Monday, November 28, 2011

Custom Orthotics for Foot Problems - Podiatrist Smithville, MO

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Custom Orthotics for Foot Problems - Podiatrist Smithville, MO  

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Dr. Brock Burkman discusses the use of Custom Orthotics for Foot Problems.

http://www.burkmanpodiatry.com

Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular, walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotic are available and may help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are not custom made to fit an individual's unique foot structure.

Orthotic devices come in many shapes, sizes, and materials and fall into three main categories: those designed to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.

Rigid Orthotics
Rigid orthotic devices are designed to control function and are used primarily for walking or dress shoes. They are often composed of a firm material, such as plastic or carbon fiber. Rigid orthotics are made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot. Rigid orthotics control motion in the two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.

Soft Orthotics
Soft orthotics are generally used to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are usually effective for diabetic, arthritic, and deformed feet. Soft orthotics are typically made up of soft, cushioned materials so that they can be worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Like rigid orthotics, soft orthotics are also made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.

Semi-Rigid Orthotics
Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials. Semi-rigid orthotics are often prescribed for children to treat flatfoot and in-toeing or out-toeing disorders. These orthotics are also used to help athletes mitigate pain while they train and compete.

Visit our website: http://www.burkmanpodiatry.com

Peripheral Neuropathy and Diabetic Complications - Podiatrist Smithville, MO

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Peripheral Neuropathy - Podiatrist Smithville, MO  

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Dr. Brock Burkman discusses Diabetic Complications and Peripheral Neuropathy.

http://www.burkmanpodiatry.com

Definition: Peripheral neuropathy, a result of nerve damage, often causes numbness and pain in your hands and feet. People typically describe the pain of peripheral neuropathy as tingling or burning, while they may compare the loss of sensation to the feeling of wearing a thin stocking or glove.

Peripheral neuropathy can result from problems such as traumatic injuries, infections, metabolic problems and exposure to toxins. One of the most common causes is diabetes.

In many cases, peripheral neuropathy symptoms improve with time — especially if the condition is caused by an underlying condition that can be treated. A number of medications often are used to reduce the painful symptoms of peripheral neuropathy.

Visit our website: http://www.burkmanpodiatry.com

Podiatrist Smithville, MO - Brock Burkman, DPM

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Podiatrist Smithville, MO - Brock Burkman, DPM

Meet Podiatrist Dr. Brock Burkman he discusses foot care at Burkman Podiatry of Smithville, MO.

http://www.burkmanpodiatry.com

Welcome! Since 2008, Burkman Podiatry has been working with patients to provide the best podiatric care for patients in the Smithville area. Brock Burkman, DPM's experience in podiatry is coupled with genuine concern for their patients. All our staff is dedicated to your comfort and prompt attention as well. Our goal is to help you maintain healthy feet.

This web site provides you with an overview of our practice and the field of podiatry. As you navigate the site, you'll find information about Burkman Podiatry's practice philosophy, physicians, our Smithville office location, insurance policies, and appointment scheduling procedures. Please browse the site at your convenience and feel free to contact us with any questions.


You'll find a lot of valuable information on the web site about foot problems, diagnoses and treatments. We believe informed patients are better prepared to make decisions about their health and well being. We encourage you to review this information to help you understand any health concerns you may face.

Visit our website: http://www.burkmanpodiatry.com

Sunday, November 27, 2011

Custom Orthotics - Chiropodist in Timmins, Cochrane and Kirkland Lake, ON

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Custom Orthotics - Chiropodist in Timmins, Cochrane and Kirkland Lake, ON


http://www.completefootcare.ca

Chiropodist Patrick Rainville discusses custom orthotics treatment for foot problems.


Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular, walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotic are available and may help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are not custom made to fit an individual's unique foot structure.

Orthotic devices come in many shapes, sizes, and materials and fall into three main categories: those designed to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.

Rigid Orthotics
Rigid orthotic devices are designed to control function and are used primarily for walking or dress shoes. They are often composed of a firm material, such as plastic or carbon fiber. Rigid orthotics are made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot. Rigid orthotics control motion in the two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.

Soft Orthotics
Soft orthotics are generally used to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are usually effective for diabetic, arthritic, and deformed feet. Soft orthotics are typically made up of soft, cushioned materials so that they can be worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Like rigid orthotics, soft orthotics are also made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.

Semi-Rigid Orthotics
Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials. Semi-rigid orthotics are often prescribed for children to treat flatfoot and in-toeing or out-toeing disorders. These orthotics are also used to help athletes mitigate pain while they train and compete.


Visit our website: http://www.completefootcare.ca

Chiropodist in Timmins, Cochrane and Kirkland Lake, ON - Rainville Chiropody

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Chiropodist in Timmins, Cochrane and Kirkland Lake, ON - Rainville Chiropody

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Meet Chiropodist Patrick Rainville as he discusses foot care in Timmins, Cochrane and Kirkland Lake, ON
http://www.completefootcare.ca

From routine checkups to treatments for surgery, Rainville Chiropody Professional Corporation is equipped to handle all your podiatric needs.


Visit our website: http://www.completefootcare.ca

Peter Guy, BSc, DCh - Chiropodist in Whitby and Peterborough, ON

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Chiropodist in Whitby and Peterborough, ON - Peter Guy, BSc, DCh

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http://www.painfreefeet.ca

Peter Guy has been a chiropodist providing podiatric foot care since 1985.
He has helped to relieve the foot pain and discomfort of thousands of people in Ontario.
He is a professor in the Chiropody Faculty at the Michener Institute, Toronto. During the 2011-2012 academic year he will be instructing chiropody students in their clinical rotations at the Michener Sherbourne Chiropody Clinic in downtown Toronto and instructing chiropody students in lower limb anatomy at University of Toronto Anatomy Labs.
He is available to speak to your service group, church group, union, association, and school group in Whitby or Peterborough. I can speak to small or large groups on common foot problems such as heel pain, arch pain, warts, corns, callus, ingrown nails, fungal nails, diabetic foot care, proper fitting footwear, sports foot injuries and how foot orthotics can help your foot problems.

Visit our website:http://www.painfreefeet.ca

Ingrown Toenails - Chiropodist in Peterborough and Whitby, ON

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Ingrown Toenails - Chiropodist in Peterborough and  Whitby, ON

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http://www.painfreefeet.ca

Almost everyone at some point in their life has suffered from an ingrown toenail. It may have occurred during childhood or happened for the first time as an adult. Whenever it happens, ingrown toenails can be painful and can cause a lot of discomfort when wearing your shoes.

