Wretch 32 Has Foot Injury

British rapper Wretch 32 is suffering from a swollen foot. 
Wretch 32, real name Jermaine Scott Sinclair, was in agony while performing at England's Reading and Leeds Festival last weekend after sustaining a mysterious injury several days earlier. 
The Don't Go hitmaker told Britain's Daily Star newspaper, "When I came off the stage last week my trainer felt really tight on my left foot. I took it off and it was mad swollen and it kinda (sic) hurts. I'll be cool though. I'll have a little drink to numb it up."
Wretch 32 is set to release his upcoming album, Growing Over Life, later this year. 
Reference: Contact Music
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Tampa Bay Bucs Kicker Tynes Suffering From MRSA

MRSA and staph infections are not something you fool around with.
Not only does Tampa Bay Buccaneers guard Carl Nicks have a staph infection in his toe, kicker Lawrence Tynes does as well. 
Tynes initially had an ingrown toenail and the infection entered through there. The Bucs' facility, One Buc Place, has been sanitized several times since the outbreak, with no new infections beyond Nicks and Tynes. Tynes went to New York for a second opinion, since he worked for the New York Giants for years and is familiar with the doctors in that area. While there he had a PICC line inserted to help with his treatment. 
The Bucs are obviously looking for this story to fade away, as they reported earlier in the week that both Nicks and Tynes were "responding well" to treatment. 
Amanda Tynes, Lawrence Tynes' wife, has a different spin on the story. 
She tweeted a picture of her clearly unhappy husband at their home in Kansas City as he sits hooked up to a PICC line. She wrote, "I hear my husband is responding "well" to treatment.  LOL! He's NOT responding at all yet. This is our #bucslife."
Amanda is clearly displeased with the "everything is OK" line the Bucs are trying to promote, and her "This is our #bucslife" comment is steeped with sarcasm. And the two of them have a right to be displeased: the Bucs signed kicked Rian Lindell the same day Tynes was having surgery. Ouch. Poor taste on the Bucs part. 
Amanda followed up that tweet with this: "Thank you so much for all the well wishes. Lawrence finally has the right people in his corner. Right now he needs to rest and get healthy."
More reading between the lines?
Tynes is best known for the overtime kicks in two NFC title games that propelled the Giants to Super Bowls XLII and XLVI. The Giants signed veteran kicker Josh Brown to a one year contract in March, ending Tynes's six years with the team. 
Reference: Yahoo and New York Daily News. 
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I Have Webbed Toes And I'm Not A Duck!

Webbed toes are when two or more toes are fused together. We typically think of animals, like ducks and
frogs to have webbed toes, not humans. During our fetal development, we all have fingers and toes that are webbed. At six to eight weeks of development, an enzyme dissolves the tissues between our digits. But 1 in every 2,000 births results in webbed toes. Webbed toes can also be called duck toes, twin toes, or tiger toes.
The most commonly webbed toes are the second and third toes, and there are six types of webbed toes:

• Simple. Adjacent toes are joined by soft tissue and skin only.
• Complex. Bones of the toes are fused together. This is very rare.
• Complete. The skin joins the toes from top to bottom. 
• Incomplete. The skin is joined partially by skin, usually only to the first joint. 
• Fenestrated. Skin is joined for most of the toe, but there is a gap in the middle. 
• Polysyndactyl. There is an extra digit webbed to an adjacent digit.

This condition will not impair a person's ability to walk, run, jump, or swim, however many feel embarrassed or experience low self esteem.
The cause of webbed toes is unknown. Some people used to believe it was an inherited trait, but sometimes only one person in the family would have webbed toes. Studies suggest a woman's nutritional intake during early gestation and smoking during pregnancy may contribute to this deformity. Webbed toes are also associated with the following conditions:

• Down's Syndrome
• Apert's Syndrome
• Poland Syndrome
• Holt-Oram Syndrome
• Carpenter's Syndrome
• Edward's Syndrome
• Fetal hydantoin effect
• Miller Syndrome
• Pfeiffer Syndrome
• Amniotic Band Syndrome
• Smith-Lemli-Optiz Syndrome
• Aarskog-Scott Syndrome
• Bardet-Beidl Syndrome
• Cornelia de Lange Syndrome
• Familial syndactyl
• Timothy Syndrome

