Dr. Greg Bryan & Dr. Blair Drummond, welcome Dr. Will Andress, Dr. David Drummond & Dr. Henry Hilario, beginning July 18, 2016.
How do you treat heel pain?
There are a wide variety of causes of heel pain, ranging from plantar fasciitis, tendonitis, stress fractures or nerve entrapments so it’s important to be evaluated by a foot and ankle surgeon for a thorough history and physical to determine the cause of your pain. Treatments vary widely based on the cause of the symptoms. Sometimes the issue can be corrected from a structural standpoint with a change to more supportive shoes or inserts. Often targeted injections and stretching regimens can be helpful and, occasionally, advanced therapies or surgery may be indicated.
I have rolled my ankles since I was a kid and they feel like they constantly give out.
Ankle sprains are one of the most common sports injuries. Most folks recover from them without long-term problems; however, 33 percent of patients with acute low ankle sprains still have pain one year after the injury. For some, the ankle ligaments never heal completely or there was more to the injury than initially met the eye. Many do well with tailored physical therapy to strengthen and retrain how the ankle adjusts to imbalances. Some require supportive bracing during athletic activity or a procedure to reconstruct these ligaments to prevent recurrent ankle sprains and further damage to the joint.
I sprained my foot weeks ago and I still have constant pain in the middle part of my arch.
Your mid-foot is made up of many small bones held together by strong ligaments. Sometimes these ligaments tear and can cause chronic pain or instability of your arch. Soccer and football players are particularly susceptible to this particular type of injury, though it can occur in any walk of life. It is very important to be evaluated by a podiatrist to determine if these ligaments are torn and whether casting or surgery is needed. As with any trauma to the foot or ankle, it is very important to be evaluated by a professional as early as possible.
How do you treat ankle arthritis?
As with arthritis of the hip and knee, there are varying levels of severity with ankle arthritis. However, arthritis of the ankle tends to be a result of either a prior injury or an inflammatory condition, rather than the wear and tear arthritis noted more commonly in the knee and hip. Initial treatment is nonsurgical, starting with anti-inflammatories, various types of ankle bracing and/or joint injections. For more advanced cases, patients may benefit from an arthroscopic procedure where we use a camera and instruments inserted through very small incisions to inspect and “clean up” the joint. For those with severe arthritis or failing more conservative measures, a discussion on joint replacement surgery or an ankle fusion to eliminate the painful joint may be warranted.
What can be done for my flat feet?
Many patients state they have had flat feet their entire life, but they have become painful once in their adulthood. Many can be served well with custom orthotics for their shoes to better support their foot alignment, or for more advanced cases, custom ankle braces. Physical therapy can also benefit to strengthen the muscles around the ankle joint. If all else has failed, patients may need to consider surgical reconstruction to realign and reconstruct the bony architecture of their collapsed foot.
What are the most common conditions that you see?
We routinely evaluate and treat all types of painful conditions of the foot and ankle, ranging from common heel pain and deformities of the toes to complex rear foot and ankle conditions. Compassionate and comprehensive foot and ankle care of the highest quality is our initiative and our standard. Life moves quickly, your feet should not be slowing you down.
Bossier: 2850 Plantation Drive, Bossier City, LA 71111 • 318.746.9555
Natchitoches: 505-B Royal St., Natchitoches, LA 71457 • 318.581.4949
Born: Ponta Delgada, Azores Islands of Portugal
Married to: Danielle Damlouji
Education: Caddo Magnet High School. LSU. Studied Biological Sciences and Business Administration. Rosalind Franklin University of Medicine and Science, North Chicago, Ill., DPM degree.
Residency: John Peter Smith Hospital, Level 1 Trauma Center, Department of Orthopedics, Foot and Ankle Surgery Division, Fort Worth, three-year surgical program, reconstructive rear foot and ankle.
Married to: Sarah Watts
Education: C. E. Byrd High School. University of Alabama, Tuscaloosa, Ala., Bachelor of Science in Biology. Rosalind Franklin University of Medicine and Science, North Chicago, Ill., DPM degree.
Residency: John Peter Smith Hospital, Level 1 Trauma Center, Fort Worth, three-year comprehensive surgical residency with extensive training in foot and ankle trauma, reconstruction, sports medicine and diabetic complications.
Education: Caddo Magnet High School. Rhodes College, Memphis, Tenn., Bachelor of Science in Biology, studied environmental science. Rosalind Franklin University of Medicine and Science, North Chicago, Ill., DPM degree.
Residency: East Jefferson General Hospital, Metairie, La., three-year surgical residency completing rotations in wound care, emergency medicine, radiology, dermatology, rheumatology and general surgery.