What is an ingrown toenail and how do you know if you have one?

There are two types of ingrown toenail. The 1st type is a non infected ingrown toenail. It is caused by a curvature of nail that digs into skin by the side of the nail. The curvature of the nail can be moderate to severe. The nail edge causes a callus or a corn to form in the nail groove. Patients will complain they feel a knive edge in the nail groove. The nail will irritate the skin causing redness, soreness but no infection. Any pressure from tight socks or shoes and even your sheets will cause a lot of pain.
What should you do if you have an ingrown nail?
First of all, you should not try to dig or cut away at the nail in the bathroom because you will probably cause an infection and you will still have to come in for treatment. What you need to do is come into the office. It may not be that bad! The treatment will consist of a small piece of nail being cut away from the skin and nail border. We will send you home and you will be happy. You will have significant relieve and in 2 days you will be walking around pain free.
Removal of nail and callus from the nail groove.


Unfortunately, many people let an ingrown toenail go untreated for months hoping it will get better. The 2nd type of ingrown nail is an infected ingrown toenail. In theses cases, ingrown toenails are caused by improper nail cutting or by the cutting action of the curved nail. The toenail pierces the skin and then continues to grow into the skin. Inflammmation occurs when nail pentrates the skin causing pain, redness, swelling and drainage. In these cases a surgical nail decompression will be required.
What does a surgical nail decompression mean?
Your toe will be numbed up and a small sliver of nail down to the nail root will removed and a chemical will applied to kill the nail root so it won't grow back and you don't have to suffer from this again.
You probably receive a prescription for an antibiotic because most of the time people let their ingrown nails go too long and the infection causes a lot more pain. If you suspect you have the beginnings of an ingrown nail because your toe hurts inside your shoe or the sheets hurt your toe. Do not delay getting treatment for you ingrown nail.

Visit our website:http://www.painfreefeet.ca

Heel Pain Treatment - Chiropodist in Peterborough and Whitby, ON

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Heel Pain  - Chiropodist in Peterborough and Whitby, ON[[posterous-content:pid___0]]

http://www.painfreefeet.ca

Chiropodist Peter Guy discusses the symptoms, causes and treatment for heel pain (plantar fasciitis).

Heel pain caused by plantar fasciitis is a very common foot problem.
Pain will occur upon arising in the morning or when standing up after prolonged sitting. The plantar fascia is a strong fibrous band of tissue that originates in the heel and runs toward the ball of the foot. The plantar fascia helps to stabilize the arch. The problem begins when there is stress applied to the plantar fascia due a foot fault or instability. Plantar fasciitis can result from your arch collapsing while you walk as the heel lifts off the ground. This leads to the foot muscles in your arch trying to resist this arch collapse along with the plantar fascia. When the heel lifts off the ground the foot bends and twists in the middle and causes stretching in the plantar fascia. The stretching of the plantar fascia over time can lead to microtears in the plantar fascia. The microtearing can occur anywhere along the length of the plantar fascia. The plantar fascia will be become inflamed as it pulls away from its insertion point located underneath the heel bone or calcaneus. Over time as the plantar fascia pulls away from the heel bone at its attachment site it can cause a bone spur to form on the heel bone. The heel spur is a secondary X ray finding and is not the real problem. If left untreated plantar fasciitis can become chronic and becomes more difficult to treat. It is difficult to rest the foot because every step you take will stretch the plantar fascia and aggravate the problem. This problem can progress rapidly and needs to be addressed as soon as possible before it becomes a chronic problem.

Visit our website:http://www.painfreefeet.ca

 

Wednesday, November 23, 2011

Foot Warts Treatment - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Foot Warts (Plantar Warts) - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses the symptoms, causes and treatments for Foot Warts (Plantar Warts).

Plantar Warts

The common wart is known as verruca vulgaris. They are caused by a viral infection of the skin. This occurs as a result of direct contact with the virus. They do not spread through the blood stream. They occur more commonly in children than adults. When they occur on the bottom of the foot, they are called plantar warts. This name is derived from the location of the foot on which they are found; the bottom of the foot is called the plantar aspect of the foot. A common misconception is that plantar warts have seeds or roots that grow through the skin and can attach to the bone. The wart may appear to have a root or seeds, but these are in fact small clusters of the wart just beneath the top layer of the skin. The wart cannot live in any tissue except the skin. Moist, sweaty feet can predispose to infection by the wart virus. They can be picked up in showers and around swimming pools. They are not highly contagious, but being exposed in just the right situation will lead to the development of the wart. Avoiding contact in the general environment is nearly impossible. If a member of the family has the infection, care should be taken to keep shower and tile floor clean. Children who have plantar warts should not share their shoes with other people. Young girls often share shoes with their friends and this should be discouraged.

Diagnosis

The warts have the appearance of thick, scaly skin. They can occur as small, single warts or can cluster into large areas. These clustered warts are called mosaic warts. They often resemble plantar calluses. A simple way to tell the difference between a wart and a callus is to squeeze the lesion between your fingers in a pinching fashion. If this is painful, it is likely that the lesion is a wart. A callus is generally not painful with this maneuver but is tender with direct pressure by pressing directly on the lesion. Other lesions on the bottom of the foot that are often confused with plantars warts are porokeratoses and inclusion cysts.

Treatment

There are a variety of ways to treat warts. The over-the-counter medications have a difficult time penetrating the thick skin on the bottom of the foot, so they do not work well in this area. Professional treatment consists of burning the wart with topical acids, freezing with liquid nitrogen, laser surgery or cutting them out. All methods have the possibility of the wart coming back. Surgical excision of the wart has the highest success rate with a relatively low rate of recurrence. There is some mild discomfort with this procedure and it takes several weeks for the area to completely heal. Normal activity can generally be resumed in a few days depending on the size and number of warts that have been removed. The risks associated with surgical removal of warts are the possibility of infection, or the formation of a scar, which can be painful when weight is applied while walking.

Laser removal of the wart works by burning the wart with a laser beam. The area must be numbed with an anesthetic prior to the procedure. There is little advantage to removing warts with a laser unless the warts are very large (mosaic warts) or there are a large number to be removed. The risks associated with the use of the laser are the same as for cutting the warts out. These risks include infection and the development of a scar after healing. A new type of laser has been developed to treat several different types of skin lesions called the Pulsed Dye Laser. This new laser has promise in the effective treatment of warts.

Freezing the wart with liquid nitrogen is another form of treatment. This form of treatment when the warts are on the bottom of the foot can be very painful and take several days or weeks to heal.

