Health Tips

Health Tips (46)

You may be surprised to learn that a lot of the problems you have with your feet might also be the cause of your knee pain. Here’s a quick look at some of the conditions and diseases that can cause a combination of foot and knee pain.

Flat Feet

Many people with flat feet find that their ankles roll inward with each step. This excessive inward rotation of the ankle, tendons, and ligaments connecting the muscles and bones of the heel and shin bone will cause the inside of the lower leg to stretch further than the outside. As the lower leg is pulled out of line, the knee fails to track straight, causing knee pain.

There are a few ways in which you can tell if you have flat feet:

  • Get your feet wet and make an impression on a dry patch of flooring. The inside of the impression should be dry, as a healthy arch wouldn’t have made contact with the floor.
  • Place the soles of your feet together. Check to see if each instep is virtually in contact along the length of your feet, or whether there is a good parting of the feet around the midsection.
  • See if you can comfortably insert your thumb under your instep while standing.

Osteoarthritis

Osteoarthritis occurs when the protective cartilage one the ends of your bones wears down over time. With osteoarthritis, the slick surface of the cartilage becomes rough and may eventually wear down completely, causing bone to rub on bone. It can damage any joint in your body, including your feet and your knees.

The symptoms of osteoarthritis often develop slowly and worsen over time. Symptoms include:

  • Pain
  • Tenderness
  • Stiffness
  • Loss of flexibility
  • Grating sensation
  • Bone spurs (extra bits of bone that feel like hard lumps)

Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can also damage a wide variety of the body’s systems, including the skin, eyes, lungs, heart, and blood vessels. Rheumatoid arthritis affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity.

The condition occurs when your immune system attacks the synovium (the lining of the membranes that surround your joints). The resulting inflammation thickens the synovium, which can eventually destroy the cartilage and bone within the joint. The tendons and ligaments that hold the joint together weaken and stretch, gradually causing the joint to lose its shape and alignment.

Tendinitis

Tendinitis, or tendonitis, is an inflammation or irritation of a tendon (a thick cord that attaches the bone to muscle. It is most often caused by repetitive, minor impact on the affected area, or from a sudden more serious injury. Incorrect posture at work or home, or poor stretching or conditioning before exercise may increase your risk of tendinitis. Tendinitis can occur almost anywhere in the body where a tendon connects muscle to bone, and can affect anyone of any age.

Symptoms of tendinitis include:

  • Pain at the site of the tendon and surrounding area
  • Loss of motion

Bursitis

Bursitis in a painful condition that affects the small, fluid filled sacs (bursae) that cushion the bones, tendons, and muscles near your joints. Bursitis occurs when bursae become inflamed, and most often occurs in joints that perform frequent repetitive motion.

Symptoms of bursitis can cause the affected joint to:

  • Feel achy or stiff
  • Hurt more when you move or press on it
  • Look swollen and red

Gout

Gout is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. It is a complex form of arthritis that can affect anyone, but is more common among men. Gout occurs when urate crystals accumulate in your joint, causing inflammation and intense pain. Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines (substances found naturally in your body), as well as steak, organ meats, and seafood.

Symptoms of gout include:

  • Intense joint pain
  • Lingering discomfort
  • Inflammation and redness
  • Limited range of motion

Treating Foot and Knee Pain

If you suspect that you have any of the above conditions or diseases, then you should schedule a consultation with Dr. Vikki and Dr. Connie. With years of collective experience in their fields, they have the experience to help you figure out what the root of your problem is.

Thursday, 18 August 2016 11:12

Treating Foot Nerve Pain

Addressing Nerve Pain in the Feet

Foot pain isn’t just uncomfortable – it can be debilitating. It’s one thing if you have a physical injury that you can visibly identify and treat on the spot; nerve pain, however, can be a trickier beast to tame. You’ve likely experienced nerve pain in your feet before without knowing its cause: the pins and needles, the tingling, the numbness, muscle weakness, and the sensation that your foot has fallen asleep underneath you.

Nerve pain in the feet can stem from a number of different causes, depending on the specific nerve affected. Here’s a look at the various sources of nerve pain in the feet, and your best available treatment options.

Sciatica

You may be surprised to learn that lower back conditions are closely linked to leg and foot pain. This is due to the connecting sciatic nerve, the largest nerve in your body. The sciatic nerve runs down the spine and along the back of each leg, serving the primary role of connecting the spinal cord to the muscles in the leg and feet. Any damage to the sciatic nerve, such as in the lower spine, can actually manifest as crippling leg and foot pain, a condition known as sciatica. Pain experienced as a result of sciatica is often described by patients as being incredibly sharp, almost like a burning sensation.

