Monday, 09 March 2015 00:00

Treatment for Sufferers of Plantar Fasciitis

Written by

amkleprobAccording to the Centers for Disease Control and Prevention, one million Americans are seen by doctors for symptoms of plantar fasciitis each year. Plantar fasciitis occurs when the ligament that runs from the heel bone to the base of the tones becomes inflamed; the inflammation is was usually causes the heel pain. Plantar fasciitis can occur through obesity, having too high or too low of an arch, and participation of activities where your foot or heel hits the ground repeatedly such as running. Some ways to reduce the stress placed on the ligament include: icing, taping the arch and bottom of the foot, stretching the lower extremities, wearing orthotics, and taking anti-inflammatories. If those methods do not do the trick, cortisone injections, shockwave therapy, and extracorporeal pulse activation therapy can also be used.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, visit Dr. Lori S. Weisenfeld from New York. Our doctor can treat your heel pain as well as any other foot or ankle condition.

What is Plantar Fasciitis?
Plantar fasciitis is the inflammation of a the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?
·      Excessive running
·      Non-supportive shoes
·      Overpronation
·      Repeated stretching and tearing of the plantar fascia

How Can It Be Treated

·      Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
·      Shockwave therapy – sound waves are sent to the affected area to facilitate healing and is usually used for chronic cases of plantar fasciitis
·      Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis

diabetic foot careA research team at Stanford University School of Medicine recently discovered a potential new way to quickly heal foot ulcers in diabetic patients. Dr. Geoffrey Gurthner and his colleagues developed a new drug, administered through a patch on the skin that increases a protein in diabetic patients and can reduce blockages in the blood vessels in order to allow wounds from the ulcers to heal properly.

For diabetics, foot ulcers can result in more drastic problems than just foot pain such as infections or amputations. The researchers studied the patch on a human skin apparatus that eventually proved to heal the skin 14 days faster than planned and even improved the overall quality of the skin where the ulcer once appeared. Dr. Gurthner and his research team also hope that high quality healing effects of this patch will be able to prevent ulcers from re-occurring in patients.

Diabetes is a very serious condition that can result in amputation or worse if left untreated. If you are diabetic and have any concerns, visit Dr. Lori S. Weisenfeld of New York. Dr. Weisenfeld can treat your diabetic feet.   

Diabetic Foot Care

Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

The Importance of Caring for Your Feet

- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet.

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

If you have any questions feel free to contact our office located in New York, NY. We offer the latest in diagnostic and treatment technology to meet your needs. Read more about Diabetic Foot Care

 
Getting the Right Shoe SizeFaculty of Kinesiology within the University of Calgary have recently showed interest in building the perfect running shoe through studying the effects of comfort and its effect on the rates of injury. Even though the idea of the perfect running shoe has circulated for years, certain studies claim that shoe design has no effect on the rate in which running injuries occur.

However, comfort has become a very big factor in the type of shoe runners will buy and many suggest that people should just go with the pair of running footwear that feels best for them. The scientific team still wants willing participants for their study, hoping to learn more through research.

For help with selecting an appropriate shoe size, consult with Dr. Lori S. Weisenfeld of New York. Dr. Weisenfeld can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Getting the Right Shoe Size

Sometimes it may be difficult finding the right shoe size especially because shoe sizes tend to vary depending on the brand and company you are looking for. A size 6 for one brand may be a size 7 in another. Although many people know their exact shoe size, it can range within 2 sizes depending on where they shop.

So it is important not to always go for a size 7 just because you think you might be a size 7 universally. It is best to try on the shoe and walk around for a bit to see how it fits and how it feels. Comfort is essential and the fitting has to be well otherwise it can lead to blisters, bruises at the back of the ankle and it can also hurt your toes if the shoe is too tight for example.

People walk a lot, so it is important for you to find what is comfortable when it is possible.

For more information about Getting the Right Shoe Size, follow the link below.

If you have any questions, please feel free to contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoes
Monday, 26 January 2015 00:00

Alternative Methods for Bunion Pain Relief

Written by
BunionsIn response to a concern over increasing bunion pain and shoes that hurt, Mayo Clinic reports that while surgery is an option to consider for bunion pain, it is not the only treatment available for the condition. One of the first steps one should take to relieve bunion pain is to change footwear and wear shoes with a wide toe box and soft leather uppers, which will relieve pressure on bunions.  Stretching out shoes can also aid in decreasing irritation and make them feel more comfortable. Acetaminophen, ibuprofen, and naproxen are pain-relieving medications one can take that may help control bunion pain, as well as cortisone injections.

