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

Related articles

• How do I know if I have a bunion?

  ---

• The path to happy feet

  ---

• The New and Improved Best Stylish Shoes for Bunions Guide

  ---

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

Related articles

• Hip Replacement Surgery: Working With a Physical Therapist

  ---

• Your physical therapist may be a 'doctor'

  ---

• House Call: Preventing Back Injuries - Exercises to Strengthen the Back

  ---

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

Related articles

• Potential Complications of Diabetes

  ---

• What's Affecting Our Feet

  ---

• Diabetes Footcare: Preventive tips

  ---

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

Related articles

• Doctor Teichman saves diabetic patient's foot from amputation

  ---

• Can adderall cause neuropathy

  ---

• Ask Dr. K: Tips to slow diabetic neuropathy

  ---

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!

Related articles

• Proper Footwear Can Help Summer Athletes Avoid Back Pain

  ---

• 10 guidelines for getting in shape and staying in shape

  ---

• After Ready, Set, Go -- Athlete Tips to Recover and Refuel

  ---

It Takes More Than Two Alike to Make a Good Pair of Socks

Rainbow striped toe socks worn with thong sandals (Photo credit: Wikipedia)

That’s a fact. Just because you can match up a pair, doesn’t mean it’s a good pair of socks. Shoes are dark. Add feet and you suddenly have warmth. Once an environment is warm and dark, when perspiration starts, the environment becomes a haven for fungus. Socks form a barrier between feet and shoes, but unless the socks are the right kind of socks, it may add to the problem and create new ones. In order to protect the feet from harmful bacteria and the elements, socks should have specific characteristics.

Some traits a good sock may exhibit:

• Synthetic fibers or blends

• Correct construction and length

• Tactile stimulation

• Appearance

• Cushioning

• Temperature

• Longevity

• Smooth seams

Socks should have moisture wicking capability to keep the foot as dry and comfortable as possible. In the winter damp feet can become very cold and no one wants hot sweaty feet in the summer. They just stink up your sneakers. Socks should be constructed to fit the foot. Tube socks may have a purpose. A tube sock is apt to slip down, bunch up and possibly cause blisters. Of course, everyone wants a sock that’s soft and pleasant feeling and if it’s not solid color and design is important then check out the work and pattern. Socks have areas of cushioning knit into them, so a good sock should have extra padding on the ball of the foot, along the arch and under the heel. If the socks are designed with a specific sport in mind, this may change the way the sock is padded.

A good pair of socks will help keep the feet warm in the winter and cool in the summer. This is due to fiber content and wicking capabilities. Some natural fibers such as Marino wool and silk have this ability, but once cotton gets damp, it stays damp and has a long drying time. Damp socks will bunch up and cause lumps. Look for synthetic or blends. Perhaps check out Aetrex socks that have copper ions embedded in the yarn.

Good socks perform a function. All things considered, they take care of your feet and form a barrier between your feet and shoes that provides healthy comfort. Keep your feet safer by changing socks to keep feet dry. Dark warm moist environments may allow fungus to gain a “foot hold,” and no one needs that.

If you think your socks may have let you down and you have corns from seams that have caused irritation, or the beginning of toenail fungus or any one of many other concerns, call Dr. Blaakman at (864) 487-3338. No need to get your socks in a bunch. Get an appointment and he can evaluate your concern and have you leave a happier and healthier person.

References:

http://www.askandyaboutclothes.com/forum/showthread.php?78201-More-Than-You-Ever-Wanted-To-Know-About-Top-Quality-Socks-2010-Update

Related articles

• A solitary sock (based on a true story) (underlyingoverwhelming.wordpress.com)
• Anatomy of a good pair of running socks (fitgirlhappygirl.com)
• Socks dominate my life! (auntymoggsblog.wordpress.com)

Plantar Fasciitis - A Real Pain

children foot - plantar (Photo credit: Wikipedia)

The plantar fascia is a thick and wide band of tissue that connects the heel band to the toes forming the arch of the foot. When this tissue becomes inflamed and irritated due to overuse or over stretching, it is called plantar fasciitis. This is a common complaint and most often affects patients between ages 40-60.