Sciatica is not a condition in and of itself, but rather a symptom: the diagnosis would identify the underlying source of the nerve damage, usually a herniated disc in the spine resulting in compression of the sciatic nerve. Consult a specialist trained in treating conditions of the back and spine, and refer to your podiatrist for physical therapy and exercises you can do to relieve the pain in your feet.

Diabetic Neuropathy

Diabetic patients sometimes suffer nerve damage as an unfortunate result of their condition. This nerve damage, called diabetic neuropathy, most dramatically impacts the legs and feet. This causes pain and numbness, along with unpleasant sensations spanning pins and needles, tingling or stinging, and even hyper sensitivity in the affected areas.

Nerve damage is serious, and should be brought to the attention of a medical professional immediately. Since this is a tragic side effect of diabetes, the first plan of action is to consult your primary care doctor about how to better manage your diabetic symptoms. Personally monitoring your blood sugar more vigilantly is key, but your doctor may suggest altering your medication or dosage if your condition is deteriorating. From there, consult a skilled podiatrist about potential therapies or treatments to relieve the nerve pain in your feet.

Morton’s Neuroma

A pinched nerve in the foot, known as Morton’s neuroma, is a benign but painful condition. A neuroma is essentially a thickening of the nerve tissue in the toes, forming a lump-like growth, often found specifically between the third and fourth toes. The main symptom is the sensation of having a pebble lodged beneath the toes, accompanied by cramping, numbness, or tingling. These symptoms are exacerbated by tight and otherwise poor-fitting shoes, most notoriously high heels.

The cause of a neuroma is usually chronic irritation, pressure, or trauma to the nerve. High-heels have been a proven contributor to neuroma growth, along with certain high impact sports such as jogging. Patients with existing foot deformities such as bunions or flat feet are more prone to developing a neuroma.

Your podiatrist will carefully examine your feet for any signs of a growth, and may even perform imaging tests such as an X-ray or ultrasound to confirm the diagnosis. They will likely suggest custom orthotics to remove the weight and pressure from the nerve. If your condition is more severe, surgery may be required to relieve the pressure or remove the affected nerve entirely.

Schedule a Consultation with Dr. Vikki and Dr. Connie

Only a skilled podiatrist can accurately identify the source of your foot pain, and map out the solutions you need. Schedule a consultation with trusted podiatrists Dr. Vikki and Dr. Connie at the Superior Foot & Ankle Care Center for happier, healthier feet today.

Thursday, 11 August 2016 11:09

The Best Shoes for Your Feet

Selecting the Best Shoes for Your Feet

Are you tired of having sore, achy feet? Does there seem to be nothing medically wrong with your feet? Then it’s possible you could be wearing shoes that aren’t suited for your feet.

Here are some tips on how you can find the best shoes for your feet, so that you can move around comfortably throughout the day without any foot pain.

Tips on How to Find the Right Shoes

When shopping for the right pair of shoes, you need to keep function and comfort in mind, as well as fashion. These tips can help you choose the right shoes that will help keep your feet in good shape:

  1. Trace your foot—place any shoe that you might buy on top of your foot tracing. If the shoe is shorter or narrower than the tracing, don’t bother trying it on.
  2. Measure your foot—feet change with age, often growing larger and wider, so you should have your feet measured every time you buy new shoes. If one foot is larger than the other, buy a size that fits the larger foot.
  3. Shop in the afternoon—because your feet can swell as much as eight percent throughout the day, the best time to buy shoes is at the end of the day to account for the largest possible size your feet will reach.
  4. Socks—wear the same type of socks to the store that you intend to wear with the shoes.
  5. Stand in the shoes—you should have half an inch of space between your toe and the end of the shoe when you’re standing, in order to provide enough room for your foot to press forward when you walk. Wiggle your toes to make sure there’s enough room.
  6. Walk in the shoes—walk around to determine how the shoes feel. Find shoes that fit from the start, not shoes that need to be “broken in.”
  7. Trust your comfort level—shoes sizes vary between manufacturers, so don’t exclusively depend on the shoe’s noted size or description.
  8. Pay attention to width and length—if the ball of your foot feels compressed in a particular shoe, ask if it comes in a wider size. Buying shoes that are half a size bigger won’t necessarily solve the problem.
  9. Feel inside the shoe—check the shoe for any tags, seams, or other material that may irritate your foot.
  10. Examine the soles—take note of how they feel when you walk around the store. Try to walk on hard surfaces as well as carpet to see how the shoe feels on both.
  11. Examine the upper part of the shoes—the top of the shoes should be made of a soft, flexible material to match the shape of your foot. Shoes made of leather can reduce the possibility of skin irritations.