Topical acids can also be a useful means of treating warts. The advantage to this form of treatment is the fact that they are nearly painless and there is no restriction of activity. The down side to this form of treatment is that it frequently requires several treatments and the failure rate is higher than surgical excision of the wart.

Visit our website: http://www.anavianfootcare.com

Technology and Podiatry - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Podiatry Technology - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Dr. Robert Anavian discusses the Podiatry Technology.

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

Runner’s Feet - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Runner’s Foot Problems - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA   [[posterous-content:pid___0]]           

Dr. Robert Anavian discusses the symptoms, causes and treatments for Runner’s Foot Problems.

http://www.anavianfootcare.com

 

 The Anatomy of a Running Shoe

As all runners know, running begins with a good foundation. And where do we find that foundation? At the ground level where the rubber meets the road.

In other words, your shoes, the pieces of leather and rubber that separate your feet from the hard concrete of the road.

Let's look at the anatomy of a running shoe, and the four sections of the shoe that make it complete.

The uppers of the shoe may be made of leather or, for the lighter shoes, a synthetic which is lighter, washable and breathable (to reduce heat from the foot). Another component of the upper is the tongue of the shoe, which should be padded in order to cushion the top of the foot against lace pressure. At the back of the shoe, the ankle collar should also be padded to prevent rubbing and irritation of the Achilles tendon.

The outersole of the shoe is the treaded layer which is glued to the bottom of the midsole. It resists wear, provides traction, and absorbs shock. This is probably the most important layer for the "street fighter" or road runner. The outer sole usually consists of blown rubber, hard carbon rubber, or a combination. The blown rubber is the lightest, but is not durable as pure carbon. The stud or waffle outersoles are excellent for running on soft surfaces such as grass or dirt; they improve traction and stability. On the flip side, the ripple sole is better designed for running on asphalt or concrete surfaces.

The heel counter is the inflexible material surrounding the heel. It must be made of a material that is both rigid and durable to support and stabilize the heel. Just look at any old shoes, and you will see the wear and breakdown of the inner heel counter, which, over a period of time, tends to lose its stiffness. That's why an external counter is typically placed between the midsole and the base of the heel counter. You will also see a wedge that adds height to the heel and enhances the shoe's ability to absorb shock and reduce strain. The advantage to the added heel height is that it will shorten the Achilles and Gastrocnemius-soleus muscle, reducing the strain upon those important posterior running structures. The downside is that the higher heel height may feel less stable, causing reduced flexibility in the tendon structure.

The midsole is located between the outersole and the upper. Many regard it as the most important part of the running shoe. It provides cushioning and shock absorption while concomitantly controlling excessive foot motion (pronation/supination).

The primary materials used in midsoles are ethylene vinyl acetate (EVA) and polyurethane (PU). EVA is a foam that is light and has good to excellent cushioning. The problem is that this material breaks down quickly. In fact, it can break down just sitting in a box in your closet. Compression-molded EVA is one answer, making it harder and more durable. PU is also a foam, usually denser, heavier, and more durable than EVA. PU will stand up longer, but you will give up some of that precious cushioning in return.

Most shoes today are cushioned with gel, foam, or other manufacturer-specific materials that are designed within the midsole. This type of cushioning will extend the life of the midsole while simultaneously adding increased stability and shock absorption. This typically is where you will see the greatest quality difference between the various companies shoes and their models. And this is where the technology wars are being waged.

Remember, shock absorption is related to how compressible the midsole material can be made. The more the material compresses, the more movement within the shoe is seen. The less the compression of the material, the better the shoe's motion control, but there is a tradeoff in shock absorption. In this case, the shoe may feel harder, and not as soft as the first case scenario.

Know Your Foot Type

So how important is it to know what type of foot I have, and how I run?

Very important! You need to know the basics of running gait and foot types.

First, when you run, the heel strikes the ground first, usually on the outside (supination). Next, the foot rolls inward and flattens out along the longitudinal arch-pronation. The foot then resupinates by rolling through the ball and rotating outwards. At this point, the foot becomes a rigid lever as it again prepares to push off the ground.

To find a runner who supinates or pronates just the right amount is rare. Typically, most runners, particularly those who become injured with knee pain, Achilles tendonitis, shin splints, I.T.Band, or heel pain, suffer from either excessive pronation or supination.

So let's look at those terms again, and how they relate on a runner's gait. Everyone thinks pronation is an evil thing. Wrong! Your foot needs to pronate in order to adapt to uneven surfaces. We all have to pronate to a certain degree. However, excessive pronators whose feet roll inwards too much while running are the runners who develop over-use injuries. The overpronator generally has a flattened type of foot (low arches). You can check this yourself by wetting your feet, and walking on a piece of paper. If you see the whole foot print, including the arch, you can bet you're an overpronator. If you check an old pair of shoes, you will see a wear pattern to the inside of your shoes, particularly around the big toe.

Overpronators generally have flexible feet, which creates a very unstable foot. This can lead to many of the overuse injuries previously mentioned. If you are an overpronator, look for a shoe with a lot of motion control, preferably with a board last. A straight-lasted shoe is also recommended for overpronators.

What about you supinators? The supinator's feet typically roll outward, both in the heel and in the forefoot. You're the ones with the high arches. If you want to see if this is your foot type, go ahead and wet your feet and walk on a piece of paper. If you only see a wet spot of your heel and the ball of the foot, you know you over supinate. When you look at an old pair of shoes, you will see that they wear excessively on the outside border of the heel, and on the outside of the forefoot near your little toe. You're not in the majority here in this case. Supinators are definitely in the minority compared to pronators.

The high-arched, supinators feet are more rigid, and cannot absorb shock as well as an overpronator's feet. Therefore, it stands to reason that with a rigid type of foot the supinator will be subject to more lateral ankle sprains, stress fractures, and pain on the outside of the shin and knee. Supinators should look for a shoe that has better than normal cushioning for added shock absorption, as well as flexibility. Many supinators feel more comfortable with a semi-curved or curved last, due to the shape of their foot.

