Definition Ankle pain involves any discomfort in one or both ankles. Alternative Names Pain - ankle; Sprain - ankle; Ankle sprain Common Causes Ankle pain is often due to an ankle sprain. An ankle sprain is an injury to the ligaments, which connect bones to one another. In most cases, the ankle is twisted inward, causing small tears in the ligaments. The tearing leads to swelling and bruising, making it difficult to bear weight on the joint. In addition to ankle sprains, ankle pain can be caused by: Damage or swelling of tendons (which join muscles to bone) or cartilage (which cushions joints) Infection in the ankle joint Osteoarthritis , gout , rheumatoid arthritis , Reiter syndrome , and other types of arthritis Problems in areas near the ankle that can cause you to feel pain in the ankle include: Blockage of blood vessels in the leg Heel pain or injuries Nerve injuries (such as tarsal tunnel syndrome or sciatica )
Since Joseph had a family history of diabetes, he knew the importance of checking his feet regularly for diabetic foot ulcers. But despite giving careful attention to his health, he still needed to have one of his toes amputated.
Limb salvage expert Dr. Jeffrey Niezgoda of the Center for Comprehensive Wound Care in Wisconsin was able to save the rest of his foot by using a new treatment called Graftjacket . This treatment helps our body to repair the wound quickly by providing immediate coverage to the wound and a way to rebuild the area of missing tissue. The graft incorporates itself into the wound until it gradually converts into the patient's own tissue.
If we have poor circulation and decreased sensation to pain, we sometimes overlook small cuts, blisters, or ingrown toenails. But when they become infected, they can turn into an open wound that's called a diabetic foot ulcer.
One in four people with diabetes who get a foot ulcer will require a lower limb amputati...
Foot care for diabetics
American Diabetes Association. Standards of medical care in diabetes -- 201. Diabetes Care . 201;34:S11-S61.
Inzuchhi SE and Sherwin RS. Type 1 diabetes mellitus. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 247.
Inzuchhi SE and Sherwin RS. Type 2 diabetes mellitus. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 248.
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