Understanding the Parts of the Shoe

Understanding the different parts of the shoe can help you choose what type of shoe will work best for your feet. The different parts of the shoe include:

  • Toe box—the front area of the shoe where the toes rest. The deeper the toe box, the more room for your toes.
  • Vamp—covers the top part of the foot at the midsection of the shoe (where the laces are). The vamp should fit snuggly, holding the foot firmly, yet comfortably in place.
  • Counter—the back of the shoe that holds the heel in place. A stiff counter offers greater heel control and stability.
  • Last—the solid, foot-shaped form (usually made from dense plastic) that the manufacturer uses to create a shoe. There are three categories of lasts: straight, semi-curved, and curved.
  • Insole—the inside of the shoe where the main part of the foot rests. Shoes that have removable insoles provide greater flexibility as they can be removed or replaced with a cushioned insole or orthotic.
  • Shank—is located under the arch of the foot. The stiffer the shank, the more support it provides.
  • Midsole­—the material that sits between the upper or top section of the shoe and the outer sole. The softer the material, the more shock absorption in the shoe.
  • Outsole—the hard bottom of the shoe (typically made from leather, blown rubber, or man-made materials). It is important to make sure that the shape of the outsole conforms to your foot.

Schedule a Consultation

If you find that changing up the style of your shoes doesn’t help with your foot pain, then you should seek out help from an experienced podiatrist. Book a consultation with Dr. Vikki and Dr. Connie today, so that they can help you get to the bottom of your foot pain.

Thursday, 04 August 2016 11:06

Managing Basic Foot Aches

How to Manage Basic Foot Aches

Foot health is easily taken for granted, especially considering how much work and weight our feet bear day in and day out. However, this is precisely why foot health should be made a top priority: to prevent chronic pain and even disability. Foot pain is common and near inevitable as we grow older, and work our bodies longer and harder. But unlike most things in our adult lives, basic foot aches can be understood, managed, and eventually resolved.

Brushing up on a bit of general foot anatomy is helpful to better understand the source of your pain. It is important to identify the origin of the pain – such as the heel, the arch, the toes, or the balls of your feet – in order to accurately treat a localized injury.

Here are a few tips on identifying the source of your foot aches, and how to manage foot pain in your daily life:

Common Sources of Foot Aches

Your feet require adequate care and support which, in turn, will support overall body. Common sources of foot pain include:

  • Poorly-fitting shoes: A proper shoe fit encompasses several factors. This includes the foot length, the shoe depth, the width of the toe box, and more. Have your feet professionally measured at the end of the day, when your feet are largest due to swelling. Also make sure to have the shoes fit your largest foot, as feet are rarely symmetrical.
  • Improper support: Proper arch support is necessary, especially if your arches have fallen or your feet tend to pronate. If your shoes are not supportive enough, purchase custom or over-the-counter insoles for the support you need.
  • Inappropriate footwear: Most sports have specific footwear specially designed to properly meet the activity’s demands. Cross-training shoes, running shoes, hiking shoes, and tennis shoes are just a few examples. Inappropriate footwear can easily result in physical injury on the court or on the field.
  • Spending too long on the feet: Long hours spent on the feet, especially on hard surfaces like concrete, will soon result in pain and even injury.
  • Overuse: Like every other part of the body, your feet need rest, too. Avoid overworking the feet by spacing out demanding physical activities like running or sports.
  • Trauma: Foot trauma can include everything from sprains, strains, and fractures.
  • Fungal infection: Fungal infections like athlete’s foot and toenail fungus are extremely common, and highly contagious.
  • Plantar warts: Plantar warts are caused by HPV, which enters through small cuts and breaks in the skin.
  • Bunions: Bunions are bony growths formed at the base of the big toe, which can become extremely painful.
  • Corns and calluses: Corns and calluses are formed by the thickening and hardening of the skin on the feet, caused by the skin protecting itself from excessive friction.
  • Blistering: Foot blisters are common, and are the result of excessive rubbing against the skin from poor shoes or friction.

Foot pain can also be further reduced to localized injuries, which can point to specific conditions:

Heel Pain

Heel pain is the most common cause of foot aches. Pain beneath the heel indicates inflammation of the tissues underneath the foot, which can signify one of several conditions:

  • Plantar fasciitis: The fascia is the band of tissue which connects the heel bone to the toes. Plantar fasciitis is the inflammation of the fascia, an injury which often occurs due to overuse. Risk factors include obesity, having a job which requires long hours on hard surfaces, running for exercise, and having flat feet or high arches. The best course of treatment for plantar fasciitis is a good stretching regimen.
  • Heel spur: A heel spur is a calcium deposit protruding from the underside of the heel, and is often the result of chronic plantar fasciitis. The risk factors for heel spurs are the same as those for plantar fasciitis, with treatment including surgery and non-surgical solutions like custom orthotics.
  • Stone bruise: A stone bruise occurs when the fat pad underneath the heel is injured, usually from stepping on a hard object such as a stone. With enough rest, a stone bruise will eventually heal on its own.

