walk-in orthopedic urgent care services for injuries are also available at the group’s OrthoCare Express location at 2 Riverview Drive at Berkshire Office Park in Danbury, open 8 a.m. to 8 p.m. weekdays and 10 a.m. to 3 p.m. on weekends.

J. Albert Diaz, M.D. Joins The Sports Medicine Center at Danbury Orthopedics

J. Albert DiazDiaz Brings Over 18 Years of Experience as Sports Medicine Specialist

DANBURY, CT – Danbury Orthopedics is pleased to announce that J. Albert Diaz, M.D., will join the practice as of June 1st. A specialist in the field of sports medicine, minimally invasive arthroscopic shoulder and knee surgery, Dr. Diaz completed his orthopedic residency training at The Hospital for Special Surgery in New York City, and his sports medicine fellowship at the Minneapolis Sports Medicine Center where he served as Assistant Team Physician to the Minnesota Vikings and Timberwolves. He attended Dartmouth College and the Tulane University School of Medicine, and currently serves as Team Physician for Joel Barlow High School in Redding.

“We are thrilled to have Dr. Diaz join our sports medicine team to work alongside Drs. Ciminiello, Henshaw and myself,” says Danbury Orthopedics’ President, Dr. Michael Brand. “Our patients will certainly benefit from his arthroscopic surgical expertise, and the eighteen years of experience he brings in this field.”

Dr. Diaz is board certified by the American Board of Orthopaedic Surgery and is a member of the American Orthopaedic Society for Sports Medicine, the American Academy of Orthopaedic Surgeons, and the Arthroscopy Association of North America. He maintains surgical privileges at Danbury Hospital, Danbury Surgical Center and Western Connecticut Orthopedic Surgical Center.

“I am delighted to bring my skills to the highly trained team at Danbury Orthopedics, and continue to care for patients in the greater Danbury area,” says Dr. Diaz. “This organization has made significant advancements to meet the needs of the modern orthopedic patient and I am excited to be a part of it,” adds Dr. Diaz. Danbury Orthopedics offers the full suite of orthopedic services, including the highest quality diagnostics, non-operative and surgical treatment solutions, integrated care by its physical therapy team, its own orthopedic-only outpatient surgical center, and OrthoCare Express, a walk-in orthopedic specific urgent care service, 7 days a week.

Running Right – to Avoid Common Injuries

Story by Ross Henshaw, MD, Sports Medicine Specialist, Danbury Orthopedics

family runnersDANBURY, CT – As any runner will tell you, this simple sport is one of the most rewarding and convenient exercise activities. It’s a wonderfully efficient way to improve your health, except when it produces chronic, nagging injuries. So what’s the best way to safely enjoy a running program? Start smart, with a progressive training schedule that gradually builds the intensity and duration of your workouts.

What the Pros Say

Typically, a running coach or trainer will recommend increasing distances no more than 10% a week. If you have never been a runner, seek advice from friends, trainers or your local athletic store. There are also great resources online and in print. But if you have an underlying health condition or are new to exercise, make your first step a consultation with your physician to be sure it’s OK to start running. Orthopedically, running is a safe exercise for most people but there are exceptions, even among athletes. So if you have a history of orthopedic injury or joint pains, particularly those involving the legs or spine, seek the advice of an orthopedic surgeon.

While any form of exercise can cause or aggravate a preexisting injury, endurance sports generate typical injury patterns. Endurance sports by definition involve prolonged repetitive motion. While a soccer player may run 3-7 miles in a game, depending on position, he or she is rarely only running straight ahead at the same speed. But runners go straight ahead at a maintained speed, which means your hip, knee, ankle and arm motions are roughly the same for the duration of the exercise. Hills change the degree of motion and add more jarring forces.

The longer the duration and hillier the terrain, the more our joints are cycling and the more our tendons and ligaments are pulling and rubbing around our joints. When we start an endurance sport like running and build up too quickly, the abrupt increase in joint motion can lead to ‘overuse’ injuries.

