If you're suffering from an ankle fracture, professional attention shouldn't wait. Fractures may worsen over time and can make completing everyday activities incredibly difficult. See your specialist for treatment and guidance through the healing process. 

Tuesday, 11 July 2023 00:00

Aging Affects the Feet

As one ages, their feet also age. A common sign of aging feet is the inability to absorb impact, also termed a loss of springiness. This is the result of loosening of the tendons that hold the arch in place. Additionally, the joints can become less flexible as one ages, especially if osteoarthritis sets in, further reducing the flexibility of the feet. Rheumatoid arthritis, gout, and obesity are other factors that may affect the foot’s suppleness. Another effect of aging is decreased muscle strength. Add to that a natural thinning of the bones, which can become worse by smoking and not intaking adequate vitamin D amounts. This increases the chance of getting stress fractures. Another way that aging affects the feet is a loss of resilience in the skin, which reduces its cushioning. Furthermore, the fat pads, particularly under the ball of the foot and the heel begin to thin out, increasing the chances of having foot pain. Wearing proper footwear is generally the easiest way to lessen the effects of aging on the feet. Shoes with ample cushioning and arch support are essential. For help with foot problems caused by aging, it is suggested that you make an appointment with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Taking Care of Elderly Feet
Tuesday, 11 July 2023 00:00

Taking Care of Elderly Feet

Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.

Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.

Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.

Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.

Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.

Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.

Tuesday, 04 July 2023 00:00

Exercises for Flat Feet

Children are naturally born with flat feet, and by the time they are teenagers, the arch usually develops normally. However, there are various circumstances where the arches either do not develop or they fall. These include injuries, obesity, genetics, and arthritis. Those with neurological or muscular diseases may also be more prone to having flat feet. Wearing orthotics or arch supports, and performing certain stretches, can reduce pain from fallen arches or help correct them. Examples of exercises that might help raise, strengthen, and lengthen the arches are heel stretches and tennis or golf ball rolls. Stretch your heels by standing with your hands resting on a wall at eye level. Keep one leg forward and the other extended behind you. Press both heels into the floor. Then bend one leg at a time toward the wall with the opposite heel pressed into the floor and hold this position for 30 seconds. Repeat on each side four times. For the tennis or golf ball roll, sit in a chair with a ball under one foot. Keep a straight spine and roll the ball under your foot, focusing on the arch. Do this for two to three minutes and then change feet. If you have flat feet and they are causing you discomfort, it is suggested that you consult with a podiatrist who can provide you with additional exercise options and further treatment that is right for you.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flatfoot
Tuesday, 04 July 2023 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Tuesday, 27 June 2023 00:00

Sore and Swollen Feet During Pregnancy

Many women experience discomfort during their pregnancy, and their feet are often affected. Foot pain and swelling often happen in the second or third trimester, making it difficult to complete daily tasks. The noticeable weight gain may cause plantar fasciitis to develop, as a result of the extra weight the heel and arches have to bear. This is a condition that targets the plantar fascia and causes it to become torn or inflamed. Edema is the medical term for swollen feet and is common among pregnant women. It happens from the extra fluids that the body naturally produces to support the growing fetus, and may pool in the feet and ankles. Foot pain may be managed by performing daily stretches which can help to increase blood flow and diminish soreness. Swollen feet may be helped by reducing sodium intake, and drinking plenty of water daily. If your pregnancy causes you to have foot pain or swollen feet, it is suggested that you speak to a podiatrist who can offer you additional relief options.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Tuesday, 27 June 2023 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 20 June 2023 00:00

Hard and Soft Corns

A corn on the foot can cause pain that can be so severe many people change their gait, or walking style, to compensate for their discomfort. A corn is a small area of hardened skin that forms on the side of the pinky toe, on top of the toes, or the bottom of the foot. It happens due to wearing shoes that do not fit correctly, and the constant motion of the toe rubbing against the shoe can cause that area to become red and uncomfortable. It naturally forms as a defense mechanism to protect the skin from further damage. Many people who wear high heels can develop corns and may choose to wear a protective pad on top of the corn. Relief may be found when larger shoes are worn and the pressure is relieved. Hard corns look white in appearance and can have a center to them. Soft corns can develop between the toes as a result of moisture that accumulates in that area. If you have developed a corn on your foot, it is suggested that you visit a podiatrist who can offer you effective prevention and relief techniques. 

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact one of our podiatrists of Comprehensive Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Understanding Corns and Calluses
Tuesday, 20 June 2023 00:00

Pregnancy and Foot Health

Many pregnant women complain about foot pain while they are expecting. Foot pain can primarily be caused by weight gain and hormonal changes taking place in the body. By understanding how pregnancy impacts the health of a woman's feet, a pregnant woman can take action to keep her feet as healthy and comfortable as possible.

Because a woman's weight changes during pregnancy, more pressure is brought to bear on both the legs and the feet. This weight shift can cause two major foot problems: over-pronation, also known as flat feet, as well as edema, which is swelling of the feet. Over-pronation occurs when the arch of the foot flattens, causing the foot to roll inwards when the individual is walking, and can aggravate the plantar fascia tissues located along the bottom of the feet. If these tissues become inflamed, a pregnant woman can experience pain in the heel of the foot as well as severe foot pain while walking or standing. Swelling of the feet, or edema, often occurs in the later stages of pregnancy. It is caused by slow circulation and water retention, and may turn the feet a light purple color.

To keep feet in good health and prevent over-pronation, pregnant women should avoid walking barefoot and be sure they are wearing shoes that offer good arch support. A device known as an orthotic can be added to regular footwear in order to provide additional support for the feet during pregnancy. Any expectant mother whose feet hurt should first check to see if the shoes she is wearing are old, worn out and not offering the proper support necessary for distributing the weight of her body during pregnancy.

To treat edema of the feet, a good start is to wear quality footwear which offers support and good circulation. Keep feet elevated whenever possible by using a foot stool while seated. Stay well hydrated by drinking plenty of water to prevent water retention in the feet. Any swelling that occurs in only one foot should be examined as soon as possible by a doctor.

Good foot health during pregnancy can help expectant mothers avoid foot pain that leads to other health problems. Massaging the feet and doing regular gentle exercise like walking aids foot health by contributing to good circulation. Supportive shoes are also a good investment that will support foot health during pregnancy.

Any runner knows that preventing a running injury by looking after the health of the feet is an essential part of being a good runner. One way in which a runner can do this is by performing balance enhancing stretches. For example, to improve balance, a runner may consider performing a single leg balance stretch and squat. During this stretch, a runner stands on one leg while slowly and squatting repeatedly. By doing this stretch, a runner can essentially improve the extent to which they land evenly on each foot while running. If you are a runner looking to prevent the onset of running injuries, then it is suggested that you confer with a podiatrist today for advice and possible treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of Comprehensive Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Preventing Running Injuries
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