Pain behind the heel, on the other hand, could indicate the inflammation of the area where the Achilles tendon meets the heel bone. This could be the result of excessive running or wearing shoes which dig into the back of the heel. Treatment includes wearing specialized heel inserts or open-back shoes, stretching the Achilles tendon, and the use of anti-inflammatory drugs to relieve the swelling.

Pain in the Balls of the Feet

Pain in the ball of the foot, where the heads of the metatarsals meet, is known as metatarsalgia. This pain and inflammation can be the result of a number of factors, from running and high-impact sports to excess weight and poorly designed shoes. It can also be an indication of:

  • Stress fractures: Stress fractures are small breaks in the bones of the toes, which can dramatically impact the way you bear weight on the feet.
  • Morton’s neuromaMorton’s neuroma is a growth in the fibrous tissue surrounding the nerves leading to the toes, and can cause the uncomfortable sensation of having a pebble stuck in your shoe. Its development is commonly linked to the wearing of high-heels, and can be treated by switching to better shoes, corticosteroid injections, or surgery.

Arch Pain

Pain in the arch of the foot is usually a symptom of plantar fasciitis, or an indication of fallen arches. Fallen arches, or flat feet, are often the result of inflammation, tearing, stretching, or damage to the tendons. Treatment for fallen arches includes rest, stretching exercises, physical therapy, orthotics, and anti-inflammatory medications.

Toe Pain

Due to the various joints in the toes, toe injuries can be especially painful. Common sources of toe pain include:

  • GoutGout is a form of arthritis which mainly targets the big toe. Gout produces extreme swelling and pain in the toes, through causing crystals to form and collect in the toe joints. The condition can be treated through rest, icing the affected areas, and taking non-steroidal anti-inflammatory drugs to ease the swelling.
  • BunionsA bunion is a bony growth that develops on the joint where the big toe connects to the foot. Bunions are more common in women, due to heels forcing the bones of the feet into unnatural formations. Bunion pain can often be alleviated through more supportive shoes or inserts, or you may remove the bunions via surgery.
  • Hammertoe: Hammertoes occur when the toes bend downwards at the middle joint, forming a hammer-like appearance instead of pointing straight forward. The condition is most often caused through repeated wear of ill-fitting shoes such as high heels, but may be the result of a muscle imbalance or even arthritis. Mild hammertoe can be treated through toe pads, cushions, or inserts, but severe cases may require surgery to reposition the bones.

Find Foot Pain Relief with Dr. Vikki and Dr. Connie

The feet are fragile, and require the special care and attention of an expert podiatrist. If you’re experiencing foot pain, or are seeking to prevent injury before it strikes, schedule a consultation with Dr. Vikki Dr. Connie at the Superior Foot & Ankle Care Center today.

Thursday, 28 July 2016 11:03

Ankle Sprains: When to Seek Help

Dealing with Ankle Sprains Before They Get Worse

Ankle sprains are very common injuries. Odds are that at some point in every person’s life—be it while running on the playground as a child or landing awkwardly on the stairs as an adult—a sprain will occur. Often sprains are simply complications from over-extended ligaments in the ankle that will clear up on their own. However, in some cases the ligaments will stretch severely or even tear, prompting the need for medical attention.

The most common recipients of ankle sprains are men between the ages of 15 and 24, and women over the age of 30. At least half of all ankle sprains occur during strenuous activity; however, almost as many occur from daily activities such as going downstairs or walking on soft or slippery surfaces. An average of 25,000 people each year seek medical attention for ankle sprains in the United States.

There are a few signs to look out for when sustaining a sprain. With mild sprains there will be pain along the inside of the foot and difficulty walking. Most sprains involve swelling, although with a mild sprain the swelling should not be severe and should go away within a few days. With more severe sprains there will likely be bruising and severe swelling. Most people report a popping or tearing sound occurring at the onset of the injury. It is likely you will not be able to put any weight on the injured foot at all.

The swelling that can occur with a severe sprain is similar to the swelling that occurs with a fracture. It is important to seek medical attention whenever swelling occurs, as there may be a more serious injury capable of worsening if left untreated. Even simple sprains, if left untreated, can turn to joint weakness or stiffness later on.

What Can I Do?

Like many conditions of the foot and ankle areas, there are things you can do at home to lessen the symptoms. The R.I.C.E. method of at-home treatment, derived from the first letters of Rest, Icing, Compression and Elevation, is a useful acronym to remember when dealing with Ankle Sprains.

Rest is generally the first step you should always take after a foot injury. Any amount of weight placed on the affected area can cause severe pain and prompt further injury. It is important to remain off of the affected foot/feet as much as possible, as soon as possible after the injury is sustained.

