What an Achilles Tendon Rupture Looks Like Up Close: Insights from Dr. Kevin Lam

Achilles tendon ruptures are one of the most common injuries among athletes, particularly in those engaging in high-impact sports. In a recent video by Dr. Kevin Lam, viewers get a rare, up-close look at what an Achilles rupture appears like before surgery begins. The tendon is located in a region known as the “watershed area”—a section with limited blood supply, making it more prone to injuries. The video highlights the characteristic "smiley face" shape formed by the gastrocnemius muscle and details how understanding this anatomy is crucial for effective treatment and recovery.

Why Achilles Tendon Injuries Are Common

The Achilles tendon is one of the most frequently injured tendons in the human body, particularly among athletes and active individuals. Its crucial role in walking, running, jumping, and pushing off the ground makes it highly susceptible to strain and injury. But why are Achilles injuries so common?

1. The Anatomy of the Achilles Tendon

The Achilles tendon is the thick band of tissue that connects the calf muscles (the gastrocnemius and soleus) to the heel bone (calcaneus). It is the strongest tendon in the body and endures a tremendous amount of stress, especially during explosive movements like sprinting or jumping. However, despite its strength, it is also prone to injury because of its anatomical structure.

One of the primary reasons is the "watershed area" located approximately 2-6 cm above the heel. This section of the tendon has a limited blood supply, making it more vulnerable to wear and tear. The reduced blood flow in this region hampers its ability to heal quickly, leaving it at risk for partial tears, inflammation, or a complete rupture.

2. Common Causes of Achilles Tendon Injuries

- Overuse: Repetitive stress from activities such as running, basketball, or tennis can lead to microtears in the tendon. Over time, this can result in chronic conditions like Achilles tendinitis or even a full rupture.

  

- Sudden Increases in Activity: Athletes who ramp up their training intensity too quickly are at risk of overstressing the tendon. This is especially common in weekend warriors who engage in high-intensity sports after prolonged periods of inactivity.

- Tight Calf Muscles: Limited flexibility in the calf muscles can put extra tension on the Achilles tendon, increasing the risk of injury. Stretching and strengthening exercises are essential to maintain flexibility and prevent strain.

- Age and Degeneration: As people age, the tendon loses elasticity and becomes stiffer, increasing the likelihood of injuries. Men over 30 who play recreational sports are particularly prone to Achilles ruptures.

3. Preventing Achilles Injuries

- Stretching and Strengthening: Regularly stretching the calf muscles and strengthening the lower leg can help reduce strain on the Achilles tendon.

  

- Gradual Training Progression: Avoid sudden increases in training intensity. A gradual build-up in running distance or intensity can help prevent overuse injuries.

  

- Proper Footwear: Wearing supportive shoes that provide adequate cushioning can reduce the impact on the Achilles tendon, especially during high-impact sports.

4. Treatment and Recovery

Achilles tendon injuries can range from mild inflammation to a complete rupture. Early diagnosis is key to preventing further damage. Treatment may include rest, physical therapy, or, in severe cases, surgery. Recovery times can vary based on the severity of the injury, with ruptures often requiring several months of rehabilitation.

Understanding why Achilles tendon injuries are so common can help athletes and active individuals take preventative measures. If you are experiencing persistent heel pain or suspect an Achilles injury, it’s crucial to consult with a specialist for an accurate diagnosis and treatment plan.

For more information on Achilles injuries, treatment options, and personalized care, visit http://www.drkevinlam.com

Beware of Flesh-Eating Bacteria: Protect Your Feet After Recent Storms

With recent storms stirring up the waters, it’s more important than ever to be cautious when spending time at the beach or in the backwaters. One of the significant risks lurking is flesh-eating bacteria, which can enter the body through puncture wounds or cuts, potentially leading to a severe condition known as necrotizing fasciitis.

What Is Flesh-Eating Bacteria?

 

Flesh-eating bacteria, as the name suggests, can cause rapid tissue destruction. Necrotizing fasciitis is a rare but serious bacterial infection that can destroy the tissue under your skin, leading to severe consequences if not treated promptly. This bacteria, often found in warm coastal waters, can be especially dangerous after storms when debris and bacteria are stirred up.

