Ped Egg Over-Easy

Isn’t it great that you can buy cheese pre-grated. I had to grate cheese for dinner last night and I realized how awkward and difficult it was to use a cheese grater. If only the grater fit nicely in your hand like those Ped Eggs I see on commercials. Maybe that is what I’ll do next time; use a ped egg to grate my cheese because I surely wouldn’t be caught dead taking that device to my body.

It seems like every time you turn on the TV or walk through the pharmacy there is a Peg Egg waiting to be bought. With over 75% of the population suffering from foot problems, almost everyone is looking for a foot product to fix their problems. Is Peg Egg the answer to all of our problems? Personally, I think this gadget is better suited in the kitchen rather than the medicine cabinet.

Many people suffer from calluses and they can be very unsightly and very painful. For years, my patients have asked me advice on lotions and pumice stones, but now I’m frequently being asked about the Ped Egg. My answer: It is not safe! The Ped Egg is made up of sharp metal blades that literally cuts or shaves your skin off. Why would that ever be a good idea? Calluses are accumulation of dead hard skin. If painful, the callus can be reduced by medical professionals using a scalpel. This involves a delicate technique to prevent open lesions, bleeding, and infections. This type of callus is a sign of improper foot structure or gait. To treat, the doctor not only takes down the callus with instruments but also treats the patient with devices and or therapy to correct the underlying problem. The fact that patients may be self treating these problems with a glorified cheese grater is downright scary!

Most people experience rough dry skin because of improper shoe gear. This problem is easy to treat with specific lotions, stones and a change in shoes. The dry dead skin should be sloughed off to remove the dead skin and not any of the live, healthy skin underneath. Imagine if you had an old piece of furniture and the paint was chipping off. To remove the paint but save the chair, you would use a sander to just take off the top damaged layer. You would never think to take a chain saw, a chisel, or ax to the chair unless you wanted to completely destroy it. If you want to lose your foot then the Ped Egg is right up there with the chain saw. If you actually want to save your foot and have it look all nice and pretty than stay away from the fancy cheese grater.

With all jokes aside, the Ped Egg can be very dangerous for people with diabetes, peripheral vascular disease or any other disease that compromise the healing process or the immune system. Sometimes it only takes a tiny cut for some to get a devastating infection. Any product that has the potential of cutting the skin should be used with severe caution or not at all.

Testing the Foot

How to test the Foot
As you sit in the doctor’s office, you may notice pamphlets on all sorts of different complications and treatments. You may also come across information on diagnostic testing such as Magnetic Resonance Imaging, Computed Tomography, and Ultrasound. What do these words mean? Do you really need to have these tests done?

When seeing a podiatric physician for the first time, they almost always take x-rays. Weather you have toe pain or ankle pain, an x-ray can give the doctor valuable information. Since doctors are human, they cannot see what is happening inside of your body. X-rays are a rather inexpensive way to take a glance underneath the skin and screen for any issues. Often, x-rays tell the doctor enough to confirm a diagnosis and treatment plan but sometime the x-ray cannot provide a clear diagnosis. The doctor must then order some more advanced studies.

Computed Tomography (CT scan) is a more advanced form of traditional x-ray. A CT scan takes digital technology and combines it with x-ray to create cross sectional images of the body or foot. Imagine cutting your foot with an egg slicer and being able to visualize the bones and soft tissue layer by layer. This is exactly what is done with a CT scan. This allows the physician to more precisely examine the size and location of the issue or complication. With a better understanding of the issue, the doctor can then better treat the issue.

Magnetic Resonance Imaging (MRI) is a very popular diagnostic test. Rather than using x-rays, MRI uses a magnetic field and radiofrequencies to produce images of the body. Unlike x-rays or CT scans, MRIs do not emit any radiation. A MRI is often used to evaluate soft tissue injuries or suspected problems. Since the MRI functions via a magnet there are some limitations for patients with pacemakers, artificial valves or other foreign artifacts in the body.

Ultrasound is a very popular diagnostic test because it is real time imaging. This means that the test can be performed in the office and the results are seen immediately. The device looks much like the ultrasound used on pregnant women but they are not quite the same. Ultrasound used on the foot is done at a different frequency to better capture the structures in the foot rather than the uterus. In general the ultrasound sends out sound waves that, depending on the tissue, get absorbed or bounced back to the probe. The information collected from the hand held probe is transformed into an image on the computer.

