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Posts for category: Foot Care

By JAY MERMELSTEIN, DPM
March 23, 2020
Category: Foot Care

There are 52 bones in your feet and ankles, which means that feet contain about 25 percent of the bones in our bodies. Our feet also contain about 20-25 percent of the total joints in our body; therefore, it’s not too surprising to find out that your feet and ankles are unfortunately more likely to deal with tendon and joint pain at some point, whether through injury or certain conditions such as arthritis. When pain and other foot problems arise it’s important that you have a podiatrist you can turn to.

Common Causes of Tendon and Joint Pain in the Feet

Tendons are soft tissues that connect the muscles to the bones. Everything from overuse and foot injuries to structural imbalances can lead to pain. Common causes of tendon and joint pain include:

  • Tendonitis: inflammation of the tendon caused by injury or overuse
  • Sprains and strains: a common but usually minor foot and ankle injury, typically caused by physical activity
  • Arthritis: a chronic, progressive condition that leads to joint pain, stiffness, and damage (osteoarthritis is the most common type of arthritis to affect feet and ankles)
  • Obesity: being overweight or obese can also put excessive pressure on the joints and tendons of your feet and ankles, leading to pain and other problems

Treating Tendon and Joint Pain

Visiting a podiatrist is the best choice you can make if you are dealing with severe, persistent, or new foot and ankle pain. Since some conditions can get worse without proper care and rest it’s important to find out what’s causing your pain so you know how to effectively treat it.

If you are dealing with pain caused by a sports injury or strain it’s a good idea to see a medical professional so you know the extent of the injury. More severe sprains may require protective boots or crutches to reduce the amount of weight being placed on the injured ankle or foot.

Arthritis is also a surprisingly common cause of foot pain. If you notice joint pain and stiffness that affects functionality, range of motion and mobility in your feet then you could be dealing with arthritis. Since arthritis can get worse without treatment, it is important that you work with your pediatrician and a team of medical professionals to determine the best medications and course of action to help manage your foot pain and to prevent permanent joint damage.

If you are experiencing foot pain it’s important to see a qualified medical professional that can determine the best way to treat your symptoms. Call your podiatrist today for a comprehensive evaluation.

By JAY MERMELSTEIN, DPM
March 05, 2020
Category: Foot Care

Did you know that the metatarsals, or bones in the foot, are the most commonly broken bones in the human body? These long bones run the length of the foot and a fractured metatarsal means that there is a break in at least one of these five bones (the fifth metatarsal is the most commonly fractured metatarsal bone). If you suspect that you’ve broken a bone in your foot it’s important that you see a podiatrist right away.

Broken metatarsals most commonly occur as a result of a sports injury; however, this fracture can also occur over time due to overuse and wear (this is commonly known as a stress fracture). Dropping a heavy item on the foot or experiencing a bad fall can also cause broken metatarsals. Signs and symptoms of a broken toe caused by trauma to the foot include:

  • Hearing a snapping or popping sound at the moment of injury
  • Severe and sudden pain in the toe immediately after impact or trauma
  • Bruising or swelling of the toe (this may not appear until the day after the injury)
  • Changes in the alignment or appearance of your toe

Symptoms of a stress fracture will be a bit different from traumatic fractures. Since stress fractures occur over time as a result of overuse you may start to notice foot pain with your routine activities or pain that goes away with rest but is exacerbated by physical activity. A metatarsal that has sustained a stress fracture may also be tender to the touch.

Some people assume that if they can walk on their foot then they must not be dealing with a broken metatarsal, but this is simply not true. This is why it’s always best to play it safe and to schedule an immediate evaluation with a foot and ankle specialist if you have experienced a traumatic foot injury that you suspect has led to one or more broken metatarsals. Not treating the broken bone could lead to certain deformities, which can greatly impact mobility. You may also experience chronic pain or be at an increased risk for arthritis.

Treating Broken Metatarsals

Common ways to treat a traumatic fracture include rest, splinting, or tapping toe affected toe, custom-made shoe inserts and wearing rigid footwear such as a special boot or shoe that provides the foot with protection, support, and cushioning.

If the break is severe enough your podiatrist may recommend surgery, but surgery is rarely necessary for treating broken toes. Those with stress fractures will want to avoid any activity that causes repetitive stress on the foot, to prevent the stress fracture from getting worse.

If you are experiencing symptoms of a broken bone after a fall, accident or injury then it’s time to schedule an immediate appointment with a podiatrist. The sooner you seek treatment the sooner you can begin your road to recovery.

By JAY MERMELSTEIN, D.P.M.
May 31, 2019
Category: Foot Care
Tags: Diabetic Feet  

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

  1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
  2. Wash and dry your feet daily.
  3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
  4. Wear shoes at all times--even indoors--to avoid injury.
  5. Wear clean, well-fitting, moisture-wicking socks.
  6. Keep your weight and blood sugars within normal range.
  7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
  8. Avoid all forms of tobacco.
  9. Report any changes to your foot doctor as soon as possible.
  10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

By JAY MERMELSTEIN, D.P.M.
May 03, 2019
Category: Foot Care
Tags: Bunions   Bunion Surgery  

A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.

A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.

The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:

  • Taking over-the-counter NSAIDs
  • Icing the bunion for up to 15 minutes at a time, 2-3 times a day
  • Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
  • Splinting or taping the foot to improve the structural alignment
  • Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
  • Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
  • Avoiding certain activities and sports that could exacerbate your condition

For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.

When should someone consider bunion surgery?

As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:

  • Your bunion is large and makes it difficult to wear shoes
  • Your bunion pain is severe and chronic
  • You have trouble walking or moving around because of your bunion
  • Your bunion is affecting your quality of life

It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.

By JAY MERMELSTEIN, D.P.M.
April 03, 2019
Category: Foot Care
The human foot and ankle contain 33 joints, 26 bones and over 100 tendons, ligaments and muscles. While all of these parts of the foot should work together, there are certain conditions, injuries and diseases that can affect the health and functioning of your foot or ankle. There are many instances in which you should turn to a podiatrist for individualized care that you can trust time and time again.
 
From routine visits to managing long-term conditions to surgery, a podiatrist is equipped to treat just about everything. Here are some foot issues that could benefit from coming in for specialized care:
  • Plantar fasciitis
  • Achilles tendinitis
  • Heel pain
  • Ankle sprains and fractures
  • Foot fractures
  • Sports-related injuries
  • Bunions and hammertoes
  • Corns and calluses
  • Diabetic foot care
  • Fungal infections
  • Ingrown toenails
  • Heel spurs
Our number one goal is to provide you with the relief that you need. Whether you are suffering from heel pain or you think your feet could benefit from prescription orthotics, a podiatrist can help determine the best course of action for treating your issues. When you come into our office we will always have a listening ear, so that we understand your questions and concerns. 
 
We also like to provide our patients with the very latest and greatest technologies and techniques. We understand the importance of options and being able to provide laser treatments and other non-surgical therapies to treat conditions is important to our patients. Whether you are an athlete or 9-5er, we treat clients with a host of different needs, lifestyles and issues. Everyone from children to senior citizens can benefit from the unique and customized foot care a podiatrist offers.
 
We are here to help diagnose, treat or manage your foot condition. If you are dealing with foot or ankle problems contact your podiatrist for help.