Diagnosis may occur even before birth with a sonogram, or at birth. Additional symptoms indicate there is an underlying syndrome.
Webbed toes can be separated surgically, even though this condition does not cause any health problems (unless there is an underlying condition). Your doctor will use a skin graft from your thigh, which fill in the missing skin, to surgically separate your toes. Results will vary on the severity of the webbing and the underlying bone structure. Surgery will begin with general anesthesia and the surgeon marking off the areas that will be repaired. The procedure can last from 2 to 4 hours, depending on the severity of the condition. Most patients are required to stay in the hospital for up to 2 days after surgery. Many patients experience swelling and bruising, but that is normal. Pain medication will be prescribed to deal with the pain and discomfort. Once you are released from the hospital you will have to keep your bandages clean and dry for up to 3 weeks. Skin grafts can be very dry, and using lotion will help moisturize the area.
Complications of the surgery may include scarring and webbing growing back. There may also be post-operative swelling, severe pain, numbness, bluish discoloration, and tingling toes. If you experience any of these symptoms, call your podiatrist right away. Other complications include:

• Skin graft damage, which may darken over time.
• Breathing problems
• Sore throat from tubation
• Excessive bleeding
• Infection
• Bad reaction to medications
• May need second surgery

If you have webbed toes, consider asking your podiatrist the following questions:

• Will I pass this on to my children?
• Do you recommend surgery?
• What are the risks?
• What tests should I anticipate?
• Are there non-surgical treatment options?
• What nutrients reduce the risk of my child having webbed toes?

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My Child Is Pigeon-Toed

Have you noticed when your child walks or runs, their toes turn inward instead of pointing straight ahead? This is called intoeing, or more commonly known as being "pigeon-toed".
You may first notice this when your child begins to walk, but a child of any age may show signs of intoeing. Severe cases of intoeing will cause the child to stumble or trip as they catch their toes on the other heel. There is not usually pain associated with this foot deformity, nor does it lead to foot arthritis, as is popularly speculated.
For the majority of children under the age of 8, this condition will correct itself on its own, without the use of braces, casts, surgery, or other special treatment. Children who are suffering from pain from their intoeing, or there are signs of swelling or a limp should be seen by a podiatrist.
The cause of intoeing typically comes from an alignment issue from some area of the body. Three common conditions associated with intoeing are:

• Curved foot
• Twisted shin
• Twisted thighbone

These conditions often run in families, but can occur on their own or in conjunction with other orthopedic problems. Prevention is not an option since those conditions occur from developmental or congenital disorders.

Curved foot, or metatarsus adductus, is when a child's feet bend inward from the middle part of the foot to the toes. This is different than clubfoot, but severe cases may look like one. Some cases may be mild and flexible, but others may be severe and stiff. Curved foot typically improves on its own over the first 4 to 6 months of a child's life. Babies over 6 months who still have this condition, which may have progressed, may be treated with casts or special shoes. Surgery to correct the deformity is rarely used.

Twisted shin, or tibial torsion, is when the child's lower leg (tibia) twists inward. This can occur before birth, as the legs rotate to fit in the tight space of the womb. After birth, most infant's legs rotate to align properly. When the lower leg remains turned in, twisted shin occurs. As the child begins to walk, their feet turn inward because the tibia in the lower leg points the foot inward. The tibia can untwist as the bone grows taller. Tibial torsion almost always improves on its own, usually before the child goes to school. Splints, special shoes, and exercise programs do not work. If the child is 8 to 10 years old, with a severe walking problem or limp and still has this condition, surgery may be required to reset the bone.

Twisted thighbone, or femoral anteversion, is when the child's thighbone turns inward. It will appear most obvious when the child is 5 or 6 years old. The top part of the thighbone, near the hip, has an increased twist, which allows the hip to turn in more than it should. If you watch your child walk, both their toes and their knees will turn in. When sitting, children with this condition are often in a "W" position, with their knees bent and their feet flared out behind them. Most cases of twisted thighbone correct themselves, often spontaneously. Like tibial torsion, special shoes, braces, and exercises do not help. Surgery is not usually considered unless the child is 9 or 10 years old and the deformity causes tripping and an unsightly gait. Surgery involves cutting the femur and rotating it to the correct position.
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Singer Jenny Frost Breaks Foot

Former Atomic Kitten singer Jenny Frost doesn't get much time to party anymore with a 5 year old and baby twins.
So Frost probably went overboard several weekends ago when she got some time off and went to a party in Ibiza with girlfriends. Frost ended up with a broken foot after a nasty accident on August 10th. She was hospitalized after falling over with friends on the Spanish party island.
After the accident, Frost is wearing a cast on her right foot. Frost tweeted pictures of her casted foot and wrote, "What an absolute numpty! What an absolute plonker I am!" She thanked the staff at the beach club in San Antonio for helping her after the accident occurred.
Frost recently celebrated her second anniversary to Spanish scuba diver Vicente "Vinnie" Juan Spiteri. She posted a photo montage on Twitter of their wedding day, tweeting, "2 years ago today I married the best person I know... @activedive. Love you baby x #bestdayever."
Reference: Daily Mail and Star Pulse.
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Spider-Man Cast Member Suffers Foot Injury

"Spider-Man: Turn Off the Dark" should just turn off the lights and call it a day.

