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Treatment Options for Common Foot and Ankle Problems

The Most Common Foot Conditions and How to Treat Them

Heel pain is likely the most common problem most podiatrist treat. Heel pain can happen for many reasons but the most common of these is a condition known as plantar fasciitis. This used to be called “heel spur” but we have long ago learned that this terminology is not accurate. Even the term plantar fasciitis isn’t always the most accurate diagnosis for pain in the bottom of the heel especially noticed when you first rise to stand from a seated or rested position.

Plantar fasciiitis is the acute inflammation of a structure on the bottom of the foot which connects the base of your toes to your heel bone. This structure is supposed to be stretchy; but in the case of acute inflammation, it becomes swollen and tight and less forgiving especially when you take your first few steps. But over time, when left untreated for too long, the recurrent inflammatory damage to the fascia starts to break down the fascia causing tiny microscopic tears within the structure… this degenerative process is known as plantar fasciosis.

Traditional Treatments Will Not Always Work

Traditional treatments for plantar fasciiits include stretching, prolonged non-weight bearing, arch supports, orthotics, anti-inflammatory medication either by mouth or injected into the heel. But when those modalities fail to improve the symptoms, it’s time to consider either more advanced LASER technology to address the inflammation or consider the possibility of fasciosis. The proper diagnosis will lead to the proper treatment.

Timely Diagnosis and Treatment Is Key

Treatment could include Platelet Rich Plasma Tissue Transfer or Stem Cell technology to address the degenerative process occurring in the fascia. A timely diagnosis and well-executed treatment plan can get you back on your feet in comfort more quickly and get you back to doing those activities you thought you wouldn’t be able to enjoy again.

Non-Surgical Options for Joint Pain

Joint Pain is Very Common

Over 30 million people suffer from joint pain. This pain can make preferred activity levels difficult and daily responsibilities seem impossible. Surgery to address these painful foot joints requires weeks off of work and limited mobility during recovery. Several injection options are available from The Center for Foot Care to address pain and inflammation of a joint resulting in fewer symptoms for months and with much fewer potential complications.

Treatments that Lubricate Joints and Ease Pain

Corticosteroid injections have been around for several decades to reduce joint inflammation and are considered the first line of defense for many painful joint issues.

Hyaluronic Acid injections can be used when corticosteroids don’t work, don’t work long enough, or are not appropriate because of adverse reactions or elevated blood glucose levels that can results (this is especially important in people with diabetes).  Hyaluronic Acid injections are also indicated if there is pain in the joint but no obvious inflammation. This gel injection is similar to the natural fluid found inside of healthy joints and acts as a lubricant or shock absorber.  Symptomatic relief is expected to last 1-3 months in the great toe joint.

Platelet Rich Plasma (PRP) injections use your own blood and platelets to promote healing. The growth factors and proteins in your platelets aid in the healing and help reduce inflammation of soft tissue including the lining of your joints that can be damaged from osteoarthritis.

Regenerative Cell technology such as placental tissue matrix injections can significantly decrease the pain related to osteoarthritis. These cells are harvested after the live birth of a healthy child via C-section and the mother donates her placenta for use. The high levels of growth factors in these cells promote tissue healing.

Which injection is right for your individual situation is carefully considered before any treatment decision is made. Each of these injections can be very effective in reducing or eliminating joint pain, but may not keep the pain from recurring. Each can be given more than once if needed, especially if you are looking for options to the expense, potential complications and the recovery time of surgery.

Foot Pain and Pregnancy: Causes and Solutions

When pregnant, a woman’s body goes through a myriad of changes, some more uncomfortable than others. One of the most overlooked ailments that women endure during pregnancy is foot pain.

Causes of Foot Pain During Pregnancy

Two of the most common causes of foot pain during pregnancy are edema and over-pronation. Edema is defined as swelling or enlargement of the tissues in the feet as a result of fluids pooling in the lower extremities. As the baby grows, added pressure is put upon the blood vessels in the pelvic area as well as the legs. This, in turn, slows down circulation, causing fluids to pool in the lower legs and feet, and often producing a purplish discoloration in the ankles and feet as well.

Over-pronation is a result of the altered center of gravity that women experience during pregnancy. The additional baby weight that the legs and feet have to bear can cause the feet to tilt inward (over-pronate) and the arches of the feet to flatten out when walking. This can cause excessive strain on the tissues of the feet, often producing a ripple effect of leg and lower back pain as well.

Solutions for Pregnancy-Related Foot Pain

Over-pronation is commonly treated with remedial orthotics (shoe inserts) that help to support the arches and heels. Properly-fitted footwear is very important as well; be sure to choose shoes that provide firm support and adequate shock absorption. To help alleviate edema, elevate your feet as much as you possibly can, and wear shoes that do not constrict your circulation. In addition, try to maintain a low-sodium diet in order to help prevent fluid retention, which is essentially what edema is.

