Achilles injuries

When it Comes to Your Health, are High Heels Worth the Price of Looking Good?

High Heels Back PainEmory Orthopaedics, Sports and Spine physicians Kyle Hammond, MD  and Oluseun A. Olufade, MD recently participated in “Ladies Night Out”  at Emory Johns Creek Hospital.

The Ladies Night Out event is an annual health fair held by Emory Johns Creek Hospital for women to talk with physicians and other providers in the Johns Creek and North Atlanta communities and learn about services near them.

At the Emory Orthopaedics, Sports & Spine table, Drs. Hammond and Olufade spoke with women about potential injuries that could occur from wearing high heeled shoes and what women might be able to do to help prevent injuries to their backs, ankles, feet, hips and knees.

As a fun activity at the Ladies Night Out event, we also had a free drawing for high heeled shoes that were displayed at the table.  Five lucky women went home with a new pair of shoes and lots of tips to prevent orthopedic injuries.

Emory Orthopaedics and Spine Team at the Ladies Night Out Event
Below are 5 orthopedic conditions or injuries related to wearing high heels and tips on how you can prevent them:

ACHILLES TENDINITIS

Symptom: Pain & swelling in lower calf and heel cord resulting in decreased calf flexibility

Achilles Tendinitis Prevention:

  •  Calf stretches with towel or band
  • Calf raises / strengthening exercises
  • Heel pads
  • Wear short heels or flats

ANKLE SPRAIN / FRACTURE

Symptom: Pain, bruising, swelling and inability to walk

Ankle Sprain & Fracture Prevention:

  • Wear short, wide heels (no stilettos)
  • Single leg balancing
  • Ankle ‘A, B, Cs’

BUNIONS

Bunion Symptom: Tenderness and prominence inside of the big toe joint

Bunion Prevention:

  • Ensure proper shoe size & fit
  • Wear short heels with wide toe box
  • Use pads to cushion bunions
  • Wear heels for brief periods of time if possible

KNEE AND HIP INJURIES

Symptom: Muscles in your hip and knee have to work harder when you wear heels as muscles become fatigued and more prone to injury

Possible Injuries:

  • Muscle strain
  • Tendinitis
  • Meniscus tear
  • Hip impingement

Hip & Knee Injury Prevention:

  • Stretch hamstrings, quads, & hip
  • Strength training for lower body
  • Alternate heels with flats during the work week
  • Balance exercises

LOW BACK PAIN

Low Back Pain Causes: Normal center of gravity changes, increasing the curvature of your low back and tilting your pelvis forward.

Low Back Pain Prevention:

  • Change into flats for long walking distances
  • Strengthen your core (crunches & low back extension exercises)

Although high heels look nice and are fun to wear at special events, try to limit the high heels to special occasions and stick with flats for your day to day activities.  Your body will thank you!

About Dr. Kyle Hammond

Dr. Hammond is an orthopaedic surgeon new to the Emory Orthopaedics faculty.  He recently completed his fellowship at the University of Pittsburgh Medical Center.  While at the University of Pittsburgh he was the Associate Head Team Orthopaedic Surgeon for both the Duquesne University Football team and the University of Pittsburgh Men’s Basketball team.  He also worked as a Team Physician for the Pittsburgh Steelers, the Pittsburgh Penguins, the University of Pittsburgh athletics, Robert Morris College athletics, as well as the Pittsburgh Ballet.

Dr. Hammond sees patients at Emory Johns Creek Hospital, as well as Emory Orthopaedics & Spine Center in Atlanta.  Dr. Hammond has a special interest in the overhead/throwing athlete, ligament injuries to the knee, Tommy John surgery, joint preservation surgery, and is one of the few fellowship trained hip arthroscopists and concussion specialists in Georgia.

About Dr. Oluseun A. Olufade

Dr. Olufade is board certified in Physical Medicine & Rehabilitation and Interventional Pain Medicine. He completed fellowship training in both Sports Medicine and Interventional Pain Medicine. During his fellowship training, he was a team physician for Philadelphia Union, a major league soccer (MLS) team, Widener University Football team and Interboro High School Football team.

Dr. Olufade employs a comprehensive approach in the treatment of  sports related injuries and spinal disorders by integrating physical therapy, orthotic prescription and minimally invasive procedures. He specializes also in concussion, tendinopathies and platelet rich plasma (PRP) injections. He performs procedures such as fluoroscopic-guided spine injections and ultrasound guided peripheral joint injections. Dr. Olufade individualizes his plan with a focus on functional restoration. Dr. Olufade sees patients at Emory Johns Creek Hospital.

