Posts for: December, 2012

By Ann M
December 27, 2012
Category: Winter Ice
Tags: Untagged

Now that freezing temperatures are here, injuries from ice-related falls are inevitable.  But are they serious enough to see a doctor?  The best answer is:  always check with your doctor as soon as possible.  Since falls on icy surfaces often cause ankle sprains and fractures, and even a minor fracture or sprain can worsen the injury and lead to chronic pain, it's very important to seek treatment right away.  

Several factors make falls on ice more dangerous than falls on warm-weather surfaces.  Due to its slippery nature, ice actually speeds up a fall.  That speed, combined with the fact that the foot can go in any direction while slipping, can cause more severe trauma than a fall on a surface without ice.  Often during the holidays we are in a rush to get to our family and business gatherings, and after a fall we make the mistake of thinking that because we are able to walk away, we don't need medical attention.  Putting weight on the injury will almost always make things worse.  And though the RICE principle (Rest, Ice, Compression and Elevation) is better than walking, it should only be followed until medical care is available.

In the event that the unavoidable happens, remember us here at the Foot & Ankle Centers where Dr. Bishop and Dr. Rappette are available for all of your foot and ankle needs.  Until then, play it safe, slow down, stay off the ice and most of all:


Yorkville: 630-553-9300     Morris:  815-942-9050     Sandwich:  815-786-9451



As indicated on the American College of Foot and Ankle Surgeons' website:

"Obesity nearly doubles the odds of a patient having the most severe category of ankle fracture, according to research published in a recent issue of the American College of Foot and Ankle Surgeons’ Journal of Foot and Ankle Surgery (JFAS).

The study, which was conducted among 280 patients, explored the association between obesity and severity of ankle fractures. It analyzed the X-rays of each patient’s ankle fracture and classified the severity of each one. Body mass index (BMI), age, diabetes, tobacco use, osteoporosis, sex and age were then assessed alongside each patient’s ankle fracture classification. The study attests that being overweight or obese is associated with an increased risk of musculoskeletal problems; specifically in this case, increased risk of having a severe ankle fracture. The increase in weight can have grave effects on the bone and joints, increasing the risk of osteoarthritis and (potentially) the need for total joint replacement at a younger age.

Obesity (classified as BMI of 30 kg/m2 or greater) is becoming more prevalent in America and so are musculoskeletal issues associated with it. The healthy ankle joint allows for normal walking, and injuries to the joint, including fractures, can have devastating effects if not properly addressed. The recent study identified a correlation between more severe ankle fractures and obesity, especially for obese men younger than 25, and obese women older than 50.

Alan MacGill, DPM, AACFAS, a Florida foot and ankle surgeon and Associate Member of the American College of Foot and Ankle Surgeons, says, 'We are seeing more severe injury patterns in the obese population compared to the non-obese. These severe ankle fractures tend to have a worse prognostic outcome compared to others.'

This is likely due to the fact that severe ankle fractures tend to be higher in the fibula, above the level of the ankle joint. The twisting motion of the injury not only breaks the bone but also tears the ligaments that hold the lower leg bones (fibula and tibia) together for stability of the ankle joint.

Dr. MacGill adds, 'The findings of this study correlate with what I continue to see in my practice. It’s basic physics; as body mass increases, so does the kinetic energy associated with the injury. The higher the body mass, the greater the risk of more severe ankle injury.'

There’s not much that can be done to prevent these types of injuries, as ankle fractures cannot be predicted. But bearing the results of this study, this is yet another reason to maintain a healthy diet, exercise plan and body weight to possibly help decrease the likelihood of an ankle injury being more severe.

'The ankle is a relatively small joint that bears much more force than the knee or hip. Fractures of any sort that disrupt the integrity of the ankle can have devastating consequences, such as ankle instability, post-traumatic arthritis, and chronic joint pain, especially in those who are overweight. Because of the complexity of the joint, it’s important to have these and any other ankle injuries evaluated by a foot and ankle surgeon,' MacGill says."

So if you are looking for motivation to eat healthy and stay in shape over the holidays, it may help you to keep the above information in mind.  Here at the Foot & Ankle Centers of Yorkville, Morris and Sandwich, WE PUT YOUR FEET FIRST and hope you have a wonderful holiday season.  Visit Dr. Bishop or Dr. Rappette at the location nearest you by calling 630-553-9300 (Yorkville), 815-942-9050 (Morris) or 815-786-9451 (Sandwich).


By Ann M
December 11, 2012
Category: Warts on Feet
Tags: Wart Treatment  

How did I get a WART on my foot, and what can I do?  Warts grow after contact with a virus.  Viruses can be passed person to person and thrive in warm, moist environments like shower floors, locker rooms and swimming areas.  Wearing closed-toe shoes without socks can increase your chance of infection.  Often mistaken for corns and calluses, plantar warts typically appear on the bottom of the foot, grow deep into the skin and can be very painful.  Stay away from folk remedies which can actually do more harm than good.  At the Foot & Ankle Centers, among several treatment options, we offer FDA-approved, quick and painless laser treatment for warts right in our office.  A visit for consultation and treatment will take about 30 minutes, and you will be able to walk out of our office better than when you walked in.  Our doctors are certified by the American Board of Podiatric Surgery.  Call today to schedule your appointment with Dr. Bishop or Dr. Rappette at a location near you where WE PUT YOUR FEET FIRST! 

Yorkville 630-553-9300 ~ Morris 815-942-9050 ~ Sandwich 815-786-9451     

Football season is upon us, and so are sports injuries. Sprains, strains and broken bones seem to happen more often this season among athletes. The doctors at the Foot & Ankle Centers want to share some tips that may protect you from serious foot and ankle problems. A medical check-up helps if an athlete can benefit from wearing a supportive brace or orthotic during competition, especially if there is an old sprain or injury. Proper footwear makes all the difference, so be sure to wear the right shoe for the sport you're competing in. Invest in new shoes, especially in children. Like the tread on a car tire, shoe bottoms become uneven and can cause even the strongest ankle to go in a painful direction. Give your ankles the best shot with proper support. Warm up before you play. Stretches and light jogging help reduce the risk for ankle injuries by warming up your blood vessels and ligaments. But some injuries are unpreventable, and immediate treatment is always beneficial. Be careful not to write everything off as a sprain or strain; bone injuries do occur and are treatable. Remember that the sooner treatment starts, the sooner continuing problems can be prevented. Our doctors and surgeons always PUT YOUR FEET FIRST at our three locations: Yorkville (630-553-9300), Morris (815-942-9050) and Sandwich (815-786-9451), so give us a call for a check-up.