From the very beginning, this Broadway musical has hosted many injuries, so many that one would think this show is cursed. 
The latest injury victim was dancer Daniel Curry, one of the show's nine costumed Spider-Man dancer/acrobats in the highly technical production with a lot of aerial wirework. Curry, a LaGuardia High School of Music & Art Performing Arts graduate in his 20's, was hurt in the second act when his foot become caught in one of the "elevators," the automatic lifts that rise and drop to create openings in the stage. 
The performance at the Foxwoods Theater came to an immediate halt and the rest of the show was cancelled as crew members came out with a privacy curtain and worked to free Curry. Firefighters also arrived at the scene to help. 
As of Friday, Curry was still in the hospital. "Daniel Curry remains in the hospital in stable condition, having sustained an injury to his foot," said show spokeman Rick Miramontez in a statement. "Friday's performance will go on as scheduled. The technical elements of the show are all in good working order, and we can confirm that equipment malfunction was not a factor in the incident. Our thoughts are with Daniel and his family." 
The injuries on the show have become the butt of several jokes. At the 2011 Tony Awards, host Neil Patrick Harris quipped, "Pretty soon they'll be turning the name to 'Spider-Man: Turn Off the Lawsuits' and 'Spider-Man: The Only Show That Warns You About Strobelights and Falling Actors.'" 
References: The Wrap and Newsday. 
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Actor Joshua Jackson Has Foot Injury

Fringe actor Joshua Jackson hobbled through security at Los Angeles airport on Monday on crutches with a mysterious foot injury.
The Vancouver native and his longtime girlfriend, actress Diane Krueger were at LAX catching a flight to London.
The former "Dawson's Creek" star was seen with a special brace on his right foot with his big toe heavily bandaged.
It is unknown how the 35 year old actor injured his foot, as he was seen Friday at a Whole Foods store with Krueger and he was walking fine.
Reference: Global News
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You Don't Hammer With Mallet Toes

A mallet toe occurs when the joint at the end of the toe will not straighten. This is different from a hammertoe

because in a hammertoe, any joint can be affected. Excessive rubbing of the deformity against the top of a shoe will lead to the development of a corn and pain. The tip of the toe is often turned down against the shoe, causing pressure and discomfort. Those with mallet toes are often embarrassed by this deformity because it can stick out like a sore thumb. When left untreated, the pigment of the skin on the mallet toe can become dark and circular.
Causes of mallet toes include:

• If you are on your feet all day. 
• Participate in sports regularly.
• Have arthritis
• Have nerve damage in your back, leg, or foot.
• Have very high or very flat arches.
• Wear shoes that don't fit
• Were born with a toe deformity.

Other factors include poor circulation, diabetes, edema, and wearing non-leather shoes. Complications of the mallet toe can lead to puss, infection, and swelling, as well as a change in gait pattern because of pain.
Conservative treatments for mallet toes include:

• Wearing shoes with a large, square toe box.
• A toe crest or buttress pad.
• Gel toe caps or shields.

If your mallet toe is causing significant pain or has progressed to an infection, call a podiatrist to make an appointment. Surgical treatments a podiatrist may try are:

• Amputation of the tip of the toe (only if gangrene or severe infection is present).
• Joint fusion of the toe.
• Partial bone/joint removal.
• Flexor tenotomy or lengthening.

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My Second Toe Is Very Long!

