Asia E. Lo, DPM
Location and Office HoursFoot & Ankle Institute
Houston, TX 77082
- BlueCross BlueShield of Texas
- Community Health Choice
- Great-West Healthcare Cigna
- Texas Children's Health Plan
- United Healthcare
- Memorial Hermann Southwest Hospital
- Memorial Hermann Sugar Land Hospital
- West Houston Medical Center
What causes os trigonum syndrome?
Os trigonum syndrome can be triggered by overuse and repetitive motion as well as by an injury, such as an ankle sprain. As the os trigonum is crunched between the ankle and heel bones, it pulls loose and the tissue connecting it to the talus is stretched or torn and becomes inflamed. The result is deep, aching pain in the back of the ankle that occurs mostly when pushing off on the big toe or when pointing the toes downward.
What causes ankle instability?
Ankle instability can result from a previous ankle sprain or multiple recurrent sprains. The ligaments heal without the right tension, leaving them loose. The talus (lower bone) slides forward too far and the ankle gives out. This can be a source of continued problems and pain following an old ankle ligament injury or sprain.
What can I do to manage my Achilles tendon problems?
Home treatment is often used for Achilles tendinopathy and in physical therapy or rehabilitation (rehab) after an Achilles tendon rupture.
Follow these steps to rest, heal and strengthen your Achilles tendon and prevent further injury:
- Rest your Achilles tendon. Avoid all activities that strain the tendon, such as stair climbing or running. Try other activities, such as swimming, while you give your tendon the days, weeks or months it needs to heal. Your doctor will tell you what you can and cannot do.
- Reduce pain by icing your Achilles tendon and taking nonprescription pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) as directed. Be safe with medicines. Read and follow all instructions on the label.
- Follow your physical therapy program if one has been prescribed for you. Do gentle stretching and strengthening exercises. Focus on calf stretches.
- Don't smoke or use other tobacco products. Smoking slows healing, because it decreases blood supply and delays tissue repair.
- Wear footwear that protects the tendon while it heals.
- Quality athletic shoes that support your arches and cushion your heels can make a big difference in your comfort and healing. If needed, talk to your physical therapist or podiatrist about heel pads or orthotics.
- A bandage that keeps your foot flexed can restrict the motion of the Achilles tendon.
- A silicone sleeve or pad can distribute pressure on the Achilles tendon.
If your Achilles tendon shortens and stiffens while you sleep, your doctor may suggest that you wear a night brace to keep your foot flexed.
Achilles tendon rupture
No matter how you treat an Achilles tendon rupture, after treatment it's important to follow your rehab program. This program helps your tendon heal and prevents further injury.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. To learn more visit Healthwise.org
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