5 Reasons Seniors Should Visit a Podiatrist

Proper foot health is an often overlooked but extremely important issue for senior citizens. Without healthy feet, it will be difficult to maintain an active lifestyle. In order to ensure good foot health throughout their golden years, seniors should visit a podiatrist for proper assessment and (if necessary) treatment of any adverse foot or ankle conditions. Below are five reasons why seniors should visit a podiatrist:

1. Hygiene – Podiatrists can make a thorough assessment of the type of foot hygiene routine needed to promote adequate foot care among seniors. These assessments typically include key points such as proper washing techniques, how to prevent fungal infections, etc.
2. Inspections for Injuries – Many times seniors can sustain minor cuts, abrasions or sores on their feet that can grow into something worse if left unattended. A podiatrist will be able to perform a careful visual inspection of each foot to ensure that all injuries, whether large or small, are properly cared for.
3. Nail Care – Many seniors suffer from ingrown toenails due to improper trimming procedures. This often leads to various types of infections, which require the attention and care of a podiatrist to rectify. Podiatrists can instruct and inform seniors regarding proper toenail trimming techniques. In addition, podiatrists can trim the toenails of seniors who may be physically unable to do so themselves.
4. Specialized Care for Diabetics – Podiatrists can analyze and prescribe appropriate foot care measures for seniors who suffer from diabetes, as they are particularly susceptible to certain adverse foot conditions.
5.  Advice on Footwear – Proper footwear is an essential element of quality foot health. Podiatrists can offer seniors helpful and informative advice regarding what type of footwear will best support and protect their feet. In addition, podiatrists can help seniors determine whether or not orthopedic shoes will be necessary.

What Stretches Can Help Relieve Plantar Fasciitis?

There are various stretch exercises you can do in order to relieve the pain of plantar fasciitis. The best time to start with some of these exercises is early in the morning before you get out of bed, seeing as sleep tightens the planta fascia. However, it’s not necessary to do all the exercises at once. Try to do a couple of them about 2-3 times a day.

Foot Stretching
Start by flexing your foot about 10 times using upward and downward motions. This exercise is particularly effective before stepping out of bed.

Toe Stretching
Following foot stretching, sit on the bed and place your heel on the floor. Now reach down and pull your big toe up and back towards your ankle. Your ankle should to remain on the floor while the rest of your foot is elevated. The pulling of your toe should last about 15-30 seconds and it should be repeated about 2-4 times in a single session. It is recommended to do this exercise several times a day.

Towel Stretching
This exercise is very simple to do. It’s best to find a comfortable and flat surface where you can sit down with your legs straight. Now take a rolled towel and place it underneath the ball of your foot. While holding the two ends of the towel in your hands, gently start to pull. It’s important to keep your knee straight during the exercise. Similar to the toe stretching, keep the pulled position for 15-30 seconds and repeat 3-4 times.

Ball Stretching
Another easy exercise involves a tennis ball or rolling pin. It can be done while sitting or standing, although standing is the best position. Simply place the ball or rolling pin underneath the arch of your foot and start rolling in the arch. You can do this exercise for as long as it feels comfortable.

Using these stretch exercises in conjunction with other aids such as night splints and shoe inserts can dramatically relieve the pain of plantar fasciitis.

Heel Pain

Heel pain is likely the most common problem most podiatrist treat. Heel pain can happen for many reasons but the most common of these is a condition known as plantar fasciitis. This used to be called “heel spur” but we have long ago learned that this terminology is not accurate. Even the term plantar fasciitis isn’t always the most accurate diagnosis for pain in the bottom of the heel especially noticed when you first rise to stand from a seated or rested position. Plantar fasciitis is the acute inflammation of a structure on the bottom of the foot which connects the base of your toes to your heel bone. This structure is supposed to be stretchy, but in the case of acute inflammation, it becomes swollen and tight and less forgiving especially when you take your first few steps. But over time, when left untreated for too long, the recurrent inflammatory damage to the fascia starts to break down the fascia causing tiny microscopic tears within the structure..this degenerative process is known as plantar fasciosis.

Traditional treatments for plantar fasciitis include stretching, prolonged non-weight bearing, arch supports, orthotics, anti-inflammatory medication either by mouth or injected into the heel. But when those modalities fail to improve the symptoms, it’s time to consider either more advanced LASER technology to address the inflammation or consider the possibility of fasciosis. The proper diagnosis will lead to the proper treatment. Treatment could include Platelet Rich Plasma Tissue Transfer or Stem Cell technology to address the degenerative process occurring in the fascia. A timely diagnosis and well-executed treatment plan can get you back on your feet in comfort more quickly and get you back to doing those activities you thought you wouldn’t be able to do again.