Icing the affected area for twenty-minute periods is an effective way to minimize the pain and help lessen bruising.

Compression of the injured ankle involves binding the joint with a bandage or boot, which can help to minimize swelling. However, it is recommended that you consult a health professional before binding as further injury can be caused by unskilled methods of compression.

Elevation involves raising the affected foot above the level of your chest, or at least as high as you can safely and comfortably do. This will restrict blood flow to the affected area and decrease pain.

In many cases of a sprain, a boot or crutches will be required to cushion the injured foot or to remove weight from it entirely. Podiatric professionals, like the team at Superior Foot & Ankle Care Center, can help to asses the severity of a sprain and provide the tools necessary to help you heal.

Where Should I Go from Here?

If you have sustained a sprain, chances are that your mobility has suffered. Dr. Vikki and the qualified team at Superior Foot & Ankle Care Center have the tools and training necessary to educate you on how to treat a sprain and how to avoid future injury.

With many years of collective experience, Dr. Vikki and Dr. Connie can help you get back on your feet and stay there. Schedule a consultation today to find out what the team at Superior Foot & Ankle Care Center can do for you!

Tuesday, 26 July 2016 11:02

Cracked Feet and How to Treat Them

Cracked Feet: Here’s Why Your Feet Are So Dry

Just because your feet are tucked away in socks and shoes for most of the day doesn’t mean that they don’t need moisture, too. If you have noticed cracked heels developing, it’s a sign that the skin on your feet is in dire need of moisture. Left alone, cracked heels can cause pain, bleeding, and even infection.

Cracked heels occur when the skin is too dry to support all of the pressure on it. So when natural expansions of the foot occur during the day, the callused skin on the heel begins to split.

How to Prevent Cracked Feet

  • Purchase a good foot cream. Look for rich, heavy moisturizing creams and oils to apply to your cracked feet. Generally, greasier creams works better. Petroleum jelly is a great option if you are unsure where to start. Use the creams (or petroleum jelly) before going to bed, since they take some time to soak in
  • Choose your soap carefully. While cracked heels need to be kept clean and dry, harsher soaps will remove too much moisture from your feet. Look for milder soaps or those that note they have moisturizing properties.
  • Drink plenty of water. That dry, crackly feeling in your throat when you haven’t had water in a while is indicative of what your skin is feeling, too. Drinking more water will rehydrate your skin and help heal cracked heels.

Believe it or not, the moisture your feet get also depends heavily on how you bathe.

  • Moisturize after every shower. Make a point of moisturizing right after a bath or shower to seal moisture in.
  • Skip a shower. Bathing more than once a day can actually be harmful for your body. Water from outside the body washes away the oils from your skin and sucks moisture out. The more time you spend bathing, the less moisture your feet retain.
  • Set the water to lukewarm. While most people prefer a steamy shower, the hot water will actually dry out your skin. Set the water to room temperature instead.
  • Try an oatmeal bath. Bathing with oatmeal-based cleansers are actually a lot less drying than other cleansers, and help prevent cracked feet.
  • Don’t scrub your feet. Heavily scrubbing your feet with a towel only dries the skin out even more. Instead, gently pat your skin.

While most cases of cracked heels aren’t serious, soreness, redness, and swelling around the cracked area could be signs of infection and require examination from a podiatrist. If you are worried about infection or simply want to learn more about taking care of your feet, contact Dr. Vikki and Dr. Connie at Superior Foot & Ankle Care Center.

Tuesday, 19 July 2016 11:00

Treating Severe Foot Pain

Severe Foot Pain and How to Treat It

Do you have foot pain so severe that it makes it unbearable for you to walk around? Have you tried a bunch of different remedies that just don’t seem to work?

The key to solving your foot pain is first getting the right diagnosis. Here’s a look at some of the common causes of foot pain and how to treat them. However, before you try out any of these treatments by yourself, you should consult with your podiatrist.

Common Causes of Severe Foot Pain

Your feet carry you around every day, bearing your weight when you’re standing and helping you get to where you need to go. You might not think about your feet too often, that is until they start to hurt. Foot pain is a common problem among people of all ages.