To avoid extended pain, consider bunion treatment as soon as possible. For more information about bunion treatments, consult with podiatrist Dr. Lori S. Weisenfeld of New York. Dr. Weisenfeld will attend to all of your foot and ankle needs and provide you with quality care.

What is a Bunion?

A bunion is formed of swollen tissue or boney growth enlargement, usually located at the base joint of the toe that connects to the foot. The swelling occurs by the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big to become inflamed and often painful.

Why do Bunions Form?

  • Genetics – susceptibility to bunions are often hereditary, particularly among Caucasians

  • Stress on the feet – poorly fitted and uncomfortable footwear that place undue stress on feet, such as heels and stilettos, can cause bunions to form


How are Bunions Diagnosed?

Podiatrists knowledgeable in anatomy and foot structure can be able to diagnose bunions through the following two methods:

  • Blood Tests – to help rule out other conditions while finding underlying causes to bunions, especially from disease

  • Radiological Exam- X-rays can show whether there are any joint enlargements near the toe’s base, which can indicate a bunion


For more information about Bunions, follow the link below.

If you have any questions, please feel free to contact one of our offices located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Bunions
Foot surgeryTripp Halstead of Atlanta was hit by a tree branch in 2012 and had numerous surgeries since. His most recent surgery was surgery of the feet. When the tree branch hit Halstead, the two year-old suffered severe trauma to the brain and his parents have noticed that his feet have not grown since. His parents and doctors are now hoping that this latest procedure will allow the boy to walk again someday instead of using a wheelchair to get around. The surgery lasted around seven hours, but hospital staff claims that everything went according to plan. Nurses even created his casts based off Cars, Halstead’s favorite movie. “I put more emphasis on the positive,” said Tripps’ mother, Stacy Halstead, “That one day he would be able to walk and run like the other kids and that seemed to relax him.”

Foot surgery is sometimes necessary. If you are struggling with a foot or ankle condition, talk to Dr. Lori Weisenfeld of New York. Our doctor can treat your foot and ankle needs.   

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to help with the problem. Some of the cases in which surgery may be necessary are:

- Removing foot deformities like bone spurs and bunions

- Severe arthritis that has caused bone issues

- Reconstruction to attend injuries caused by accidents or malformations

What Types of Surgery Are There?

The type of surgery you receive will be dependent on the nature of the problem you have. Some of the possible surgeries include:

- Bunionectomy for painful bunions

- Surgical fusion for realignment of bones

- Nerve removal for painful nerve endings

Benefits of Surgery

Although surgery is usually a last resort, when it is undertaken, if can provide more complete pain relief than before, and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Such techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact one of our offices located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Surgery
Friday, 06 March 2015 00:00

Women more likely to develop Stress Fractures

Written by
stress fracturesStudies have shown that women are at a greater risk of developing stress fractures than men. Reasons for this increased risk include hormonal differences, increased bone density, and higher rates of inadequate nutrition. While athletes in general are at highest risk after changes in intensity, frequency or duration of their workouts; in women, irregular menstrual cycles and weight less than 75 percent of ideal body weight are factors that make for an increased risk for stress fractures. Stress fractures are small cracks that develop in the bone after being stressed, and are most common in the foot, ankle, and lower leg but can occur on bones throughout the body.

Stress fractures can become painful if left untreated for an extended period of time. If you would like assistance in treating a stress fracture in the foot or ankle, consult with Dr. Lori Weisenfeld of New York. Our doctor can determine the severity of your condition and provide you with quality care.

Coping with Podiatric Stress Fractures

Stress Fractures occur on the foot and ankle when muscles in these areas weaken as a result of overexertion or underuse.  As a result, the ankles and feet lose support when walking or running from the ground. Since these bones are not protected, they receive the full impact of each step. The stress on the feet causes the bones to form cracks.

What are Stress Fractures?

Stress Fractures are very common among those who are highly active and involved in sports or activities that make excessive use of their legs and feet. Stress fractures are especially common among:

-athletes (gymnasts, tennis players, basketball players)
-runners/joggers
-osteoporosis patients
-those who engage in high-intensity workouts

Stress Fracture Symptoms

Pain from the fractures occur in the area of the fractures, and can be either constant or periodic. The pain is usually sharp or dull, accompanied by swelling and tenderness. Engagement in any kind of high impact activity will exacerbate the pain.

For more information about Stress Fractures of the Foot and Ankle, follow the link below.

If you have any questions, please feel free to contact our office located in New York. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Stress Fractures

Researchers at the University of Arizona have been working on a device that monitors feet with sensors and fiber optics in order to predict areas likely to develop ulcers.  Called “Smart Socks,” this technology was created to reduce the devastatingly high number of amputations that often result from diabetic neuropathy. 

