Hitting the Field? Here’s How to Avoid Athlete’s Foot

Athlete’s foot affects about one in five people, according to certain studies cited by WebMD. Luckily, it’s a very treatable condition, but that doesn’t mean it’s pleasant to endure. In fact, it can be quite detrimental to a person’s performance both on and off the sports field.

Though technically a fungal infection (known medically as tinea pedis, “ringworm of the foot”), athlete’s foot can at first just appear as incredibly dry skin, though if left unchecked, it could leave to a number of more severe foot problems, like burning pain and oozing blisters. So, what causes this unfortunate condition in the first place?

• Tight shoes: Any piece of footwear that squeezes toes together can help cause athlete’s foot, and plastic shoes tend to be the worst offenders, because of how they trap moisture near your feet.
• Sweating: Really, any lingering moisture inside your socks or shoes will up your risk of developing athlete’s foot symptoms.
• Direct contact: Though you’re probably not often touching your teammates’ feet, the infection can be spread in locker rooms through either accidental contact or…
• Indirect contact: A surface that’s been infected in a locker room (like a sock, a towel or even a bathmat) can also transmit the fungus to you.

If you’ve ever endured athlete’s foot, you understand how uncomfortable and painful it can be. As we mentioned above, the symptoms aren’t permanent, but they can still be a nuisance to deal with. In order to avoid this kind of foot pain whether you’re trying out for varsity or simply tossing the pigskin in the backyard, here’s what should you do:

Keep your feet dry.
After the game, it’s important to let your feet air out. Keeping moisture trapped between your toes is one of the ways athlete’s foot can get started in the first place, so try to avoid keeping your toes cooped up for too long. Along those same lines, changing your socks often (even in the middle of a game) can do wonders for general cleanliness.

Wear ventilated shoes.
Because athlete’s foot causes foot pain, it’s important to invest in shoes that feel as comfortable as possible. But even above comfort, ventilation should be your number-one priority when it comes to footwear. More airflow means less moisture for your feet, and that’s good news for trying to ward off infections and harmful fungi.

Protect yourself.
It’s not just the sports field you have to worry about — it’s the locker room, too. Invest in a good pair of sandals or shower shoes to wear when you’re rinsing off after the game, and do the same thing at public pools and fitness centers. Plus, it’s a good idea to pick up some powder (anti-fungal is best) to apply after every shower, to treat your skin.

For more information on lingering foot pain, athlete’s foot treatment and general infection prevention, find a podiatrist near you who can answer your questions.

Ask The Dr Ankle Sprain

“I didn’t see the pot hole when running on some back roads recently and I think I twisted my ankle, what should I do”?

The most common ways to sprain an ankle are by landing awkwardly after jumping or by walking/running on uneven surfaces.

A sprain occurs when your ankle is forced more out of alignment than normal. This can cause a stretch or a tear to the ligaments which hold your ankle in alignment and which give your ankle a feeling of stability.

• Stop your run if pain has occurred. Stand up slowly to be sure pain doesn’t sit you back down. If it does, do not restart running.

• Apply ice to the ankle 15 minutes an hour for the remainder of the day.

• Perform “ABC” range of motion exercises three times a day. These are done by leaving your hip, knee and leg still, move your foot as though you are writing out the alphabet in large capital letters, If this causes soreness, continue exercises. If this causes pain, seek medical attention.

 Seek medical attention for your sprain if;

• Pain keeps you from putting any pressure on your foot that day

• Pain continues for more than three days

• Your ankle feels weak or gives out on you while walking/running

• Your feel or hear a “pop” at the time of injury. A “pop” usually means you tore a ligament, tendon, muscle or broke a bone.

 If you don’t properly treat an ankle sprain:

• You are more likely to sprain it over and over causing more and more damage.

• You may have chronic pain, weakness, instability or inability to resume running

Ask the Dr Neuroma

“My feet burn and go numb when I am running, should I be concerned”?

That depends on how long the burning or numbness lasts. If your feet burn or go numb while running but then that feeling goes away within 5-10 minutes at the end of your run, then this likely indicates that your shoes aren’t fitting your feet well.

• With repetitive motions such as running, using the elliptical machine or stair climber your shoe stops when it hits the surface, but if your foot slides forward too much inside the shoe then this can cause the nerves (on the bottom of the foot) to become agitated and feel a numb/burning sensation.

• This will usually affect the entire bottom of both feet.

• Trying a different style of shoe or lacing your shoes more securely should help.

If the numbness occurs in one foot and is more localized to the ball of the foot then you may have a neuroma.

•  A neuroma is the thickening or inflammation of a nerve on the ball of the foot, leading to your toes

• You may feel as though you are stepping on a pebble or as though there is a wrinkle in your sock.

• Frequently you will feel an electric shock or numbness into your 3^rd and 4^th toes or your 2^nd and 3^rd toes. (think “I hit my funny bone” feeling).

Self care would include a wider toe box on your shoes or more cushioning at the front of your shoe.

Seek medical attention if symptoms persist for more than 30 minutes after your run or don’t resolve with altered shoes. The longer you run with a painful neuroma, the more aggressive professional treatment may need to be. It’s easier to treat early.

Your Feet Need Blood to be Healthy

P.A.D or atherosclerosis:

• Is a narrowing or occlusion of the arteries
• This occurs in the legs, and it can affect the feet.

Symptoms of PAD:

•  The most common symptom is claudication.

Claudication can feel like a dull cramp, fatigue or pain in your hip, thigh or calf muscles when walking, moving, or exercising and the cramps or pain goes away upon stopping activity. If this pain occurs each time you walk the same distance, the likelihood of the diagnosis increases.

• Rest pain or pain in the feet occurs when sleeping or with legs elevated, yet is relieved by dropping legs lower than your hips is another common symptom of PAD.

• PAD occurs frequently in diabetics. If you have nerve damage or neuropathy, your symptoms of PAD may be masked. PAD can lead to acute limb ischemia or gangrene.

PAD can lead to acute limb ischemia or gangrene. It is characterized by a lack of pulses in the feet, pain in the toes especially at rest, paleness to the foot especially with the leg above the heart, coldness or one foot cooler than the other foot, tingling or numbness in the foot, and paralysis. Your feet might feel better if your legs are lower than your heart because gravity may assist in the blood flow to the feet. So, if you find yourself sleeping sitting up because your feet feel better that way, you may be suffering from inadequate blood flow to your feet. Having PAD can increase your risk of heart attack and stroke. Early detection and treatment are essential.

Your Podiatrist can screen your feet for PAD. If you think you have PAD, stop smoking and or using tobacco immediately, control your glucose if you have diabetes, control your blood pressure and start an exercise program after consulting with your physician.

Proper foot care if you have PAD:

•  Wear appropriate footwear
•  Do a daily foot inspection
• Use a moisturizer daily
• Any skin lesions or ulcers should be addressed immediately
• See your Podiatrist for preventive education, evaluation and treatment.

Can Running Through the Pain Cause Permanent Nerve Damage?

