Overcoming Bunions

X-ray (Photo credit: Wikipedia)

A bunion is a deformity of the big toe and can occur on one foot or both. It occurs when the big toe deviates from a normal growth process toward the other toes. This then forms a bony growth at the base of the big toe. If the deformity is allowed to continue untreated it begins crowding the other toes and can become quite painful. Bunions can cause other complications, like hammertoes.

Bunions may respond to conservative treatment if they are diagnosed early. A change of shoes would normally be required to accommodate the bunion and keep pressure off the area. You could wear a  pair of sandals that is non-restrictive. However, other options may include:

• Customized or pre-fabricated orthotics
• A bunion sleeve
• Anti-inflammatory medications
• Injections of steroidal medications

Treatment options for bunions depend on your individual case. If you lead an active life-style and the pain has become unbearable, Dr. Blaakman may suggest surgery. There are various surgical options available and Dr. Blaakman would again take into consideration your exact circumstances. Dr. Blaakman would discuss these options with you.

Surgical removal of a bunion is referred to as a bunionectomy and is usually only performed if your bunions hamper your day to day activities. A bunionectomy involves removal of the bone and swollen tissue around the big toe joint. The toe then undergoes straightening and realignment before the incision is closed. The more mild the case of bunions, the lesser the tissue damage at the time of surgery. This may hasten the recovery period somewhat. The decision made to have bunion surgery should not be taken lightly. There is a six to eight week recovery period during which time a special shoe, boot or cast may have to be worn. You may also have to probably miss several weeks of work while the foot heals.

Bunion surgery is not without possible risks of pain, infection or nerve damage, and since bunions have some genetic link, they can possibly reoccur.

If you show signs near the base of the big toe joint you may be developing a bunion.  Symptoms  include:

• Redness
• Swelling
• Development of corns and callouses
• Pain

Please contact Dr. Blaakman at (877) 941-FEET (3338) for an evaluation and to discuss treatment options. As with most foot conditions, early diagnosis is a key element in treatment success.

References:

http://www.surgeryencyclopedia.com/A-Ce/Bunionectomy.html

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The Doctor and the Physical Therapist

(Photo credit: Wikipedia)

The primary concern of the podiatrist should be treating the injury, and seeing to the comfort and care of the patient. If rehabilitative services are needed, this would be done by a physical therapist. There is no way to predict the number or frequency of visits that it may require for a patient to recover full use after sustaining an injury, but the primary goal of the physical therapist is to see that function is restored. Some foot and ankle specialists operating state of the art facilities may have affiliation with a physical therapist at their location. This is usually provided for patient convenience so that patients can receive all required services at one location.

Athletes usually appreciate referrals to physical therapists. They know that treatment by a therapist will expedite their recovery and restore their function to pre-injury condition more quickly. The back yard sports enthusiast, or adolescent playing high school sports, may not have that luxury. Insurance benefits may be limited to what coverage is provided, so they may need to spend their available dollars more wisely.

From the perspective of a person on the outside, looking in, the relationship between a podiatrist and physical therapist may be somewhat simplistic in its appearance. The doctor might be the equivalent of a head coach, calling the plays from the sidelines, and the physical therapist is the quarterback, provided with the knowledge, necessary to execute the play.

If you have sustained a foot or ankle injury, make no mistake about it, the doctor is calling the shots. It is his knowledge and diagnostic expertise that is getting to the root of the problem. He may then need to refer his patient to a physical therapist who will carry out his prescription and instructions pertaining to physical therapy that provides the quickest path to recovery for the patient. Call Dr. Blaakman at (877) 941-3338 (feet) if you are having a foot or ankle problem that requires treatment. His knowledgeable staff is there to answer any questions you may have to get you on the fastest road to recovery.

Visit Dr. Blaakman’s website, http://www.upstatefootcare.com/ for more information about the services he provides.

References:

http://www.physicaltherapyschdy.com/ASP_Pages/podiatry.asp
http://www.aapsm.org/plantar_fasciitis.html
http://www.podiatrytoday.com/article/6946?page=1

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Vascular Testing - A Roadmap of Blood Flow

Blood pressure measurement. (Photo credit: Wikipedia)

If you are one of the millions of Americans who suffer from circulatory problems, chances are you have already had some form or vascular testing. A vascular test is a non-invasive procedure used to detect blockages or diseases in the arteries.  It provides the doctor with road map type guidance of the overall health of your circulatory system.

There are several different procedures used that can assist your doctor in determining the location of blockage, and the degree or severity of the blockage. This is a helpful tool for the doctor when a patient must undergo surgery. Different forms of testing include: doppler, photoplethysmograph (PPG), ankle-arm index/ankle-brachial index, toe pressures and angiography.