The pain ranges from minor to severe and is usually more noticeable:

• When you first get up in the morning

• After vigorous exercise

• After long periods of standing or sitting

This is a common ailment of distance runners, and can also affect pregnant women, people who are overweight and those who do not wear shoes with adequate support. The pain usually develops gradually.

Treatment for plantar fasciitis ranges from simple non-invasive to surgical in extreme cases. Pain will usually diminish with conservative treatment methods which may include:

• Rest

• Icing

• Heel stretching exercises

• Over-the-counter pain medication

• Shoes with better arch support

• Inserts or orthotics

• Reduce mileage if you are a runner, alternate with swimming and bicycling

Generally pain diminishes with persistent treatment. Occasionally when all other methods have failed, Dr. Blaakman may recommend surgery, but surgery has risks that he will discuss with you.
As with so many foot ailments, prevention is the best medicine. Start early by keeping your weight under control, wear quality and supportive shoes. Just because your shoes look good on the outside does not mean they aren’t worn out on the inside. If you are a runner or walk aggressively, buy new shoes at 300-500 miles. You may think your old comfy shoes are your best friends, but this is not true.

If you believe you have symptoms of plantar fasciitis, see Dr. Blaakman at once. Chances of treatment being successful are greater with early intervention. During your examination, Dr. Blaakman will likely look for swelling, redness and tightness in the bottom of the foot. He may want an x-ray to rule out other conditions and he will ask questions about your medical history, if you have other pain and also ask about your physical activity. The treatment plan he develops for you will take all of this into consideration. Call him at (877) 941-3338 (FEET) so he can get you back on your feet.

References:
 
http://www.mayoclinic.com/health/plantar-fasciitis/DS00508/

Related articles

• Top Five Powerful Plantar Fasciitis Treatments and Exercises (prweb.com)
• plantar fascilitis (harikrishnamurthy.wordpress.com)
• Medical Device Innovator Applied BioKinetics LLC, Announces a Breakthrough in the Treatment of Heel Pain Caused by Plantar Fasciitis (prweb.com)

Nail Fungus - Kill It Now!

(Photo credit: Wikipedia)

Toenail fungus, also known as onychomycosis, is an unsightly and embarrassing condition that affects millions of Americans. The tendency is to want to hide the feet once a fungus appears, but the problem is that fungus thrives in dark, warm and moist environments such as the insides of shoes. There are many treatments available, but this is a persistent fungal infection that is resistive to treatment, therefore it is important to begin treatment at the first sign of nail fungus infection.

Symptoms of toenail fungus outbreak include:
   
•    Discoloration (may begin as a white or yellowish spot in the nail)

•    Thickening

•    Disfigurement

•    Dry and crumbling nails

Nail fungus tends to affect more men than women and age is a factor due to lower blood circulation and greater time of exposure to fungus. Other factors that increase the likelihood of infection include:

•    Damp environments

•    Heavy perspiration

•    Going barefoot at public pools, gyms and shower rooms

•    Athletes foot

•    An injured or damaged nail that allows infection to enter body

Dr. Blaakman will examine your feet first and may take a small scraping from under the nail. This can be examined through a microscope to determine the origination of the infection and better guide him in prescribing your treatment.

As previously mentioned, nail fungus can resist treatment and re-infection is common. There are over-the-counter medications available, but traditionally these have little effect. Dr. Blaakman may prescribe an oral medication, the most popular of which is Lamisil. The oral medications take a while to work, and it may take the nail months to grow back. However, persistence and patience is necessary.

Topical nail treatments are also a consideration either in the form or paint on or creams that are applied. Again, these take months to work, so they may be prescribed in conjunction with an oral medication. Dr. Blaakman may file away some of the affected nail so there is less area to treat and medication can be more easily absorbed. In the worst cases, Dr. Blaakman may recommend surgical removal of the nail, but the latest treatment using laser therapy to attack the fungus is showing promising results.