One of the most difficult things for a runner to determine is when it is okay to keep running through pain versus when it’s time to ease up. It is a very common thing for runners to experience various aches and pains due to general muscle soreness, so not every pain you feel will be a significant cause for concern. There are, however, times when it may be necessary to pay attention to what your body is telling you in order to avoid any long-term, or possibly even permanent, injuries.

Pain is quite a complex phenomenon, and it comes in many different forms, making it difficult at times to nail down what may be the cause of what your body is feeling. It is important to note that pain does not always equal muscle, tissue or nerve damage; for example, cramps can be very painful, but only in very rare cases can they cause permanent damage to your muscles. So if pain can be somewhat misleading, is it okay to just say “No pain, no gain” and keep running when you’re feeling significant pain? If you do decide to run through the pain, does that put you at risk of experiencing permanent nerve damage?

The answer will depend upon where exactly you’re experiencing the pain, as well as how severe the pain is. If you run frequently and are experiencing mysterious pain running through your foot, you may be dealing with a nerve issue. When a nerve is irritated or injured, it can produce symptoms such as weakness, burning sensations, loss of motor function, numbness, tingling, or shooting pain through your foot. If you’re experiencing any of these types of symptoms, it is not advisable to continue running, as this may aggravate the injury and possibly cause more permanent damage.

Sometimes muscle inflammation due to overuse can be the cause of nerve problems; the inflamed muscle may begin to put extra pressure on the nerves in your foot, essentially trapping or pinching those nerves. This type of condition can affect several different regions of the foot, and is often treated by cortisone (anti-inflammatory) injections. Another condition known as neuroma affects the nerve between the toes. Neuroma makes it very difficult to put weight on the ball of the foot, and often may feel swollen, like there’s a rock in your shoe. Excessive and repetitive high-impact exercises (i.e., running) can create or further aggravate neuroma; cortisone injections are used to treat this condition as well. It’s always best to treatment with non-addictive protocols, especially if you have a history of substance abuse treatment.

A good rule of thumb to use is that if something hurts so bad that it’s difficult for you to walk on it, you should not be running on it. Although it may be tempting to just write off the pain and power through, it is always better to be safe than sorry when it comes to your health. In addition, it is a good idea to visit a podiatrist to properly diagnose the issue. If you still want to remain active during your break from running, you can engage in low-impact exercises such as swimming, rowing or biking, in order to reduce symptoms of nerve damage without risking further injury.

Foot Care Tips By Dr. Titko …Revealed!

The following article is based on Dr. Titko’s long-standing expertise with helping with the relief and prevention of a wide range of painful foot and ankle problems.

 PROPER SHOES TO PROTECT YOUR FEET IF YOU HAVE DIABETES

The number one reason a person with diabetes is admitted to the hospital is for foot ulcers or openings in the skin.

• 70% of these ulcers result in amputation.
• A corn or a callus (hard skin on top of your toes or on the ball of your feet) indicates a pressure point and in people with diabetes, this means an area at greater risk of ulceration or infection.
• Prevention is the key to avoiding amputation.
• By wearing properly fitted shoes, before an ulcer starts, the risk of amputation is reduced. In addition to fitting properly, the shoes must have solid support with protective custom inserts.
• If your feet have nerve damage (neuropathy) from diabetes, you may be unaware of ill-fitting shoes. Shoes that are too tight or too small can lead to ulcers.
• Fortunately, most insurance plans cover custom fitted shoes and inserts for those feet at risk of damage as a result of diabetes. These shoes are available by prescription only from your podiatrist.
• Don’t wait until it is too late to be sure that your shoes will help keep your feet healthier, longer.

THE BOTHER WITH BUNIONS

 A bunion is a bump just behind your great toe and is hereditary in nature.

• Pain from a bunion is different for everyone; size is not an indicator of pain.  Bunions can be painful whether they are small or large and some are not painful at all.
• If there is pain from the bunion, it is usually noticed after, rather than during, activity.
• Bunions occur in women more frequently than in men.
• Shoe pressure against the bump or arthritis in the great toe joint can be a source of pain. Bunions may be more painful in tight fitting shoes.
• Ice, wider shoes, and over-the-counter medications may be helpful to reduce the pain in the early stages.
• Because bunions form as a result of a mechanical defect in the foot structure, orthotics (custom prescribed inserts for your shoes) may help to alleviate the pain.
• Although surgery is sometimes necessary, your podiatrist can offer other treatment options that may help you avoid or delay surgery for this joint pain.

 WHEN A SPRAIN IS NOT A SPRAIN

If you have ever turned your ankle or felt like your “ankle gave out on you”, you may have suffered one of the most under treated injury of the body – an ankle sprain.

• If it hurts bad enough you may go to the emergency room or have x-rays taken at your doctor’s office. Even if the x-rays show no broken bones, there could be damage to the ankle that can’t be seen on the x-rays.
• If x-rays say nothing is broken, try starting with exercises for your ankle: pretend your foot is a pencil and draw out the alphabet three times a day.
• You may feel it’s not bad enough to initially seek medical attention and decide to “just walk it off.” But if there is bruising or if the pain or swelling persists, then your ankle requires more investigation.
• Ligaments help your ankle to feel stable and secure. Tendons give your ankle strength. When bones don’t break, frequently ligaments or tendons tear. If left undiagnosed or untreated, a “simple sprain” can lead to long term weakness, instability and pain.
• Because ligaments and tendons can’t be seen on an x-ray, an ultrasound or MRI will help diagnose tendon or ligament tears. Your podiatrist can help your ankle become less swollen, less painful and regain its strength and stability.

 WARTS ARE CONTAGIOUS

• Once you have had a wart on your foot, there is a 20% chance you are going to get another one.
• If you have warts on your feet you can easily share them with your friends and family.
• Frequently, but not always, warts on your feet can look like raised areas with dark dots (that look like seeds but they are not) or flat and whitish-yellow in color. Usually there is pain when standing if they are on your heel or the ball of your foot.
• You may start with one, but more may be coming soon. They tend to spread to other feet through wet surfaces such as the shower floor, bathroom tile or rug.
• Use caution when trying to treat these areas with medications bought at the store. Many of these treatments involve using acid on your feet and may cause chemical burns.
• Recognize that not all lesions on your feet are warts; they may be calluses, clogged sweat glands (like a pimple you may get on your face but very painful) or a host of other skin conditions including melanoma (skin cancer).
• Professional diagnosis and treatment by a podiatrist are recommended for their enhanced safety and effectiveness.

 DO YOU HAVE HEEL PAIN THE FIRST FEW STEPS IN THE MORNING?

The most common cause of heel pain is known as Plantar Fasciitis. It may be caused from over strain or under support of your feet, trauma or poor mechanics.

• A podiatrist can do a complete exam to check for other causes of heel pain including: stress fracture, damaged nerves, tumor and many others.
• Plantar fasciitis is easier to treat with faster results if diagnosed early. Some at home remedies for heel pain; take over-the-counter anti-inflammatory medicine, apply ice to your heel 15 min of every hour, roll your arch over a baseball or can of soup and wear good supportive, comfortable shoes.
• If your heel pain persists you many need x-rays to rule out other causes of heel pain such as a fracture, tumor, or foreign body. Ultrasound or MRI can help rule out tendonitis or arthritis.
• Your podiatrist can help to control any mechanical defect of your feet with the use of orthotics or physical therapy, and the recommendation of the proper shoes to wear. You may need your feet strapped/taped for enhanced support. The use of other medications can help relieve your heel pain.
• There are some exciting new treatments for heel pain that are minimally invasive and may give long lasting relief.
• The key to quick and long-lasting comfort is an early diagnosis and immediate start of treatment.

