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Achilles Tendinitis

Achilles tendinitis is an overuse injury of the Achilles tendon. The Achilles tendon is the thick band of tissue that connects your calf muscles to your heel bone. Types of overuse includes increasing speed or running long distances too quickly, suddenly adding hills or stair climbing to an exercise routine, stressing the calf muscle too soon after taking time off from exercising, or putting stress on the calf muscles when they are not yet ready for stress.

Achilles tendinitis can be common in all ages but is more common in older adult men due to the fact that the tendon weakens as we age, and also in young athletes due to repetitive stress and strain from intensive training. Other risk factors include poor flexibility, lack of range of motion, inverted foot structure, obesity/diabetes, poor exercise training program, poor footwear, or increased use of corticosteroids. There are two types of Achilles tendonitis:

  • Insertional Achilles tendonitis which affects the lower portion of your tendon where it attaches to your heel bone.
  • Noninsertional Achilles tendonitis which involves fibers in the middle portion of the tendon and tends to affect younger people who are active.

The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after increased activity. Stiffness and tenderness can also occur with decreased use of the extremity. For example, an individual may experience stiffness with weight bearing when getting out of bed due to inactivity. People may also have difficulty wearing shoes due to increased swelling around the tendon site.

The most common treatment for acute tendinitis would be supportive care with rest and ice. This means stopping the activities that make pain worse and placing ice on the area that is inflamed and painful multiple times a day. Ankle taping to support the tendon has also been shown to be a helpful at home remedy. If pain persists and lingers, another option would be non-steroidal anti-inflammatory medication to assist with reducing pain and swelling. Physical therapy is a common route to take with both acute and chronic cases of Achilles tendinitis. Soft tissue mobilization and calf stretching are common treatments in physical therapy. There are also methods that have been proven helpful like cupping and dry needling. These can be performed on the tendon site if other conservative methods haven’t done the job.

Extracorporeal shockwave therapy can be used to stimulate healing. This is not a very common procedure and it has not shown consistent results. This is normally implemented on chronic cases of tendonitis when all conservative methods listed above have failed. ESWT uses high energy shockwave impulses to stimulate the healing process in damaged tendon tissue. It is a non-invasive procedure and is occasionally tried before surgery is considered.

If pain persists for more than 6 months after all conservative treatments, then surgery should be considered. The specific type of surgery will depend on the location of the tendinitis and the amount of damage to the tendon. Physical therapy is recommended after an Achilles tendon surgery and is an important part of recovery. Many patients require a year of rehab from start to finish before they are pain free.

Prevention of Achilles tendinitis can be taken in many ways. First, by wearing proper footwear that allows cushioning and arch support. Second, by slowly increasing activities and easing into new routines. And lastly, making it a priority to stretch and strengthen your calf muscles daily to improve agility and make the tendon less prone to injury.

Achilles Tendinitis2022-01-12T14:38:45+00:00

Wound Dehiscence

Wound dehiscence is an opening of incision edges and can be ether full or partial. It can become a very serious issue if not treated. Contact your medical doctor, surgeon or wound care specialist for help in the healing. Your medical doctor and / or surgeon may refer you to a wound care specialist to help with the management and healing. There are many reasons why dehiscence occurs and it is usually no fault of your surgeons or you.

General reasons include:

  • Infection at or around incision site
  • Weight / pressure at or around incision
  • Taut sutures
  • New injury at or around incision site
  • Fragile skin and / or muscle near or at incision
  • Improper suturing
  • High or long-term use of corticosteroids

Population at risk include:

  • Obesity or being over weight
  • Elderly
  • Poor nutrition and eating habits
  • Diabetes Mellitus type I and II
  • Smoking
  • Cancer in or around site
  • Previous scars or radiation in or around site
  • Lifting or exercising to early after surgery
  • Increased pressure at or around suture site from fluid collection, tissue inflammation, excessive coughing or vomiting
  • Anyone taking high or long-term corticosteroids
  • Other medical conditions that could compromise healing

Signs and symptoms include:

  • Bleeding in or around site
  • Pain
  • Swelling in or around site
  • Redness in or around site
  • Temperature
  • Ruptured sutures
  • Open incision site

Your medical doctor, surgeon or wound care specialist will need to diagnose the wound and may include:

  • Infection using fluid samples from the wound
  • Blood test
  • X-ray
  • Ultrasound
  • CT scan

Possible treatment might include:

  • Oral antibiotics
  • Wound care dressing changes
  • Referral for wound care specialist
  • Wound vac
  • Return to surgery

Dehiscence prevention might include:

  • Antibiotics before or after surgery
  • Light pressure around incision
  • Keep incision clean and dry

References

Duffek, C. (2019, September). Wound Dehiscence. http://web.b.ebscohost.com/rrc/delivery?vid=14&sid=6d25b6f2-e306-4d9e-a56f-0bb1337653e6%40sessionmgr101.

