Sunday, August 2, 2009

Why See a Foot Doctor?

It is interesting to me how many people ignore foot and ankle problems. My feet hurt. My toe looks funny. My foot doesn’t feel right. My ankle is sore. I can’t run because of foot pain. My ankle gives out. This should warrant one to suspect a problem but most turn a blind eye to their foot problems. When you have a tooth ache, you go to the dentist. When you can’t see well, you go to the eye doctor. When your child has a fever, you go to your family doctor. So, when you have foot and ankle pain, shouldn’t you see a foot and ankle doctor?
For whatever reason, people have become to believe that sore feet are a part of life. Instead of seeking medical help, we adjust our activities to avoid the pain. I can’t tell you how many people I have met that have halted their favorite hobbies because they thought they didn’t have the feet to do it anymore.
Sandy, a dear patient of mine once told me she was an avid runner in her youth, but after college she stopped running because her feet couldn’t “handle” it anymore. She never did anything about her foot pain except decreased her activities and wore “ugly shoes.” As a result of her new found sedentary lifestyle, she gained quite a bit of weight and is now suffering from type 2 diabetes. Her primary care doctor referred her to me to monitor her foot health, which now is in great jeopardy due to her diabetes. It breaks my heart that Sandy, not only gave up something she loved but also put her heath at risk because of treatable foot pain. Since Sandy’s first visit with me 1 year ago, we have eliminated her foot pain, greatly decreased her chance of diabetic foot complications, and Sandy has taken up more physical activities and lost almost 100Ib.
Just yesterday, I had a patient who recently returned from a family vacation in Walt Disney World. Jim was upset because after the first day his feet hurt so badly, he spent most of the time sitting on benches as the rest of his family toured the park. I hear similar stories all the time. He admitted to suffering from moderate heel pain prior to the trip, but had a desk job so he never noticed the pain except when he went golfing, a hobby he practically gave up because of his busy schedule. Thus, since he only rarely had foot pain, he didn’t think it was a big deal. The full day of walking through Disney World flared up his condition, and his heel pain became unbearable for the remainder of the trip. Once again this could have been prevented if he would have gone to a podiatric physician about his foot pain.
I told Jim, “If you have difficulty seeing while driving in the dark, you go to the eye doctor and get glasses even though you are not suffering from a problem all day long. If your feet hurt with activity, you should go to the foot doctor (podiatrist), and receive treatment even if your pain is not all day or every day.”
If you find yourself adjusting your daily activities or avoiding hobbies because of your feet, call your foot doctor today! No matter your age, your feet should not limit the way you live your life, but rather be walking you up and down every hill and through every garden life has to offer. Take care of your feet!

Saturday, August 1, 2009

Ingrown Nails Got You Hanging?

If you have an ingrown toenail, you can relate when I say the pain and discomfort is beyond aggravating. Trying to find comfortable shoes is sometime impossible. But what do you do about an ingrown toenail? Do you try to cut it out with a toenail clipper? Will it be there forever? Some people are scared to seek medical attention because they think they will have to get their nail removed. Though sometimes this is necessary, it is rare that it one will have to lose their entire nail.
An ingrown toenail is a nail that digs into the skin and cause pain, swelling, redness, and sometimes infections. It can be cause by genetics, trauma, or improper trimming. Stubbing your toe or dropping an object on your toe may result in an ingrown toenail. Many people cut their nails too short. This encourages the skin to surround the nail and the nail can then pinch the close confiding skin.
When you first notice the problem, there are some at home treatments to reduce the inflammation and pain. Soaking your foot in luke warm water with Epson salt may reduce some of the symptoms. Wearing wider shoes that decreases the pressure applied to the area will also help with the pain. It is highly discouraged to try to remove the ingrown portion of the nail yourself. Continuously cutting the nail inappropriately will worsen the condition. These areas are highly susceptible to infection. Thus at-home surgeries of the nail can be very dangerous. If you continuously feel discomfort from your toenail, it is recommended to see a foot and ankle doctor, also referred to as a podiatrist.
A podiatric physician can do a simple in office procedure to remove the offending nail border. The nail will continuously grow to be ingrown unless the matrix or the root of the nail is destroyed. When only the outside border is causing problems, the doctor can remove that portion of the nail and only kill the root of that area of the nail. Thus you will still have a nail but a small portion will be removed and will not grow back. Those concerned with cosmetics will be happy to know that the removal of the border of a nail often goes unnoticed by others when the condition is minor. If there is a serious infection present, the root of the nail will not be killed due to the reaction of the chemicals used with the infectious tissue. The nail boarder is removed and the injury is allowed to heal until the tissue is healthy to undergo chemical insult.
Though some need to undergo more invasive surgeries to remove the matrix, most have their problems solved by a simple 15 minute visit to the doctor. The most important thing to do is to keep your hands off your toenails. Do not try to pick at it or cut it because a small problem can become a big problem if you do not remove of it correctly.