If you have nail fungus symptoms, don’t delay. Contact Upstate Footcare by calling (877) 941-3338 and let Dr. Blaakman evaluate your condition and determine the course of action appropriate for you. 

If you have experienced the horror of nail fungus, and have successful treatment results, please share your story below.

References:
 
http://www.mayoclinic.com/health/nail-fungus/DS00084

Related articles

• Bare feet contribute to more foot infections (news4jax.com)
• How to Treat Toe Nail Fungus - Oye! Times (curenailfungusnow.typepad.com)
• Southern Remedy: Treat Fungus Of The Feet Or Nails (tuitionpaidlessonslearned.com)

Helpy Selfy Pedicures

(Photo credit: Wikipedia)

It probably feels so wonderful to sit in one of those over sized spa chairs and soak your feet in the warm swirling water, allowing the stress and aches to slowly ease out of your body, right?  Well, what happens when the nails need grooming and you can’t get to the salon for whatever reason? Oh! Sudden revelation! You do it yourself. Up until 25 or so years ago, many people did their own pedicures, or helped each other. But just in case you’ve forgotten, here’s a little refresher on tools, technique and precautions.

First, assemble the necessary tools and make sure they are sterile. You will need toe nail clippers, an emery board, pumice stone, cuticle softener, an orange stick and some cotton. Ladies, in preparation, remove old polish.

Now, here comes the good stuff:

• Allow yourself a warm soak, minimum of 5 minutes, but longer is nice too. Here’s a trick, if you’d like to add a little milk to your soak, the lactic acid will help remove dead skin.

• Use a pumice stone to gently scrub away the calloused and dried skin.

• Completely pat the feet dry, making sure you dry between the toes too. 

• Apply an emollient rich lotion, but not between the toes!

• Trim the nails straight across. Nails should be clipped short, but not too short. They should never extend past the end of the toe, and never clip the sides. This can lead to ingrown toenails.

• Use the fine grain side of an emery board to smooth the nails. A steel file is more likely to damage the nail. Smooth the nail, working from the outer edge toward the center, only filing in one direction.

• Apply a dab of cuticle softener to the base of each toenail and let it work for a minute.

• Cover the end of an orange stick with a small amount of cotton and gently push back the cuticle. Caution: It is difficult to trim cuticles at home and should probably be left for the pedicurist, as it is easy to cut yourself.

For polishing techniques, go to: http://www.youtube.com/watch?v=KTZ2_qIua0U. They have an excellent video on home pedicures. Just have a few more thoughts on pedicures to share. If you have that awful nail fungus, don’t polish. The polish coats and traps the infection. Instead, there are a variety of antimicrobial coatings that you can use.

Also guys, man up. This is not sissy stuff. If you looked at your feet or asked your lady she’d say that you need a pedicure too. It’s a part of good foot health care.  And if you ask nice, she might even help.

If you are diabetic, get some assistance from Dr. Blaakman. Your feet may lack sensation and putting them at greater risk if injured. Call him at (877) 941-3338 (FEET).
 
References:

http://www.healthyfeetblog.com/the-25-best-pedicure-tips-ever
http://www.wisegeek.com/what-is-an-orange-stick.htm

Related articles

• DIY Nail Art: Pretty Spring Pedicures (collegefashion.net)
• Champagne and Roses Pedicure (nailsbybree.me)
• Manicures and Pedicures Are Here! (everydayzenrelaxationstudio.wordpress.com)

Naked With No Visible Means of Support

Have you lost your arches? Have you been told you have flat feet? Reduce your stress level because the situation may not be that desperate. Flat feet, also referred to as pes planus or fallen arches, are a condition where the arch of the foot collapses. It can affect one or both feet. Babies are born with flat feet and it takes a few years for bones, tendons and ligaments to strengthen and grow, forming the foot’s arch. In most instances the arch develops in childhood, usually by age five or six, but in some cases, the arch of the foot never fully develops. About twenty percent of the world’s population has flat feet, or some degree thereof because their arches never completely formed.  This type of flat foot is rarely problematic, and would not likely require treatment.

