Dr. Debra J. Aleck and AssociatesÂ
3511 Western Branch Blvd.
Portsmouth, VA. 23707
(757) 397-FOOT (3668)
Arch - The arch of the foot is the area of the bottom of the foot between the heel pad and toe pad.
Acrokeratosis verruciformis - a hereditary dermatosis characterized by the presence of numerous flat wart-like papules on the dorsal aspect of the hand, foot, elbow, and knee.
Ankle - the part of the leg just above the foot; the joint between the leg and the foot. It is a hinge joint formed by the junction of the tibia and fibula with the talus, or ankle bone. The bones are cushioned by cartilage and connected by a number of ligaments, tendons, and muscles that strengthen the joint and enable it to be moved. Because it is in almost constant use, the ankle is particularly susceptible to injuries, such as sprain and fracture. It is also often one of the first joints to be affected by arthritis or gout.
Ankle clonus - a series of abnormal reflex movements of the foot, induced by sudden dorsiflexion, causing alternate contraction and relaxation of the triceps surae muscle.
Athlete's foot - a fungal infection of the skin of the foot; called also tinea pedis. It causes itching and often blisters and cracks, usually between the toes. Causative agents are Candida albicans, Epidermophyton floccosum, and species of Trichophyton, which thrive on warmth and dampness. If not arrested, it can cause a rash and itching in other parts of the body as well. It is likely to be recurrent, since the fungus survives under the toenails and reappears when conditions are favorable. Although Athlete''s foot is usually little more than an uncomfortable nuisance, its open sores provide excellent sites for more serious infections. Early treatment and health care supervision insure correct diagnosis and prevention of complications. Specific diagnosis is made by microscopic examination or culture of skin scrapings for the fungus.
Quick starts and stops and lots of movements from side to side are the characteristics that make tennis challenging -- and stressful on your feet. Amateur and professional tennis players alike are prone to injuries of the foot and ankle, primarily from repeated lateral motions and quick stopping and starting. Clay and crushed stone courts help players slide better, and are considered the safest surfaces on which to play. Asphalt, concrete, rubberized, or carpeted courts don't allow sliding, and are not as healthy for your feet.
Common tennis injuries include ankle sprains, stress fractures, plantar fasciitis, and tennis toe. If you experience recurring or persistent pain, please contact our office for an evaluation.
The best way to prevent foot injuries from tennis is to make sure you condition yourself. This includes building all-around body strength and flexibility; stretching the muscles (particularly in your calves) before, during and after play; drinking lots of water; and wearing the right shoes.
Tennis shoes need lots of cushioning and shock absorption to deal with all the forces placed on your feet during play and to keep your foot and ankle stable. Be sure to choose shoes specifically for racquet sports; running shoes, for example, don't have the support needed for the side-to-side movements common to tennis. Look for a tennis shoes that have a reinforced toe, wiggle room in the toe box, padding at the ball of the foot, sturdy sides, a low, well-cushioned heel that is not flared, and a firm heel counter for support.
When shopping for tennis shoes, follow these tips:
- Try on shoes with the socks you normally wear to make sure the fit is right.
- Go shopping at the end of the day when your feet are larger and fit your shoes to the larger of your two feet.
- Let your feet be your guide to fit. Choose only shoes that are comfortable in the store -- don't expect a wear-in period. The shoes should feel supportive, cushioned. and flexible, with some resistance in the heel for greater stability.
- Walk around the store in each pair you try on. Be sure to walk on a hard-surface, not just a carpeted floor. Emulate tennis play by jumping up and down in the shoes and making some fast turns to see how the shoes will really perform.