SUMMER SPORTS CAN BE HARD ON YOUR FEET

• If you were less active in the cooler months and waited for the sun to come out to increase your activities – your feet may not be ready. Without properly preparing your feet for increased exercise, you may develop heel pain, muscle strains or tendonitis in your ankles.
• Your shoes should match your sport. For example; do not run long distances in basketball shoes. You should always wear firm soled athlete shoes for all sports or activities, not flimsy, non-supportive shoes. If you do develop heel or ankle pain you may need custom-made orthotics – these offer superior support to any over-the-counter shoe insert.
• Proper stretching of your tendons may help to prevent foot and ankle pain during sports or activities. Consider rolling your arch over a can of soup or a frozen bottle of water and with your knee extended pull your toes up toward your nose to stretch your Achilles before and after sports or fitness activity.
• If you have foot or ankle pain that occurs either during or after your fitness activity, see your podiatrist for a complete exam, proper diagnosis and treatment options to alleviate these pains and to prevent future injuries or pain.

INGROWN TOENAILS – PROPER CARE GETS YOU BACK ON YOUR FEET

• Ingrown toenails can cause pain and become infected.  If the skin around you nail is red or if pus is seen around the nail, some self-treatments may make the condition worse.
• Try soaking your toe in luke-warm water with a little Epsom salts or liquid dishwashing detergent. Apply an antibiotic ointment and band aid to the nail area. If no improvement is seen in 2-3 days, you may require professional treatment.
• Ingrown toenails are usually hereditary in nature, but sometimes trauma can be the cause. Be sure to check your children’s nails, especially if you have suffered from this condition.
• Try wearing wider shoes to prevent the pressure on your toe which would increase you pain.
• Antibiotics may temporarily offer relief.
• If pain, redness or pus continues, seek professional intervention from a podiatrist for lasting comfort.

For the last 17 years, Dr. Titko has been leading the charge for good foot health through her practice at the Center for Foot Care. Together with her staff, she has developed the Center for Foot Care into a practice that provides superior quality medical and surgical care of the foot and ankle to the local and extended communities of Cincinnati. You can reach Dr. Titko at either of her office locations, in Mt. Healthy on Hamilton Avenue at 513-729-4455 or in Erlanger on Dixie Highway at 859-341-0575. For more information, visit www.CincinnatiFootCare.com

Proper Shoes For Diabetics

Kristin K. Titko, DPM, MBA, is a board-certified specialist at the Center for Foot Care, a leading podiatric practice in Cincinnati. Dr. Titko has written several articles on achieving and maintaining good foot health, and regularly presents seminars and lectures on podiatric health to various local groups, including diabetic focus groups, the arthritis foundation, and school-age children and their parents.

The following article is based on Dr. Titko’s long-standing expertise with helping with the relief and prevention of a wide range of painful foot and ankle problems.

PROPER SHOES TO PROTECT YOUR FEET IF YOU HAVE DIABETES

• The number one reason a person with diabetes is admitted to the hospital is for foot ulcers or openings in the skin.
• 70% of these ulcers result in amputation.
• A corn or a callus (hard skin on top of your toes or on the ball of your feet) indicates a pressure point and in people with diabetes, this means an area at greater risk of ulceration or infection.
• Prevention is the key to avoiding amputation.
• By wearing properly fitted shoes, before an ulcer starts, the risk of amputation is reduced. In addition to fitting properly, the shoes must have solid support with protective custom inserts.
• If your feet have nerve damage (neuropathy) from diabetes, you may be unaware of ill-fitting shoes. Shoes that are too tight or too small can lead to ulcers.
• Fortunately, most insurance plans cover custom fitted shoes and inserts for those feet at risk of damage as a result of diabetes. These shoes are available by prescription only from your podiatrist.
• Don’t wait until it is too late to be sure that your shoes will help keep your feet healthier, longer.

For the last 17 years, Dr. Titko has been leading the charge for good foot health through her practice at the Center for Foot Care. Together with her staff, she has developed the Center for Foot Care into a practice that provides superior quality medical and surgical care of the foot and ankle to the local and extended communities of Cincinnati. You can reach Dr. Titko in Mt. Healthy on Hamilton Avenue at 513-729-4455. For more information, visit www.CincinnatiFootCare.com

Tips to Help You Stay on Your Feet!

FALL PREVENTION STARTS WITH KNOWLEDGE

Shoes can make all the difference between being balanced and comfortable or at a higher risk of a fall. The following guidelines can help you pick the best shoe for your feet and lifestyle.

 Avoid shoes that are excessively flexible and worn.

 Wear shoes that encourage activity. Walking shoes and leisure shoes that are light-weight are often the best, as long as the mid-sole is not too flexible

 Avoid open-backed shoes or open-backed slippers. Such footwear can be hazardous and cause falls. Studies show those that go barefoot or wear slippers in the house are at an increased risk of falling.

 If your foot swells or becomes larger during the day, stretchable Lycra shoes are best, as long as they remain supportive and not too flexible. Lycra shoes can also be more comfortable if you have hammertoes or bunions.

 Proper fit is critical. Shoes that are too big can be a hazard as well as shoes too small (width or length) as they can cause callus, corns, and sore areas that can result in falls.

 Depth shoes are good for balance as they often support the foot higher toward the ankle.

 Anything with a very high sole or anything that puts you off the ground creates more imbalance. Avoid any shoe with a sole over ½ inch.

 Shoes with good padding are more comfortable and are recommended, but too much padding will be like walking on sand and may cause imbalance if you are too high in the shoe.

 Avoid excessively slick-soled shoes, as well as those that are too “grippy.” Soles that are excessively slick or slippery, or the opposite, too “grippy”, can cause falls. A crepe sole is one recommendation because it also absorbs shock.

 Velcro laces are ideal, but Velcro latching is often neglected, thus creating a situation where the shoe can become too loose. Shoes with laces are fine, so long as they are tied snug to create a good fit.

 Diabetics and seniors should also avoid open-toed shoes, sandals, or flip flops.

CALL US TODAY AND ASK US ABOUT OUR COMPREHENSIVE DEPTH SHOE PROGRAM!

Running Injuries – Imperfections in Structure

Running Injuries – Running, along with walking has been the primary mode of human locomotion since the early age of humankind; some even contend that it had a pivotal role in human evolution. Running can be quite a beneficial endeavor and regular runners reap the health benefits of this ancient activity, such as lower rates of cardiovascular disease, cancer, neurological disorders, infections, disability, and overall mortality compared to non-runners as they age. There is no indication that runners have a greater incidence of osteoarthritis of the lower extremities, proving that the body is well-adapted to handling the type of chronic loads encountered during regular running over time.