Shopping Tips

So what are some tips for selecting a good running shoe? Both the American Running and Fitness Association and the American Academy of Podiatric Sports Medicine make the following recommendations:

  • Try on both shoes, because your feet may not be the same size and the shoes may not be made symmetrically. Walk and jog around the store for a few minutes; climb stairs, or try jogging on a treadmill if available.
  • Try on a couple of different models and sizes so you can make a good comparison. Don't rush your selection.
  • The lacing area and tongue should be padded, especially if you have a bony bump (met-cuneiform) on your instep.
  • Be sure the sole flexes easily where your foot flexes. Buy shoes with removable insoles so you can modify or replace them with orthotics.
  • Allow a half-inch in front of your longest toe when you stand up. Fit shoes in the afternoon or after a workout, when your feet are larger. Feet swell as much as a full size during a good workout.
  • The key to finding the best shoe is comfort, not price or brand name. Don't rely on a break-in period;. Shoes should feel good the day you buy them.
  • The toe box should allow your toes room to move around. The mid-part of the shoe when laced should hold your foot snugly so that it doesn't slide forward and jam your toes with each step. If the shoe feels tight across your instep, start the laces on the second pair of eyelets.
  • The heel counter should fit snugly so your heel won't slip and rub.
  • Check the quality control of the shoes. Put them on a flat surface near eye level. The mid-line of the heel counter should be perpendicular to the surface.
  • Try on shoes with the socks, inserts, or orthotic devices you plan on wearing.

It is always suggested that when looking for a good running shoe, first select a good specialty running shoe store with competent salespeople. They are the ones who know the latest in shoe design and performance. Typically, these "fitters" are runners like yourself. They have been hired because of their love of running and their interest in their fellow runners. So search them out, and develop a relationship with a store and a person who has been fitting shoes for a period of time. If you have had a history of injury due to a shoe or a biomechanical problem, seek out a podiatrist in your area. He or she will be able to detect what your problem may be, and the right shoe or shoes to look for.

To extend the life of the shoe, wear them only for running, and let them dry out slowly when wet.

 

Visit our website: http://www.anavianfootcare.com

 

Treatment of Neuromas - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Morton’s Neuromas - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses the symptoms, causes and treatments for Morton’s Neuromas.

 http://www.anavianfootcare.com

Neuroma

A neuroma is the swelling of nerve that is a result of a compression or trauma. They are often described as nerve tumors. However, they are not in the purest sense a tumor. They are a swelling within the nerve that may result in permanent nerve damage. The most common site for a neuroma is on the ball of the foot. The most common cause of neuroma in ball of the foot is the abnormal movement of the long bones behind the toes called metatarsal bones. A small nerve passes between the spaces of the metatarsals. At the base of the toes, the nerves split forming a "Y" and enter the toes. It is in this area the nerve gets pinched and swells, forming the neuroma. Burning pain, tingling, and numbness in one or two of the toes is a common symptom. Sometimes this pain can become so severe, it can bring tears to a patient's eyes. Removing the shoe and rubbing the ball of the foot helps to ease the pain. As the nerve swells, it can be felt as a popping sensation when walking. Pain is intermittent and is aggravated by anything that results in further pinching of the nerve. When the neuroma is present in the space between the third and fourth toes, it is called a Morton's Neuroma. This is the most common area for a neuroma to form. Another common area is between the second and third toes. Neuromas can occur in one or both of these areas and in one or both feet at the same time. Neuromas are very rare in the spaces between the big toe and second toe, and between the fourth and fifth toes. Neuromas have been identified in the heel area, resulting in heel pain.

A puncture wound or laceration that injures a nerve can cause a neuroma. These are called traumatic Neuromas. Neuromas can also result following a surgery that may result in the cutting of a nerve.

Diagnosis

The diagnosis of Neuromas is made by a physical exam and a thorough history of the patient's complaint. Conditions that mimic the pain associated with Neuromas are stress fracture of the metatarsals, inflammation of the tendons in the bottom of the toes, arthritis of the joint between the metatarsal bone and the toe, or nerve compression or nerve damage further up in the foot, ankle, knee, hip, or back. X-rays are generally taken to rule out a possible stress fracture or arthritis. Because nerve tissue is not seen on an x-ray, the x-ray will not show the neuroma. A skilled foot specialist will be able to actually feel the neuroma on his exam of the foot. Special studies such as MRI, CT Scan, and nerve conduction studies have little value in the diagnosis of a neuroma. Additionally, these studies can be very expensive and generally the results do not alter the doctor's treatment plan. If the doctor on his exam cannot feel the neuroma, and if the patient's symptoms are not what is commonly seen, then nerve compression at another level should be suspected. In this instance, one area to be examined is the ankle.

Just below the ankle bone on the inside of the ankle, a large nerve passes into the foot. At this level, the nerve can become inflamed. This condition is called Tarsal Tunnel Syndrome. Generally, there is not pain at this site of the inflamed nerve at the inside of the ankle. Pain may instead be experienced in the bottom of the foot or in the toes. This can be a difficult diagnosis to make in certain circumstances. Neuromas, however, occur more commonly than Tarsal Tunnel Syndrome.

Treatment

Treatment for the neuroma consists of cortisone injections, orthotics, chemical destruction of the nerve, or surgery. Cortisone injections are generally used as an initial form of treatment. Cortisone is useful when injected around the nerve, because is can shrink the swelling of the nerve. This relieves the pressure on the nerve. Cortisone may provide relief for many months, but is often not a cure for the condition. The abnormal movements of the metatarsal bones continue to aggravate the condition over a period of time.

To address the abnormal movement of the metatarsal bones, a functional foot orthotic can be used. These devices are custom-made inserts for the shoes that correct abnormal function of the foot. The combination treatment of cortisone injections and orthotics can be a very successful form of treatment. If, however, there is significant damage to the nerve, then failure to this treatment can occur. When there is permanent nerve damage, the patient is left with three choices: live with the pain, chemical destruction of the nerve, or surgical removal or decompression of the nerve (see neuroma surgery).

 

Visit our website: http://www.anavianfootcare.com

Ingrown Toenails Treatment - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Ingrown Toenails - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA            

Dr. Robert Anavian discusses the symptoms, causes and treatments for Ingrown Toenails.

 http://www.anavianfootcare.com

Ingrown Toenails

Ingrown toenails are due to the penetration of the edges of the nail plate into the soft tissue of the toe. It begins with a painful irritation that often becomes infected. With bacterial invasion, the nail margin becomes red and swollen often demonstrating drainage or pus. In people who have diabetes or poor circulation, this relatively minor problem can be become quite severe. In this instance, a simple ingrown toenail can result in gangrene of the toe. Patients with joint replacements or pace makers are at risk of bacterial spread through the blood stream resulting in the spread of infection to these sites. These patients should seek medical attention at the earliest sign of an ingrown toenail. There are several causes of ingrown toenails: a hereditary tendency to form ingrown toenails, improperly cutting the toenails either too short or cutting into the side of the nail, and ill-fitting shoes can cause them. Children will often develop ingrown toenails as a result of pealing or tearing their toenails off instead of trimming them with a nail clipper. Once an ingrown toenail starts, they will often reoccur. Many people perform "bathroom" surgery to cut the nail margin out only to have it reoccur months later as the nail grows out.