Flat feet that develop in adults as a result of injury, illness, stress or aging are referred to as Adult Acquired Flat Foot. Factors contributing to the cause of this type of flat feet include weight, high blood pressure and diabetes. If you acquire flat feet as an adult, they will probably stay that way. Strength training of the muscles in the foot may help to retain or regain normal function, but the foot muscles are short, and most likely the arch would not re-develop.

If you want to monitor the condition of your arches, wet your feet then stand on a smooth surface. When the footprint shows a lot of sole, it indicates a flat foot. What do flat feet mean to you? Flat feet usually do not cause pain and would not require treatment.  However, if you are in the low percentage of people that experience pain in the foot, ankle or lower leg, see your podiatrist. He may recommend orthotics, exercises or physical therapy to help strengthen your feet. If your doctor prescribes orthotics you will probably need to use them for the remainder of your life. If much correction is required, it will likely be done gradually, over a period of time, allowing you to adjust in increments.

If you have pain that may be attributed to flat feet, call Dr. Blaakman.  He will be able to evaluate and diagnose you and provide a treatment plan just right for you. Whether it involves exercises or orthotics, it will help you on your way. For more information, or to set up an appointment, please call Dr. Blaakman at (877) 941-FEET (3338).

If you have a story about your flat feet, please share below…

References:

http://www.mayoclinic.com/health/flatfeet/DS00449/DSECTION=causes
http://en.wikipedia.org/wiki/Flat_feet

In With the Right Growth and Out With the Ingrown

Toenails (Photo credit: Wikipedia)

An ingrown toenail occurs when the nail grows into the soft tissue at the corner or side of your toe. Although any toenail can become ingrown it usually is the big toe. They can be very painful and are usually visibly red and swollen. If neglected, or not cared for properly, they can become infected. Usually, you can treat an ingrown toenail by yourself, but if it is extremely painful your doctor can assist you. If you have diabetes, it is important that you have your podiatrist examine and treat your foot so that you avoid further problems. 

Symptoms include:

    •    Pain along one or both sides or corners of your nail

    •    Redness and swelling

    •    Infection alongside the nail

Ingrown toenails can be caused by:

    •    Shoes that are poorly shaped and crowd the toes

    •    An injury to the toe

    •    Poorly trimmed nails or nails that are trimmed too short

    •    Toenails that grow in an unusual manner

If caught in the early stages, treatment of an ingrown toenail may be able to be done at home.   However, repeated cutting of the nail can compound the situation. If there is a sign of infection, you are better off to have your doctor treat it, especially if you have any additional medical concerns like diabetes that make your feet more vulnerable.

Beneficial home remedies for ingrown toenails include room temperature soaks with Epsom salts added to the water. After the soak gently rub the area around the nail. This may help to alleviate swelling. Wedging cotton under the nail is not recommended as this provides an area for bacteria to grow, which can lead to infection. Over the counter medications are not beneficial because they may disguise the pain, but they do not improve the situation. If pain continues for more than a couple of days, it’s time to see your doctor.

Sometimes after treatment an ingrown toenail can return. If this is the case, Dr. Blaakman may recommend a slight in office surgical procedure to remove the side of the nail, or in more serious cases the root of the nail. Once the offending nail is gone, so is the pain.

If you have an ingrown toenail that is still aggravating you, call for an appointment today (877) 941-3338. For more information visit our website.