Though there are many other tests available, these are the three most popular advanced imaging test utilized by podiatric physicians. Remember that your foot is attached to your body. There are many different pathologies that can arise. Everything from a tumor to a neuroma can appear in the foot. It is important that a podiatrist fully evaluates every condition to rule out some very serious conditions. These tests also help to evaluate the severity of common conditions which leads to more appropriate treatment.

Why Do My Legs Hurt?

Peripheral arterial disease (PAD) is becoming more and more prevalent in America. Our love of fast food and convenience has lead to almost 10 million Americans to be diagnosed with PAD. Our body naturally starts forming plaques in our arteries. This is part of the aging process. Unhealthy lifestyles though cause abnormal increases in plaque and as we get older, these high levels of plaque hardens and causes narrowing of the blood vessels. Arteries supply the body with blood rich in oxygen. If the vessels narrow, the body is not getting the appropriate amount of oxygen to the organs and muscles. Thus, those with PAD are four times more likely to have a heart attack and almost three times more likely to have a stroke.

Who is at Risk? Those with diabetes have a significant risk in developing PAD. So much so, that the American Diabetes Association recommend everyone with diabetes over the age of 50 should be tested. Other high risk factors are high blood pressure, high cholesterol, family history of heart disease, or being overweight. Smoking will also increase your likelihood of developing PADS by four times.

The first signs and symptoms of PAD are often first seen in the legs and feet. This is why we highly encourage high risk patients to pay close attention to pain, discomfort or open lesions in the legs and feet. One will often feel like their legs get tired or painful when walking or climbing exercise. When experiencing this pain, it will go away with rest. This is termed intermittent claudicating and is a sign that your muscles are not getting enough oxygen. One may also feel numbness or tingling, coldness, changes in color, hair loss on the legs and feet. These are all be signs of a serious problem, but some people who have PAD do not appear with any of these symptoms. Thus it is very important to still get tested if you are at risk.

How to get tested? If you are experiencing any of symptoms above or are at high risk of getting PAD, you should consult a health care provider. Testing for PAD is noninvasive, pain free, quick and easy! The examiner will either use a standardized machine or manually take your blood pressure on your arm, ankle and other areas on your leg. Significant changes in your blood pressure in your legs and or ankle is diagnostic of PAD.

What to do if you have PAD. It is important to take the steps to adjust your lifestyle to prevent the progression of the disease. It is advised that patients stop smoking, lose weight, and exercise to improve blood flow. All treatment plans should be thoroughly discussed with your doctor to know what options are right for your body. The doctor may prescribe blood pressure medication, encourage physical therapy, and in critical conditions, surgery may be necessary.

Those suffering from PAD are at an increased risk of having several foot issues including non-healing ulcers. PAD patients should visit a podiatrist regularly for foot screenings and management of foot and ankle problems. A growing number of the American population are having foot and leg amputations due to the effects of diabetes and PAD. Many of these amputations are highly preventable when people take the appropriate steps to care for their feet and consult a podiatric physician when suffering from any foot and leg pain or abnormalities.

Keeping the Elderly Walking

As we get older, our health continues to weaken. Every time we take a trip to the doctor’s office we pray nothing new comes up. Time and time again we hear the same old story, “you need to make sure you exercise to stay healthy.” Whether you have hypertension, diabetes, or high cholesterol, your doctor is going to prescribe exercise! So how does an elderly person stay fit? Walking is everyone’s favorite activity! It is often the safest and easiest type of physical activity to participate as we age. Here are a few tips to help you stay healthy and safe while walking.

Walking Tip #1: Warm up and Cool down

It may seem silly and useless, but taking time to warm up and cool down before walking is very important. It allows an increase of blood flow to your muscles. This increases the oxygen levels available to your muscles. As you exercise, your muscles use the oxygen to create energy. If the oxygen is depleted, your body creates lactic acid which causes pain and your muscles to get tired faster. A warm up will help prevent this from happening. Stretching is an import part of a warm up and cool down. Having tight muscles can cause many different problems and can be painful. Stretching can also help prevent injuries.

Walking Tip #2: Buy a good pair of shoes that fits!

We all want to watch our budget, but walking shoes is not a place to cut corners. You should shop for your shoes in the afternoon. Your feet will swell throughout the day; thus, to ensure you have a properly fitted shoes you should avoid buying them in the mornings. Also make sure you have ample space in the toe box. You should be able to wiggle your toes around in your shoes. Try on several different brands and different sizes and walk around with them on both feet. This is the only way to find a comfortable shoe!

Walking Tip #3: Your feet should not hurt!

You may experience some pain when you begin your new walking schedule. You should pay close attention because this is not a normal occurrence. Self treatment may lead to more significant problem. You should contact a podiatric physician who will be able to accurately asses your pain and treatment options.

