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Friday, 12 April 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tarsal tunnel syndrome, or TTS, is a condition characterized by compression of the tibial nerve as it travels through the tarsal tunnel, located on the inner side of the ankle beneath the ankle bone. This compression leads to various symptoms affecting the foot and ankle. Diagnosis of TTS involves a thorough examination by a podiatrist, including a detailed medical history and physical assessment. Common symptoms of tarsal tunnel syndrome include tingling, burning, or shooting pain along the inner ankle and the sole of the foot. Some individuals may experience numbness or weakness in the affected area, which can worsen with prolonged standing or walking. As the condition progresses, symptoms may intensify, impacting daily activities and overall quality of life. If you have pain in this part of your foot, it is strongly suggested that you visit a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
Tuesday, 09 April 2024 00:00

Treating Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which the tibial nerve, located in the tarsal tunnel in the foot, is compressed. The tibial nerve can become compressed from injury, such as an ankle sprain, flat feet, and lesions. Arthritis, diabetes, and varicose veins can also cause swelling and thus result in nerve compression.

Symptoms of tarsal tunnel syndrome include several different sensations in the sole of the foot, inside the ankle, and around the tibial nerve. These sensations include shooting pains, numbness or reduced sensation, pins and needles, burning, and tingling. Symptoms tend to worsen with greater activity to the area. In rare and severe occasions, this can change the muscles in the foot.

If you suspect you have tarsal tunnel syndrome, you should consult with your podiatrist. He or she will examine your medical history to see if you have a history of diabetes, arthritis, or flat feet. They will also check to see if you have suffered an injury to the area recently. An electrical test will be conducted to check if the nerve has been damaged. A simpler Tinel’s Test might also be used. This includes simply tapping the nerve to create a sensation. An MRI scan of the area may also be used.

Treatments vary greatly for tarsal tunnel syndrome. Treatments include both nonsurgical and surgical options depending upon the severity of the condition. Nonsurgical options include anti-inflammatory medication and steroid injections to the area. Orthotics, such as a splint or brace that immobilizes the foot, is another noninvasive option. For those with flat feet, custom shoes can be made to offer better foot support. Surgical options include a tunnel tarsal release, in which an incision is made behind the ankle down to the arch of the foot. This releases the ligament and relieves pressure off the nerve. Some doctors use a more minimally invasive surgery, where smaller incisions are made in the ankle and the ligament is stretched out.

If you are suffering from painful sensations in your foot, see a podiatrist who can determine if you are experiencing tarsal tunnel syndrome. Tarsal tunnel syndrome that is left unchecked can cause permanent nerve damage to the foot.

Caring for a diabetic foot wound demands meticulous attention and specialized techniques to promote healing and prevent complications. Begin by gently cleansing the wound with mild soap and lukewarm water, ensuring thorough yet gentle removal of any debris or bacteria. Pat the area dry with a clean towel, taking care not to rub or irritate the skin. Apply a prescribed antibiotic ointment or cream to safeguard against infection, and cover the wound with a sterile dressing or bandage to maintain cleanliness and moisture balance. Monitor the wound closely for any signs of infection, such as increased redness, swelling, warmth, or drainage, and promptly seek medical attention from a podiatrist if such symptoms arise. Refrain from applying adhesive bandages directly to the wound, as they may cause further trauma or hinder healing. It is important to prioritize weight-bearing off the affected foot to alleviate pressure and promote optimal recovery. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can properly treat diabetic foot wounds.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Family Foot Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Read more about Wound Care
Tuesday, 02 April 2024 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Foot stress fractures, although often underestimated, can pose significant challenges to individuals, particularly those engaged in high-impact activities or sports. These fractures occur when excessive and repetitive stress is placed on the bones of the foot, leading to small cracks or fissures. Common causes of foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, improper training techniques, and underlying conditions such as osteoporosis or nutritional deficiencies. Athletes and military personnel, who frequently engage in activities that subject their feet to repetitive stress, are especially susceptible to stress fractures. Symptoms of foot stress fractures typically include localized pain, swelling, tenderness, and difficulty bearing weight on the affected foot. If left untreated, stress fractures can worsen over time and lead to more severe complications. Therefore, early recognition of symptoms and prompt medical evaluation are essential for effective treatment and prevention of further injury. If you have endured a stress fracture, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Family Foot Care. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

Read more about Stress Fractures of the Foot and Ankle
Tuesday, 26 March 2024 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Selecting the right running shoes for women is essential for a comfortable injury-free running experience. When considering footwear, it is important to understand one's foot type and running style. Women should prioritize shoes that offer adequate support and cushioning, tailored to their unique needs. Assessing factors like arch height, pronation, and foot width helps to make the best selection. For individuals with low arches stability shoes provide support, while neutral shoes suit those with normal arches. Additionally, women with high arches benefit from shoes that offer extra cushioning and flexibility. The shoe's fit should feel snug yet allow room for natural foot movement. Investing in quality footwear that aligns with your specific biomechanics enhances comfort and reduces the risk of injury, enabling women to enjoy their runs to the fullest. If you are purchasing running shoes, it is suggested that you schedule an appointment with a podiatrist to select the appropriate pair.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Family Foot Care. 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 Valatie and Albany, NY . 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

Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body.  Selecting the correct running shoe is important for increasing performance and avoiding risk of injury.  Running shoes should be selected based on your foot type.  Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require.  The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes.  Professionals can measure your arch type, stride and gait and help you with your shoe needs.

The design of running shoes is created around the idea of pronation.  Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground.  If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more.  Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy.  Those considered neutral runners pronate correctly and do not need running shoes that help correct their form.  Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types.  However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.

Those who overpronate experience an over-abundance of ankle rolling.  Even while standing, those who severely overpronate display ankles that are angled inward.  It is not uncommon for them to have flat feet or curved legs.  The tendency to overpronate may cause many injuries.  Areas that tend to become injured are the knees, ankles, and Achilles tendon.  If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control.  Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip.  The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.

A less common problem is underpronation.  Underpronation, also called supination, is when the feet are unable to roll inward during landing.  Those who underpronate have feet that lack flexibility and high arches.  This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees.  This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact.  Those who underpronate need shoes with more cushioning and flexibility.  If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.

Wednesday, 13 March 2024 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

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