Ingrown Nails Got You Hanging?

If you have an ingrown toenail, you can relate when I say the pain and discomfort is beyond aggravating. Trying to find comfortable shoes is sometimes impossible. But what do you do about an ingrown toenail? Do you try to cut it out with a toenail clipper? Will it be there forever? Some people are scared to seek medical attention because they think they will have to get their nail removed. Though sometimes this is necessary, it is rare that it one will have to lose their entire nail.
An ingrown toenail is a nail that digs into the skin and cause pain, swelling, redness, and sometimes infections. It can be cause by genetics, trauma, or improper trimming. Stubbing your toe or dropping an object on your toe may result in an ingrown toenail. Many people cut their nails too short. This encourages the skin to surround the nail and the nail can then pinch the close confiding skin.
When you first notice the problem, there are some at home treatments to reduce the inflammation and pain. Soaking your foot in luke warm water with Epson salt may reduce some of the symptoms. Wearing wider shoes that decreases the pressure applied to the area will also help with the pain. It is highly discouraged to try to remove the ingrown portion of the nail yourself. Continuously cutting the nail inappropriately will worsen the condition. These areas are highly susceptible to infection. Thus at-home surgeries of the nail can be very dangerous. If you continuously feel discomfort from your toenail, it is recommended to see a foot and ankle doctor, also referred to as a podiatrist.
A podiatric physician can do a simple in office procedure to remove the offending nail border. The nail will continuously grow to be ingrown unless the matrix or the root of the nail is destroyed. When only the outside border is causing problems, the doctor can remove that portion of the nail and only kill the root of that area of the nail. Thus you will still have a nail but a small portion will be removed and will not grow back. Those concerned with cosmetics will be happy to know that the removal of the border of a nail often goes unnoticed by others when the condition is minor. If there is a serious infection present, the root of the nail will not be killed due to the reaction of the chemicals used with the infectious tissue. The nail border is removed and the injury is allowed to heal until the tissue is healthy to undergo chemical insult.
Though some need to undergo more invasive surgeries to remove the matrix, most have their problems solved by a simple 15 minute visit to the doctor. The most important thing to do is to keep your hands off your toenails. Do not try to pick at it or cut it because a small problem can become a big problem if you do not remove of it correctly.

Why See a Foot Doctor?

