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March 2015

Monday, 30 March 2015 00:00

Arthritic Foot Care

During your lifetime, you will probably walk about 75,000 miles, which is quite a lot of stress to put on your feet. As you get older, the 26 bones and 30 joints in your body will lose flexibility and elasticity, and your foot’s natural shock absorbers will wear down too. Having arthritis added to this mix only makes matters worse because your joints will become distorted and inflame, which is why arthritic foot care needs to be something you think about every day.

When dealing with arthritis, having additional foot complications, such as bunions, hammertoes, or neuroma, can be a serious detriment. To avoid these, buying well-fitting shoes with a lower heel and good support are a must. Arthritis causes you to lose your arch, so having shoes with good arch support is also highly recommended.

Aside from getting good arch support, the shoes need to fit comfortably and properly as well. A good place to start is by leaving a finger width between the back of the shoe and your foot to gauge proper size. It is also helpful to have a square or rounded toe box in the front to provide even more comfort. Another thing to look for is a rubber sole that can provide a cushion and absorb shock as you walk. This adds flexibility to the ball of your foot when you push off your heel to walk.

Exercise is another key aspect of arthritic foot care, not only strengthening and stretching your muscles and joints, but helping to prevent further injury and pain as well. Stretching the Achilles tendon for example, the tendon located in the back of your heel, will give you added mobility and reduce pain due to stress. Another thing you can do is massage your feet, kneading the ball of your foot as well as your toes from top to bottom.

Stretching the Achilles tendon is a simple exercise that you can do at home anytime. Lean against the wall with your palms flat against the surface while placing one foot forward, towards the wall, and one foot behind you. Bend your forward knee towards the wall while keeping your back knee locked straight, and make sure both your heels are completely touching the ground at all times. This will stretch your Achilles tendon and calf muscles as well, and you will feel the stretch almost immediately. You can also stretch your toes in a couple ways. One involves taking a rubber band and wrapping it around both your big toes while your heels remain together, then pull them apart to stretch your big toe. You can also place a rubber band around all the toes of one of your feet and then try to separate each individual toe, stretching them all.

A final step you can take to help your arthritis is taking non-steroid, non-inflammatory drugs or topical medicines with capsaicin. Unfortunately there is no complete way to remove all of your arthritic pain, but following some of this advice can go a long way in staying as pain free as possible.

groundzeroAccording to a new study published in a the journal Arthritis and Rheumatology, recovery workers that aided in clearing Ground Zero in New York City are more susceptible to arthritis and other autoimmune disorders.

The most common form of arthritis found was rheumatoid arthritis, where workers experience period flare ups and stiff joints. Psoriatic arthritis is also common, specifically where ligaments more muscles attach to bone in the heel of the foot. Although the study found many suffering from arthritic pain, there is free health monitoring programs in place for those suffering from Ground Zero related problems.

Arthritis can be a different condition to live with. If you are suffering from arthritic foot pain, contact one of our podiatrists of University Foot and Ankle Center, LLC. Our podiatrists can treat your foot and ankle needs.

Arthritic Foot Care
Arthritis is a joint disorder that involves inflammation of different joints in your body, such as in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. On top of this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help to temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions about arthritic foot care, please feel free to contact our offices located in University Foot and Ankle Center. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about arthritic foot care.

atletesfootAccording to Dr. Pfenninger of the Midland Daily News, it is estimated that ten percent of the adult population already has some type of nail fungus. At times, individuals can have toenail fungus and not even be aware that it is there. Some signs of nail fungus include thickening, discoloration, weak nails, appearance of debris under the nail, foul smells when nails are wet, and the occasional lifting up of the nail into a tent-shape. Older individuals and women are also more likely to have fungus in their toenails. Many people may have toenail fungus but initially confuse it for an ingrown toenail. Although there are topical and oral antifungal medications available, prevention is important. To avoid nail fungus, allow your feet to fully dry after showering and keep the nails groomed.

While toenail fungus is troublesome to eradicate, it is not impossible. For more information about treatment, consult with one of our podiatrists from University Foot and Ankle Center, LLC. Our doctors will attend to all of your podiatric needs.

Toenail Fungus Treatment
Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments 
Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body.  Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free. 

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

Alternative Treatments
There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.  

For more information about Toenail Fungus, follow the link below.