Neuropathy is a nerve disorder caused by diabetes that produces a loss of sensation in the extremities.  Without feeling in the feet, ulcers can go unnoticed and become infected.  If the infection is also left unattended the damage can necessitate amputation.  This happens more frequently than many realize.  There are 26 million Americans currently living with diabetes, and according to the CDC someone loses a limb because of diabetic complications every twenty seconds.  Fortunately, researchers seem to be close to solving this problem and expect that this technology will be available by 2019.

When dealing with systemic disease of the feet, is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  For professional help, see podiatrist Dr. Lori S. Weisenfeld of New York, NY. Dr. Weisenfeld will ensure that your feet receive the care that they need.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions feel free to contact our office, located in New York, NY. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Systemic Diseases of the Feet

Wang Fang is an everyday woman, kept on her feet all day due to her profession as a waitress. Fang walks and works normally, all despite being born with backwards feet. Because of her condition, physicians were initially concerned that Fang have a hard time walking.

However, Fang is perfectly functional, and does not see her backwards feet as a disadvantage. “I can run faster than most of my friends and have a regular job as a waitress in the family restaurant. There is no reason to class me as disabled,” Fang said. “I can walk as well as anyone else and even run faster than them. I’m like everyone else—except of course that I put my shoes on backwards.”

There are several different effects that come with constantly working on your feet. If you are finding difficulty working on your feet, see podiatrist Dr. Lori Weisenfeld of New York. Dr. Weisenfeld treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – choosing this shoe places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – our feet were not designed to be enclosed for hours, or all day. Try allowing yourself to expose your feet to air.

Eliminate Pain

Foot Exercises – performing simple exercises, incorporating yoga and stretches is beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – stretching the foot out flat on the floor, will relax the calf muscles and tendon. These exercises can be performed almost anywhere.

Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions, please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Working on Your Feet

Coach AdministersThe Fitbit allows users to track their steps, miles, calories burned, and heart rate with the help of assisting smartphone apps and sensors. Recently, lawmakers and administration officials of Washington, D.C. are using these new forms of technology to fuel their competitive ways. Many employers are even allowing in-office competitions, which helps workers reach their doctor recommended 10,000 steps a day. “The type of people you find on Capitol Hill are very competitive by nature,” Alexa Marrero says, “You have a bunch of Type A personalities in jobs prone to keeping you behind a desk all day, so there are a lot of people who have found this as a fun way to get up.”
Walking is a tried and tested way to successfully exercise the feet. To learn more, consult with Dr. Lori Weisenfeld of New York. Dr. Weisenfeld will answer any of your foot- and ankle-related questions.

Exercise for Your Feet

If you spend most of your time on your feet, or don’t either way your feet should deserve attention. There are many people who exercise regularly and still don’t spend enough time to care for their feet. Your foot does get exposure that requires maintenance since your health has a lot to do with footing.

Exercises

Toe rise – this exercise involves standing on the tip-toes for a count of 15 seconds, then resting your feet on ground. This exercise should be repeated three times a day to strengthen the feet.

Toe Pick-ups – the toes are exercises that are done by picking up small items using your toes. This helps strengthen the muscles on the upper part of the feet. Three sets along with 15 seconds being held should be completed. Small items like marbles or stationary will work.

Ankle Pump – can be performed upwards or downwards. The workout can be completed both ways at the same time. This involves flexing the foot either towards the shin or to the ground. This makes the foot work very well, working large parts of the muscles.

For more information about Exercise for Your Feet, follow the link below.

If you have any questions, please feel free to contact one of our offices located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Exercise for Your Feet

Women often experiencing swelling and soreness in their feet as a result of rapid weight gain and increased production of the hormone relaxin during pregnancy. However, this discomfort can be eased by having the feet massaged. Massaging increases flexibility, relieves stress, and reduces fluid retention in the muscle’s tissues.

A study from the International Journal of Nursing Practice showed that pregnant women who received twenty-minute foot massages five days in a row had considerably less swelling in their lower extremities than those who didn’t. Likewise, a study published in Applied Nursing Research, showed that women who recently had given birth through C-sections significantly experienced reduced pain in their limbs after getting foot rubs.

Getting the feet massaged is a great way for pregnant women to take care of their lower extremities. To learn more about caring for the feet during pregnancy, talk to Dr. Lori Weisenfeld of New York. Dr. Weisenfeld can treat your podiatric needs.

Pregnancy and Foot Health

What foot problems can arise during pregnancy?
One problem that can occur is over-pronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages. 

How can I keep my feet healthy during pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

For more information about Pregnancy and Foot Health, please follow the link below.

 

If you have any questions, please feel free to contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health

Page 11 of 13