Walking Tip #4: Walk on softer surfaces!

As we get older, we lose our protective fat pad on the bottom of our feet. This increases the pressure on our bones and may lead to stress fractures. These types of injuries are more common in women but can also occur in men. Try to walk on grass, or dirt paths rather than hard cement if possible. Through softer ground may be better for stress fractures, make sure the ground is even to prevent ankle sprains or falls.

Walking Tip #5: Make a plan and get a friend!

Changing your lifestyle to include exercise is a huge undertaking. It is not easy to always stay motivated. It works best to build a plan and schedule that you can adhere to the best. Talk over your plan with your doctor to make sure it is appropriate for your health concerns. Find a friend or local walking groups to join. This will make the experience more enjoyable and rewarding!

Can You Buy Foot Products From a Catalogue?

While flying home from a medical conference, I noticed that airplane shopping magazines have everything. You can buy jackknife watches, home acupuncture kits, and even the world’s largest crossword puzzle. Amazing! You may notice that the magazine is full of advertisements for healthcare products. You can buy hearing aids, back adjusters and tons of different foot products. All while flying thousands of miles above your doctor’s office. So how reliable are these products?

Almost everyone has achy feet. Studies have shown that 75% of the American population has at least one foot problem. What a great market! Though we all have achy feet, there are thousands of reasons why our feet hurt. Do these products address your problem? If you have achy feet and have not yet seen a podiatric physician then I highly recommend that you refrain from wasting your money on products. If you have heel pain, it is not always planter fasciitis. Unless you have a diagnosis from your podiatric physician, you should not be using products to treat any foot disorder.

What if you have a diagnosis? When a doctor diagnosis’s you with a disorder, they develop a treatment plan that treats you and your specific conditions. Podiatric physicians know more about the foot and ankle than any other profession. With a combination of education and experience, podiatric physicians can map out a step by step process that will give you the best road to recovery. If you use products that are not a part of their treatment plan, you may interfere with your own healing! Talk to your doctor before trying something new. It may hurt you more than it will help you. Also, make sure to talk to your doctor about products you have used in the past. This is valuable information for the doctor because it may be the reason you are still or again experiencing problems.

What if your doctor already talked to you about using a product? Your doctor should discuss their treatment plan with you. High in the air, you see a devise that looks just like the one he showed you in the office. Should you take advantage of the low prices in the sky? Just because two products look the same, does not mean they are made the same. There is constantly being new products developed and researched but not all foot products have reliable studies to back up their claims. Many of the products that podiatric physicians provide are only found in physician offices and often a special licenses and education is needed to provide such products. These products always have legitimate studies that approves their use, but only someone who has training can really determine if it is the right product for you. Your foot is very complex and the devices and products provided in the doctor’s office are made with your foot’s anatomy and biomechanics in mind. Many of the products you find outside of the office are made with your pocketbook in mind.

Here are some helpful hints to guide you through the foot mall. Shoes should be made to support your feet not to fit in your back pocket. If you can fold the shoe or sandal up to a compactable size it is probably not going to support your foot well. There is a country song that says “Shoes don’t stretch and men don’t change.” Maybe you forgot but shoes come in multiple sizes. If they don’t fit buy the next size up. Let that “I’ll change for you” boy buy the shoe stretcher. Check your doctor’s website for products. Your podiatric physician can provide you with products approved by the American Podiatric Medical Association. Your physician is not there to take advantage of you; they are there to make you feel better. They provide you with a product because it is in their treatment plan to make you better. Most other places do not care if get better as long as you buy.

The Effect of Ankle Injuries on Your March Madness Office Pool

There are two things for which March is known: green beer and basketball. This week, Americans are enjoying both. Whether you are a twelve year old boy or a grandma involved in the nursing home pool, it seems like everyone is talking about March madness. But did you know that just the last week there were five foot or ankle injuries among the players competing in the NCAA tournament. Before you turn in your bracket, you may want to take some of these injuries into consideration.
Robert Sacre, Gonzaga Bulldogs; Liam mcMorrow,Marquette Golden Eagles; Ty Lawson, North Carolina Tar Heels; Teondre Williams, Oregon Ducks; and Jonnie West, West Virginia Mountaineers have all had foot or ankle injuries within the last week and all of their teams have advanced into the tournament. Whether or not these injuries will affect the teams is questionable, but what we should be asking is why these injuries are happening so late in the season. At this point, the athletes should be at their prime strength, so why are the falling apart?
Basketball, like all sports, puts significant stress on your body especially your foot. Running causes an increase in forces on your foot and ankle three to six times your body weight. When a forward goes up for a rebound, they come down to contact the ground with a forces six times their body weight. Our body is designed to compromise and adjust for these forces, but if we do them too fast, we can cause damage to our body. This is why athletes go through training. Even with the best training, such as that provided to college athletes, your body can still get injured!
Ankle sprains are the injury seen most often on the court. Once an athlete has one ankle sprain, they are much more likely to have another one because the ligaments are weekend. Ligaments are small fibrous bands of tissue that connect bones to other bones. This along with muscles allows the skeletal system to have a considerable amount of stability. If a ligament gets stretched or injured, it will never recover to have the same amount of strength that it did before the injury. Therefore, once you have an ankle injury, you are much more prone to have one in the future.