A list of some of the possible causes of foot pain include:

  • Achilles tendinitis: is an overuse injury of the Achilles tendon (the band of tissue that connects the calf muscles at the back of your lower leg to your heel bone).
  • Bunions: a bony bump that forms at the base of your big toe.
  • Bursitis: affects the small, fluid-filled sacs (bursae) that cushion the bones, tendons, and muscles near your joints.
  • Corns and calluses: thick, hardened layers of skin that develop when your skin tries to protect itself against friction and pressure.
  • Diabetic neuropathy: a type of nerve damage that is the result of diabetes.
  • Flatfeet: the entire soles of your feet touch the floor when you stand.
  • Gout: sudden, severe attacks of pain, redness and tenderness in joints. Often at the base of the big toe.
  • Hammertoe and mallet toe: deformities in the imbalance in the muscles, tendons, or ligaments that normally hold the toe straight.
  • Ingrown toenails: when the corner or side of the toenail grows into the soft flesh.
  • Metatarsalgia: when the ball of your foot becomes painful and inflamed.
  • Plantar fasciitis: pain and inflammation in the thick band of tissue (plantar fascia) that runs across the bottom of your foot and connects your heel bone to your toes.

Treating Severe Foot Pain

Treatments for severe foot pain problems include:

  • Achilles tendinitis: usually responds well to self-care measures, such as rest, ice, compression, and elevation; but if your symptoms are severe then your doctor might suggest other treatment options, like pain medications (ibuprofen or naproxen), physical therapy, or surgery.
  • Bunions: some nonsurgical options include changing shoes, padding or taping your foot, medications, shoe inserts, and applying ice. Surgical options include removing swollen tissue, removing part of the bone to straighten your big toe, realigning the long bone between the back of your foot and your big toe, and permanently joining the bones of your affected joint.
  • Bursitis: treatment usually involves rest, ice, and pain relievers. However, if the bursitis is more severe, treatment might include medication, therapy, injections, an assistive device, or surgery.
  • Corns and calluses: treatment options can include trimming away excess skin, callus-removing medication, shoe inserts, or surgery.
  • Diabetic neuropathy: treatment focuses on slowing the progression of the disease, relieving pain, and managing complications and restoring function. To help slow the nerve damage you will need to keep your blood pressure under control, follow a healthy-eating plan, get plenty of exercise, maintain a healthy weight, stop smoking, and avoid alcohol.
  • Flatfeet: if your flat feet are painful then your doctor might suggest arch supports, stretching exercises, supportive shoes, or physical therapy.
  • Gout: medications that can treat gout and prevent future attacks include nonsteroidal anti-inflammatories, colchicine, and/or corticosteroids.
  • Hammertoe and mallet toe: wearing proper footwear (allows adequate space for your toes) will help relieve pressure and pain.
  • Ingrown toenails: your doctor may recommend lifting the nail, partially removing the nail, or removing the nail and tissue.
  • Metatarsalgia: conservative measures (rest, ice, compression, and elevation) usually relieve the pain. In rare cases, you may have to undergo surgery to realign the metatarsal bones.
  • Plantar fasciitis: you may be required to take certain medications (ibuprofen or naproxen) and undergo types of therapy (physical therapy, night splints, or orthotics). In some cases, you may have to undergo steroid shots, extracorporeal shock wave therapy, or surgery.

Consult with Dr. Vikki and Dr. Connie

It is important to consult with your podiatrist to make sure that you get a proper diagnosis for your foot pain. Book a consultation with Dr. Vikki and Dr. Connie so that they can help you get rid of your severe foot pain for good.

Thursday, 14 July 2016 10:58

Orthopedic Shoes and Foot Pain

What Orthopedic Shoes and Inserts Can and Can’t Do for You

At the end of the day, are your feet so sore that you can barely walk? Is this something that occurs on a regular basis? If so, then orthopedic shoes or inserts may be the right solution for you.

But before you run out to the drugstore to pick up some non-prescription inserts, here are some things that you need to know about what orthopedic shoes and inserts can and can’t do for you.

What are Orthopedic Shoes and Inserts?

Orthopedic shoes are specifically designed to provide support and pain relief for people suffering with some type of leg, ankle, or foot pain. While most people tend to think of ugly shoes when they think of orthopedic shoes, today’s orthopedic shoe is a lot more fashion-friendly then they have been in the past, and are worn by people of all ages. The exact design for orthopedic shoes varies depending on the particular health problems of the wearer. There is no one design of orthopedic shoe that will work effectively on all types of foot problems.

Wearing orthopedic shoes is a good idea whenever there is any type of health issue that makes walking painful. All orthopedic shoes and boots share several characteristics, such as:

  • Extra firm and low heels
  • Wide toes
  • Inner soles that can be removed

While the most popular type of orthopedic footwear is shoes and inserts, you can also buy orthopedic socks and slippers.

Prescription vs. Non-Prescription Inserts

Just like orthopedic shoes, shoe inserts can help relieve a variety for ailments, including flat arches and foot pain. Shoe inserts work to cushion your feet, providing comfort and support to your arches. They can also help correct biochemical foot problems or cure long-standing foot issues.