It is interesting to me how many people ignore foot and ankle problems. My feet hurt. My toe looks funny. My foot doesn’t feel right. My ankle is sore. I can’t run because of foot pain. My ankle gives out. This should warrant one to suspect a problem but most turn a blind eye to their foot problems. When you have a tooth ache, you go to the dentist. When you can’t see well, you go to the eye doctor. When your child has a fever, you go to your family doctor. So, when you have foot and ankle pain, shouldn’t you see a foot and ankle doctor?
For whatever reason, people have become to believe that sore feet are a part of life. Instead of seeking medical help, we adjust our activities to avoid the pain. I can’t tell you how many people I have met that have halted their favorite hobbies because they thought they didn’t have the feet to do it anymore.
Sandy, a dear patient of mine once told me she was an avid runner in her youth, but after college she stopped running because her feet couldn’t “handle” it anymore. She never did anything about her foot pain except decreased her activities and wore “ugly shoes.” As a result of her new found sedentary lifestyle, she gained quite a bit of weight and is now suffering from type 2 diabetes. Her primary care doctor referred her to me to monitor her foot health, which now is in great jeopardy due to her diabetes. It breaks my heart that Sandy, not only gave up something she loved but also put her heath at risk because of treatable foot pain. Since Sandy’s first visit with me 1 year ago, we have eliminated her foot pain, greatly decreased her chance of diabetic foot complications, and Sandy has taken up more physical activities and lost almost 100Ib.
Just yesterday, I had a patient who recently returned from a family vacation in Walt Disney World. Jim was upset because after the first day his feet hurt so badly, he spent most of the time sitting on benches as the rest of his family toured the park. I hear similar stories all the time. He admitted to suffering from moderate heel pain prior to the trip, but had a desk job so he never noticed the pain except when he went golfing, a hobby he practically gave up because of his busy schedule. Thus, since he only rarely had foot pain, he didn’t think it was a big deal. The full day of walking through Disney World flared up his condition, and his heel pain became unbearable for the remainder of the trip. Once again this could have been prevented if he would have gone to a podiatric physician about his foot pain.
I told Jim, “If you have difficulty seeing while driving in the dark, you go to the eye doctor and get glasses even though you are not suffering from a problem all day long. If your feet hurt with activity, you should go to the foot doctor (podiatrist), and receive treatment even if your pain is not all day or every day.”
If you find yourself adjusting your daily activities or avoiding hobbies because of your feet, call your foot doctor today! No matter your age, your feet should not limit the way you live your life, but rather be walking you up and down every hill and through every garden life has to offer. Take care of your feet!

Back to School Shoe Shopping

If my kid doesn’t complain about sore feet, do I need to worry about what I put on his feet? Some children spend most of their days running around the yard barefoot all day and never complain about a thing until they step on a nail or thorn. Other children will wine all day about their feet hurting. So what do you need to be looking for when you are shopping for new shoes for the new school year?

My kid never complains!
Wow! Can we trade? Alright lets be serious all kids complain but not all kids complain about their feet. It is best to actively ask the child, “Do your feet hurt? Do you feel pain in your feet when you are out playing?” Some children ignore the pain because they are having so much fun. Think about how awesome it is to be on the soccer team or play in the park with your best buddies… You wouldn’t stop unless you had to. How many kids pee in their pants because they don’t want to stop playing?

There no special accommodation, devices, or exercises that are required for healthy foot living. There is a level of common sense that needs to come into play though… for some this is difficult. Kids shoes can be trendy, inappropriate, and can lead to pain.

Stay away from the following
· Pointy toes
· Platforms
· Flip flops
· Stilettos—Teenagers love to sacrifice comfort for style!
Standard Shoes for Back-to-School
· Good Athletic Shoes (light colors are preferred for the gym and will decrease sweating)
· A wide toe box for dress shoes

My Kid Does Complain about Their Feet!
It is not uncommon for children to have foot and ankle problems. The good news is that these are highly treatable! If your child is complaining about foot pain, seeing a podiatric physician will help prevent complicated problems in your child’s future. Common problems can range from flat feet to ingrown toenails. Treatment is often non-invasive and conservative. Children can be prescribed special insoles known as orthoses and physical therapy to help strengthen the weak or ill-working muscles, joints, and ligaments. Children tend to be extremely active, so podiatric physicians can work around sport schedules and care for their feet to optimized their performance and enjoyment of their preferred after school activities.
Save your child from grandma’s bunions and dad’s recurring ankle sprains. Seek consultation on your child’s foot pain from a medical professional such as a podiatric physician. Even if your child is not experiencing pain, remember to use common sense when shopping for this year’s new shoes!

Thursday, July 9, 2009

Feet Fit for Moon Walking

His dance moves defined gravity. There was no performance that did not leave the entire audience speechless. Michael Jackson even designed and patented a shoe to successfully pull off one of his memorable dance moves. But even Michael Jackson suffered from foot and ankle injuries. Shortly before being inducted in the Rock n’ Roll Hall of Fame, Jackson suffered a foot injury that kept him from moon walking his way into history. Dancing, like many sports, puts your foot and ankle at high risk for injury. So how does a professional or amateur dancer prevent such injuries? Here are some helpfull suggestions.