If your second toe is longer than your first toe, you have a type of foot called Morton's toe, or Greek foot. It is a form of brachymetatarsia, which promotes an anterior position of the second toe in relation to the big toe. This deformity may or may not result in the second toe extending past the big toe.
The name Morton's toe was given by American orthopedic surgeon Dudley Joy Morton, who included it as part of the Morton's triad: a short first metatarsal bone, a hypermobile first metatarsal segment, and calluses underneath the second and third toes. Morton's toe can also be confused with Morton's neuroma, which involves a nerve between the third and fourth toes. Morton harkened back to prehistoric humans, who probably used their toes for grasping.
The Greeks believed this type of foot to be beautiful, and it appears in sculptures and art. As well, it persisted as an aesthetic standard through Roman, Renaissance, even modern times- the Statue of Liberty has a Greek foot!
Morton's toe is a common foot type, but can be considered a deformity as well. The symptoms associated with Morton's toe include discomfort and callusing along the top of the second toe. This is because the big toe would normally bear the weight of walking, but these forces are transferred to the second toe because of its length and position. With shoes it can be a problem when trying to fit a shoe to the second toe.
Morton's toe affects 20% of the population, but 80% of people with it have foot pain. The reason for this high ratio is because of excessive pronation (weight bearing). Excessive pronation causes the leg to be shortened or lengthened, and the leg is rotated internally. Other problems associated with Morton's toe are: metatarsalgia, hammertoes, mallet toes, bunions, Morton's neuroma, and heel pain.
Treatment is often orthotics to realign the foot to its proper position and relieve some of the pressure from the second toe.
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Claw Toes Are Not Just For Birds!

Toe deformities often get blamed on wearing shoes that are too tight or too small, which can be the case in

hammertoes and mallet toes. However, claw toes are the result of nerve damage from diabetes or alcoholism, which weakens the muscles in your foot. Claw toes claw at the soles of your shoes, creating painful calluses. Without treatment this deformity can become worse over time, even becoming a permanent problem.
Symptoms of claw toes include:

• Toes that are bent upwards from the joint at the ball of the foot. 
• Toes bend downward at the middle joints towards the sole of your shoe.
• Toes may also bend at the top joint, curling under, like mallet toes.
• Corns on the top of the foot or on the ball of the foot.

A podiatrist can effectively diagnose a claw toe, using tests to determine if the cause is neurological, or trauma or inflammation.
In the early stages of a claw toe deformity, the toe will be flexible. However, the longer the condition progresses, the more rigid it will become. If the deformity is caught at an early stage, simple taping or splinting may be prescribed to retrain the toe to the correct position. Your podiatrist may also recommend:

• Wearing shoes with roomy toe boxes and avoiding tight shoes and high heels.
• Use your hand to stretch the affected toe to the correct position. 
• Exercise your toes by performing towel pick-ups or marble pick-ups with your feet.

Claw toes at an advanced stage will require other, more complex treatment:

• A special pad to redistribute your weight and relieve pressure on the ball of your foot, like an orthotic.
• Extra deep shoes with additional space in the toe box to accommodate the claw toe.
• Have your shoes stretched.
• Surgery to correct the deformity.

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Can Children Have Bunions?

When we think about bunions, we think of our mothers and grandmothers. Their feet, deformed after years

of wearing inappropriate shoes and having bad feet. But would we ever think of our young daughters? Juvenile bunions affect children and teens, especially girls, between the ages of 10 and 15. For the most part juvenile bunions are without symptoms of pain because they do not have the degenerative changes adults face. The first sign that your child may have a problem with a bunion is they will have trouble putting their feet into shoes. Some children will feel self-conscious about their bunions. Other symptoms will include:

• A big toe joint that is red or swollen. 
• Complaints of foot pain when walking, running, or playing.
• Problems moving the big toe joint.
• A thickening of the skin on the bottom of the foot.

Juvenile bunions are more severe as the onset of the foot deformity is earlier and it progressives very quickly. When left untreated, it can cause significant deformity and disability. They are typically treated aggressively to prevent recurrence in later years. Roughly 50% of juvenile bunions are associated with flexible flat foot, as the flattening of the arch and the large big toe are secondary to hypermobility of joints.
When it comes to foot wear and children, ensure your child does not wear ones that are too small or too tight. Young girls with juvenile bunions should stay away from heels and narrow/pointy shoes because this increases the risk for bunions to increase.
Treatment for a juvenile bunion depends on severity, degree of pain, and how quickly the bunion is progressing. Growth plates in children tend to close when girls are around the age of 16 and boys when they are 17. Closing of growth plates dictates when surgery can be accomplished safely.
Conservative treatment options for juvenile bunions include:

• Custom orthotics, which control excessive motion
• Changes in shoes, to take pressure off the bunion
• Padding/taping, use to relieve irritation and discomfort
• Anti-inflammatory medications to help with the pain.
• Physical therapy to help with pain relief. 

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What Is Jackson-Weiss Syndrome?