The most common types of shoe inserts are:

  • Arch supports: designed to support the foot’s natural arch.
  • Insoles: provides extra cushioning and support. They are often made of gel, foam, or plastic.
  • Heel liners: also known as heels pads or heel cups. They provide extra cushioning in the heel region.
  • Foot cushions: can be used as a barrier to stop your shoe from rubbing against your foot.

Unlike non-prescription inserts, prescription custom orthotics are designed specifically to support and comfort your feet. Prescription orthotics can be divided into two categories: functional orthotics and accommodative orthotics.

Functional orthotics work to treat foot pain caused by abnormal motion and injuries, such as shin splints or tendinitis. Functional orthotics are generally made out of semi-rigid material, like plastic or graphite.

Accommodative orthotics are made out of softer material and are meant to provide additional cushioning and support. They can be used to treat uncomfortable conditions, such as diabetic foot ulcers and painful calluses on the bottom of the foot.

Causes of Foot Pain

Some of the common types of foot pain that orthopedic shoes or inserts can help treat include:

  • Plantar fasciitis: irritation or inflammation of the band of tough tissue connecting the heel bone to the toes.
  • Heel Spurs: abnormal bone growth on the bottom of your heel.
  • Heel fracture: a high-impact injury caused from a fall or car accident.
  • Metatarsalgia: pain and inflammation in the ball of your foot.
  • Morton’s neuroma: a thickening of tissue around the nerves between the bases of the toes.
  • Fallen arches: when the arches of the feet flatten out.
  • Bunions: a bony bulge along the edge of the foot, next to the base of the big toe.
  • Hammertoe: when your second, third, or fourth toe bends at the middle joint.
  • Claw toe: when your toe points up or down and is unable to straighten.
  • Sesamoid fracture: a break in the small bones that are embedded in the tendons attached to the big toe.

Book an Appointment

While orthopedic shoes and inserts can do a lot to help your feet feel better, you should make an appointment with a skilled and knowledgeable podiatrist before purchasing your own orthopedic shoes and inserts. Consult with Dr. Vikki and Dr. Connie today about which products will work best for your specific foot needs, and what else you can do to help alleviate your foot pain.

What Causes Your Feet to Make Cracking Sounds?

Do you often find that your feet crack and pop when you’re walking? Are you concerned about what the noises could mean? In most cases, painless cracking and popping isn’t something that you need to worry about. It’s when the cracking causes you pain that you should be concerned.

Here’s a quick look at some of the reasons that might be causing your feet to crack and what it could mean for you.

Painless Cracking

While painless cracking isn’t something that you have to really worry about, you may still be curious about what causes your feet to crack. Some of the things that may cause your feet to crack without causing you pain include:

  • Escaping gases—the bones in our joints are surrounded by synovial fluid that lubricates and prevents bones from rubbing against each other. Synovial fluid contains oxygen, nitrogen, and carbon dioxide. When the joint capsule is stretched, these gases form bubbles that cause a popping sound when the bubbles are released. In order to crack the same joints again, you have to wait until the gasses return to the synovial fluid.
  • Movement of joints, tendons, and ligaments—the tendon position changes and moves slightly out of place when a joint is moved. This may cause you to hear a snapping sound when the tendon returns to its original position. Also, your ligaments may tighten as you move your joints, which can make a cracking sound.
  • Rough surfaces—arthritic joints make sounds caused by the loss of smooth cartilage and the roughness of the joint surface.

Painful Cracking

In some cases, your feet making cracking sounds could be an indication of a greater problem. Some more serious problems that may cause your feet to crack include:

  • Morton’s neuroma—a painful condition that affects the ball of your foot, most commonly the area between your third and fourth toes. This condition may feel similar to having a pebble in your shoe. Morton’s neuroma involves a thickening of the tissue around one of the nerves leading to your toes. This can cause your feet to crack, and you may also feel a sharp burning pain, as well as a stinging, burning, or numbing of the toes. This condition can be caused by wearing high-heeled shoes or shoes that are too tight or ill-fitting, causing extra pressure on your toes and the ball of your foot; by participating in high-impact sports that may subject your feet to repetitive trauma; or by foot deformities, such as bunions, hammertoe, high arches, or flatfeet.
  • Achilles tendon rupture—the Achilles tendon is a strong fibrous chord that connects the muscle in the back of your calf to your heel bone. Overstretching your Achilles tendon can cause it to tear (rupture) completely or partially. If your Achilles tendon ruptures, you will most likely feel a pop or snap, followed by an immediate sharp pain in the back of your ankle and lower leg. Ruptures tend to occur within two and a half inches of the point where it attaches to the heel bone. It is often caused by a sudden increase in the amount of stress on your Achilles tendon, such as increasing your participation in high-intensity sports, falling from a height, or stepping in a hole.
  • Locked joint—if a joint becomes locked when it pops or cracks then there is a chance that something is caught between the joint surfaces. A piece of torn bone or cartilage may be the cause. Once the joint is stuck, it will need to be manipulated to unlock it, which will cause a popping sound.