Treatment

Treatment for ingrown toenails is relatively painless. The injection to numb the toe may hurt some, but a skilled doctor has techniques to minimize this discomfort. Once the toe is numb, the nail margin is removed and the nail root in this area is destroyed. Most commonly, the doctor will use an acid to kill the root of the nail, but other techniques are also available. It may take a few weeks for the nail margin to completely heal, but there are generally no restrictions in activity, bathing, or wearing shoes. Once the numbness wears off, there may be some very mild discomfort but rarely does this require pain medicine. A resumption of sports activities and exercise is generally permitted the following day.

There are very few complications associated with this procedure. Reoccurrence of the ingrown toenail can occur a small percentage of the time. Continuation of the infection is possible which can be controlled easily with oral antibiotics. On occasion, the remaining nail may become loose from the nail bed and fall off. A new nail will grow out to replace it over several months. With removal of the nail margin, the nail will be narrower and this should be expected.

To prevent ingrown toenails it is recommended to wear properly fitting shoes and to trim the toenails straight across and not too short.

 

Visit our website: http://www.anavianfootcare.com

Tuesday, November 22, 2011

Podiatrist Torrance, Palos Verdes, Redondo Beach, CA - Robert Anavian, DPM

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Podiatrist Torrance, Palos Verdes, Redondo Beach, CA - Robert Anavian, DPM

Meet Podiatrist Dr. Robert Anavian as he discusses foot care.

http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

Visit our website: http://www.anavianfootcare.com

 

Fungal Toenails - Podiatrist Torrance, Palos Verdes, Redondo Beach, CA

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Toenail Fungus - PodiatryTorrance, Redondo Beach, Palos Verdes, CA

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Dr. Robert Anavian discusses the symptoms, causes and treatments for Fungal Toenails.

 http://www.anavianfootcare.com

Fungal Toenails, Yellowed or Deformed Toenails

The most common cause of yellowed, thick and /or deformed toenails is a fungal infection of the toenail. The fungus that infects the nail, most commonly, is the same fungus that causes athletes foot. It tends to be slowly progressive, damaging the nail to a greater and greater degree over time. The infection usually starts at the tip of the nail and works its way back. It usually is not painful and often not noticed until it has gotten well established. A single toenail or any number of nails can be affected. It can also occur on just one foot. Over time, the nail becomes thickened, crumbly, and distorted in appearance. Sweaty feet contribute to the initial infection process and contribute to its spread. The fungus prefers an environment that is moist, dark, and warm, which is why it affects the toenails much more often than fingernails. It does not spread through the blood stream. The infection limits itself to the nails and skin. It is often found in association with areas of dry scaly skin on the bottom of the foot or between the toes. The dry scaling skin is frequently found to be chronic athletes' foot. It is not highly contagious, and family members are almost as likely to contract it from some other source as they are from the family member who has the infection. Keeping common showering areas clean is recommended, and sharing shoes should be avoided.

Diagnosis

Not all thicken or yellowed toenails are caused by a fungal infection. Injury to a toenail can cause the toenail to grow in a thickened or malformed fashion. This can be due to an established fungal infection or may be due to the damage caused to the nail root when it was injured. In these instances, treatment with anti-fungal medications will not correct the malformed nail. Other causes of thickened toenails are small bone spurs that can form under the toenail and psoriasis. Taking a scraping of the toenail and culturing it makes the diagnosis.

Treatment

It is best to treat the condition as soon as it is noticed. In early cases, over the counter medications may be sufficient. It is also important to treat any concomitant athlete’s foot that may be present. In more advanced cases, a prescription medication may be needed. There are effective topical and oral medications available for the treatment of fungal toenails. If sweating feet are a problem, changing shoes and socks during the day is recommended. There are some topical medications available that help to reduce the sweating of the feet. On occasion, your doctor may recommend removing the toenail.

Visit our website: http://www.anavianfootcare.com

Foot and Ankle Surgery - Podiatrist Torrance, Palos Verdes, Redondo Beach, CA

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Foot and Ankle Surgeon - Podiatrist Torrance, Redondo Beach, Palos Verdes, California

Dr. Robert Anavian discusses Foot and Ankle Surgery.

 http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

Visit our website: http://www.anavianfootcare.com

 

Monday, November 21, 2011

Diabetic Foot - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Diabetic Foot Care - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA                    

Dr. Robert Anavian discusses the symptoms, causes and treatments for Diabetic Feet.

 http://www.anavianfootcare.com

Tips for the Diabetic Patient

Ulcerations, infections and gangrene are the most common foot and ankle problems that the patient with diabetes must face. As a result, thousands of diabetic patients require amputations each year. Foot infections are the most common reason for hospitalization of diabetic patients. Ulcerations of the feet may take months or even years to heal. It takes 20 times more energy to heal a wound than to maintain a health foot.

There are two major causes of foot problems in diabetes:

  1. Nerve Damage (neuropathy): This causes loss of feeling in the foot, which normally protects the foot from injury. The protective sensations of sharp/dull, hot /cold, pressure and vibration become altered or lost completely. Furthermore, nerve damage causes toe deformities, collapse of the arch, and dry skin. These problems may result in foot ulcers and infections, which may progress rapidly to gangrene and amputation. However: Daily foot care and regular visits to the podiatrist can prevent ulcerations and infections.

 

  1. Loss of circulation (angiopathy): Poor circulation may be difficult to treat. If circulation is poor gangrene and amputation may be unavoidable. Cigarette smoking should be avoided. Smoking can significantly reduce the circulation to the feet significantly. There are certain medications available for improving circulation (Trental) and by-pass surgery may be necessary to improve circulation to the feet. Chelation therapy is an alternative form of treatment for circulatory problems that is not well recognized by the medical community at large. Daily foot care and regular visits to the podiatrist can often prevent or delay the need for amputation.

Do the Following to Protect Your Feet

1. Examine Your Feet Daily

·        Use your eyes and hands, or have a family member help.

·        Check between your toes.

·        Use a mirror to observe the bottom of your feet.

·        Look for these Danger Signs:

         Swelling (especially new, increased or involving one foot)
         Redness (may be a sign of a pressure sore or infection)
         Blisters (may be a sign of rubbing or pressure sore)
         Cuts or Scratches or Bleeding (may become infected)
         Nail Problems (may rub on skin, cause ulceration or become infected)
         Maceration, Drainage (between toes)

If you observe any of these danger signs, call your podiatrist at once.