References:

http://www.mayoclinic.com/health/ingrown-toenails/DS00111/DSECTION=complications
http://www.foothealthfacts.org/footankleinfo/ingrown-toenail.htm

Related articles

• Ingrown toenails (yourfeet.co.nz)
• High Heels Can Bring on Ingrown Toenails (news.health.com)
• Diabetes: Tips for Daily Foot Care (diabetes.webmd.com)

Morton’s Neuromatherapy

Platform shoes. (Photo credit: Wikipedia)Morton’s neuroma is a condition that develops over time. It is characterized by the sensation that there is a lump on the bottom of your foot, or everything is all scrunched up down there. It can make day to day activities painful, especially when pressure is placed on the bottom of the foot near the third and fourth toe. Other sensations may be tingling in the toes, progressively worsening to sharp burning pain. Since the condition develops gradually, the pain is often intermittent, possibly going for long periods of time with no pain at all. The nerve between the toes (usually between the 3rd and 4th toes) becomes irritated, inflamed and thickens.

The exact cause of Morton’s neuroma is not known, but theories suggest pressure, compression and injury as possible factors. Women are affected more than men, especially those who wear poorly padded, ill formed shoes, such as high heels. Runners and other athletes who have hard repetitive action on the balls of their feet are also commonly affected.

If you want to be free of Morton’s neuroma then you should try to avoid:

    •    High heels
    •    Shoes with restrictive or poorly formed to boxes
    •    Shoes that cause abnormal toe positions

Dr. Blaakman can diagnosis Morton’s neuroma by examining, manipulating and attempting to cause the same conditions that may restrict your foot. Tests may be ordered to rule out other possible conditions that show the same type of pain. Dr. Blaakman can develop a treatment plan based on your specific case. 

Treatment will depend on your needs and severity. Non-surgical treatment options may include:

    •    Icing to help reduce swelling
    •    Shoe inserts to alleviate pressure on the affected area
    •    Padding
    •    Change of foot wear to allow toes more room
    •    Oral NSAIDs such as Ibuprofen
    •    Physical therapy
    •    Change or reduction in activity until condition improves

If conservative treatment methods are not successful, surgery may be recommended, but early diagnosis and treatment can possibly avoid this or at least reduce recovery time. If you experience pain that may indicate Morton’s neuroma, call Dr. Blaakman at (877) 941-3338 (FEET) or visit our website. With his expert help and treatment, your feet can last a lifetime.

References:

http://www.mayoclinic.com/health/mortons-neuroma/DS00468/DSECTION=symptoms
http://www.foothealthfacts.org/footankleinfo/mortons-neuroma.htm

Related articles

• Morton's Neuroma (eastpennfoot.wordpress.com)
• Evan Longoria had minor foot surgery in November (hardballtalk.nbcsports.com)
• High-heeled shoes a danger (yourfeet.co.nz)

High Impact Yields High Injury Potential

Rhee Tae Kwon-Do 1st, 2nd, and 3rd Dan black belts in October 2007. (Photo credit: Wikipedia)Traditional martial arts like Taekwondo and Karate, along with the more aerobic discipline of Tae Bo, have seen a recent surge in popularity among children and adults. Unfortunately, every high intensity sport involves its share of injuries and martial arts are no exception. 

Some of the more common injuries include:

    •    Sprains
    •    Fractures
    •    Plantar fasciitis
    •    Achilles tendonitis
    •    Sesamoiditis
    •    Hematomas

Sprained ankles are a result of side to side lateral movement and the fact that the body is usually balanced on a single limb at the time. Rest, ice, compression and elevation are required. If pain is severe or persists, have your injury evaluated by Dr. Blaakman to make sure it’s not a more serious injury.

Fractures usually involve the toes, bones in the mid-foot (metatarsals) or ankles. A fracture can be the result of trauma or stress. Every fracture needs to be evaluated and treated to prevent it from becoming more serious. If you suspect you sustain a fracture, sit immediately and get medical help. If you do not cease this high impact activity a simple fracture could become displaced, treatment could be more complicated and recovery time increased. If you have just recovered from a sprain or a fracture you should never participate in a training activity or sparring unless you are completely pain free and cleared by your doctor.

Plantar fasciitis and Achilles tendonitis result from overuse or excessive stretching of tendons. Repetitive turns and pivots on the support foot and the strike motion on the other foot are critical factors. Rest, ice and elevation will provide some relief.