However, studies have found that anywhere from 24-65% of runners, both recreational and competitive, report at least one running-related injury per year.  Various factors can contribute to the development of injuries, but all can be broken down into eight categories.

• Imperfections in structural and functional anatomy  – Examples are body misalignments, poor muscular strength and flexibility
• Faults in running techniques – The most common error in technique encountered in clinical practice is over-striding (running with an abnormally low cadence), which is linked to excessive stress on the lower extremities.
• Faulty training and recovery – Perhaps the most prevalent factor leading to injury. Many injuries are a result of an increase in mileage, completion of a race, or increased training intensity.
• Nutritional errors – inadequate balance of diet and hydration
• Improper footwear:  type, fit, function, and condition
• Improper care of feet and body when not running – Improper or suboptimal footwear may contribute to injuries such as plantar fasciitis and stress fractures.
• Underlying medical conditions – Examples would include diabetes, neurologic, inflammatory, or neoplastic disorders.
• Traumatic injuries – These include sprains, fractures, ruptured tendons, etc. Acute traumatic injuries may result in chronic conditions.

Treating runners’ injuries is not just fixing the immediate problem, but taking into consideration all factors, to keep him/her healthy and running.

As a runner, I understand the drive and training that goes into both recreational and competitive running. I know how important it is to stay healthy and pain free. Treating acute injuries quickly usually results in less down time. Our office is the only medical office in the Tri-State area offering MLS Laser Therapy.   This painless and effective procedure delivers rapid pain relief, reduction of inflammation and timely healing of sprains and strains. Foot pain is not normal; it is your body’s way of telling you to take action. Listen to what your body is telling you – contact us today, call 513-729-4455 or simply send us a contact email, we can get you back on your feet.

(Source: Podiatry Management, Feb 2013)

Interesting Foot Studies

Interesting Foot Studies – A study of 2,089 participants show that left-handed people were less likely to have foot pain or any foot disorders on the same left side foot, but were more likely to have bunions on the same side to the left hand.
Among right-handed people, there was a significant increase in odds of having a same-sided foot disorder versus opposite side foot disorder. Right handed domination resulted in an increase of 30% for Morton’s neuroma, 18% for hammer toes, 21% for lesser toe deformity and twice the odds of any foot disorder. There was a 17% decreased odds for a bunion and an 11% decreased odds for high arches.

(Source: Journal of APMA, Jan/Feb 2013, Vol 103, #1)

Healthy Running

One of the first steps to healthy running is wearing supportive running shoes. Neglecting to wear proper footwear can lead to a variety of foot problems that can cause injury and impede performance.
Feet are generally categorized into three types: low/flat arch, normal arch, and high arch. Look below to see which type of running shoe fits your foot type.

For feet with low arches: Choose a supportive shoe that is designed for stability and motion control. These shoes help to correct for overpronation.

For feet with normal arches: Choose a shoe with equal amounts of stability and cushioning to help absorb shock.

For feet with high arches: Choose a cushioned running shoe with a softer midsole and more flexibility. This will compensate for the poor shock absorption of a high-arched foot.

The Dos and Don’ts for Fabulous Feet

Whether you like to get a pedicure in the nail salon or at home, follow these easy Dos and Don’ts to keep your feet looking and feeling their best.

 

Dos

• If you have diabetes or poor circulation in your feet, consult a podiatrist so he or she can recommend a customized pedicure that both you and your salon can follow for optimal foot health.
• Schedule your pedicure first thing in the morning. Salon foot baths are typically cleanest earlier in the day. If you’re not a morning person, make sure that the salon filters and cleans the foot bath between clients.
• Bring your own pedicure utensils to the salon. Bacteria and fungus can move easily from one person to the next if the salon doesn’t use proper sterilization techniques.
• When eliminating thick, dead skin build-up, also known as calluses, on the heel, ball and sides of the feet, use a pumice stone, foot file or exfoliating scrub. Soak feet in warm water for at least five minutes, then use the stone, scrub, or foot file to gently smooth calluses and other rough patches.
• When trimming nails, use a toenail clipper with a straight edge to ensure your toenail is cut straight across. Other tools like manicure scissors or fingernail clippers increase the risk of ingrown toenails because of their small, curved shape. See a podiatrist if you have a tendency to develop ingrown toenails.
• To smooth nail edges, use an emery board. File lightly in one direction without using too much pressure, being sure not to scrape the nail’s surface.
• Gently run a wooden or rubber manicure stick under your nails to keep them clean. This helps remove the dirt and build-up you may or may not be able to see.
• Maintain the proper moisture balance of the skin on your feet by applying emollient-enriched moisturizer to keep soles soft.
• Use a rubber cuticle pusher or manicure stick to gently push back cuticles. If toenails are healthy, you can use nail polish to paint toenails. Make sure to remove polish regularly using non-acetone nail polish remover.

Don’ts

• Resist the urge to shave your legs before receiving a pedicure. Freshly shaven legs or small cuts on your legs may allow bacteria to enter.
• If you are receiving a pedicure and manicure, don’t use the same tools for both services as bacteria and fungus can transfer between fingers and toes.
• Although certain salons offer this technique, don’t allow technicians to use a foot razor to remove dead skin. Using a razor can result in permanent damage if used incorrectly and can easily cause infection if too much skin is removed.
• Don’t round the edges of your toenails. This type of shape increases the chances that painful ingrown toenails will develop.
• Emery boards are extremely porous and can trap germs that spread. Since they can’t be sterilized, don’t share nail files with friends and be sure to bring your own to the salon, unless you are sure that the salon replaces them with each customer.
• Don’t use any sharp tools to clean under nails. Using anything sharp makes it easy to puncture the skin, leaving it vulnerable to infection.
• Be sure that you don’t leave any moisture between toes. Anything left behind can promote the development of athlete’s foot or a fungal infection.
• Because cuticles serve as a protective barrier against bacteria, don’t ever cut them. Cutting cuticles increases the risk of infection. Also, avoid incessantly pushing back cuticles, as doing so can make them thicker.
• If you suffer from thick and discolored toenails, which could be a sign of a fungal infection, don’t apply nail polish to cover up the problem. Nail polish locks out moisture and doesn’t allow the nail bed to “breathe.” Once you fix the underlying issue, then it is safe to paint nails. If the problem persists, be sure to visit your podiatrist.

Essentials of Diabetic Foot Care

Diabetes and foot problems go hand in hand. Most diabetics are diagnosed with foot-related issues and have to seek medical help as soon as possible. There are several diabetic symptoms that contribute to foot infection. For instance, patients with sugar problems normally experience bulky calluses that can grow into ulcers. Apart from this, another possible sign is bad blood circulation that has the ability to disturb the body’s capacity to repair, and heal.

Diabetes can also cause severe nerve injury that limits sensation. Due to nerve damage, the patient might not experience any pain of infection or injury, allowing lesions to go completely unnoticed and consequentially worsen. When a lesion is left untouched for a long duration of time, it can become infected.

Medical treatment normally comprises of hospitalization, antibiotics, and several other procedures. The feet are particularly susceptible to problems as they are hard to inspect and out of sight. For such reasons, it is very important that diabetics carry out rigorous foot care.

