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Monday, 18 January 2016

Achilles Tendonitis

achilles tendon6Achilles tendonitis is one of the most stubborn Achilles tendon injuries to treat. Many runners are prone to developing the condition, which has the habit of returning. To manage Achilles tendonitis, it is important to keep several things in mind. If you are a runner who is experiencing pain that is forcing you to change your normal gait, do not run. Other exercises, such as biking or strength training, are a good alternative until your condition clears. It is also important to ensure that your muscles are thoroughly stretched before and after runs.

Achilles tendon injuries need immediate attention to avoid future complications. For more information about treatment, consult with Dr. Michael E. Newman of Pennsylvania. Our doctor will attend to all of your podiatric needs.

What is the Achilles Tendon?

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

What are the symptoms of an Achilles Tendon Injury?

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

Achilles Tendinitis Symptoms

- Inflammation

- Dull to Severe Pain

- Increased blood flow to the tendon

- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot

- Snapping sensation

- Total immobility

Treatment and Prevention

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

- Thorough stretching of the tendon before and after exercise

- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If unable to immediately see your podiatrist, remember to Rest, Ice, Compress, and Elevate until then.

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles tendon injuries.

ankle surgeryThe Angels first baseman Albert Pujols had to undergo foot surgery early November. Pujols had to have his plantar plate in his right foot corrected, which had been causing pain for Pujols in previous games. After having surgery on his weight-bearing injury, Pujols is in recovery on crutches, and will be off the bench for the next 4 and a half months. In the previous year of 2013, Pujols had a bad case of plantar fasciitis, which affected his performance that season.

Foot surgery is sometimes necessary to fix a foot ailment. For more information about treatment, consult with Dr. Michael E. Newman of Pennsylvania. Our doctor will attend to all of your podiatric needs.

When Is Surgery Necessary?

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

  • Removing foot deformities like bone spurs and bunions
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

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

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

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

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about foot surgery.

sportsBaylor freshmen quarterback Jarrett Stidham will be unable to play for the rest of the season due to an ankle injury. Stidham originally began as a starter, where he filled in for Seth Russell, who was also injured. Stidham played a total of 10 games for Baylor for this season, but was hurt during halftime in the game against Oklahoma State. Stidham was replaced by third-stringer Chris Johnson, who helped lead the team to a win.

Barefoot running has its own share of benefits and disadvantages. If you are having discomfort in your feet, contact Dr. Michael E. Newman and Dr. Denise Kohler of Pennsylvania. Our doctors will treat your foot and ankle needs.

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  • Swelling around the area
  • Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read more about broken ankles.

orthotics5Choosing the right orthotics for your feet can help with the support of your overall body structure, and the process of creating orthotics is relatively simple and easy. Kevin Wong, DC, suggests determining the right orthotics length size for patients’ shoes. There are two different methods to constructing the orthotics, the non-weight-bearing method and the weight-bearing method. In the non-weight-bearing method, plaster material is molded around the foot to create a negative impression, which is then used to form the orthotic. In the weight-bearing method, patients’ feet can be scanned for certain measurements, which can then be applied to the construction of custom-made orthotics.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Michael E. Newman and Dr. Denise Kohler of Pennsylvania. Our doctors will treat your foot and ankle needs.

What are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain, but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct over arched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you, or if you have a more severe foot issue, it is possible to have your podiatrist prescribe custom orthotics. These high quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and more severe heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses, and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist on the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain free.

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read more about Orthotics

runnersnewThe weight and size of your feet may play a factor in affecting your running efficiency. According to a 2004 overview published by pubmed.gov, extra weight on your feet can decrease your efficiency by up to about 10 percent, whereas weight on your body reduces efficiency by about 1 percent. Those who have larger feet do not seem to lose as much efficiency. Rodger Kram, a University of Colorado at Boulder professor of integrative physiology, says that the average man’s foot weighs about 2.2 pounds, and every 3.5 ounces may probably result in about a 1 percent loss in running efficiency.

Proper foot care is important for biomechanics of the feet, which incorporate the parts that manage the movement of your feet. For more information about treatment, consult with Dr. Michael E. Newman of Pennsylvania. Our doctor will attend to all of your podiatric needs.

A History of Biomechanics

- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974 biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination to the area.

Modern technology improvements are based on past theories and therapeutic processes providing a better understanding of podiatry concepts for biomechanics. Computers provide accurate determinations about the forces, moments and patterns of the foot and lower legs with the most important information captured.