• Doppler - this test is conducted by placing a probe over the blood vessel being tested and uses sound waves to read the blood flow. How quickly the sound waves bounce back to the probe indicates the level of blockage. The probe is directed at red blood cells. The greater the blockage, the slower the cells are moving through the blood vessel. This is then printed to a machine and used for comparison with normal vessels. This test is painless, and the patient who can benefit from it includes smokers, diabetics, elderly and anyone suffering from circulatory concerns.

• Photoplethysmograph - is a test that works similar to the doppler. However, instead of major blood vessels, it measures the health of tiny blood vessels by directing the probe at the tips of the toes. This is another non-invasive and painless test.

• Ankle-Arm/Ankle-Brachial Index - is a test that measures blood flow toward the foot. This test is done on major vessels, and uses blood pressures taken on each arm and ankle for ratio comparison. Differences indicate impeded blood flow.

• Toe Pressures - are similar to blood pressure tests for the toes. If a large discrepancy exists, it indicates presence of disease or blockage.

• Angiography - is a test that uses injectable dye that is then read by a special machine. When less dye is visible, blockage is indicated. This test is useful in determining the amount and location of blockage.

Any of these tests can be used by Dr. Blaakman to assist him in his evaluation. These tests are especially important if you suffer from diabetes or some other circulatory concerns that involve your feet. If you are facing the possibility of surgery and have questions about the tests, call Dr. Blaakman at (877) 941-3338. He can explain details of these procedures. More information on vascular testing will soon be available on his website.

References:

http://www.footdoc.ca/www.FootDoc.ca/Website%20Vascular%20Testing.htm

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Diabetic Neuropathy - Danger Lurks Behind Every Sensation You Are Not Feeling

(Photo credit: Wikipedia)

It can’t be stressed enough - good foot care is vital to your health and overall well-being. Just ask someone who has impeded mobility due to a foot or ankle injury or the athlete who is sidelined. The verdict is in - foot and ankle pain or injury is darn inconvenient to say the least. Those in reasonably good health can usually take precautions and preventive measures and a lot of time just knowing what to do and when to do it can save costly trips to the doctor because it can be treated at home. People who suffer from diabetes, though, are not so lucky. When you have diabetic neuropathy every little condition, and injury becomes a potential hazard to your health.

Diabetic neuropathy is damage to nerves due to blood sugar levels being too high, which is caused by diabetes. Nerve damage will affect about half of all people with diabetes, although symptoms may be slow to appear. Symptoms vary and may affect different parts of the body. One location commonly affected is arms and legs and sensation from tingling to deep pain may be experienced. As damage to the nerves continues, sensation decreases due to poor circulation. This is where the danger really begins. Because of the loss of feeling, you may not feel objects you step on, know you have an open wound or realize you have no concept of heat, and actually burn yourself. An untreated wound may result in an infection and with poor circulation the body’s ability to heal itself is greatly diminished. Neuropathy may also mask other things going on in the body such as the pain that functions as early warning of heart attack.

Every person who has diabetes needs to be seen at least annually, more often if warranted. A thorough foot examination should be done each time you visit your doctor. Dr. Blaakman can help diffuse problems with early detection and he can teach you to be more aware of your own feet.  Conduct a daily foot exam and make it routine.

Call Dr. Blaakman at (877) 941-3338 for a comprehensive foot examination. Make sure you are writing down all your questions about diabetic neuropathy.  Arm yourself for survival with good information and work at controlling your blood sugar.

References:

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001713/
http://www.mayoclinic.com/health/diabetic-neuropathy/DS01045/DSECTION=symptoms

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Here Come the Summertime Warriors

Marahon shoes (Photo credit: Wikipedia)

With the first 90 plus degrees of the summer, it’s great to be out there to reacquaint yourselves with the outdoors and get back into shape. Constant beach weather is just around the corner, so you’ll want to get rid of that mid-line flab and show off those six packs. It doesn’t matter what your favorite outdoor pursuit is - just do it!

However, it’s important to start slow and gradually condition yourself. You don’t have to run a race this week, and while you might have quite a ways to go, you have don't have to rush your conditioning. It is impossible to emphasize enough the importance of a slow and reasonable pace when it comes to starting any exercise program. You can’t just start out making outrageous demands on the body without risking a serious injury.  Regardless of the exercise you choose, there are certain to be pre-requisites for consideration. 

Do you have the appropriate footwear to take you where you want to go? 

Whether you are cycling, kayaking, running or swimming, there are shoes designed to meet your specific needs. Even within the sport you choose, there may be options for shoes. You need to make sure you are purchasing footwear at a dealer who specializes in that sport. They have the product knowledge and expertise to guide and fit you.

Making sure you have appropriate footwear is almost half the battle. It can save a lot of pain and problems for your feet.  But remember that conditioning and warm up are just as important. You need to plan 10 minutes of stretching and warm up exercises prior to your chosen activity. This is your opportunity to talk to your body and advise it on what you are going to ask it to do. Warm and gently stretched muscles are far less likely to become injured than cold tight muscles. So take the time and get loose.  You also should modify your program if the heat index reaches 90.  Take frequent water breaks or save exercise for the early morning, or evening, when the temperature is a bit more agreeable.