Here are a few things that can be done:

• Most foot problems can be avoided merely by selecting practical shoes. Opt for footwear with round toes and keep the heels low. Anything that is more than 3 inches must be avoided. People with flat feet must opt for shoes with an excellent arch support.

• Examine your feet regularly for any indication of blisters, calluses, injuries or sores. Make this a daily chore, maybe something you finish right after waking up and before going to sleep. Make use of a hand mirror to examine those difficult to view areas. If this does not work, have a loved one check them for you.

• Cut your nails on a regular basis and shape them to the curve of the toes and be very careful not to cut them too short.

Visit a reputed center for foot care annually for check-up. Also ask the doctors of they recommend any specific medication or products for enhancing the foot care regimen.

Is Your Back Pain Caused By Your Feet?

Back pain can be unbearable – when you have it, the only thing you want is to be rid of it. But if you’re trying all you can to treat your back and nothing’s fixing the problem for good, have you considered treating your feet?

Your body is interconnected with muscles, bones, joints and nerves, so the possibility that your back pain is actually caused by your feet is very real. Any injury or issue with your feet can result in related pain in your back simply through the way your gait or stance is affected. If you’re walking abnormally to avoid putting pressure on a problem area in your foot, your hips and lower back muscles will compensate, which can put pressure on your lower spine or even the rest of your back.

So while you treat your back, take a look at what’s happening with your feet. Are you wearing uncomfortable shoes that cause you to walk funny? Do you suffer from bunions, arthritis or another painful condition in your toes and foot joints? Did you recently sprain your ankle and do you still limp a bit? All of these issues could be the root cause of your back pain, so it’s important to seek the medical attention of a podiatrist to ensure your feet are in the best possible condition for the health of your back.

What Are Fallen Arches?

If you take a close look an adult foot (from the inside) you will notice an inward/upward curve at the center. This curve is known as an arch, and it’s formed by tendons in the foot and lower leg attached at the heel and foot bones. When these tendons pull and attach normally, the foot forms a normal arch. When the tendons don’t pull together properly, they don’t form any arch. This results in flat feet popularly known as fallen arches.

How to Test Yourself for Fallen Arches

You can test yourself to see if you have flat feet or fallen arches by using a simple home experiment. First, dip your feet in water. Then step on a hard flat surface, like a dry floor or a piece of paper on the floor, where your footprints will show. Step away and examine your foot prints. If you see complete/full imprints of your feet on the floor, you may have fallen arches. However, it’s important to seek a second option from a podiatrist if you suspect you have fallen arches so they can properly diagnose and treat you.

Main Causes of Fallen Arches

Fallen arches in adults are caused by several things. Below are some of the most common causes:

1. Abnormalities present from birth
2. Torn or stretched tendons (resulting from foot injuries or foot strains)
3. Inflammation or damage of the PTT (posterior tibial tendon). The PTT is responsible for connecting the middle of the arch to the ankle and lower leg
4. Dislocated or broken bones (also as a result of injury)
5. Health problems like rheumatoid arthritis
6. Nerve problems
7. Other factors like diabetes, obesity, aging and pregnancy (these factors are known to increase the risk of fallen arches)

Treatment of Fallen Arches

Fallen arches are usually treated using stretching exercises, physical therapy and medication (to reduce inflammation). In extreme cases however, surgery is recommended.

What’s the Difference Between Bunions and Corns?

Foot injuries or deformities that are either not recognized or improperly addressed may lead to considerable functional disability, with a negative impact on quality of life and your ability to perform everyday tasks. Bunions and corns are two common, albeit painful problems affecting the foot. They’re quite different, so it’s essential to understand their exact symptoms in order to make sure you get proper treatment.

Bunions

Bunions are deformities of the big toe joints, when the bursa (the fluid-filled sac providing a cushion between tendons and bones) in the joint becomes inflamed and thickened. When the skin over the big toe joint is subjected to repeated and prolonged stress, it becomes tender and swollen, while the big toe may become displaced and the joint enlarged. Bunions may be caused by wearing shoes that fit poorly, by various degenerative joint diseases such as arthritis and osteoarthritis or may even be inherited. Treatment for bunions includes wearing shoes which conform to the specific shape of your foot and cause no pressure areas on your skin.

But bunions can be properly corrected only by a surgical procedure performed by a specialized podiatrist. Surgery is typical recommended when you experience extreme pain or if they are causing additional problems with the other toes.

Corns

Caused by excessive pressure on the outer layer of the skin, corns occur when two bones of the foot press together or when bones press against the shoe for a prolonged period of time. The most common sites for corns include the fifth toe and the big toe, but soft corns can also occur between the toes. Proper treatment for corns may involve the use of special pads carefully positioned over the corns, altering shoes in order to relieve pressure on the skin or a surgical procedure to remove visible bony prominences causing the corns. Your podiatrist can devise the best treatment to eliminate corns effectively and safely.

Ways to Fix Rough Heels Safely

The summer months are brutal on your feet, especially your heels. Wearing flip flops and sandals everywhere you go, with nothing protecting your feet from the elements can leave you with cracked and rough heels that are unsightly, uncomfortable and, in extreme cases, can lead to infections. Stop your rough heel problem before it gets to that point! Here are three ways to safely fix your rough heels.

Moisturize. One of the main causes of your feet cracking is the fact that your feet aren’t properly moisturized. As the weather changes from the summer warmth to the dry, cold winter, it’s easy for feet to dry out. Thoroughly moisturize your feet as part of your morning or nightly routine to help add moisture and promote healthy skin. In addition to moisturizing your feet, increasing the amount of water you drink in a day helps.

Exfoliate. Regular exfoliation removes dead and calloused skin from your heels, which helps prevent cracking. Foot scrubbers, exfoliating body wash and other exfoliating scrubs gently smooth the rough skin off of your feet. You can also use a pumice stone to thin out the callouses and remove rough patches. Just avoid any kind of grating or blade device that can harbor bacteria or risk injury.

Dead skin and callous removal by a podiatrist. Are your callouses impenetrable and you aren’t making any headway with moisturizing either? A podiatrist has equipment available to remove extensive amounts of dead skin and callouses from your feet safely.

3 Ways to Treat Athlete’s Foot

Your foot starts itching, cracking and even blistering. You made the mistake of walking barefoot in the showers at the gym, or accidentally brushing your foot against someone who has athlete’s foot already. A fungal infection that grows on the skin of your foot, athlete’s foot is annoying and embarrassing. So here are three ways to treat athlete’s foot:

1. Over the counter anti-fungal medication. In most cases, anti-fungal creams, powders and other types of medication take care of the issue. Most of the OTC options are applied directly to the fungal infection. Make sure you wash your hands to avoid spreading the infection to other parts of your body or to other people.
2. Breathable socks and shoes. Create a less hospitable environment for the fungus by wearing cotton socks that help wick away moisture and provide adequate air flow for your feet. Pair that with shoes that have good air flow, such as running sneakers, and you cut down on the chance of another occurrence. Make sure to wear shower shoes when you’re at shared showers to avoid catching it again from another person.
3. Go to the podiatrist. If you have a long-term, painful or severe case of athlete’s foot, you may need medical intervention. Pay attention to the effectiveness of the over the counter medication you use. If you don’t see any improvement in your symptoms, it’s definitely time to get medical assistance. If your feet have severe levels of blisters or peeled skin, you have a major fungal infection that needs immediate treatment. It’s also important to go to the doctor if you catch a bacterial infection due to the existence of the fungal infection on your feet.