Book a Consultation

If you experience any pain or swelling in your cracking joints, then it’s important that you seek out medical advice from a qualified healthcare professional. Book a consultation with Dr. Vikki and Dr. Connie today. With years of collective experience in their fields, they’ll be able to help you get to the bottom of what’s causing your feet to make cracking sounds and how the issue can be alleviated.

Tuesday, 05 July 2016 10:55

Causes of Foot Rash

Treating Your Foot Rash

Do you have a rash on your feet, but you can’t seem to figure out what’s causing the problem? Not surprisingly, there are many different things that can cause a foot rash to occur, including something occurring near the foot itself or a body-wide condition. A foot rash can affect a small area, be short-lived and mild, or it may spread further up the leg, returning frequently and be painful or itchy. Some foot rashes are also highly contagious.

The first step in treating your foot rash is getting the right diagnosis. Knowing exactly what is causing your foot rash can also help you prevent it from ever returning and turning into a chronic condition. Here’s a look at some of the things that can cause a foot rash, their symptoms, and how to treat them.

Common Causes of Foot Rash

  • Irritant contact dermatitis is the most common type of contact dermatitis. Usually caused by damage to the protective outer layer of skin due to contact with chemicals such as household cleaning products, detergents, dyes, cosmetics, or industrial chemicals. This type of rash is not contagious.
    Symptoms: Localized dry, cracked, scaly skin, and a non-itchy foot and ankle rash. Symptoms vary depending on exposure to the chemical.
    Treatment: Wash the area well, avoid the irritant, use anti-histamines or topical steroids.
  • Allergic contact dermatitis is caused by exposure to allergens that trigger an immune reaction in the skin. Common allergens include latex rubber, plants, metallic substances, and shoe leather. This type of rash is not contagious.
    Symptoms: Pink or red skin with small bumps which may blister. Can be extremely itchy.
    Treatment: Avoid the allergen, use a cold compress, anti-histamines or topical steroid medication.
  • Eczema is a chronic condition that usually starts in early childhood, but can be grown out of. The exact cause is unknown and may be due to a number of different factors, including an inability for skin to provide an effective barrier to allergens, bacteria, and environmental conditions. Eczema can also be hereditary. This type of rash is not contagious.
    Symptoms: Dry, red patches of inflamed skin that tend to be itchy (more so at night). Can progress into small, fluid-filled bumps.
    Treatment: There is no cure for eczema but you can relieve the symptoms by using corticosteroid cream or ointment, anti-histamines, or UV light therapy. Make sure to regularly moisture the skin, and take shorter, less frequent baths or showers in warm water.
  • Athlete’s foot is a fungal infection (a type of ringworm) which is often caused by sweaty feet, tight shoes, damp footwear, or anything that makes the foot warm and wet for long periods of time. This type of rash is contagious.
    Symptoms: Scaly, itchy, flaky, red foot rash accompanied by a stinging and burning sensation. Blisters may also occur.
    Treatment: Anti-fungal medication (usually cream or ointment). Good hygiene such as changing shoes and socks often.
  • Hand, foot, and mouth disease is a mild viral infection often contracted through coughing and sneezing. This type of rash tends to occur during warmer weather and is highly infectious.
    Symptoms: Red, non-itchy hand and foot rash. Blisters may occur in the mouth, hands, and feet. Fever, sore throat, loss of appetite, and a general feeling of being unwell. Dehydration is also a common side effect as it can be painful to drink.
    Treatment: Oral anaesthetics and over-the-counter medications (paracetamol and ibuprofen).

Other Causes of Foot Rash

Some of the other, less common causes of foot rash can include:

  • Food allergies
  • Insect bite or bee sting
  • Chickenpox or shingles
  • Erythema nodosum (red nodules under the skin)
  • Impetigo
  • Lyme disease
  • Measles
  • Mumps
  • Rubella
  • Roseola
  • Scarlett fever
  • Meningitis
  • Pityriasis rosea
  • Rocky Mountain spotted fever
  • Strep throat
  • Kawasaki disease
  • Psoriasis
  • Rheumatoid arthritis
  • Extreme cold or heat
  • Lichen planus (purplish itchy papules)
  • Medications
  • Stress
  • Sunburn
  • Allergic purpura
  • Anaphylaxis (life-threatening allergic reaction)

Consult with Dr. Vikki and Dr. Connie

Before you try to treat your foot rash at home, it is important to get the right diagnosis to determine the cause of your foot rash. Book an appointment with Dr. Vikki and Dr. Connie today, so that they can help you figure out the best treatment plan for your foot rash.

Page 2 of 4

Connect With Us