So why aren’t athletes spraining their ankles every day.
Physical Therapy helps your body regain as much strength and function as possible. Since muscles also contribute to stability, a physical therapist will adjust the patient’s exercises to strengthen the muscles in the areas prone to injury. This type of therapy is the most beneficial and is why your podiatrist often suggests physical therapy for most types of injuries.
Basketball shoes are quite a bit different than the cross trainers or running shoes we all have stashed away in our closets. Basketball shoes or high tops come up higher to give your ankle more support. You put a lot of stress on your body jarring back and forth, running up and down the court and jumping up for the rebound. Simply changing your shoe gear can do wonders to reducing injuries on the court.
In addition, some people are more prone to ankle sprains due to biomechanical weaknesses, or simply put, the way their foot and ankle moves when they walk or run. This can innate weakness can be eliminated with a properly made custom orthotic that controls excessive foot motion.
Though the NCAA offers some of the best training and resources to their athletes, some injuries are inevitable. If you ever roll your ankle, take a stumble, or hear a POP, make sure to contact your podiatric physician as soon as possible. The earlier you seek medical attention by a highly trained doctor in the foot and ankle or a podiatrist, the better the outcome of your injury will be.

What is That Tingling, Burning Feeling in My Feet?

Morton’s Neuroma

A neuroma is a thickening of a nerve and can occur anywhere in the body, even the foot. Morton’s neuroma describes a neuroma of a specific location in the foot, between the third and fourth metatarsals. This is located on the balls of foot between the third and fourth toes. Clinicians may refer to this benign growth as a tumor. In medical terms this is a correct description but this is not an indication of cancer. The enlarged nerve is benign, meaning it will not become invasive or become cancerous.

Though a morton’s neuroma is not a medical emergency, it can cause severe pain and impede on your daily life. Some patients describe the pain as walking on a marble, but the most often complaint is a burning, sharp pain. Tingling and numbness is also common.

It is thought that the nerve becomes enlarged due to repetitive irritation or pressure. Over time, this irritation leads to a neuroma and pain. Wearing shoes that are tight, too small, or with a heel can aggravate the pain because it causes increased irritation. The pain may also be caused by running or other sports. Flexing and relaxing your toes causes compression on the nerve, and the balls of your foot takes on the most weight during walking or running. Since this is the area where the neuroma is located, doing such activities can elicit a lot of pain.

The podiatric physician will take x-rays of a patient with such pain to rule out a fracture or other foot disorders. The doctor will also attempt to elicit the pain by squeezing the foot. This will not only cause pain, but there the doctor will also hear a clicking sound due to the neuroma shifting between the bones.

There treatment ranges from conservative treatments to surgery. Like all treatment plans, surgery should be a last resort for when all other treatments fail. The pain may be greatly reduced by changing shoe gear, but this is often not enough. It is very common for your podiatric physician to prescribe a custom orthotic. Many patients find relief by not only wearing orthotics but also wearing a pad under the balls of their foot. A podiatric physician can properly fit and provide such padding. Non-steroid anti-inflammatory drugs, such as Advil, can also be used to help reduce the pain but should not be used long term. Your doctor may also suggest a steroid injection which has a greater effect on relieving the pain. Stretching, massages, and icing has also shown to relieve pain.

If the pain has increased due to physical activity, it is suggested to take some time off from the activity to allow your foot to rest and heal. It may be better to take on activities that cause less impact on the foot. Excises’ such as swimming or bicycling may be good alternatives.
Neuromas are not life threatening, but they do cause alterations in your life. You should consider wide toed shoes with plenty of room for your toes to wiggle. The pain most often subsides with conservative treatment, but in rare cases surgery is necessary. Unfortunately, the procedure removes the entire nerve and will leave numbness of the effected toes. Thus, you and your podiatric physician should try to avoid surgery if possible.