Sesamoiditis is the inflammation and irritation of the tissue surrounding the sesamoid bones located behind and under the big toe. Pressure caused by repeated elevation and pivoting can irritate this area.
Hematomas are caused by injury to blood vessels that can cause bleeding inside the foot resulting in swelling and pain. Dr. Blaakman should evaluate any hematoma. If they are not treated properly or are left untreated, it can result in the loss of foot.

Rest, ice and elevation are recommended for most of these injuries. If pain persists, call Dr. Blaakman at (877)941-3888. His expert diagnosis and treatment will help keep your roundhouse kick in top form.

References:
 
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004438/
http://www.podiatrytoday.com/article/4121

Related articles

• Plantar Fasciitis (cryominute.wordpress.com)
• Heel Pain by Foot Health Facts (footandankleclinicsofamerica.wordpress.com)
• Foot Pain Relief At Home (answers.com)

Warts – Oh My!

(Photo credit: Wikipedia)Do you feel an intense pain in the sole of your foot when you first step on it?  Does the sole of your foot reveal a small spot similar to a callous or corn, but is extremely tender to touch? These may be signs of plantar warts.

Plantar warts are caused by a very common viral infection known as the human papillomavirus (HPV), which affects the outermost layers of the skin. Although these warts can be found in any age bracket, they are most common in young people age 12-16. They can be caused by use of public areas such as gyms or showers, and also occur from skin trauma, which allows the virus access.  Since Plantar Warts occur mostly on the sole of the foot in areas that receive a lot of pressure and friction, they can be quite painful. Many warts will disappear over a period of time, and no treatment is necessary.  However, in some instances the placement of these warts can affect your ability to stand or walk, and need to be treated.

Treatment of plantar warts can vary. There are over-the-counter medications, usually containing Salicylic Acid, that are generally successful. Application followed by gentle scraping can be effective. If relief is not found by use of these medications, other treatment methods such as burning, freezing or surgical removal may be necessary. Dr. Blaakman can make an evaluation, provide recommendations and treatment options.

Now is a good time to apply the “ounce of prevention…” rule. There are several steps that you can take which include:

    •    Avoid walking barefoot, especially in public showers and locker rooms. Use shower thongs or sandals.

    •    Change shoes and socks daily, and keep feet clean and dry

    •    Do not pick at or scratch warts as they can spread.

    •    Cover warts with a waterproof barrier, when in the shower, to prevent spreading

Warts can be stubborn, so work with your doctor, and be diligent with the treatment program. They know what is best for you. If you have concerns, or suspect you may have plantar warts, contact Dr. Blaakman by calling (877) 941-3338 or on Upstate Footcare's website. There is nothing like two healthy feet to get you where you need to go.



Resources:

http://www.emedicinehealth.com/plantar_warts/article_em.htm

Related articles

• Best way to cure plantar warts (sonaturegirl.wordpress.com)
• Dance Moms: Stage Fright, Cartwheels and Plantar Warts (oh my!) (janesimpsonbratton.wordpress.com)
• Breaking out the Sandals (talesofablendedfamily.wordpress.com)

All about Gout

Gout in right big toe, with advanced swelling (Photo credit: Wikipedia)Do you suffer from painful swelling, redness and inflammation of your toes, heels or ankles?  Does this condition come and go?  Does it worsen in severity and frequency and does the duration lengthen?  If you answered yes then you may suffer from GOUT.  Gout is a common arthritic condition that is caused by a buildup or excessive amount of uric acid which crystallizes in the joints.

More than eight million people in the U.S. suffer from gout, and over the past two decades, numbers have risen dramatically. Men who consume alcohol are at greater risk for gout, especially if there are others in their family who suffer from it. Symptoms of gout can occur suddenly, are intensely painful and usually last a day or two, at first. These are acute gout symptoms. It is most prevalent in men over 40 years old and acute symptoms will usually show in the big toe first.  However, other joints that can be affected are the feet, knees, hands, ankles and wrists.  Chronic gout symptoms are the result of repeated gout attacks.  Nodules can form under the skin, which is extremely painful during a gout attack, and can lead to open and infected wounds.

