Choosing the Right Specialist for Foot Injuries from High Heels - Orthopedics

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Foot bone issues?


Hello, doctor: My friend sprained his ankle from wearing high heels.
He visited an orthopedic specialist, but he said his condition hasn't improved much.
Could you recommend which hospital he should go to or which department he should switch to for better care? Below is the prescription from the hospital; could you please take a look and advise if any changes to the medication are necessary? The medications listed are Sulan 100mg, Genesafe 200mg, CMT 400mg, Sulinton 200mg, Larpam 2mg, and Kenacort (triamcinolone) 5% SAL-BRON.
I live in Yilan.

Xiao Houzi, 20~29 year old female. Ask Date: 2013/10/21

Dr. Shi Guozheng reply Orthopedics


If the sprained area is the ankle, it typically requires six weeks of rest to avoid physical activity.
Medication treatment does not need to continue for the full six weeks; it can be discontinued once there is no pain or only mild discomfort.
Afterward, you can soak the ankle in warm water and perform rehabilitation exercises.
It is also advisable to wear an ankle brace or a similar supportive device.
After two weeks, you can start moving the ankle joint up and down, and after six weeks, you can incorporate side-to-side and rotational movements.
This approach helps prevent the ligaments from becoming lax, reducing the likelihood of future ankle sprains.

Reply Date: 2013/10/21

More Info


When it comes to foot injuries caused by wearing high heels, it is essential to understand the underlying issues and choose the right specialist for treatment. High heels can lead to various foot problems, including sprains, strains, and even more severe injuries due to the unnatural positioning of the foot. Your friend's experience with a sprained ankle after wearing high heels is not uncommon, and it highlights the need for proper evaluation and treatment.

In your friend's case, since they have already seen an orthopedic specialist and did not experience significant improvement, it may be beneficial to consider a few options. First, it is important to ensure that the initial diagnosis was accurate. If the orthopedic evaluation did not provide a clear understanding of the injury, seeking a second opinion from another orthopedic surgeon could be helpful. Different specialists may have varying approaches to treatment, and a fresh perspective might lead to better outcomes.

Additionally, consulting a physical therapist could be a valuable step. Physical therapists specialize in rehabilitation and can provide tailored exercises to strengthen the muscles around the ankle, improve flexibility, and enhance overall foot mechanics. They can also offer advice on proper footwear and strategies to prevent future injuries, which is particularly important for someone who frequently wears high heels.

If your friend is experiencing persistent pain or functional limitations, they might also consider visiting a podiatrist. Podiatrists are specialists in foot and ankle conditions and can provide comprehensive care, including custom orthotics, which can help alleviate pain and improve foot alignment. They can also assess for any underlying structural issues that may have been overlooked.

Regarding the medications listed in the prescription, it is crucial to consult with a healthcare professional before making any changes. The medications mentioned, such as Sulan (likely an antibiotic), Genesafe (possibly a pain reliever), and Kenacort (a corticosteroid), should be evaluated in the context of your friend's specific symptoms and medical history. If your friend is experiencing side effects or if the medications do not seem effective, they should discuss this with their prescribing physician. The physician can adjust the medication regimen based on your friend's current condition and response to treatment.

In summary, for your friend's foot injury caused by high heels, it is advisable to consider the following steps:
1. Seek a Second Opinion: If the orthopedic evaluation did not yield satisfactory results, consulting another orthopedic specialist could provide new insights.

2. Consult a Physical Therapist: A physical therapist can develop a rehabilitation program tailored to your friend's needs, focusing on strengthening and flexibility.

3. Visit a Podiatrist: A podiatrist can assess the foot's structure and function, providing specialized care and potentially custom orthotics.

4. Review Medications: Your friend should discuss their current medications with their healthcare provider to ensure they are appropriate and effective for their condition.

By taking these steps, your friend can work towards a more effective treatment plan and hopefully achieve better outcomes in managing their foot injury.

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