Jackson-Weiss Syndrome is a rare condition, so rare in fact there are no published statistics. The condition is a genetic disorder that is caused by a mutation in chromosome 10, the FGFR10 gene, and is responsible for defects in the face, feet, and head.
It affects both males and females equally and may appear as the first time in a family, or be passed down from generation to generation. Intelligence and life expectancy are typically normal. Babies born with Jackson-Weiss Syndrome have a skull that fuses together too early, called craniosynostosis. This causes a bulging forehead, misshapen skull, widely spaced eyes, and a very flat middle section of the face.
Foot deformities are common in those who have Jackson-Weiss Syndrome and may include:

• Wide, short, big toes. 
• Big toe bends away from other toes.
• Bones of some toes may be fused together.
• Webbing of toes.

Treatment is generally surgical and targets the specific deformity.

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Amniotic Band Syndrome In the Feet

Amniotic band syndrome is a congenital disorder caused by fetal limbs or digits getting caught in fibrous amniotic bands while in utero. Amniotic banding happens in every 1 in 1,200 live births and is likely responsible for 178 in 10,000 miscarriages. About 50% of cases also have other congenital deformities, including cleft lip, cleft palate, and clubfoot. It is considered an accidental occurrence and does not appear to be genetic or hereditary.

Constriction of appendages by amniotic bands may result in:

1. Constriction rings around the digits, arms, and legs.
2. Swelling of the extremities distal to the point of constriction.
3. Amputation of digits, arms, and legs.

Many who have ABS will have clubfoot, which occurs in roughly 31.5% of cases. Disfigured feet in general are a common deformity in this disorder.
Some researchers believe that ABS is caused by early amniotic rupture, which leads to the formation of fibrous strands that entangle limbs and appendages. Treatment occurs after birth and involves plastic and reconstructive surgery, ranging from the simple to the complex. Prognosis depends on the location of the amniotic bands. Bands that are wrapped around fingers, toes, feet, or hands can result in syndactyly or amputations of the affected area.
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Foot Deformities In Infants

Calcaneovalgus foot is also known as flexible flatfoot in infants and young children. In infants this foot disorder is seen with the foot abducted (turned) and the ankle severely dorsiflexied (twisted). Upon birth the foot looks like it is plastered against the front of the leg. A mild form of calcaneovalgus foot may be seen in 30% of infants, but the more severe form may be present in 1/1000 infants.

Calcaneovalgus foot is a common foot disorder which is a result of intra uterine positioning, and muscle imbalancing, which happens because of weakness of plantarflexors.
Calcaneus indicates that the heel is downward, and the ankle is flexed upward. Valgus refers to the heel turned outward. Calcaneovalgus feet are often called "packaging problems" because the structures were normally formed, but were deformed in the uterus because of crowding. It is commonly seen in first-born children and females.
Diagnosis is made by physical exam. The feet have a classic appearance with the feet bent upward, and the heel bone should be palpable to the heel pad in a twisted position. There should be good ankle motion, but may be limited by tight anterior structures. There should also be good flexibility in the hindfoot and forefoot. It is important to verify the flexibility of the foot and ankle.
Treatment can often be very simple. Gentle stretching and massage will help mobility and appearance. Within one to two months, the feet will have improved. In serious cases casting, followed by stretching exercises and an AFO splint for additional months may be necessary.
Most infants have a full recovery with recommended treatment. Rarely there is an external rotation alignment issue to the legs as the child begins to walk, but this typically corrects itself over time.

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Jennifer Aniston's Toe Broken By Fiance

Hollywood has been abuzz with reports that Jennifer Aniston's summer wedding to Justin Theroux was

postponed or even called off. 
Hollywood gossip columnists are now having a field day with the knowledge that Aniston's toe was broken by Theroux. The We're the Millers star revealed that her fiance's clumsy footing resulted in him squashing her toe, breaking it. Aniston has been seen hobbling around while trying to promote her new film. 
Talking to E! Online, Aniston said that she did not visit a hospital and has been able to find the humor in the whole situation. "Not to out my sweet, sweet fiance,  but he has big feet and wears those boots. He stepped on my toe. Broke it. Felt it," Aniston said. 
Aniston was quick to refute rumors that a summer wedding was called off, saying that a wedding date was never set between the two. "We just want to do it when it's perfect and we're not rushed, and no one is rushing from a job or rushing to a job," she said. "We have [yet] to set any date. There have been no cancelled weddings. There have been no postponed weddings. There have been no arguments about where to get married."
Well, there may have been no arguments about the wedding, but we'd bet there were some heated words after Theroux broke Aniston's toe!
Reference: Hollywood Take  If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.
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