The Top 5 Complaints

In my practice, the most common running injuries are hip bursitis, kneecap pain, shin splints, Achilles tendonitis and plantar fasciitis. Here’s a quick anatomy lesson:

Hip Bursitis – ‘Trochanteric Bursitis’ is an overuse injury caused by friction between the illiotibial tendon band and the hip bone. This large tendon travels over the bony prominence on the outside of the hip, goes all the way down to the leg and attaches just below the outer side of the knee. When we run, this band rubs back and forth over the outer hip bone; over time the friction creates inflammation. Our bodies have natural ‘cushions’ called ‘bursa’ that are designed to reduced this friction, but if they have not had time to adapt they can swell and hurt. (A related injury is ITB syndrome.)

Kneecap pain and Patella Tendonitis – Often grouped as ‘anterior knee pain’, this refers to pain in the front of the knee and is common among runners. The quadriceps muscle in the front of the thigh powers our ability to straighten the knee. It works by using the kneecap or ‘patella’ for leverage across the knee. This generates pressure and can cause the kneecap to become sore. It’s especially evident when people walk down stairs or inclines and is precipitated by excessive downhill running. The quadriceps muscle tapers to become a tendon that attaches to the kneecap and then to the shin bone (tibia) via the patella tendon. When strained, the quadriceps and patella tendons can also develop micro tears and become inflamed. Treatment includes rest, anti-inflammatories, strengthening exercises, cross training and progressing back to running while avoiding hills.

Shin Splints – Shin splints, or ‘posteromedial tibial stress syndrome’, can occur on one or both shins, but most commonly on the dominant leg depending on your stride. Pain originates at the lower third of the inner part of the shin just behind the bone. The pain is usually discrete and easily reproduced by pressing on the trigger point. This condition is caused by inflammation where the Soleus muscle in the calf attaches to the tibia. As the muscle helps runners with ‘pushing off’ it pulls on the attachment site, which may become inflamed and swollen. This pain usually hurts only when running, early or later in a run. Some people try to run through the pain, which worsens it so that even walking becomes painful. Treatment for this overuse is rest and cross training. Some people may be predisposed to shin splints because of running style or leg, ankle or foot alignment.

Achilles Tendonitis – The strong Achilles tendon is prone to inflammation when starting a running program, particularly on hilly terrain. Our calf muscle tapers off to become the Achilles tendon that inserts into the heel and powers the push-off of the running stride. Running uphill demands more stretch from the calf, forcing it to work harder. This can lead to micro tears of the small Achilles fibers. Micro tears do not become full tendon ruptures, but cause inflammation and swelling as the body tries to repair and regenerate the area. The usual treatment for this pain is rest, stretching, strengthening, cross-training and as the pain dissipates, a gradual return to running with limited hills.

Plantar Fasciitis – Dreaded heal pain! Its most common early symptom comes not with running, but with the morning’s first step. The plantar fascia is a tight band of tissue that supports the foot arch. It attaches to the heel and traverses across the sole, attaching broadly across the end of the foot. When we run the plantar fascia can become overstressed at the smaller attachment on the heel, especially in individuals with tight calf muscles. Initially, inflammation starts after the run and hurts upon standing after a period of inactivity. When the foot and ankle bend to stand flat, the fascia stretches and hurts. Best treatment is to recognize it early and rest, cross train and take an anti-inflammatory. More severe cases may require calf stretching, night splints that keep the plantar fascia stretched, and heel pads.

Pain is a warning!

While it sounds like a lot can go wrong, most of us can enjoy running without ever suffering from these common maladies. As a sports medicine specialist, my best advice is to recognize symptoms early and not ignore the pain. Early recognition and treatment generally lead to a quicker recovery. I also recommend cross training. Even if you prefer running as your primary aerobic exercise, you’ll benefit by incorporating other forms of conditioning such as biking, elliptical or swimming into your routine. If you pay attention to symptoms and mix it up, you can help avoid painful injuries due to repetitive overuse of the joints … and stay active.

Accidents happen

Should an unexpected injury occur, runners in the region can access the orthopedic urgent care service offered at Danbury Orthopedics. OrthoCare Express, the walk-in, orthopedic emergency treatment center, is open 7 days a week in the heart of downtown Danbury, CT at 226 White Street. The Center is staffed by fellowship trained orthopedic surgeons and highly trained Physician Assistants, and is open weekdays from 8 am – 8 pm, and on weekends from 10 am – 3 pm. No appointment is necessary and no referral is required. Visit orthocareexpress.com or call 203.702.6675 for more information.