The most common dancing injuries are sprains, fractures, tendonitis, blisters, toenail injures, and bruises. The first step to prevent these injuries is to inspect your shoe gear. Depending on what type of dancer you are, will determine what types of shoes are most appropriate. Unfortunately, many dances require shoes that are not healthy for your feet. Such as many ballroom dances that requires women to wear high heels. Heels can cause instability and compression issues. When shoes are not your friend on the dance floor, there are other common practices that you should become familiar with to prevent injury.

A thorough warm up is always necessary to get your muscles warm and loose. This will greatly decrease the likelihood of strains and sprains. Paying attention to your pains is also extremely important. Pain and discomfort can indicate an underlying problem that may be treatable. Seeing a podiatrist to examine your foot and ankle prior to increasing your dancing regimen can greatly reduce the risk of injury. A trained podiatric physician can asses risk factor for foot and ankle injuries and provide treatment and therapies to improve your foot function.

Children are also at great risk of suffering from foot and ankle injuries while dancing. The bones in the foot are still developing late into childhood. For some dances, it is necessary for the child to be examined before being allowed to do certain moves. For an example, going up onto Pointe can be very dangerous and damaging to the foot if done prior to the growth plate closure. The only way to be certain that the growth plates are closed is through x-rays.

Before you jump on the dance floor, take time to watch the moves carefully so you fully comprehend the demands on your body. Understanding your bodies’ limitations is key. Learning taping and padding techniques can help you accommodate your ailments and further prevent future injures.

If you are dreaming about being the next Michael Jackson, you need to be prepared to deal with foot and ankle issues. Luckily, these ailments are often temporary and treatable, but they often take time and rest.

Sunday, July 5, 2009

Super-Pregant Feet

It was recently announce that Ariana Lima and her basketball star husband are expecting their first baby. This Victoria Secret Supermodel is not along. Heidi Klum also recently announced she too is pregnant. When supermodels are pregnant they still find a way to uphold their image. We see them on TV strutting their stuff in high heels and designer gowns. Unable to drink or drug, how do celebrities keep the smile on their face with all the extra weight and tight shoes? The secret: Good Actresses! So, how does the real woman deal with the aches and pains of pregnancy?

My Feet Have Swollen and They Won’t Deflate!
The most common complaint among the child bearing is foot swelling. During the nine months, your baby grows into a healthy young baby and your feet grow about a half a size! Your feet swell because of the weight and position of the baby in its temporary home. This along with the added weight cause stretching of many of the tendons and ligaments in your foot. Thus, your foot gets bigger. For some, once the swelling subsides, they can go back to their old shoes. For many, their pre-baby shoes are off to the donation box. To cut down on the swelling, the most effective treatment is compressive stockings. Other treatment options are to rest with your feet elevated, stretch, and of course make sure that your shoes fit you properly. You never know when your feet are going to go on a growth spurt!

No Pain; No Gain!
In the process of nurturing a gift of joy in the womb, your body takes a severe beating. Pregnancy can be very traumatic on the expecting mother’s feet and will cause pain, pain, and more pain. As the pregnancy progresses, the feet are taking on an increasing amount of weight. This extra weight changes how we walk and move our body. To compensate for these changes, the foot tilts inward and the arch is decreased. This causes increases stress on the plantar fascia that helps support the arch. Plantar Fasciitis is inflammation of this fascia and is the cause horrible heel pain. Though the pain usually subsides after the pregnancy, the pain is often unbearable. To address the pain, women are advised to wear shoe inserts to support the foot and ice the painful areas. It is often recommended to get custom made orthoses prior or early in the pregnancy to prevent future foot aches and pains.

Cramping your Style!
As one would expect when a life is growing in another, there is an increase in blood volume. In order to prevent hypertension, the body dilates the vessels to decrease the flow and pressure. This may lead to a decrease in oxygen delivery to muscles far away from the heart and lungs because it takes longer for fresh blood to get to the sight. A lack in oxygen supply is what often causes leg and foot cramps. To relieve the cramping, one should increase the blood flow. Thus, it is best to walk this one out!

At the end of the day, there is no big secret to pregnancy and comfort. All women experience the ups and downs of bringing life into the world. Foot pain is one of the many road bumps along the way. I wish I could say it was the worse, but the teen years will probably give you more pain and heartache than the 9 months and 12 years prior combined.