2. Examine Your Shoes Daily

Check the insides of your shoes, using your hands, for:
         Irregularities (rough areas, seams)
         Foreign Objects (stones, tacks)

3. Daily Washing and Foot Care

·        Wash your feet daily.

·        Avoid water that is too hot or too cold. Use lukewarm water.

·        Dry off the feet after washing, especially between the toes.

·        If your skin is dry, use a small amount of lubricant on the skin.

·        Use lambs wool (Not cotton) between the toes to keep these areas dry.

4. Fitting Shoes and Socks

·        Make sure that the shoes and socks are not to tight

·        The toe box of the shoe should have extra room and be made of a soft upper material that can "breath"

·        New shoes should be removed after 5-10 minutes to check for redness, which could be a sign of too much pressure: if there is redness, do not wear the shoe. If there is no redness, check again after each half hour during the first day of use.

·        Rotate your shoes

·        Ask your podiatrist about therapeutic (prescription) footwear, which is a covered benefit for diabetic patients in many insurance plans.

·        Tell your shoe salesman that you have diabetes.

5. Medical Care

·        See your podiatrist on a regular basis

·        Ask your primary care doctor to check your feet on every visit.

·        Call your doctor if you observe any of the above danger signs.

Do Not Do These Dangerous Acts

  • Do Not Walk Barefoot - Sharp objects or rough surfaces can cause cuts, blisters, and other injuries.
  • Do Not Use Heat on the Feet - Heat can cause a serious burn, especially if the patient has neuropathy.
  • Do Not Apply a Heating Pad to the Feet
  • Do Not Soak Your Feet in Hot Water
  • Do Not Use Chemicals or Sharp Instruments to Trim Calluses - This could cause cuts and blisters that may become infected.
  • Do Not Cut Nails into the Corners - cut nails straight across.
  • Do Not Smoke - smoking reduces the circulation to your feet.

 

Visit our website: http://www.anavianfootcare.com

Dancer’s Foot Injuries - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Dancer’s Foot Problems - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA         

Dr. Robert Anavian discusses the symptoms, causes and treatments for Dancer’s Foot Problems

 http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

 

Visit our website: http://www.anavianfootcare.com

Custom Orthotics - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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What are Custom Orthotics?  - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses Custom Orthotics treatment for Foot Problems.

 http://www.anavianfootcare.com

Custom Made Orthotics

Custom made functional orthotics are one of the most valuable tools available in podiatry to combat foot pain and keep patient's active and pain free. Many times, custom made orthoses help patients avoid the need for more invasive treatments like surgery. The type of orthotics that are made by this office are unlike anything you can buy in a store. Our orthotics are custom made from an actual mold of your foot. In addition, the amount of correction in the orthotic is based on extensive measurements taken during your exam, analysis of your gait, and from your X-ray findings. The type of material used is also based on your foot condition, age, weight and symptoms. The ones bought over the counter or in specialty stores are the same for everyone.

We currently have been making a new type of custom made orthotic which is the most advanced on the market. This new type of orthotic gives full contact to the arch. These orthotics are unlike any others in that they are Calibrated to your body weight and flexibility. These orthotics are the most advanced on the market and we have found they are not only helping our patients foot pain, but also helping with their knee, leg and low back pain as well.

Custom Made Orthotics may help with the following conditions:

  • Achilles Tendonitis
  • Arch and Heel pain
  • Bunions
  • Hammertoes
  • Knee Pain
  • Low Back Pain
  • Neuromas
  • Protect Diabetic Feet
  • Shin Splints
  • Tarsal Tunnel Syndrome

Frequently Asked Questions:

Question 1: I have seen orthotics in stores and advertised on T.V., Why should I have custom made orthotics?

Answer: Over the counter orthotics are the same for everyone. They are based on shoe size. Any one with the same shoe size wears the same orthotic. Our orthotics are custom made to you, no one else could wear your orthotic. They are calibrated to your weight, your flexibility and designed to alleviate the problems you are having.

Question 2: Why should a Podiatrist make my orthotics?

Answer: A Podiatrist is uniquely qualified in this field. Podiatrists have extensive training in Biomechanics. A Podiatrist can prescribe an orthotic that will help with your problems. Also, a Podiatrist will be able to determine when other treatments may be needed in addition to orthotics. A Podiatrist will be better able to keep you active and on your feet.

Question 3: Why are custom made orthotics more expensive than the kind you find in stores?

Answer: Custom made orthotics are made to an actual mold or model of your foot. Also, Custom made orthotics are made from much better materials. Custom made orthotics will last much longer because of this. In addition, they will be just as corrective a year after you get them as on the first day. The kind you buy in stores wear out very quickly, after wearing for only one week, they will have already started to flatten out. A custom made orthotic will last for many years. In the long run, custom made orthotics are a great value.

Question 4: I have painful bunions and I do not want surgery at this time, will custom made orthotics help?

Answer: For most patients the answer is Yes. Custom made orthotics will not make your bunion smaller, but they will improve the function of the big toe joint. For most patients this will mean that their bunion pain gets much better and sometimes is completely resolved.

Question 5: Can I run and do sports in my orthotics?

Answer: Yes! Runners and all types of athletes find that orthotics help greatly with sports. They lessen fatigue and help prevent injuries.

Question 6: Can I wear the same orthotic for sports and everyday use?

Answer: Yes, most patients transfer their orthotic from their daily shoes to their athletic shoes. Some patients who are very active in a particular sport prefer to have a pair made just for that sport.

Question 7: Will my health insurance cover my orthotics?

Answer: Many insurance companies do cover orthotics. Coverage is based on your policy and diagnosis. Our office can help you in determining if orthotics are a covered service.

Visit our website: http://www.anavianfootcare.com

 

Bunions - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Bunion Treatment - Podiatrist Torrance, Redondo Beach, Palos Verdes, California

Dr. Robert Anavian discusses the symptoms, causes and treatments for Bunions.

 http://www.anavianfootcare.com

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A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Visit our website: http://www.anavianfootcare.com

 

Ankle Sprain - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Ankle Sprain - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Dr. Robert Anavian discusses the symptoms, causes and treatments for Ankle Sprain.

 http://www.anavianfootcare.com

Ankle Sprains in the Runner

Ankle sprains are one of the most common joint injuries runners experience. The injury can occur when one rolls over a rock, lands off a curb, or steps in a small hole or crack in the road. Usually the sprain is only mild, but on occasion it may seriously injure the ligaments or tendons surrounding the ankle joint. Management of this injury relies on early and accurate diagnosis, as well as an aggressive rehabilitation program directed toward reducing acute symptoms, maintaining ankle stability, and returning the runner to pre-injury functional level.

