My Blog

Posts for: August, 2014

By drmendoza@mendozafootandankle.com
August 25, 2014
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IT’S FOOTBALL SEASON!!!!!! Although the 2014 preseason is underway and we’re all getting anxious to watch our favorite starters play, we need them to be in tip-top shape and injury free for regular season!

Football players are among the most common athletes to sustain a Lisfranc Injury. The Lisfranc joint is the point at which the metatarsal bones (long bones that lead to the toes) and the tarsal bones (bones in the arch of the foot) connect. There are three types of Lisfranc injuries: sprains, fractures, and dislocations. These injuries are not only commonly seen in football players, but also in automobile accidents and when the foot catches on a stirrup while falling from a horse.

Lisfranc injuries can sometimes be mistaken for ankle sprains due to the location, making the diagnostic process very important. X-rays and possibly an MRI may be necessary to fully evaluate the extent of the injury. Click here or call our office at 615-452-8899 to schedule your appointment with Dr. Mendoza to determine if immobilization, anti-inflammatories, icing, or even surgery is the best treatment option for you!


By drmendoza@mendozafootandankle.com
August 21, 2014
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The posterior tibial tendon is a fibrous cord that extends from a muscle in the leg and runs along the inside of the ankle, down the side of the foot, and into the arch. This tendon is one of the major supporting structures of the arch of the foot. It can become inflamed along the course of the tendon and painful in the instep of the foot. It is most common in people who over-pronate (flat feet) because the tendon is working harder to try to support the arch.

Rest, Non-steroidal anti-inflammatory drugs, and ice are always a great place to start when trying to reduce pain. Custom orthotics may be necessary to properly support the arch. Another option, but also last resort, is a surgery to place an implant in the foot that prevents the arch from collapsing.

Click here or call our office at 615-452-8899 to have Dr. Mendoza determine which treatment option is best for you.


By drmendoza@mendozafootandankle.com
August 14, 2014
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Diabetic Foot Care

There are two main ways that diabetes can contribute to foot problems: It can cause peripheral neuropathy (tingling, burning, and decreased feeling in the feet) so that injuries and cuts may go unnoticed. It can also cause decreased circulation to the feet, resulting in a reduced blood supply that may be inadequate to heal wounds and fight infection. For these reasons it is essential that diabetics take good care of their feet. All diabetics should follow these guidelines to avoid serious infection:

  • Check over your feet and in between your toes each and everyday.  Look for corns and calluses that could ulcerate, as well as any redness and swelling.  Inspect your feet for signs of broken skin, cuts, blisters, or scratches.

  • Wash your feet everyday in warm water (temperature tested with your hand or elbow first) with a mild soap (but don’t soak your feet – it can make your skin dry out and crack).
  • Wear shoes that fit properly to prevent rubbing and ulceration, and be very careful after you start wearing new shoes – check for red spots and any signs of irritation.
  • Never go barefoot.
  • Trim your toenails carefully, or have Dr. Mendoza trim them for you if it is hard for you to do yourself – especially if you tend to draw blood while trimming them, we don’t want you to start a wound that’s hard to heal.
  • Never use medicated callous remover pads, leave the callous trimming to Dr. Mendoza!
  • Don’t smoke – smoking narrows the blood vessels and decreases circulation to the feet which is particularly dangerous for people with diabetes.
  • Beforeyou put them on, examine the inside of your shoes for foreign objects or torn linings that may cause irritation.

If you would like a diabetic foot exam, or your toenails or calluses trimmed click here or call our office at 615-452-8899 today to schedule your appointment!


By drmendoza@mendozafootandankle.com
August 08, 2014
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Are your feet starting to hurt from all of your fun summer adventures? Could it be caused by your beloved pair of flip-flops that you haven’t taken off all season? We’re all guilty of it – wearing those inexpensive, slip-on sandals all summer long. And of course our favorites are the cheapest ones that can be folded in half with one finger!

If you tend to overuse flip-flops (…or wear them all day everyday), the lack of arch support and shock absorption can lead to plantar fasciitis, cause bunions and bunionettes to progress more rapidly, and tendonitis and hammertoes in your toes from over-gripping.

If you’re starting to experience foot pain (or already have been having it!) it may be time to try some sandals with arch support such as vionic, chaco, or Birkenstock.

If you think you are suffering from one or more of the ailments, call our office today at 615-452-8899 or click here to schedule an appointment! 


By drmendoza@mendozafootandankle.com
August 01, 2014
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Although only one soccer player (Álvaro SaborÃo from Costa Rica) was diagnosed with a metatarsal fracture in the 2014 World Cup, they are among the most common athletes to have them! Even David Beckham nearly missed the 2002 World Cup after breaking his second metatarsal months prior!

Each foot has five metatarsal bones extending to your toes – they are the long bones in the middle of the foot. There are two main types of fractures that can occur: stress and acute. A stress fracture is a repetitive or an overuse injury. Acute fractures are caused by a sudden injury, like getting stomped on or kicked. Due to its location, the most common bone to fracture suddenly is the fifth metatarsal on the outside of the foot.

You will usually experience pain and tenderness around the area of the fracture. There may also be some bruising and swelling – it may be difficult to put weight on the affected foot and movement of your foot may be limited. Immobilization, rest, ice, and anti-inflammatories can help with the pain and swelling.

Dr. Mendoza will analyze your x-rays to see if your mid-foot pain is caused by a metatarsal fracture. Call our office at 615-452-8899 to schedule your appointment today!