 

Wound Dehiscence2020-10-28T20:57:04+00:00

Wound Care El Reno

Yukon Wound Care & Rehabilitation

Local Wound Care

wound care el reno

Yukon Wound Care Rehab

Yukon Wound Care and Rehabilitation is located in Yukon Oklahoma. However, we have many patients that travel from surrounding cities to see us for various reasons. First, our location is simple to find and close to interstate I-40 and the Kilpatrick Turnpike for easy quick access. It’s usually no more than a 20 to 30 minute drive or less. We have patients that come from El Reno, Tuttle, Union City and other rural areas that say the drive is short and worth the trip. Second, our wound care is specifically tailored for each individual need and wound type. We provide personal one-on-one care with quick healing times. Our clinic is a small family owned practice allowing us more time with our patients to remove dressings, manage drainage and evaluate each wound at every visit. All wounds are bandaged and secured with evidence-based products without expensive cost. In most cases, we can work with your insurance company and have them pay for the cost of supplies. Our clinic also makes accommodations for regular referring physicians and previous patients with same day service and walk-in availability.

One case study that our clinic healed quickly was a female from Tuttle, Oklahoma with a large abdominal wound from a surgical procedure. The wound size and depth measured 7.0 x 4.0 x 5.0 cm. Initially we used a wound vac to manage drainage and reduce depth, then switched to an easier closure dressing. Her wound healed in less than a month. Her and her family were so grateful. They wrote raving reviews for us and refer friends and family as much as possible.

Treatment opportunities:

  • Whirlpool
  • Negative pressure therapy (wound vac)
  • Compression therapy
  • Infection Control
  • Patient and family education
  • Ankle Brachial Index
  • Debridement
  • Dressings

Diagnosis treated:

  • Venous insufficiency ulcers
  • Ulcers
  • Burns
  • Surgical wounds
  • Osteomyelitis
  • Pressure ulcers
  • Trauma wounds
  • Wounds from circulation problems
  • Diabetic ulcers
  • Colostomy care
  • Ileostomy care
  • Fistula care
  • Hidradenitis suppurativa
  • Radiation burns and tissue damage
  • Infection
  • Spider bites

 

We can treat up you without a referral from your physician and you can contact us at 405 265-2255.

 

Wound Care El Reno2020-08-26T14:54:06+00:00

Lymphedema

Lymphedma is diagnosis of a specific type of swelling.  The swelling is usually in one extremity, such as one arm or one leg and sometimes the stomach region. Fluid builds up in the soft tissue causing vulnerability to the skin (integumentary system), which can lead to an infection (Scheiman, 2020). Causes of lymphedema include: trauma to the lymphatic system or surgery, cancer, lymphatic system overload from a blockage or excessive weight.

Signs of lymphedema might include: consistent swelling that does not decrease after elevation, + Stemmer’s sign, swelling in toes and foot, orange peel look to the skin, hard and thick epidermis layer, lymph drainage dripping through skin, large and small pink bump clusters, excessive chronic swelling causing elephantiasis and hemosiderin skin staining (Scheiman, 2020). Lymphedema treatment includes manual lymphatic decompression therapy, wraps, intermittent pneumatic compression and other types of compression.

References

Lymphedema. (2019, January 22). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/lymphedema.html

Scheiman, N. E. (2020, June 16). Edema Bootcamp [PDF]. www.summit-education.com

 

 

 

Lymphedema2022-11-09T20:31:49+00:00

Lipedema

Lipedema is chronic health issue causing the fatty tissue mainly in the arms and legs to increasein size and swell (Lipedema Foundation). However, it does occur in other parts of the body, such as lower belly also known as apron or pannus. Lidedema can be very painful due toexcessive swelling and possible bruising. Unfortunately, lipedema has minimal publicawareness and is  misdiagnosed frequently.Lipedema occurs mainly in women, but can affect men as well. This condition affects bothextremities beginning at the upper hip down to ankles, never affecting the feet (Scheiman, 2020).

Treatment for lipedema consist of: resolve or improve edema, pain and disproportion, preventdisease progression. Decongestion of the fatty tissue is done with wraps, manual lymphaticdrainage and/or pneumatic compression. Liposuction can be very helpful to reduce fatty tissue,but has other health concerns. In addition, weight management that includes caloric reduction aswell as quantity of food is a lifestyle change that should begin immediately.Our clinic is trained in lipedema and can help with pain, manual decompression therapy andcompression wraps.

 

References

Lipedema Foundation. (n.d.). What is Lipedema. https://lipedema.org

Scheiman, N. E. (2020, June 16). Edema Bootcamp [PDF]. https://www.summit-education.com

 

 

 

Lipedema2022-09-01T16:00:41+00:00

Hiradenitis Suppurativa

Hidradenitis Suppurativa (HS) is a long lasting and sometimes life time skin disease that causes relentless painful draining abscesses (Medlineplus, 2019).  The abscesses can erupt anywhere on the body, but usually they erupt in the most sensitive areas of the body, such as armpits, breast and genitals. In most cases, the boils start out small and gradually get bigger and begin to drain foul puss drainage that take months to heal (Grant, 2019). Hiradenitis Suppurative is not contagious. However, it can be exacerbated by heat, stress, obesity, imbalance in hormones and  heavy sweating, but these do not cause the initial onset of HS (Grant, 2019).