General Anatomy of the Ankle

The ankle is comprised of three main bones: the talus (from the foot), the fibula and tibia (from the lower leg). The three bones together form a mortise (on the top of the talus), as well as two joint areas (on the inside and outside of the ankle), sometimes called the "gutters". The ankle is surrounded by a capsule, as well as tissue (the synovium) that feed it blood and oxygen.

Some of the more important structures that hold the ankle together are the ankle ligaments.

Most ankle sprains involving the ligaments are weight bearing injuries. When a runner's foot rolls outward (supinates) and the front of the foot points downwards as he or she lands on the ground, lateral ankle sprain can be a result. It is usually this situation that causes injury to the anterior talo-fibular ligament. However, when the foot rolls inwards (pronates) and the forefoot turns outward (abducts), the ankle is subject to an injury involving the deltoid ligament that supports the inside of the ankle. This can occur when another runner steps on the back of the ankle, as at the beginning of a race, or when a runner trips and falls on the runner in front of him.

Diagnosis

When assessing an ankle sprain, your podiatrist will want to know the mechanism of injury and history of previous ankle sprains. Where the foot was located at the time of injury, "popping" sensations, whether the runner can put weight on the ankle are all important questions needing an answer. If past ankle sprains are part of the history, for example, a new acute ankle sprain can have a significant impact.

The physical examination should confirm the suspected diagnosis, based on the history of the injury. One looks for any obvious deformities of the ankle or foot, black and blue discoloration, swelling, or disruption of the skin. When crackling, extreme swelling and tenderness are present, together with a limited range of motion, one may suspect a fracture of the ankle. A feeling of disruption on either the inside or the outside of the ankle may indicate a rupture of one of the ankle ligaments.

To check for ankle instability, the runner should be evaluated while weight bearing. Manual muscle testing is also valuable when checking for ankle instability. One of the more critical tests that a runner should be able to perform before allowing resumption of activity is a "single toe raise" test. If the runner is unable to do this, one might suspect ligamentous injury or ankle instability.

X-rays help rule out fractures, "fleck fractures" inside the ankle joint, loose bodies, and/or degenerative joint disease (arthritis). Stress X-rays are taken when ligamentous rupture or ankle instability is suspected. When a stress test is taken of your ankle, don't be surprised if the same test is performed on the other ankle. This is done to compare the two ankles, particularly in cases of ligamentous laxity (loose ligaments).

In the past, more commonly, ankle arthrography has been used. This involves injecting a dye into the ankle joint as it is X-rayed. This helps determine if a rupture of a ligament or tear of the ankle capsule has occurred. However, this procedure does involve some discomfort during the injection process, and, on rare occasions, an allergy to the dye occurs.

Other diagnostic tests include computerized tomography (CT Scan) to discover injuries of the bone, and magnetic resonance imaging (MRI) to isolate and diagnose specific soft tissue injuries (ligaments, tendons, and capsule). The MRI is very specific, and gives a clear-cut view of these important structures.

Treatment

Treatment of an acute ankle injury usually begins with an aggressive physical therapy program that controls early pain and inflammation, protects the ankle joint while in motion, re-strengthens the muscles, and re-educates the sensory receptors to achieve complete functional return to running activity.

Modalities that decrease pain and control swelling include icing, electrical nerve stimulation, ultrasound, and/or iontophoresis patches. Easy, mild motion, with the limits of pain and swelling, can actually reduce the effects of inflammation. A continued passive motion (CPM) machine can be very helpful in decreasing pain and swelling.

Resumption of running activity is usually dependent on the runner's limits of pain and motion, and is begun to tolerance. As the runner improves, diagonal running can be prescribed. It is important to protect the runner with braces such as air casts, ankle braces, etc., which help to allow motion at the ankle joint under weight bearing.

Home exercise programs are very helpful for the post-ankle sprain runner. Proprioception re-education is critical for both the acute as well as the chronic ankle sprain. It may involve using a simple tilt board or more sophisticated proprioceptive training and testing devices.

For the acute grade III lateral ankle sprain, or complete deltoid tear, complete immobilization is usually recommended for at least four weeks. Afterwards, a removable cast is used to restrict motion and allow for physical therapy. If the ankle does not respond and ankle instability is diagnosed, surgical intervention may be required.

Today, ankle arthroscopy a much less invasive procedure than other surgery, allows the ligament to be stabilized with tissue anchors. This eliminates an extended period of immobilization, joint stiffness and muscle atrophy. Post-operatively, this primary ligament repair is protected for approximately a two-to three-week period of time in either a cast or removable cast boot, with daily-continued passive motion, cold therapy, and controlled exercise.

At three weeks, a simple air cast or ankle brace is applied for an additional three weeks while therapy and rehabilitation is progressing. At six weeks, these devices are used only during running and other athletic activity as a safeguard. As the runner resumes strength and proprioceptive capabilities, the devices are discontinued.

Conclusion

When an acute or chronic ankle sprain is not treated, as unfortunately is all too often the case, repeated ankle sprains may occur. Because chronic ankle injuries do not show acute inflammation even when the ankle is weak and unstable, this may set the runner up for another ankle sprain when least suspected. A successive sprain may be more severe than the first, and cause an even more significant injury.

The most important point to keep in mind when talking about ankle injuries, then, is to prevent the condition from becoming chronic or recurrent.

So the next time you roll over that stone, or land in that small hole, make sure that your simple ankle sprain is just that: "simple".

If you don't want to have a swollen ankle all the time while running, don't ignore early warning signs. If you have any doubts about its seriousness, have your podiatrist check your injury.

Visit our website: http://www.anavianfootcare.com

Tuesday, November 8, 2011

Ingrown Toenails Laser Treatment - Austin, TX Podiatrist

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Austin, TX Podiatrist - Laser Treatment Ingrown Toenail

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Dr. Gary Prant discusses Laser Treatment for Ingrown Toenails.

http://www.arborfoot.com

Cure Foot Pain in North Austin

Foot pain comes from many sources. Learn about your foot condition and allow North Austin's Arbor Foot Health Center to provide a cure or treatment returning you to health and activity.

Cure Ingrown Toenails for Good

Laser treatment can prevent stubborn ingrown toenails.