How to Treat and Avoid the 3 Most Common Football Injuries to the Foot and Ankle

Recent studies have shown that football is responsible for around 600,000 injuries each year. And each position has its own set of responsibilities and skills, as well as injuries. Whether a football player tackles, blocks, runs, catches or passes, he’s at risk for sprained ankles, fractures, contusions, heel pain, tendonitis, turf toe and blisters.

Let’s take a look at what causes three of the most common football injuries to the foot and ankle, and how you can treat them.

1. Sprained Ankle

A sprained ankle is very common in football – a minor injury meaning damage to the soft tissue, while a partial tear or a complete rupture of the ligament is a major injury.

The best way to treat a minor sprain is to follow the RICE method within the first 72 hours of the injury. RICE (Rest, Ice, Compression and Elevation) reduces the chances of further swelling and damage. If the pain is unbearable, anti-inflammatory medicines can also help. If a more serious injury is suspected, the player should seek medical attention.

2. Turf Toe

Turf toe is usually caused when playing on artificial turf. Because turf is harder than grass, players end up bending their toes upwards excessively when being tackled or lunging, or even just running. Limited joint movement, swelling and pain are some of the major symptoms of turf toe. Therapy is often needed for foot and ankle injuries.

Recommended treatment for turf toe is RICE. Changing to less flexible footwear is another way to protect against turf toe. In the worst cases, operative treatment may be necessary.

3. Achilles Tendonitis

The Achilles tendon is located in the heel and connects the heel bone to the calf muscles. Achilles tendonitis is caused when the tendon is damaged due to continuous force and pressure on the heels.

If a football player is diagnosed with Achilles tendonitis, rest is crucial for the tendon to heal. A temporary heel pad that raises the heel will alleviate the strain on the tendon, and ensure faster and more effective healing.

Most injuries to the foot and ankle can be avoided if players warm up and cool down correctly, stretch adequately, invest in proper shoes for the playing surface and get sports massages to keep muscles loose and flexible.

What Else Could it Be if Not Fungus Under Your Nails?

Many times, if you have an infection in a toenail, it’s caused by fungus. But there are times when that’s not the case. So what else could it be if not fungus under your nails? Paronychia is a type of infection that affects the area surrounding your toenail. This is the “U” shape all around your nail. It may start out as a small infection, which is usually associated with an abscess. This usually coincides with some collected pus underneath the skin.

Paronychia is caused by a bacterial infection that, if it is left untreated, could last for months. Bacteria gathers in the small gap where the nail and cuticle are attached, causing infection. It’s frequently found in people who often have wet feet for prolonged periods such as athletes playing in wet conditions.

If the area of skin next to your nail is sore or tender then this may be a sign that you have a slight infection. If you suspect an infection then you should go to your podiatrist, especially if you have a medical condition like diabetes. Many times, if caught early and with proper care, the bacterial infection can be cured with the help of a medical professional prescribing antibiotics and warm soaks to drain the nail bed. If left untreated, something more serious may be required, such as removal of the nail completely.

How to Treat Ankle Sprains

About 25,000 ankle sprains happen every day – and no wonder. An ankle sprain can happen when stepping on an uneven surface, running and losing your balance or simply moving and suddenly stopping or changing direction. An ankle sprain happens quickly, and more often than not we don’t think much of it when it does. But effectively treating an ankle sprain starts by paying attention immediately, even if the initial pain isn’t very alarming.

Symptoms of a Sprained Ankle

The ligaments on the outer side of your ankle get stretched or torn, and if not treated properly, the problem can become serious, especially if you experience pain along the inner side. Swelling usually follows shortly after the ankle is sprained, and just trying to move the foot will cause a significant amount of pain. However, if the pain is truly severe then the ankle might be fractured.

How to Treat Ankle Sprains

Treating a sprained ankle requires rest and crutches if needed. In order to keep the ankle stable you can wear a brace or wrap. To keep swelling down, place ice on the ankle, but not directly, and keep the ankle elevated.

Avoiding an Injury

A good practice to help avoid ankle sprains is to always warm up before taking part in sporting activities, wear shoes that are comfortable and provide the necessary support, pay attention when walking on uneven surfaces and not taking part in activities you are not conditioned for.

How to Keep Your Feet Dry when Playing Sports in the Rain and Snow

When you are running in the rain, skiing, skating or sledding in snow, your feet are bound to get wet at some point. This can cause discomfort, and in extreme cases, can result into fungal infections such as tinea pedis and toenail fungus.

Causes of Wet Feet

• Moisture. Exposure to extreme moisture in rainy and snowy conditions can contribute significantly to wet feet.
• Perspiration. During intense activity, your body generates a lot of heat which can cause the feet to sweat thereby soaking the inner part of the shoes.
• Type of Footwear. The choice of material when it comes to the footwear you use is very crucial. Certain footwear such as cotton or nylon socks and shoes made of plastic or synthetic fabric lining can prevent sweat from evaporating, leaving your feet wet.

Prevention of Wet Feet

In order to keep your feet dry, you need to take some deliberate measures before or during the activity you’re participating in:

• Waterproof Shoes. Quality waterproof footwear with extra space inside to trap air can help in cooling off the feet in the event of perspiration while keeping external moisture away.
• Wool Socks. For sporting activities, you need socks that dry fast. Polyester and wool-based fabrics are excellent because they take moisture away from the feet. Avoid cotton materials because they absorb moisture and stay wet.
• Gaiters. These are ideal in conditions of pouring rain because they will help keep the bottom part of your feet dry. Some gaiters are breathable and this gives you an additional level of comfort.
• Antiperspirant Sprays. To prevent your feet from sweating profusely, you can use an antiperspirant spray. Some of them can keep your feet warm and dry for more than six hours.
• Air Out Shoes and Feet. During half time or a short break, remove your shoes and socks and air them and your feet out in a warm, dry spot.

Subungual Hematoma – Causes and Treatment

Subungual hematoma refers to a painful condition where blood collects in the space between the fingernail or toenail and the nail bed. It usually results from injury inflicted by a hard and blunt object. The blood collection under the nail causes sharp and severe pain due to the pressure generated.

Causes of Subungual Hematoma

The most common cause of subungual hematoma is crushing the tip of the toe or finger. When you accidentally drop a heavy object on your toe or hit your finger with a blunt object such as a hammer, blood immediately accumulates under the nail. The most visible sign of this condition is the reddish brown discoloration of the nail immediately following the injury.

When to Seek Treatment

Whenever there is pain or the blood collection is more than 50 percent of the area under the nail, then medical attention is needed. A hematoma of 25 percent or less can usually be tended to via home care.