Advances in materials and more awareness of biomechanics have developed enhanced corrective methods, offering further options for foot-related injuries. Understanding foot biomechanics can help improve and eliminate pain, stopping further stress to the foot. 

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Biomechanics of Podiatry

Monday, 14 December 2015

Corns and Callouses

athletes foot9Corns and calluses often occur as the skin attempts to protect itself from excessive pressure or friction on the skin. Corns are typically smaller and include an inflamed portion of skin, making them considerably more painful. While corns can be treated at home  most of the time, it is always best to seek professional attention, especially if diabetic. Wearing proper fitting shoes and socks can help reduce and prevent corns.

Corns can be a nuisance for your foot health. For more information about treatment, consult with Dr. Michael E. Newman of Pennsylvania. Our doctor will attend to all of your podiatric needs.

Corns: What are they? And how do you get rid of them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:
- Well-fitting socks
- Comfortable shoes that are not tight around your foot
- Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Salicylic acid can help in getting rid of these corns because it dissolves keratin, which is the protein that makes up a good majority of corns. Podiatrists recommend that people with diabetes not use salicylic acid but should consult with their podiatrist regarding the treatment of corns.

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Corns on the Feet

toenail fungus7A new form of cold air plasma developed by researchers at the University of California, Berkeley, can now reportedly freeze out toenail fungus. Cold plasmas can kill bacteria, remove dental plaque, loosen the connections between tissue cells, help coagulate blood and reduce bleeding. Using e. coli, researchers discovered a significant reduction in e. coli populations following the application of cold plasma; Device Farm also reported success in killing the specific fungi responsible for fungal infections. FDA approval is still required before the company can test on human patients.

While toenail fungus is troublesome to eradicate, it is not impossible. For more information about treatment, consult with Dr. Michael E. Newman of Pennsylvania. Our doctor will attend to all of your podiatric needs.

Toenail Fungus Treatment

Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments

Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body. Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free.

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

Alternative Treatments

There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.  

If you have any questions please feel free to contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus

pregnancy6Foot changes during pregnancy are very common, but some women do not understand why such changes occur. Size increase, arch flattening, and instability in the feet or ankles are all a result of weight gain and hormonal shifts. Normal pregnancy weight gain can change the way a woman walks, leading to instability, and fluid build-up in the lower extremities can cause the feet to grow in size. To manage these changes, compression stockings, regular walking and low-impact exercises can be used effectively.

Pregnant women are susceptible to aching and swollen feet and should be treated with care. For more information about other cures for swollen feet during pregnancy, speak to Dr. Michael E. Newman of Pennsylvania. Our doctorwill assist you with all of your foot and ankle concerns and answer any of your related questions.

What foot problems can arise during pregnancy?

One problem that can occur is over-pronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages.

How can I keep my feet healthy during pregnancy?

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

If you have any questions please contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read the more about Pregnancy and Foot Health

plantar-fasciitis6While plantar fasciitis is a common condition that does not discriminate, there are certain factors that can make some people more susceptible. Those over 40 years old, are often on your feet at work, have gained weight or have lost calf muscle flexibility, may find that they are more likely to have symptoms of the condition. Although symptoms include pain when you first wake up, stand for a long time, or walk without foot supports, there are treatments available. By ensuring you have the proper foot support and regularly ice your feet, you can help reduce and prevent further inflammation.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, visit Dr. Michael E. Newman of Pennsylvania. Our doctor can treat your heel pain as well as any other foot or ankle condition.

What is Plantar Fasciitis?

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

What Causes Plantar Fasciitis?

·     Excessive running

·     Non-supportive shoes

·     Overpronation

·     Repeated stretching and tearing of the plantar fascia

 

How Can It Be Treated?

·     Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices

·     Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis

·     Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

 

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

If you have any questions please contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis

ankle-surgeryA new surgical device known as the HammerLock 2 is being used to treat hammertoes effectively and without infection. The device is made with nitinol, is inserted into the bone where it is clipped back causing the material to expand and straighten the toe. This new method allows patients to move their toes quicker where the traditional method can cause the toes to become swollen or infected.

Hammertoes can be a painful condition to live with. If you are suffering from hammertoes, contact Dr. Michael E. Newman of Pennsylvania. Our doctor will treat your foot and ankle needs.

Hammertoe

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

  • Genetics – people who are genetically predisposed to hammertoe are often more susceptible
  • Arthritis – because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
  • Trauma – direct trauma to the toes could potentially lead to hammertoe
  • Ill-fitting shoes – undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

  • Orthotics – custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
  • Medications – oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
  • Surgery – in more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read More about Hammertoes

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