Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Lee was born in Shanghai, China, and received his college and medical training in the United States. He is fluent in English and three Chinese dialects. He graduated with chemistry departmental honors from Harvey Mudd College. He was appointed president of AOA society at UCLA School of Medicine. He underwent internal medicine residency and gastroenterology fellowship training at Cedars Sinai Medical Center.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Sports injuries refer to the kinds of injury that occur
during sports or exercise. While it is possible to injure any part of the body when playing
sports, the term sports injuries is commonly used to refer to injuries of the
musculoskeletal system.
Some of the most common sports injuries include:
Sprains—tears to the
ligaments that join the ends of bones together. The ankles, knees, and wrists
are commonly affected by sprains.
Strains—pulls or tears
of muscles or tendons (the tissues that attach the muscles to the bones)
"Shin splints"—pain
along the outside front of the lower leg, commonly
seen in runners
Achilles tendonitis
or rupture of the Achilles tendon—These injuries involve the large band of tissue that connects the calf muscles
to the heel
Fractures of the bones
Dislocation of joints
Acute injuries usually
occur suddenly while participating in sports or exercise. They may result in
sudden and severe pain, the inability to bear weight on a limb, or inability to move the affected part of the body. Chronic
injuries usually result from overuse of one area of the body over a period of
time. Symptoms of chronic injuries include soreness, dull aching pain, and pain
during participation in physical activity.
Ankle pain can be caused by injury or disease of the ankle joint.
The severity of ankle sprains ranges from mild (which
can resolve within 24 hours) to severe (which can require surgical repair).
Tendinitis of the ankle can be caused by trauma
or inflammatory arthritis.
How is the ankle designed, and what is the
ankle's
function?
The ankle is
a "hinged" joint capable of moving the foot in two primary directions: away from
the body (plantar flexion) and toward the body (dorsiflexion). It is formed by
the meeting of three bones. The end of the shinbone of the leg (tibia) and a
small bone in the leg (fibula) meet a large bone in the foot, called the talus,
to form the ankle. The end of the shinbone (tibia) forms the inner portion of
the ankle, while the end of the fibula forms the outer portion of the ankle. The
hard, bony knobs on each side of the ankle are called the malleoli. These provide
stability to the ankle joints, which function as weight-bearing joints for the
body during standing and walking.
Ligaments on each side of the ankle also provide
stability by tightly strapping the outside of the ankle (lateral
malleolus) with the lateral collateral ligaments and the inner
portion of the ankle (medial malleolus) with the medial collateral
ligaments. The ankle joint is surrounded by a fibrous joint capsule.
Tendons that attach the large muscles of the leg to the foot
wrap around the ankle both from the front and behind. The large
tendon (Achilles tendon) of the calf muscle passes behind
the ankle and attaches at the back of the heel. A large tendon
of the leg muscle (posterior tibial tendon) passes behind the
medial malleolus. The peroneal tendon passes behind the lateral
malleolus to attach into the foot.
The normal ankle has the ability to move the foot,
from the neutral right-angle position to approximately 45 degrees
of plantar flexion and to approximately 20 degrees of dorsiflexion.
The powerful muscles that move the ankle are located in the front
and back portions of the leg. These muscles contract and relax
during walking.
Ankle Pain And Tendinitis - Length Symptoms LastedQuestion: How long did the symptoms of your ankle pain and tendinitis last? Was there anything in particular that helped with pain/symptom relief?
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body.
Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of
arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout,
and pseudogout.
Carpal tunnel syndrome is a condition in which irritation of the wrist's median nerve causes tingling and numbness of the thumb, index, and the middle fingers. This condition is known as tarsal tunnel syndrome in the ankles and feet. Treatment of carpal tunnel syndrome depends on the severity of the symptoms and the nature of any disease that might be causing the symptoms.
Ankylosing spondylitis is a type of arthritis that causes chronic inflammation of the spine. The tendency to develop ankylosing spondylitis is genetically inherited.
Psoriatic arthritis is a disease that causes skin and joint inflammation. Symptoms include painful, stiff, and swollen joints, tendinitis, and organ inflammation. Treatment involves antiinflammatory medications and exercise.
Fractures occur when bone cannot withstand the outside forces applied to the bone. Fractures can be open or closed. Types of fractures include: greenstick, spiral, comminuted, transverse, compound, or vertebral compression. Common fractures include: stress fracture, compression fracture, rib fracture, and skull fracture. Treatment depends upon the type of fracture.
Bone spurs are pointy outgrowths of bone that develop in areas of inflammation or injury. They commonly occur on the heel and spine and may be the result of reactive arthritis, ankylosing spondylitis, or diffuse idiopathic skeletal hyperostosis. Symptoms include pain, numbness, and tenderness. Treatment focuses on decreasing inflammation and avoiding re-injury.
Heel spurs, pointed, bony outgrowths of the heel, are caused by localized soft tissue inflammation and can be located at the back of the heel or under the heel, beneath the sole of the foot. Plantar fascitis is associated with inflammation caused by heel spurs on the soles of the feet. Both conditions are treated with ice application and anti-inflammatory medications. Orthotics may also provide some relief.
An injury to a ligament is called a sprain, and an injury to muscle or tendon is called a strain. Sprains and strains may be caused by repetitive movements or a single stressful incident. Symptoms include pain and swelling. Though treatment depends upon the extent and location of the injury, rest, ice, compression, and elevation are key elements of treatment.
There are several bones in the foot, and these bones can be broken (fractured) in a variety of ways. Falling from heights, dropping heavy objects on the foot, or stress fractures from running or walking. Treatment of a broken foot depends on what bone in the foot is broken.
Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
Reactive arthritis is a chronic, systemic rheumatic disease characterized by three conditions, including conjunctivitis, joint inflammation, and genital, urinary or gastrointestinal system inflammation. Inflammation leads to pain, swelling, warmth, redness, and stiffness of the affected joints. Non-joint areas may experience irritation and pain. Treatment for reactive arthritis depends on which area of the body is affected. Joint inflammation is treated with antiinflammatory medications.
Nonsteroidal antiinflammatory drugs (NSAIDs) are prescribed medications for the treatment of inflammatory conditions. Examples of NSAIDs include aspirin, ibuprofen, naproxen, and more. One common side effect of NSAIDs is peptic ulcer (ulcers of the esophagus, stomach, or duodenum). Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking NSAIDs.
Sever condition is an inflammation of the growth plate of the bone at the back of the heel where the Achilles tendon attaches. Sever condition can be very painful and is commonly referred to as "growing pains." The condition often disappears with age, but it can also be treated by limiting activity, using antiinflammatory medications, shoe inserts, and heel lifts.
What are nonsteroidal anti-inflammatory drugs (NSAIDs)?
Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed medications for the inflammation of arthritis and other body tissues, such as in
tendinitis and bursitis. The are also used for minor aches and pain.
Examples of NSAIDs include:
aspirin,
indomethacin (Indocin),
ibuprofen (Motrin),
naproxen (Naprosyn),
piroxicam (Feldene),
nabumetone (Relafen), and
Celecoxib (Celebrex).
NSAIDs are available by prescription or without a prescription (over-the-counter). They are also ingredients in many over the counter medications used for
colds and minor aches and
pain. They are administered orally as capsules, tablets, liquids, or by
injection ketorolac
(Toradol). Although not included in this review, NSAIDs are also used as eye drops for eye inflammation (f...
Sports injuries refer to the kinds of injury that occur
during sports or exercise. While it is possible to injure any part of the body when playing
sports, the term sports injuries is commonly used to refer to injuries of the
musculoskeletal system.
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