Diagnosis

The diagnosis of subungual hematoma can be done through X-ray or nail bed evaluation. An X-ray is usually done to analyze the possibility of fracture to the underlying bone. Nail bed evaluation involves the removal of the nail to check the extent of the injury, blood collection and the possibility of any lacerations on the nail bed.

Treatment

Elevating the injury above the level of the heart and applying ice is the first course of treatment no matter how severe the hematoma. Medical treatment may require draining the blood that has collected under the nail. Before the treatment process starts, the area may be numbed through medication injected in the affected finger or toe. After treatment, a follow up process is recommended where healing is monitored and antibiotics administered if necessary.

4 Common Foot and Ankle Injuries from Playing Baseball

Injuries to the foot and ankle in baseball are more common than you may think. Let’s take a look at four that happen most often.

1. Ankle sprains and fractures
   These types of injuries often occur while running or sliding to base, or fielding balls. If left untreated, these injuries could lead to arthritis or chronic ankle instability. If you suspect a sprain or fracture, go to the doctor for an x-ray and evaluation. In the meantime, you can stabilize this injury at home by rest, ice, compression and elevation – or RICE.
2. Chronic heel pain
   Also known as plantar fasciitis, this injury occurs when the fibrous band of tissue that connects the heel with the arch becomes torn and inflamed. Treatment involves rest, ice and getting shoes with proper arch support. You should begin to feel relief in about six weeks; however, if the pain persists, your doctor may recommend surgery.
3. Peroneal tendinosis
   Peroneal tendons attach the outer part of the mid-foot to the inside arch to maintain foot and ankle stability. Injuries to these tendons will heal with rest in about six weeks, but it may take more for severe cases.
4. Achilles tendinopathy
   Sudden increase in physical activity and over-training in baseball can cause Achilles tendon injuries. The injury can be treated with simple rest, medication, change of shoes, strength training or insertion of heel lifts. The healing process takes between six and nine months. In severe cases, surgery may be required.

To avoid the aforementioned injuries, warm up and stretch before playing, wear proper footwear for the game and take some time off if your feet and ankles bother you after a game. Continuing to play may just further the discomfort into an injury.

 

What is Turf Toe?

Turf toe refers to a sprain that affects the ligaments surrounding the big toe joint. Turf toe usually affects football players, especially those playing on artificial turf. It’s important to note that the condition can affect athletes in many other sports including basketball, soccer, gymnastics, wrestling and dance.

What Causes Turf Toe?

Turf toe is caused when the big toe is suddenly bent beyond its normal limit resulting in hyperextension, such as when a football player is tackled and falls forward fall while the big toe is in a flat position. Turf toe injuries can also be caused by shoes that don’t offer proper foot support.

How to Avoid Turf Toe

Turf toe can be avoided by wearing the correct shoes for the playing surface as well as special inserts designed by a podiatrist, physical therapist or sports medicine specialist. Gait problems have also been associated with turf toe injuries, so correcting gait can also help in preventing turf toe. Developing better training techniques also goes a long way in reducing turf toe risks among athletes.

Turf Toe Treatment

The basic turf toe treatment involves a combination of elevation, rest, ice and compression. In some cases, doctors prescribe over-the-counter oral medication like ibuprofen to reduce inflammation and control pain. Turf toe injuries can also treated using a special walking boot, crutches or a cast to immobilize the foot completely and keep it from moving. It is important to note that turf toe injuries can also be treated through surgery in severe cases.

How to Treat and Avoid Ankle Sprains

The most common cause of a sprained ankle is a fall or a sudden twist. Sometimes a hard blow may cause the joint of the ankle to shift from its normal position and result in a sprain. These injuries typically happen when playing sports, wearing shoes the feet aren’t comfortable in, running and even walking.

Treatment

If you’ve got a sprained ankle, your doctor may prescribe the following treatment options:

• Rest – Take it easy and try not to walk on a sprained ankle.
• Ice – Wrap an ice pack in a thin towel and press it against the injured area for 20 minutes. Wait at least 40 minutes before applying ice again.
• Bandage – In order to reduce swelling and help stabilize, an elastic wrap can be used.
• Elevate – Positioning your ankle higher than your heart will also help alleviate swelling.
• Medicate – Take a non-steroidal anti-inflammatory, like ibuprofen, for pain relief.
• Therapy – Your doctor will tell you when it’s time to start therapy to get your ankle back to proper working order.
• Surgery – a severe sprain may require surgery, but this will be determined by a doctor and x-rays.

How to Avoid Ankle Sprains

Make sure you warm up properly and completely before participating in a sport or running. If the foot or ankle has a history of injury then use a brace or tape. In addition, make sure the correct shoes are worn and that there is enough support for the ankle. Avoid uneven surfaces whenever possible.

Who Needs a Podiatrist

The human foot is a complex combination of 26 bones, 33 joints, and 126 muscles, ligaments, and nerves. Both feet combined have a total of 52 bones, accounting for about 25% of the bones in the entire human body. But your feet are also one of the most constantly utilized parts of the body: the average person in the United States can take as many as 8,000 to 10,000 steps a day. Moreover, by age 50, the average American has walked 75,000 miles over the course of their lives. With such a high degree of use, it is important to take proper care of your feet. This includes treating your foot pain and having your foot problems treated by the best podiatrist in your area.

Foot pain is a common ailment in the United States. While research shows that women in the United States are estimated to be four times more prone to foot pain than men, it affects many people regardless of gender. Common causes of foot pain include poor fitting shoes, high heeled shoes, and poor posture. Therefore, while you should ask a podiatrist to diagnose your individual issues, an easy first step towards foot pain relief is changing into a better fitting, low-heeled pair of shoes and attempting to improve your posture.

However, foot pain can be caused by a number of different problems and diseases. Arthritis, for example, affects an estimated 40 million Americans every year, causing many of them to experience chronic foot pain. Diabetes can also cause chronic foot pain, as well as swelling and numbness; diabetics should therefore immediately seek out the best podiatrist in their area if they find themselves experiencing foot problems.

So whether you have health problems that can cause foot pain and other issues, or simply are experiencing pain in your feet, seek out a board certified podiatrist to discuss your issues. Don’t live your live in constant pain and discomfort: schedule an appointment with Dr. Titko today.

Why Are Torn Ankle Tendons Common in Overweight Women Over 40?

Torn ankle tendons, sprains and ligament damage tend to be more common in overweight women age 40 or above for several different reasons. First, there is a strong and well-researched connection between tendon injuries and estrogen, specifically that estrogen interferes with the synthesis of collagen and the formation of fibroblasts. In addition, women’s hormones also influence water retention, which can lead to increased swelling and additional pressure around the soft tissue that is located between the ankle tendons. Overweight women over the age of 40 are prone to ligament damage and torn tendons in the ankle due to pressure changes and changes in the tissue repair rate, both of which are the direct result of hormonal fluctuations that women tend to experience as they get closer to menopause.

An increased body weight also puts extra pressure on joints and ligaments. The ankles are responsible for supporting the entire weight of the body, and thus are more prone to injuries and pain as opposed to other weight-bearing areas such as the knees or pelvis.