Why Is It Dangerous?

This infection doesn’t just stop at surface wounds—it penetrates deeper tissues and spreads rapidly. If left untreated, it can cause significant tissue damage, leading to limb loss or even death in extreme cases. Early treatment is essential to prevent the worst outcomes.

Recent Cases and What You Can Do

At our office, we’ve recently treated several puncture wounds from people stepping on foreign objects at the beach. Thankfully, none of these cases involved flesh-eating bacteria. However, we’ve treated necrotizing fasciitis before, and it’s not something to take lightly.

**If you’ve sustained a puncture wound, especially in the beach or backwater areas:**

- See your podiatrist immediately. Quick action is key. A podiatrist can clean the wound, take a culture, and start you on antibiotics if needed.

- Wear protective footwear at the beach. Shoes or water sandals can reduce the risk of stepping on sharp objects.

- Be mindful of any foreign objects. If you step on something sharp, don’t dismiss it—puncture wounds can be a gateway for bacteria.

  

The Importance of Early Treatment

If you or someone you know sustains a puncture wound or injury at the beach, don’t delay. Seek professional care immediately. At our office, we can evaluate the injury, clean the wound, and provide the necessary treatment, including antibiotics to prevent infection from escalating. 

Prevention and prompt care are key to avoiding the devastating effects of flesh-eating bacteria. Protect your feet, be cautious, and don’t hesitate to reach out if you have any concerns. Your health is our priority. 

Stay safe, and see your podiatrist early to avoid complications!

Catfish and Stingray Barb Injuries: Treatment and Prevention with Dr. Kevin Lam

A relaxing day at the beach can quickly take a turn for the worse if you come into contact with a catfish or stingray. These creatures, while often calm, can become dangerous if provoked, especially when it comes to injuries in the front ankle caused by their sharp barbs. At Family Foot & Leg Center (FFLC), Dr. Kevin Lam and his team specialize in treating these types of injuries. 

Why Catfish and Stingray Barbs are So Dangerous

Catfish and stingrays have sharp barbs that can puncture the skin and cause significant trauma, especially in vulnerable areas like the ankle. Not only are these barbs painful, but they also carry the risk of severe infection due to the bacteria and toxins that accompany them. In many cases, injuries occur when beachgoers accidentally step on these creatures or, worse, try to kick them.

How to Treat Barb Injuries: A Step-by-Step Guide

1. Clean the Wound Immediately

Rinse the wound with fresh, clean water as soon as possible. Avoid using saltwater, as it can introduce more bacteria. Thoroughly cleaning the injury is crucial in reducing the risk of infection.

2. Soak the Wound in Hot Water

If you're dealing with a stingray sting, soaking the affected area in hot water (as hot as you can tolerate) for 30 to 90 minutes can help relieve pain and neutralize venom toxins. This is especially important as stingray venom can cause intense discomfort.

3. Control the Bleeding

Apply direct pressure to the wound using a clean cloth or gauze to stop any bleeding. If the bleeding doesn’t stop or the wound is particularly deep, seek medical care immediately.

4. Do Not Remove Deeply Embedded Barbs

Attempting to remove deeply embedded barbs on your own can result in further damage or infection. Leave the removal to a medical professional, as it requires specialized care to avoid complications.

Seek Professional Medical Care

Barb injuries are not just painful—they can also lead to dangerous infections if not treated properly. At Family Foot & Leg Center, we provide expert treatment for foot and ankle trauma, ensuring wounds are cleaned, treated, and monitored for any signs of infection. Additionally, it’s important to get a tetanus shot if your vaccination isn’t up-to-date.

Prevention is Key

To avoid injuries, shuffle your feet when walking in shallow waters to alert stingrays, giving them a chance to swim away. And remember—never attempt to kick a catfish or stingray if you see one.

Trust Dr. Kevin Lam and FFLC for Expert Care

At Family Foot & Leg Center (FFLC), we are experienced in treating a wide variety of foot and ankle injuries, including those caused by marine life like catfish and stingrays. Don’t wait if you’ve been injured—contact us now at (239) 430-3668 (FOOT) to ensure proper treatment and a speedy recovery.

Stay safe, and remember: if you do encounter a catfish or stingray, don’t try to kick them. Seek help from FFLC if you need care for any related injury. 

#FFLC #Trauma #CatfishBarb #StingrayInjury #AnkleInjury #BeachSafety #Podiatry

Understanding Ankle Instability: The Talar Tilt Test

 

Ankle injuries are among the most common issues people face, particularly athletes, active individuals, and those who’ve suffered previous sprains. But how do you know if your ankle has healed properly, or if there’s lingering instability that could lead to further injury? One of the most effective ways to assess ankle stability is through the Talar Tilt Test, a diagnostic tool that checks the integrity of the lateral ankle ligaments.

What Is the Talar Tilt Test?

The Talar Tilt Test is used to evaluate whether the ligaments on the outer side of the ankle are functioning properly. Specifically, it assesses the lateral ligaments, which are responsible for stabilizing the ankle during movement. This test is often performed by a podiatrist under anesthesia to ensure accurate results, as muscle tension can affect the diagnosis.

How Does the Test Work?

During the test, the doctor manipulates the foot to see how much the talus (the bone inside the ankle) tilts in relation to the tibia. A healthy ankle should have minimal movement, with the talus staying in place and the clear spaces around the ankle remaining symmetrical. 

In the case of an unstable ankle, the talus tilts more than it should, indicating that the lateral ligaments are not holding the joint securely. This abnormal tilt reveals a condition known as ligament laxity, which can result in repeated ankle sprains and long-term instability if left untreated.

Why Is Symmetry Important?

An essential part of diagnosing ankle stability is examining the **clear space** around the talus. For a stable ankle, the clear space should be symmetrical on all sides—the lateral (outside), medial (inside), and on top. If these spaces are uneven or if the talus tilts excessively to one side, it’s a strong indication that the ankle ligaments are damaged.

What Does a Positive Talar Tilt Mean?

A positive Talar Tilt Test means the ankle tilts more than the normal range, confirming ligament damage or laxity. This type of instability can lead to chronic pain, limited mobility, and an increased risk of further injury, especially if you participate in activities that involve quick changes in direction or uneven surfaces.

Treatment Options for Ankle Instability

If you have a positive talar tilt test, it’s important to address the issue before it worsens. Treatment options include:

- Physical Therapy: Strengthening exercises to support the ankle and improve balance.

- Bracing or Taping: External support to stabilize the ankle during activity.

- Surgical Repair: In more severe cases, surgery may be necessary to repair torn ligaments and restore stability.

An unstable ankle is more than just a minor inconvenience—it can significantly impact your mobility and quality of life. If you’ve experienced recurring ankle sprains or suspect instability, the Talar Tilt Test is a vital diagnostic tool that can reveal underlying ligament damage. Early diagnosis and proper treatment are key to regaining stability and preventing future injuries.

If you're dealing with ankle instability, don’t hesitate to seek professional evaluation. Understanding your condition and getting the right treatment can help you stay active and avoid long-term complications.

Feel free to schedule a consultation with Dr. Kevin Lam at Family Foot & Leg Center for a thorough evaluation and personalized treatment plan to restore your ankle's stability.

Jones Fracture Surgery: Ensuring Stability and Long-Term Recover

When it comes to foot injuries, a Jones fracture—occurring at the base of the 5th metatarsal—can be one of the trickiest to heal. This type of fracture often results from stress or trauma and is notorious for its tendency to heal poorly, sometimes requiring surgical intervention for optimal recovery. One critical aspect of that surgery is the size and placement of the screw used to fix the bone. Dr. Kevin Lam, a leading foot and ankle surgeon at Family Foot & Leg Center, emphasizes the significance of choosing the right screw size for successful Jones fracture surgeries.

Why Screw Size Matters in Jones Fracture Surgery

The goal of Jones fracture surgery is to stabilize the fractured bone while promoting proper healing. The surgical procedure typically involves inserting a screw into the bone to provide fixation and prevent further displacement. But it’s not just any screw that will do the job—it’s all about choosing the right size.