HS has been around since the 1830’s and there is very little, if any, information in medical books. Most physicians don’t know anything about HS until they get out of medical school and are practicing for years. Public awareness is inadequate because most people just do not want to talk about their HS, probably because they’re too embarrassed and / or frustrated with the health care they’ve received . In addition, there is no standardized care to treat HS either.

Sometimes antibiotics help if an infection is present and sometimes surgery is needed to. There is hope though for HS patients. New medical research is reviling that Hidradenitis Suppurativa is an autoimmune disease and can be treated successfully with a life style change in food and activity (Grant, 2019). I encourage all patients and family members who suffer with HS to read The Hidden Plague by Tara Grant. This book is great at explaining HS and how an autoimmune diet protocol can put your Hiradenitis Suppurative in remission. Our staff at Yukon Wound Care & Rehab in Oklahoma has been very successful over the years healing patients with HS. However, we can only help that particular lesion or wound, but you can put your HS into remission by taking full control of food that triggers an inflammatory response that cause that HS. Please call us with questions or to schedule appointments. 405-265-2255.

References

Grant, T. (2019, January). The Hidden Plague.

Hidradenitis Suppurativa | Acne Inversa | MedlinePlus. (n.d.). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/hidradenitissuppurativa.html#

 

 

Hiradenitis Suppurativa2020-06-27T20:23:54+00:00

Sunburns

Sunshine is abundant in Oklahoma right now! And so are sunburns! CDC recommends, choosing a broad-spectrum sunscreen with an SPF of 15 or higher. Wear protective clothing such as light weight long sleeves, wide brimmed hats and sunglasses and stay in the shade. It is important to re-apply as directed on bottle. Blistering can occur causing damage to underlying tissue. Yukon Wound Care & Rehab is trained to help remove dead tissue and soothe surrounding areas. Make us your first choice in care! We have immediate openings available!

Sunburns2020-06-10T14:26:30+00:00

Scoliosis

Scoliosis is an abnormal curvature of the spine (backbone). The curvature can either be S shaped or C shaped. Currently there is no cure or cause for scoliosis. The curvature can either be right, which is most common in the thoracic region or left most common in the lumbar region.

Scoliosis is categorized into groups known as idiopathic or unknown cause (80% of all cases). Osteopathic is a bony spinal disease or abnormality cause. Myopathic is related to a disease causing muscle weakness.  Neuropathic is the result of CNS or central nervous system causing the scoliosis. Age of scoliosis diagnosis varies from infant to adulthood because the curvature can be very mild and not progress for years.

Scoliosis can be diagnosed using plain radiography and using the Cobb method to measure the degree of scoliosis (Goodman & Fuller). Also, an Adams test or forward bend test can be used with or without scoliometer (Goodman & Fuller). Having a base line degree of curvature can help monitor the progression and rate of change.

Scoliosis treatment in most cases involves strengthening, stretching and posture awareness to prevent progressive and severe spinal deformity. Further treatment might involve the Schroth method that uses exercises specific to each patient to return the curved spine to a more straight alignment. The exercise intent is to de-rotate, elongate and stabilize the spine (Gerard).

In cases that are more severe, spinal braces might be used and possibly even surgery using a rod to correct the spinal curve. Our clinic diagnosis scoliosis and provides individualized exercise programs to restore strength, improve alignment and reduce pain.

References

Gerard, A. (2020, April/May). When Life Throws You Curves. PI in Motion, 4.

Goodman, C. C., & Fuller, K. S. (2009). Pathology Implications for the Physical Therapist.

Scoliosis. (2020, April 29). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/scoliosis.html#

Scoliosis2022-01-12T14:38:45+00:00

Benign Proximal Positional Vertigo

Sporadic severe vertigo usually related to head positioning. Benign means the vertigo is not the sign of a disease process. In most cases of BPPV a person will complain of dizziness after quick or rapid head movements, such as getting into bed, rolling over, bending over, tilting head to shave and leaning backward.

BPPV occurs because otoconia (crystals) in the inner ear become displaced. BPPV will not resolve itself and this condition should not be treated by Dr. Google. In most cases home remedies cause this condition to worsen because there are 3 canals the otoconia can be displaced in. Seeking a specialist trained in BPPV is the best care to prevent long term dizziness. Medical management is usually quick and easy. However, your provider will need to determine which canal the otoconia is in and which maneuver is best for that canal.

Our clinic specializes in BPPV and other vertigo utilizing the latest research and continuing education provided by University of Pittsburgh.

References

Goodman, C. C., & Fuller, K. S. (2014). Pathology – E-book: Implications for the physical therapist. Elsevier Health Sciences.

 

 

Benign Proximal Positional Vertigo2020-05-08T21:32:25+00:00
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