Ingrown toenails are caused when a hard toenail grows into soft skin, usually at the sides of the nail.  The most common causes of ingrown toenails are tight shoes, improper cutting of toenails, trauma to the toenail, pregnancy, and the natural shape of the toenail. If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection.  Signs of infection include drainage, a foul odor, pain, welling, and redness.  

We know this hurts badly, and can worsen quickly. We offer same- or next-day appointments for all patients needing ingrown toenail care. We cure patients swiftly, often with a pain-free laser treatment that prevents the spread of infection and the return growth of the ingrown nail.

  Dr. Gary Prant is uniquely qualified to solve your ingrown toenail problem.  In addition to being Board Certified in Foot Surgery, he is one of the very few Austin podiatrists with extensive experience using the microscopic carbon dioxide laser for ingrown toenails.  The laser prevents the spread of infection commonly caused by ingrown toenails and provides outstanding results. 

  There is no extra charge to use carbon dioxide laser and our office guarantees the results.  If an ingrown toenail removed with the laser ever returns, we will treat it free of charge. 

Children are often treated with the laser and pediatricians all over Austin frequently refer their pediatric patients to us for long-term treatment of recurring ingrown toenails.

Fast action prevents excruciating pain!

Call Arbor Foot Health Center: 512-335-1800.

Visit our website: http://www.arborfoot.com

Monday, November 7, 2011

Treatment of Heel Pain - Cheyenne, WY Podiatris

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Heel Pain Treatment - Cheyenne, WY Podiatris

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Dr. Michael More discusses the symptoms, causes and treatments Heel Pain.

Heel Pain

Heel Pain Has Many Causes
In our pursuit of healthy bodies, pain can be an enemy. In some instances, however, it is of biological benefit. Pain that occurs right after an injury or early in an illness may play a protective role, often warning us about the damage we've suffered.

When we sprain an ankle, for example, the pain warns us that the ligament and soft tissues may be frayed and bruised, and that further activity may cause additional injury.

Pain, such as may occur in our heels, also alerts us to seek medical attention. This alert is of utmost importance because of the many afflictions that contribute to heel pain.

Heel Pain
Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.

The heel bone is the largest of the 26 bones in the human foot, which also has 33 joints and a network of more than 100 tendons, muscles, and ligaments. Like all bones, it is subject to outside influences that can affect its integrity and its ability to keep us on our feet. Heel pain, sometimes disabling, can occur in the front, back, or bottom of the heel.

Heel Spurs
A common cause of heel pain is the heel spur, a bony growth on the underside of the heel bone. The spur, visible by X ray, appears as a protrusion that can extend forward as much as half an inch. When there is no indication of bone enlargement, the condition is sometimes referred to as "heel spur syndrome."

Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity.

Plantar Fasciitis
Both heel pain and heel spurs are frequently associated with an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot. The inflammation is called plantar fasciitis. It is common among athletes who run and jump a lot, and can be quite painful.

The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where it attaches to the heel bone.

The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area, and by the chronic irritation that sometimes accompanies an athletic lifestyle.

Resting provides only temporary relief. When you resume walking, particularly after a night's sleep, you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk, the heel pain may lessen or even disappear, but that may be just a false sense of relief. The pain often returns after prolonged rest or extensive walking.

Excessive Pronation
Heel pain sometimes results from excessive pronation. Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern.

As you walk, the heel contacts the ground first; the weight shifts first to the outside of the foot, then moves toward the big toe. The arch rises, the foot generally rolls upward and outward, becoming rigid and stable in order to lift the body and move it forward. Excessive pronation—excessive inward motion—can create an abnormal amount of stretching and pulling on the ligaments and tendons attaching to the bottom back of the heel bone. Excessive pronation may also contribute to injury to the hip, knee, and lower back.

Disease and Heel Pain
Some general health conditions can also bring about heel pain.

  • Rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint, can cause heel discomfort in some cases.
  • Heel pain may also be the result of an inflamed bursa (bursitis), a small, irritated sack of fluid; a neuroma (a nerve growth); or other soft-tissue growth. Such heel pain may be associated with a heel spur, or may mimic the pain of a heel spur.
  • Haglund's deformity ("pump bump") is a bone enlargement at the back of the heel bone, in the area where the Achilles tendon attaches to the bone. This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe, and can be aggravated by the height or stitchng of a heel counter of a particular shoe.
  • Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendonitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.
  • Bone bruises are common heel injuries. A bone bruise or contusion is an inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
  • Stress fractures of the heel bone also can occur, but these are less frequent.

Children’s Heel Pain (Calcaneal Apophysitis)
Heel pain can also occur in children, most commonly between ages 8 and 13, as they become increasingly active in sports activity in and out of school. This physical activity, particularly jumping, inflames the growth centers of the heels; the more active the child, the more likely the condition will occur. When the bones mature, the problems disappear and are not likely to recur. If heel pain occurs in this age group, podiatric care is necessary to protect the growing bone and to provide pain relief. Other good news is that heel spurs do not often develop in children.

Prevention
A variety of steps can be taken to avoid heel pain and accompanying afflictions:

  • Wear shoes that fit well — front, back, and sides — and have shock-absorbent soles, rigid shanks, and supportive heel counters.
  • Wear the proper shoes for each activity.
  • Do not wear shoes with excessive wear on heels or soles.
  • Prepare properly before exercising. Warm up and do stretching exercises before and after running.
  • Pace yourself when you participate in athletic activities.
  • Don’t underestimate your body's need for rest and good nutrition.
  • If obese, lose weight.

Podiatric Medical Care
If pain and other symptoms of inflammation—redness, swelling, heat—persist, you should limit normal daily activities and contact a doctor of podiatric medicine.

The podiatric physician wiil examine the area and may perform diagnostic X rays to rule out problems of the bone.

Early treatment might involve oral or injectable anti-inflammatory medication, exercise and shoe recommendations, taping or strapping, or use of shoe inserts or orthotic devices. Taping or strapping supports the foot, placing stressed muscles and tendons in a physiologically restful state. Physical therapy may be used in conjunction with such treatments.

A functional orthotic device may be prescribed for correcting biomechanical imbalance, controlling excessive pronation, and supporting of the ligaments and tendons attaching to the heel bone. It will effectively treat the majority of heel and arch pain without the need for surgery.

Only a relatively few cases of heel pain require more advanced treatments or surgery. If surgery is necessary, it may involve the release of the plantar fascia, removal of a spur, removal of a bursa, or removal of a neuroma or other soft-tissue growth.

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