A properly sized screw should fit perfectly into the canal of the 5th metatarsal, which is the bone that has been fractured. If the screw is too small, it won’t provide enough stabilization, leading to a higher risk of re-injury or non-union, where the bone fails to heal correctly. On the other hand, an oversized screw can put too much pressure on the bone, potentially causing more damage.

By selecting the ideal screw size, surgeons ensure that the fracture is stabilized securely, offering excellent fixation. This not only helps the bone heal properly but also protects against future complications or re-fractures.

Benefits of Using the Right Screw

1. Superior Fixation

When the screw fits properly in the canal of the bone, it provides strong support, which is crucial for patients who are active or need to get back on their feet quickly. Superior fixation means the bone is held in place, promoting faster and more reliable healing.

2. Reduced Risk of Re-Injury

Jones fractures have a high risk of non-union and re-fracture if not treated correctly. The correct screw size helps prevent the bone from moving during the healing process, reducing the likelihood of complications down the road.

3. Long-Term Protection

The right-sized screw doesn’t just fix the current fracture; it also provides long-term protection. By fitting securely within the bone’s canal, it minimizes the chances of future fractures in the same location, offering peace of mind for patients who may be worried about reinjury.

Dr. Kevin Lam, a renowned podiatrist and foot and ankle surgeon, has performed numerous Jones fracture surgeries with successful outcomes. His attention to detail and thorough understanding of the biomechanics of the foot make him one of the leading experts in treating this type of fracture. As a TUSPM alumnus and FFLC Reconstructive Fellowship-trained surgeon, Dr. Lam combines advanced surgical techniques with patient-centered care.

Recovering from Jones Fracture Surgery

After surgery, patients can expect a period of rest and rehabilitation to ensure proper healing. Physical therapy may be recommended to regain strength and mobility in the foot. With the correct surgical approach, including the use of a properly sized screw, most patients can return to their normal activities without long-term issues.

The key to a successful recovery from a Jones fracture lies in the details. Choosing the correct screw size during surgery is essential for ensuring stable fixation, reducing the risk of re-injury, and promoting long-term healing. If you're facing a Jones fracture and considering surgery, consulting with an experienced surgeon like Dr. Kevin Lam is the best way to ensure a positive outcome.

For more information or to schedule a consultation, visit Family Foot & Leg Center  and take the first step towards a full recovery.

Minimally Invasive Bunionectomy: A Success Story with Dr. Kevin Lam

Bunions can be painful, unsightly, and a source of discomfort for many people. The good news is that advancements in foot surgery, like minimally invasive bunionectomy, offer a more efficient and less invasive solution for those suffering from this condition. Dr. Kevin Lam is proud to provide this cutting-edge procedure to help patients regain their mobility and comfort with minimal downtime.

The Patient’s Journey

In a recent case, a patient returned to Dr. Lam’s office for her second minimally invasive bunionectomy, after achieving impressive results with her first surgery. The initial procedure had successfully corrected a severe bunion on one foot, leaving her with just a small scar and, most importantly, significant relief from the discomfort that once plagued her daily life. Now, she’s back to address the other foot and get the same excellent results.

Dr. Lam’s minimally invasive technique involves making a tiny incision to remove the bunion and correct the deformity. Unlike traditional bunion surgeries, which often require large incisions and longer recovery times, this approach allows for quicker healing and reduced scarring. After just three months, the patient had virtually no visible signs of the surgery, only a small scar, and was thrilled with her improved foot health.

What Makes Minimally Invasive Bunionectomy Different?

Traditional bunion surgery can be a daunting prospect for many patients due to the potential for extended recovery periods, noticeable scars, and discomfort during the healing process. However, minimally invasive bunionectomy, as performed by Dr. Lam, offers significant benefits, including:

- Smaller Incisions: The minimally invasive technique uses much smaller incisions, reducing scarring and speeding up the healing process.

- Quicker Recovery: Patients can typically resume normal activities much faster than with traditional surgeries.

- Less Pain: With less tissue disruption, patients often experience less post-surgical pain.

- Impressive Results: As seen in this case, the correction is effective, leaving patients with improved foot alignment and comfort.