About Emory Ortho, Sports and Spine in Johns Creek and Duluth

Emory Orthopaedics, Sports & Spine has recently opened two new clinics, one in Johns Creek and one in Duluth.  Emory physicians, Kyle Hammond, MD, and Oluseun A. Olufade, MD see patients in Johns Creek.  Mathew Pombo, MD and T. Scott Maughon see patients in Duluth.  Our new clinic locations care for a full range of orthopedic conditions including: sports medicine, hand/wrist/elbow, foot/ankle, joint replacement, shoulder, knee/hip, concussions, and spine.

To schedule an appointment call 404-778-3350

Related Resources:

Preventing and Treating Achilles Tears

Brandon Mines, MDYou may know that Chamique Holdsclaw, one of my former Atlanta Dream players (not to mention one of basketball’s most gifted female athletes), suffered an Achilles tendon injury this year. While this injury is common with basketball players, it is most prevalent in men ages 35-45. They’re often the “weekend warrior” types—so the injury is more likely to happen when they overdo it, and when they don’t have a good stretching regimen.

There are two basic variations of Achilles injuries: a bad sprain, and a complete tear. It’s important to know whether the Achilles is torn or not, because the treatment is very different: a torn Achilles means surgery; a strained Achilles means rehab and rest. Some people with Achilles tears are misdiagnosed with sprains, only to find out later that they have Achilles tears and they’ve missed the window to have it fixed. (An Achilles tear should be repaired within four weeks of tearing it.)

Here’s the difference between an Achilles strain and a tear: a strain is a gradual onset of pain that tends to get worse with more activity. An Achilles tear is a sudden injury, and it feels as if you were hit in the back of the ankle—the tendon actually pops and tears in a sudden fashion. Most people who have this tear will actually say, “Somebody must have kicked me me because I felt it in the back of my heel/ankle.”

If you’ve suffered an injury like this, it’s important for you to see a sports medicine doctor immediately. You can also take our Ankle Quiz.

If you’re healthy and uninjured, be sure to do everything you can to keep it that way. Here’s are some tips to prevent Achilles injuries:

  • Exercise regularly; in other words, don’t jump into a game of full-court basketball after not working out for a year.
  • Wear shoes with a lot of support.
  • Warm up and stretch for 15 minutes before playing.
  • Stretch and stay warm during breaks in the action.

Do you have any questions about the prevention or treatment of Achilles tendon injuries? If so, be sure to let me know in the comments section.

About Brandon Mines, MD:

Dr. Mines has been practicing with Emory since 2005 and specializes in family practice and sports medicine. His areas of clinical interest include ankle, shoulder, hand, knee, sports injuries, upper extremities, and wrist. Dr. Mines holds organizational leadership memberships at the American College of Sports Medicine and the American Medical Society of Sports Medicine.

Dancing Again After a Broken Foot & Torn Achilles Tendon

A few years ago, I treated a delightful young woman, Erin Weller, who broke her foot while rehearsing for a performance in a contemporary dance show. The show was being produced by Crossover Movement Arts, a dance company managed by her significant other, Blake Dalton. Erin’s injury was a simple fracture requiring no surgery—just a cast. Unfortunately, due to the injury she had to drop out of the show, but a few months later she was back to dancing and to studying martial arts with Blake.

Earlier this year, I saw Erin in my office again. She and Blake had recently married, and Erin was still dancing and studying martial arts. She was also working as a communications coordinator with Moving in the Spirit, an organization that teaches dance and life skills to at-risk youth. She was doing good work in the world.

While it was nice to see them both again, the reason for their visit wasn’t so nice. Blake had torn his Achilles tendon after landing badly from a high leap. A 12-year veteran professional dancer with Core Performance Company, a contemporary dance company in Atlanta, Blake makes his living through dance, and he had the kind of injury that could have once ended his career.

Fortunately, we’ve made great advances in the surgical repair of torn Achilles tendons. I was able to repair the tendon, and after a few months of working hard at his physical rehabilitation with our superb physical therapists, Blake recently started performing once again, just in time for the launch of Core’s 30th anniversary season.

Have a look at this video to meet this charming couple and learn more about how Emory Sports Medicine was able to help them get back on the dance floor: