Super User
Tuesday, 10 January 2023 00:00

Blisters

Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters.  Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.  

Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.

Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.

To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.

There are reasons that pain in the big toe can occur. It may happen suddenly from an injury or it can gradually occur. Pain in this toe may be a symptom indicating an existing medical condition and a podiatrist can determine what that condition is. Gout is a condition that develops suddenly and affects the joints in the big toe. It can produce excruciating pain and discomfort and may be controlled by the types of foods that are eaten. Additionally, a bunion is another condition that gradually occurs. Bunions are characterized by a bony protrusion that forms on the side of the big toe. Severe bunions may cause pain and larger shoes may need to be purchased to accommodate the bunion. Some people develop ingrown toenails which generally affects the big toe. When left untreated, an infection may occur and medical attention is often sought. A sudden injury can produce a broken toe and relief and stability may be found when the affected toe is taped to the toe next to it. If you have pain in your big toe, it is strongly advised that you consult with a podiatrist who can determine what the cause is followed by implementing effective treatment strategies.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 29 November 2022 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Tuesday, 15 November 2022 00:00

Buying Foot-Friendly Athletic Shoes

Shoes that do not fit well or those with high heels are a common cause of foot pain and can also lead to chronic conditions affecting other parts of the body. Athletes can prevent injury and pain by paying attention to a few tips that include making sure their shoes fit well and are supportive, selecting shoes that are appropriate for the activity to be done, and making any necessary adjustments to shoes prior to working out. It is important to pay close attention to shoe size and measure feet prior to trying shoes on. Feet swell as the day wears on, and shoe sizes vary across and between brands. Function and fit should be given precedence over fashion. Running shoes are different than hiking shoes and streetwear shoes are not the best for training. Different athletic shoes are developed to protect the areas of the feet that are most stressed by the activity. Shoe inserts, pads, or cups can be used in shoes to relieve chronic pain symptoms. If you enjoy running and want to continue your sport more comfortably, it is suggested you have your gait analyzed by a podiatrist. This healthcare practitioner can also observe any special adjustments needed for your shoes and advise on the best shoes for you. 

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoe for Your Foot Type
Tuesday, 01 November 2022 00:00

Common Foot Problems of Children

As babies grow and begin to walk, their gait may at first seem awkward while developing strength and learning to maintain their balance. By about 18 months, parents may wish to watch their child’s gait and notice any problems that may need attention. Common foot problems in children are bow legs, knock knees, and flat feet. Other potential foot problems include in-toeing, out-toeing, and tiptoe walking. Many of these tendencies are normal in toddlers and often self-correct between the ages of 6 and 8 years old. One of the best ways to keep your child’s foot development on track is by providing proper footwear. It is essential that shoes and socks are the correct sizes. A child’s foot grows rapidly, which may mean replacing shoes and socks often. For more information on the common foot problems of children, it is suggested that you consult with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Child's Feet
Tuesday, 13 September 2022 00:00

Prevention of an Achilles Tendon Injury

Tendons connect muscles to bones. The Achilles tendon, the largest and strongest tendon in the body, connects the lower part of the calf muscles to the heel bone. This tendon helps the calf muscle in pointing the toe or doing a calf raise, and aids in all movement of the ankle joint. When it is overworked or inflexible, it is at risk for injury. Damage to the Achilles tendon can include strain, rupture, or tendinitis. The most common injury to this tendon is tendinitis. This can happen when the tendon is stressed from repetitive movements like running or jumping, or from a change in an athlete’s training program. Additionally, it may happen as a result of training at a level the body cannot handle, or from having inflexible calf muscles. Achilles tendon injuries can be prevented with frequent lower leg stretches, strengthening the calf muscles and Achilles tendon, and engaging in appropriate training for a sport. Shorter, easier workouts should gradually progress to becoming longer, and more difficult. Decreasing the activity that caused pain, and resting are the first things one should do if they have injured their Achilles tendon. If you have pain in your Achilles tendon that continues or worsens, it is suggested that you consult with a podiatrist for a proper diagnosis and treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries
Tuesday, 13 September 2022 00:00

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

Tuesday, 30 August 2022 00:00

Treating Plantar Fasciitis With Surgery

Plantar fasciitis is one of the most common foot conditions that causes heel pain. The plantar fascia is a long band composed of tissue, running from the heel to the toes. The plantar fascia also makes up the arch of the foot. When this band of tissue becomes irritated or inflamed, it is known as plantar fasciitis. This condition can be treated in several ways. If you do not respond to any of the less severe treatment options like orthotics or anti-inflammatory medications, you might be a candidate for a surgical procedure. The surgery, known as plantar fasciotomy, is a procedure that essentially moves the affected fascia away from the heel bone. This is done to ultimately reduce the tension that is causing the condition. There are two main kinds of surgery for plantar fasciitis. First, you may have an open surgery, which is performed in a hospital and includes making a 1-2 inch incision. Alternatively, you may have an endoscopic surgery, which involves making two small incisions that are less than half an inch deep. There are a variety of factors that can determine whether you are a candidate for this kind of surgery. If you are interested in this treatment and want to learn more, contact a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of 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 are 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 offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 23 August 2022 00:00

What Diabetics Need to Know About Foot Care

Diabetics have high blood sugar levels that can damage blood vessels and nerves in the legs and feet. Such damage can make it hard to feel pressure, pain, and temperature in the feet. Therefore, diabetics may not know they have a cut or sore on their foot or feel the effects of shoes that are not fitting properly. Diabetes can cause the toes to become crooked or curved under and this can impact the way one walks, leading to more pressure on the foot. The increased pressure can reduce blood flow to the feet which increases the risk of foot ulcers. Diabetics need to practice regular foot care to prevent serious problems such as an infection, gangrene, or even amputation. Regular foot care involves checking the feet daily for wounds, corns, or calluses as well as changes in skin texture, color, or temperature. Wash the feet each day with warm, soapy water and dry them, followed by applying a moisturizer. Finish by trimming the toenails straight across and wear well-fitting shoes with clean, dry socks. If you are diabetic it is suggested to have a professional foot exam once a year or whenever you notice a change in your feet. A podiatrist can monitor your feet over time as well as care for any problems that may arise.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Palm Beach Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially 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, as 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.

If you have any questions please feel free to contact our offices located in Boynton Beach, Palm Beach Gardens, and West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions
Tuesday, 23 August 2022 00:00

Diabetic Foot Conditions

Diabetes is the condition in which the body does not properly process food for use as energy. People with Type 1 diabetes cannot produce insulin, which is required for glucose to feed your body’s cells. It is typically caused by the immune system mistaking healthy cells for foreign invaders and destroying the insulin-producing cells in the pancreas. On the other hand, people with Type 2 diabetes cannot respond to insulin properly, and eventually cannot produce enough.  The Centers for Disease Control and Prevention reports that over 30 million people in the United States have diabetes, with 1 in 4 having no idea they have it. Surprisingly, diabetes is the seventh leading cause of death in the US. The symptoms of diabetes include frequent urination, fatigue, hunger, and even blurry vision.

Diabetes can also affect the feet as well. Over time, diabetes can cause nerve damage to your feet, which could then lead to symptoms such as tingling, pain and numbness in the feet. Neuropathy can be very dangerous to a person with diabetes, since it prevents them from feeling injuries such as cuts or blisters in the feet, and if not detected early enough, may lead to infection. Neuropathy can also lead changes in the shape of your feet and toes. The best way for people with diabetes to prevent or delay neuropathy is keeping their blood glucose levels in their target range. This consists of eating right, having the correct amount of exercise, and taking medications.

Diabetes can also create calluses and foot ulcers as well. Calluses build up faster and occur more frequently with those affected by diabetes. If there are too many calluses, therapeutic shoes and inserts may be required. It is important to have calluses trimmed by a health professional, as doing it yourself may lead to infections. If these calluses continue to develop and thicken, they can lead to foot ulcers. Foot ulcers are open sores, that appear on the ball of the foot or on the bottom of the big toe. These ulcers can lead to future infections if not treated and may possibly result in losing a limb. It is important to report any ulcers to your podiatrist right away. Your doctor may take x-rays to examine the foot and clean out any dead and infected tissue.

Lastly, diabetes can also lead to poor circulation and peripheral arterial disease (PAD). The poor circulation in the feet and leg area is a result of diabetes narrowing and hardening, eventually slowing down the blood flow in that area. The best way to prevent this is to keep away from smoking and follow your doctor’s advice for maintaining blood pressure and cholesterol. PAD is similar to this complication. PAD is when blood vessels narrow or are blocked by fatty deposits. PAD also increases your risk of heart attacks and strokes and is a common condition to those affected by diabetes. The combination of both PAD and neuropathy may lead to infections and can result in amputation of certain limbs. PAD can be prevented with wearing the proper foot wear and regularly taking care of your feet.

If you want to take care of your feet, you should wash and dry them carefully and perform daily inspections to check for cuts, blisters, or swelling. Any physical activity you partake in should be approved by your health care provider. You should also be sure to wear special shoes if advised to do so by your doctor.

Page 3 of 6

Connect With Us