When to See a Podiatrist about Your Foot Problems

Our feet are important to us, and given how complex they are, it’s no wonder! Our feet contain a combination of 26 bones, 33 joints, and 126 muscles, nerves, and ligaments. Without those we wouldn’t be able to use our feet for a variety of activities, from walking and running, to dancing and playing sports. Sometimes we just like to kick up our feet and relax with loved ones. Experiencing foot pain, however, can take a lot out of us, even if we have no place to go.

If you’ve ever dealt with foot problems such as pain, swelling, infection, or broken bones, you know how debilitating these issues can be. If you’re dealing with any foot problems right now, it may be time to ask a podiatrist, or foot doctor, about what treatments are right for you.

Not sure if you’re having foot problems that require medical attention? Use this guide to find out if you need to visit a podiatrist for treatment. You may need to see a podiatrist if…

… You have any skin condition on your feet: This can include rashes, corns, warts, fungal infections, or athlete’s foot, which is characterized by dry, flaking skin. While these problems may seem harmless at best or mildly irritating at worst, they can spread and worsen over time. See a doctor for treatment of these issues, especially if over-the-counter solutions haven’t worked.

… You have problems with the bones in your feet: Bone problems in feet can manifest in many ways — most commonly through bone spurs and bunions. Bone spurs are sharp projections on the joints in feet, and bunions are a lateral deviation of the big toe. Both conditions can make it extremely difficult and painful to walk or participate in other activities.

… You are diabetic: Because diabetes can affect blood circulation in the lower extremities, it is especially important to pay attention to any pain or discomfort in the feet. Diabetics are at risk for foot infections, which can lead to amputation of toes, or part or all of the foot if left untreated. Adding a podiatrist to your medical care can reduce the risk of hospitalization from diabetes complications by at least 24%.

… You have had any broken or fractured bones in your feet: To make sure that your feet heal properly, it is wise to visit a podiatrist to make sure that the bones in your feet mend correctly.

… You have any other kind of foot pain: Foot cramps and foot pain are big problems. These could be due to a muscle tear, a sprain, or another issue. Sometimes wearing poor fitting shoes or high heels frequently can cause these issues, and poor posture can also contribute to foot pain as well, especially if you spend a lot of time on your feet. Even something as minor as swelling or an ingrown toenail can cause larger issues down the road. Any foot pain you experience should be taken seriously, and visiting a podiatrist is a wise decision to diagnose and treat your pain as soon soon as possible.

This information is not intended to diagnose or treat any foot problems, so if you are experiencing any of these symptoms, talk to a podiatrist about how you can get help. You don’t have to live with foot pain, so be sure to see a professional about any pain or discomfort you have immediately.

4 Problems with Wearing Flip-Flops

Just about everyone wears flip-flops in the summer, but this popular footwear choice is not very healthy for your feet. The lack of support can cause serious injury when worn for an extended period of time.

2. Bunions, joint pain and swelling
   Flip-flops have small strips of fabric, leather or rubber that hold your foot in place. If this part of the flip-flop is loose, you could be over-contracting your toes to try to keep the shoe on. Continued contraction of your toes can lead to pain, swelling and the formation of bunions.
3. Blisters
   Also due to the looseness of flip-flops, your feet are constantly rubbing against them as they move. This motion creates friction which can result in painful blisters.
4. Bacteria
   Research has shown that flip-flops leave the feet exposed to a number of bacteria, especially outside, including those from fecal matter and the dangerous staphylococcus aureus.
5. Arch pain
   Your foot’s arch, or plantar fascia, is a thick band of tissue that runs from the ball of the foot to the heel. Lack of adequate support can result in painful inflammation, called plantar fasciitis.

To eliminate these problems, wear shoes that provide proper support. There are a number of summer styles that have a slightly elevated heel, strong arch support and a stiff and comfortable outsole and insole. So do your feet a favor and pitch those flip-flops!

Why are Warts more Prevalent in the Summer?

Typically, warts on the feet are benign lesions and are most commonly spread during the summer months when people wear shoes and socks less and are in and out of pools, locker rooms and showers regularly. Warts are usually harmless, but they could become infected and are widely considered a cosmetic issue.

Causes
Warts can spread very easily through direct contact or indirectly by using a towel or an object used by someone with warts. Most often warts will appear on hands, knees and feet. Warts of the feet are more prevalent in the summer because of how often people go barefoot, walk on wet floors and share towels around pools.

Methods of Treatment
A doctor may prescribe daily local applications of salicylic acid or lactic acid for wart removal at our Cincinnati podiatrist clinic. Or he or she may use cryotherapy or “freezing” the lesions with liquid nitrogen.

Preventing the Spread
If you have warts on your feet, avoid cutting your toenails if they are affected, wash your hands thoroughly after you touch the warts, wear water shoes, sandals or flip flops in locker rooms, around the pool and in the shower and don’t share any towels, socks or shoes.

Bunions and Foot Treatments Provided by a Podiatrist

Research on foot ailments and podiatry problems indicate that women are four times more likely than men to experience foot pain. This pain can cause substantial problems, because the average person takes up to 10,000 steps a day.

Not surprisingly, women who wear high-heeled shoes and uncomfortable footwear see the most significant foot pains. This is due to the lack of support and the constant pressure placed on the toes. When pressure from high-impact exercise stresses the feet as well, then a chronic pain condition will form. In some cases, the discomfort is also noted with large formations on the sides of the toes. These formations are called bunions, and early treatment with the assistance of a foot doctor is vital in controlling both the pain and the severity of the toe lumps.

What Are Bunions?
Bunions are bony growths that appear just outside the joints of the toes. Generally, bunions are seen on the lower joints of the big toes. The bunions contain built up fluid, hardened tissues, damaged cartilage, and inflamed ligaments. The bunions appear as the toes are forced together in tight-fitting shoes for long periods of time. The pressure places enough stress on the toes that they bend inward at an angle. The angling of the toes forces the joints to shift outward in a painful and damaging manner. The protruding bunions then rub against the sides of the shoes to produce corns, blisters, or sores.

How Does a Foot Doctor Identify Bunions?
When a patient searches for foot pain relief for bunions, a foot doctor examines the toes and asks about footwear choices. Also, the patient is asked to communicate their family history in terms of foot conditions. Generally, women who have sisters, mothers, and other female family members with bunions are likely to form the growths themselves. The podiatrist then arranges for x-ray imagery and sometimes CT scans of the feet. X-rays show joint damage and toe bone angling, while CT scans show fluid and tissue damage within the bunions.

How Are Bunions Treated?
The best podiatrist considers bunion severity when offering foot treatments. Bunions that are smaller, with little permanent joint damage, are conservatively treated. The foot doctor asks the patient to wear podiatrist shoes or wide sneakers to relieve toe pressure. Flexible and supportive footwear is best, and often times orthotics are created to support the feet and absorb stress. When bunions are large, with pronounced amounts of scar tissue, surgery can be performed. Surgical bunion removal allows the podiatrist to remove fluid, hard tissues, and damaged cartilage from the toe joints. To support the joint in the toe, pins, wires, and screws are used. Typically, bunion surgery can be performed with local anesthetics.