Dr. Kevin Lam is a highly experienced podiatric surgeon specializing in minimally invasive techniques that help patients return to their daily routines as quickly as possible. He understands that bunions can affect more than just your feet—they can limit your overall mobility and impact your quality of life. That’s why he focuses on providing solutions that not only correct the problem but also minimize discomfort and scarring.

If you’re struggling with bunions and want to explore the option of minimally invasive surgery, Dr. Lam and his team are ready to help. Contact us today to learn more about how you can achieve long-lasting relief from bunion pain and get back to living your life to the fullest.

Bunion surgery doesn’t have to be a major ordeal. Thanks to Dr. Kevin Lam’s minimally invasive approach, you can enjoy quicker recovery times, less scarring, and outstanding results. Whether you’re dealing with a small bump or a severe bunion, this advanced technique offers an effective solution with minimal disruption to your life.

Don't let bunion pain slow you down—schedule a consultation with Dr. Kevin Lam today and take the first step toward healthier, happier feet!

What Does Skin Cancer on the Leg Look Like?

Skin cancer is often associated with areas like the face and arms, but the legs are also common spots where sun damage can lead to serious health risks. One of the early signs to watch out for is actinic keratosis, a rough, scaly patch that can progress into squamous cell carcinoma (SCC) if not treated. Below, we’ll guide you through what to look for and why it’s essential to act quickly if you notice any unusual changes in your skin.

What is Actinic Keratosis?

Actinic keratosis develops after years of sun exposure and presents as a small, rough patch that feels dry or scaly. It’s commonly found on the legs, arms, face, or any area frequently exposed to the sun. While this condition is not yet cancer, it is considered precancerous, meaning it has the potential to turn into squamous cell carcinoma if left unchecked.

Warning Signs: When Actinic Keratosis Becomes Squamous Cell Carcinoma

The transformation of actinic keratosis into squamous cell carcinoma is gradual but dangerous. One of the first signs is the appearance of a big red bump with a white, scaly surface. This bump is often a signal that the skin condition is evolving into something more serious.

Here’s what to look for:

- White, scaly top: The rough, scaly texture is typical of actinic keratosis, but if you notice it becoming more pronounced, it could be a sign of cancerous changes.

- Red, inflamed bump: Squamous cell carcinoma frequently appears as a red bump that feels firm to the touch. This is a sign that the skin’s deeper layers may be involved.

- Non-healing lesion: Any skin lesion that doesn’t heal or continues to grow over time should be evaluated by a medical professional as soon as possible.

Why Early Detection is Critical

Skin cancer, including squamous cell carcinoma, can be dangerous if not caught in time. While squamous cell carcinoma typically grows slowly, it can become invasive, spreading to surrounding tissues and other parts of the body. This makes early detection and treatment crucial for avoiding more severe complications.

Squamous cell carcinoma is generally treatable when caught early, but waiting too long increases the risk of more aggressive forms of cancer developing. The key is to pay attention to any changes in your skin and seek professional help at the first sign of trouble.

See Your Podiatrist or Dermatologist Immediately

If you notice any of these symptoms—especially the combination of a red bump with a white, scaly top—it’s time to consult a healthcare provider. Both podiatrists and dermatologists are skilled at identifying skin cancers, especially on areas like the legs and feet, which are often overlooked.

At Family Foot & Leg Center, we emphasize the importance of regular skin checks, particularly if you’ve spent a lot of time in the sun. Whether it’s a routine check-up or addressing a concerning lesion, getting professional care as soon as possible can make all the difference.

Take Action

If you’ve spotted any unusual changes in your skin, don’t wait. Schedule an appointment with your podiatrist or dermatologist today. Early intervention can help you avoid more serious health issues down the line, and it’s the best way to protect your skin from further damage.

Call us now at  at (239) 430-3668 (FOOT) or visit  NaplesPodiatrist.com to book your skin evaluation or consultation. Your health and well-being are our top priority. 

By taking a proactive approach, you can reduce your risk and ensure you receive the right care at the right time. Don’t wait for small concerns to turn into bigger problems—schedule your appointment today!

Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies. Home of the Lam Minimally Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care! Same Day Appointments! Easy Online Appointment Scheduling