Diet is a major contributing factor to gout, and therefore must be considered in prevention as well as treatment. Certain foods are more likely to cause gout. These include:

    •    Organ meats

    •    Red meats

    •    Fish high in oils (tuna, anchovies)

    •    Cauliflower and asparagus

These are the same foods that need to be avoided during an attack of gout, or eliminated altogether, if you suffer from gout. Certain diseases or medical conditions can make you more susceptible to attacks of gout.  These include:

    •    High blood pressure

    •    Diabetes

    •    Obesity

    •    Low thyroid function

    •    Renal failure

Treatment options for gout include medications and possibly even acupuncture can provide some relief, but it is important to change your diet. Reduce red meats, increase fruits rich in antioxidants (cherries are great), change to low fat or no fat dairy products, eliminate alcohol and eat high quality complex carbohydrates as opposed to sugary foods.  

Since gout usually shows up in the big toe or foot first, Dr. Blaakman can assist with your evaluation, and start you on a treatment program that is right for you.  Call him at (877)941-FEET (3338).

References:

http://www.nlm.nih.gov/medlineplus/gout.html
http://www.healthline.com/health/gout

Related articles

• Gout treatment and your doctor (foodstaycation.com)
• What Is One way to Control Gout Concern? - Foods Which are Good Or Damaging Gout (microphone-film.net)
• Enriched Milk May Ease Gout (arthritis.webmd.com)

Sky High Fashion

Image via WikipediaAs you watched the Oscars a couple weeks ago, what amazed you more, the dresses or the shoes? Remember when the fashion news included who the stars’ dress designer was?  Well now the commentary isn’t complete unless we know who the shoe designer is also. This is all well and good, but to spend so much money on something that you can’t stand to be in for more than a few minutes, seems extravagant, even for Hollywood.  On February 26th, our favorite girl next door, Sandra Bullock, attended a pre-Oscar party wearing black pants, a black lace top, white jacket and a pair of black and white stilettos.  A couple of hours after arriving at the party, she was seen leaving, with shoes in hand.  She was walking the concrete carpet in her bare feet!  Now that makes more sense.

It really doesn’t make sense to become such a slave to fashion. Women are willing to undergo hours of torture and torment by cramming their feet into ill formed, poorly fitting shoes that force them to mince along, teetering like they are walking a cliff’s edge.  All attention is focused on how to maintain an unnatural balance, with a fake smile glued to the face, which covers the pinched expression the face would make and give away the painful feeling in the feet.

Understand that Hollywood egos are all about glamour and one-upsmanship, but really, can’t a shoe designer make an attractive pair of shoes with a two inch heel?  Why do heels have to be six inches high?  The foot is forced into such an unnatural position, all of the weight bearing being done on the ball of the foot.  Feel the neuromas developing now.  Oh, the burning pain from the friction.

The logical thing to do would be to start a new trend.  A designer who could actually make a shoe with a modest two inch heel and one that is elegant enough to wear with haute couture.  Now that designer could really create a niche for himself in the marketplace.  Until that happens, though, women will probably continue to stumble and trip along the red carpet, complain about their sore, tired feet and doff their shoes at the first opportunity.  Meanwhile, Hollywood podiatrists can continue to offer post-Oscar specials.

Do you love wearing high heels, but struggle with foot pain afterward?  What do you do to relieve the pain?  Comment below, we would love to hear from you.  Also, if you would like more information about foot pain and high heel wear, please contact Dr. Blaakman at (877) 941-FEET (3338).