If you find that you have somehow caused an overuse injury, call Dr. Blaakman at (877) 941-3338. If you are in pain, rather than give up the exercise program, let Dr. Blaakman put his experienced hands to work. Remember to ask him all of your questions about conditioning for your favorite sport. He can help you avoid the strains, sprains and fractures commonly associated with ramped up physical fitness programs.

Also, you can like us on Facebook for more updates on foot and ankle news! Check out our Duncan office and Gaffney office Facebook pages!

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It Used To Be Wet Shoes Were Ruined Shoes

Canoe-kayak-marathon (Photo credit: Wikipedia)

Years ago it used to be a kid had one pair of shoes. Two pair perhaps if they were from an affluent family, one pair for the work week and one for Sunday worship.  No wonder it was so often heard, “Don’t get your shoes wet.”  Wet shoes meant cracked leather and that shortened the usefulness of a pair of shoes.

Time marches on and things change. Now a person probably has five or six pair available to them or perhaps more. Shoes are becoming highly specialized. It’s almost like there is a pair for every function and keeping shoes dry is a thing of the past because there are shoes designed specifically to get wet - water shoes. Even water shoes are becoming specialized to the point where they may have multiple pair. Water shoes are designed with specialized mesh linings for quick drying and channeling systems that allow water to flow out of the shoes. Under what circumstances would you choose water shoes?  Well, to wear around the deck of a pool. This may be done for different reasons such as foot protection from injuries, traction to prevent slip and fall injuries or hygienic purposes. There are even shoes designed with specific water sports in mind, such as kayaking.

When kayaking, you should consider the weather and performance demands of the shoes.  A water sandal is good if the weather is warm because they allow for drainage and quick dry, while providing some protection for the foot. They have a snug fit and not a lot of straps to get tangled. Water booties are a better choice if the water is cold. They help keep the feet warm, have zippered or hook and loop closures to adjust for a snug fit. Serious kayakers may choose water boots that offer protection from water and cold all the way up to your knees.

If you need a shoe to take you close to the pools edge, you may wish to try something like Crocs. It gives you a little something to prevent slip, falls and keep your feet off the pool deck so your feet are away from fungus.  However, if you are in the pool for an aqua class and are going to be moving a lot, try a sneaker type shoe that offers a bit of support, stability and protection from impact. Then, hit the water’s edge. There isn’t anything more refreshing than a quick dip, when the mercury rises.

Water shoes offer protection at times when other shoes aren’t appropriate, but if an accident or injury occurs, contact Dr. Blaakman at (877) 941-3338. He provides caring and compassionate full service podiatric care to help keep you active.

References:

http://www.galttech.com/research/sports/best-water-shoes.php
http://www.livestrong.com/article/427103-good-water-shoes-for-kayaking/

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Hot Tips To Protect Your Cool Feet

Flip Flops, Blue (Photo credit: Wikipedia)

Spring break is behind us now and school will let out shortly - if not already!  The lazy days of summer are stretching out before you, just begging you to come outside and play. If you’re like everyone else, this will probably mean some time out of shoes, maybe running on the beach or just wriggling toes in the sand. Whatever your pastime, let’s just take a couple of minutes and talk about foot protection over the summer.

• Pay special attention to your leather sneakers. Perspiration causes the damp warm dark environment in shoes that toenail fungus loves. And although shoes are a good thing for protecting your feet from lacerations and other injuries, toenail fungus is a hidden danger. Light and fresh air are natural enemies of fungus. Keep your shoes dry and aired out in the sunshine. Use an antifungal spray for an added source of protection.

• Sandals are a fresh and welcome choice for summer months, but don’t equate sandals with flip flops. Although they are bright, colorful and fun, flip-flops don’t provide any support or stability for your foot as they easily slide off and cause you to overhang them. They also break after a couple wearing’s.  Hit your local shoe store for a pair of leather sandals that has a formed heel cup and arch support. They’ll stay in place and conform better to your foot. There are a lot of styles available out there, so go shopping.

• If you have a steady hand with the polish and can give your nails a trimming now and then, you shouldn’t need a pedicure over the summer. The sand is a natural exfoliate. Just use caution as glass and bottle caps hide under beautiful white sand.

• When you’re at the beach, remember that the skin on the top of your foot has been protected by shoes and socks over the winter and early spring. The skin is tender and needs to be protected from the harsh burning rays of the sun, just like other parts of your body. Slather on the sunscreen and reapply after a swim to make sure of adequate protection.

Enjoy the summer, but remember if you have an accident or sustain a foot or ankle injury, call Dr. Blaakman at (877) 941-3338. Put your feet in his capable hands. Never allow pain to stand between you and what life has to offer.

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