If you have any questions, please feel free to contact our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Toenail Fungus

coldA loss of blood circulation in the feet and legs is often caused by peripheral artery disease. Come the winter season, many people suffer from numb fingers and toes as a result of losing blood circulation to their extremities due to colder temperatures. Raynaud’s disease, a condition in which the blood vessels in the fingers and toes contract in response to drops in temperature, is behind an estimated ten million people’s loss of blood supply. The ceasing of blood flow to the fingers and toes often causes them to turn icy wait. Raynaud attacks can last from a few minutes to an hour. When blood flow returns, the fingers or toes will turn blue and eventually red, accompanied with a burning sensation. Due to winter’s drop in temperature, attacks often peak during the cold months.


Diseases that cause poor circulation in the feet can be extremely dangerous. If you are having difficulties with reduced circulation, see one of our podiatrists of University Foot and Ankle Center, LLC. Our doctors will identify the cause of your decreased blood flow and help you get the care you need.  

Poor Circulation in the Feet
Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.
It can also cause:

  • muscle pain  
  • numbness in legs
  • cramps          
  • skin discoloration
  • weakness
  • slower nail & hair growth
  • stiffness
  • erectile dysfunction


Those who have diabetes and or smoke are at greatest risk for poor circulation, or who are over 50.

If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintain a healthy lifestyle will dramatically improve conditions

If you have any questions, please contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Poor Circulation in the Feet

Poor blood circulation in the feet and legs is often caused by peripheral artery disease (PAD), which is usually the result of a build up of plaque in the arteries. Plaque build up, or atherosclerosis, can be the result of excess calcium and cholesterol in the bloodstream, which restricts how much blood can flow through arteries. Reduced blood flow to a certain area of the body severely limits the amount of oxygen and nutrients that part of the body receives, causing degeneration in the muscles and other tissues. Sometimes, poor blood circulation in the feet and legs can be caused by other conditions, such as damage to or inflammation of blood vessels, known as vasculitis.

The lack of oxygen and nutrients caused by poor blood circulation can restrict muscle growth and development, as well as cause muscle pain and cramps, weakness, and stiffness. Other common symptoms include numbness in the legs and feet, skin discoloration in the affected limbs, slower nail and hair growth, and erectile dysfunction in men. In more severe cases of PAD, pain can be present even when a person isn't exercising, and may range from mildly uncomfortable to completely debilitating.

Poor blood circulation in the feet and legs is more common in those who are overweight or obese, have diabetes, high blood pressure, high cholesterol, who smoke, or who have a family history of PAD or related conditions (heart attack, stroke, etc.). Diabetes and smoking place a person at greatest risk for developing poor blood circulation, although advanced age (over 50) can also increase risk.

If you are experiencing poor blood circulation in the feet and legs caused by PAD, it is important to make changes to your lifestyle in order to reduce your risk of experiencing a heart attack or stroke caused by this condition. If you smoke, quit completely -- this will increase the amount of oxygen in your bloodstream. Exercising and reducing the saturated fats in your diet (which come from fatty meats, fried foods, whole milk, etc.) can make a difference in improving blood circulation in feet. It is also important to avoid developing influenza and to carefully control your blood sugar if you have diabetes.

Your doctor may recommend combining lifestyle changes with a prescription medication regimen to improve blood circulation. The most commonly-used medications for PAD are called statins and work by blocking the amount of enzymes in your body that produce cholesterol. They are known by the brand names Zocor, Lipitor, Crestor, and others.

footcareIn an article by Centre Daily, Dr. Christina L. Rowe believes if someone is affected by neuropathy, there may be a loss of sensation to the feet. As a result, neuropathic patients might miss something as small as a nail technician’s cut or burn.

This could be serious, as even a minor injury or burn could develop into an infection which could form down the line. Dr. Rowe believes it is best for patients with neuropathy to avoid pedicures altogether as there are natural products which can help and be classified as a safe alternative, essentially saving the patient’s foot in the long run.

The American Diabetes Association describes symptoms of peripheral neuropathy as including a tingling sensation, pain, numbness or weakness in the hands and feet.

Being diabetic makes you especially susceptible to foot problems like ulcers and nerve damage. For instructions about diabetic foot care, talk to one of our podiatrists of University Foot and Ankle Center, LLC. Our doctors can help you manage your foot and ankle conditions.

Diabetic Foot Care
Diabetes affects millions of people every year. Diabetes can damage blood vessels in many parts of the body, including the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

For more information about Diabetic Foot Care, follow the link below.