Related articles

• Morton's Neuroma (eastpennfoot.wordpress.com)
• High Heels..... please help (faking40at50.com)
• Are your feet making you fat? (yourfeet.co.nz)

Hammertoes – Our Poor Battered Feet

Image via WikipediaHave you sat and contemplated your feet recently and come to the realization that you need to put your Podiatrist on retainer. This is not a decision to be made lightly, nor should it be based solely on aesthetics.  At the same time while giving your feet a cursory inspection, also pay attention to how they feel.  When was the last time you really examined your feet. It probably never fell real high on your list of priorities.   Have you noticed over the years that your toes may have taken a downward turn? Do your toes look like they are in a constant position of trying to pick a pencil up off the floor? Do they feel a little uncomfortable or irritated? If so, you may be showing signs of hammertoes, which is a bending of the toes that occurs over time. It gets progressively worse and will not get better on its own. For this reason, early intervention is recommended.

One of the known causes and aggravating factors of hammertoes is poorly fit shoes that either crowd the toes side to side, or are too short to give the toes enough room, often the case with high heels.  Common symptoms of hammertoes include:

    •    Pain or irritation of the affected toe(s) when shoes are worn

    •    Red and swollen

    •    Development of corns or calluses

    •    Increased bending and deformity of the toes

Treatment methods can be non-surgical or surgical. After Dr. Blaakman has examined your feet, he will recommend a treatment plan which addresses your specific needs. A non-surgical approach may include roomier shoes, orthotics, pads for corns or calluses and splinting or strapping to bring the toes back into alignment. On occasion surgery is necessary. This usually happens when the toes become stiff enough to cause pain or open sores develop as a result of the angle of the toe being so pronounced that it rubs on the shoe.

In determining the right course of treatment, Dr. Blaakman will take into consideration the extent of the deformity, your age and activity level and any other factors that enter into play. If you have hammertoes and would like more information about possible treatment, contact us for an appointment.

References:

http://www.fothealthfacts.org/footankleinfo/hammertoes.htm

http://www.mayoclinic.com/health/hammertoe-and-mallet-toe/DS00480

Related articles

• Hammertoe Orthopedic Surgery (5min.com)
• Worst Shoes for Your Feet: Health Hazards of Pointy Toes, Spike Heels, and More (webmd.com)

Haglund’s Deformity-A Walking Nightmare

Image via WikipediaHaglund’s deformity, sometimes referred to as the “pump bump” is a bony protrusion in the heel area, which is thought to be caused primarily by pressure from shoes, although there may be other factors involved. Between the bone and the Achilles tendon is a small sac of lubricating fluid which allows for easier movement. A prominent heel bump can squeeze the soft tissue between the bone and the shoe. This can cause inflammation and a build-up of tissue that creates even more pressure.

The most notable symptom of Haglund’s deformity is pain in the back of the heel. The tissue that thickens in this area and forms a callus type buildup doesn’t usually impede function or interfere with walking, but the bursitis, which causes swelling and inflammation, can create a great deal of pain when shoes are worn.

Diagnosis of Haglund’s deformity can usually be made visually, but our office will probably want to get x-rays to have a better picture of how the heel bone is shaped, and rule out other possibilities that might cause your heel pain.

Treatment can be either non-surgical or surgical. However, much of that depends upon your diagnosis.  Below are some non-surgical options, which include, but not limited to:

    •    Taking over-the-counter medications - such as Ibuprofen to reduce swelling and discomfort.

    •    Icing the area – you can use a towel between ice and skin, and apply it  to the inflamed area for 20 minutes, then wait at least 40 minutes before applying again.

    •    Exercising – this will help relieve tension in the Achilles tendon.

    •    Heel lifts or heel pads – these may help relieve pressure and lessen irritation.

    •    Changing your shoes – wearing a backless shoe will help to avoid irritation.

You can find more information by clicking here.

If non-surgical treatments fail to provide relief, surgery may be required. Dr. Blaakman will determine what course of treatment best suits you.

If you have swelling and pain in one or both heels, call our office at (877) 941-FEET (3338).

Related articles

• Is heel pain stopping you from training? (abysmalfitness.com)
• Heel Pain by Foot Health Facts (footandankleclinicsofamerica.wordpress.com)
• T Magazine: Vain Glorious | The Happy Heel (tmagazine.blogs.nytimes.com)