If you have any questions, please contact our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Diabetic Foot Care

foot ankle orthoticsGlasgow Caledonian University has partnered with University of Newcastle and the SME Peacocks Medical Group to receive a grant of nearly €115,000 to create 3D printed foot orthotics. The purpose of the grant is to enable and aid the “FootFEMan” project that uses elemental analysis to create improved orthotics for specific patients. Each orthotic will be printed and developed using technology from another project funded by the European Union. Each orthotic will be tested at Glasgow Caledonian University to ensure the orthotics properly improve foot function and lessen foot symptoms. Gordon Henry, PhD and project researcher states, “We are confident that we can successfully 3D print new orthotic insole devices. This project will now enable us to improve each orthosis tailored to the individual patient according to whatever foot problem they have.”

Foot orthotics are useful in treating a myriad of conditions, including heel injuries like plantar fasciitis. If you are dealing with foot pain and are interested in the possibility of using orthotics as a treatment, call one of our podiatrists of University Foot and Ankle Center, LLC. Our doctors can evaluate the severity of your condition and determine what type of care would best suit your needs.

What is Ankle Foot Orthotics?

Orthotics is physical aids used to support weak limbs or direct the proper function of limbs. Often they are used to support the ankle and foot. Such orthotics is known as AFOs. AFOs help strengthen the muscles or train them to function in the proper position. AFOs can also benefit muscles that need to be lengthened or loosened.

Why might you need orthotics?

Modern orthotics has improved dramatically from the metal braces of previous years. Many of today’s orthotics is made of lightweight plastics and other advanced materials to provide new levels of comfort and support.

For more information about Ankle Foot Orthotics, please follow the link below.

If you have any questions, please contact our offices located in East Brunswick and Monroe Township, NJ.

Read more about Foot Ankle Orthotics
Friday, 06 March 2015 00:00

Ankle/Foot Orthotics for Athletes

Ankle/foot Orthotics (AFOs) are custom-made devices, molded to fit inside a shoe, and designed to correct an abnormal or irregular walking gait. Orthotics come in both customized and over the counter models. Custom made Orthotics should be prescribed through a podiatrist, who specializes in foot pathology, as well as performing surgery if required, or a pedorthist, who specializes in customized footwear and orthotics management and design. AFOs are commonly used by athletes, such as professional track and field runners, cyclists, hockey players, professional dancers, ice skaters and golfers. Athletes benefit greatly from custom made AFOs, both when recovering from an injury and to help prevent future problems from occurring. These devices keep the foot aligned to allow the bones, ligaments and muscles to heal, restoring the patient to optimum performance. AFOs are designed for shock absorption to help release the pressure and stress from painful parts of the foot and ankle, and to allow for the correct positioning of the feet. Custom-made AFOs relieve pain in the hip and lower back, while restoring balance and improving an athlete’s performance. The AFO controls the motion of the ankle and foot, which helps in alleviating pain. The brace comes in various heights and profiles, for high and low top shoes and boots. Braces are fabric lined and are made of light weight material to easily embrace the ankle, for a better fit inside the footwear. With this type of orthotic, athletes can continue to play in comfort and stability. A custom made ankle/foot orthotic is designed by a podiatrist or an orthotic specialist, to help treat ailments, i.e., tendon maladies, flat foot problems, spurs, arthritis of the ankle and/or foot, ankle sprains, ankle weakness and drop foot (a patient cannot raise their foot at the ankle joint or at the least, has limited ability to raise their foot). An orthotics specialist will put a patient through a complete muscular workup, using digital or ultrasound equipment, followed by the ankle and foot being cast and fitted for the proper orthotics. Depending upon the final evaluation, a stretching treatment is designed, with specific shoe fitting discussions. In a couple of weeks, after the AFOs are fitted to the shoes that the patient was required to bring, any needed adjustments are made to ensure a perfect fit. Following the fittings, evaluations are set up for the patient over the following weeks. AFOs are also available over the counter for improving basic comfort. If an athlete has general low aches or pains in the ankle/foot or lower back, an over-the-counter orthotic arch support, which slips inside the shoes, can be purchased without a prescription. The arch supports help to spread an athlete’s weight evenly throughout the bottom of the foot. But when a medical condition occurs, i.e., an injury, arthritis, problems with an illness, or poor circulation, then a specialist's prescription will be required. Over-the-counter arch supports can be purchased in local retail or sport stores, as well as in drug store pharmacies.  In all cases, a skilled podiatrist will offer the best recommendation on which medical device is suited to handle the patient’s particular needs.
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