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Tuesday, 11 June 2024 00:00

Fear of Falling Among Diabetics

Diabetic foot problems and the fear of falling are significant concerns for individuals managing diabetes. Diabetes can lead to various complications, including neuropathy and peripheral vascular disease, or PAD, which affect sensation and blood flow to the feet. As a result, individuals with diabetes may experience decreased balance, altered gait, and diminished sensation, increasing their risk of falls. Furthermore, diabetic foot complications, such as foot ulcers and infections, can further impair mobility and increase the fear of falling. The fear of falls can lead to decreased physical activity and social isolation, impacting overall quality of life. To address these concerns effectively, it is suggested that individuals with diabetes include a podiatrist as part of their healthcare team. Podiatrists specialize in foot care and can assess and manage diabetic foot complications, provide preventive measures, and offer guidance to reduce the risk of falls.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Read more about How to Care for Diabetic Foot

Early onset gout, a form of arthritis, can be a debilitating condition that disrupts daily life and impacts overall well-being. Gout typically manifests as sudden and intense pain, swelling, and tenderness in the joints, often affecting the big toe initially. This inflammatory response occurs due to the buildup of uric acid crystals in the joints, resulting from an imbalance in the body's production and excretion of uric acid. While gout is commonly associated with older age and certain lifestyle factors, like diet and alcohol consumption, it can also develop in younger individuals, often due to genetic predisposition or underlying health conditions. Managing early onset gout involves a multifaceted approach, including medication to alleviate symptoms, dietary modifications to reduce purine-rich foods, and lifestyle changes to maintain a healthy weight and minimize alcohol intake. Gout typically affects the big toe, and can cause severe pain and discomfort. If you have been afflicted with gout, it is suggested that you seek prompt attention from a podiatrist who can offer you relief and prevention methods.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Read more about Everything You Need to Know About Gout

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Custom-made orthotics are frequently prescribed for children to address various foot and lower limb issues. These specialized shoe inserts are tailored to each child's unique needs, correcting biomechanical imbalances and providing support where necessary. Orthotics may be needed to manage conditions like flat feet, overpronation, or foot deformities, ensuring proper alignment and preventing discomfort or injury. Involving parents in the orthotic prescription process is important for successful treatment. Educating parents about the benefits of orthotics and the importance of compliance ensures they understand their child's needs and can support treatment adherence. Follow-up appointments are critical to monitor progress, make adjustments as needed, and address any concerns. Encouraging compliance in wearing orthotics among children can be facilitated by involving them in the selection process, ensuring comfort and style preferences are considered. Additionally, positive reinforcement, praise for wearing orthotics consistently, and integrating them into daily routines can help foster acceptance and compliance. Fortunately, many children find orthotics comfortable and appreciate the support they provide for their active lifestyles. If your child has foot problems, it is suggested that you schedule an appointment with a podiatrist for diagnosis and care, in addition to discussing whether custom orthotics may provide relief.

If you are having discomfort in your feet and would like to try orthotics, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

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 overarched 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 concern, 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 severe forms of 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 about 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 contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes

Plantar heel pain in older adults is commonly caused by plantar fasciitis. The plantar fascia is a thick band of tissue that runs along the bottom of the foot. It can become inflamed, especially due to wear and tear over the years. Other factors contributing to plantar heel pain include being overweight, which puts extra stress on the plantar fascia, and wearing shoes that lack adequate support and cushioning. As one ages, fat pad elasticity beneath the heel can also decrease, contributing to pain while walking or standing. A podiatrist, or foot doctor, might recommend exercises to stretch the plantar fascia and Achilles tendon, the use of orthotic devices to provide proper foot support, and anti-inflammatory medications as treatment. In some cases, a podiatrist may suggest more intensive treatments, like steroid injections. Wearing proper footwear that provides good arch support and cushioning can also help to alleviate symptoms and prevent further episodes of pain. If you are struggling with heel pain, it is suggested that you schedule an appointment with a podiatrist for an evaluation and treatment options. 

Many people suffer from bouts of heel pain. For more information, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain

Wearing high heels can significantly alter the biomechanics of the feet, leading to various effects that extend beyond fashion considerations. The elevation of the heel shifts the body's weight forward, causing increased pressure on the balls of the feet and toes. This can result in discomfort, pain, and even the development of conditions like bunions, hammertoes, and neuromas over time. The arch of the foot is also affected, as high heels can cause it to become overly extended or flattened, potentially contributing to issues such as plantar fasciitis or Achilles tendonitis. Additionally, high heels can affect balance and stability, increasing the risk of ankle sprains or falls. Prolonged wear of high heels may lead to muscular imbalances and changes in gait patterns, further exacerbating foot problems. If you have foot pain and feel it may be coming from frequently wearing high heels, it is suggested that you schedule an appointment with a podiatrist who can offer you relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Read more about Why High Heels Are Not Ideal for Healthy Feet
Tuesday, 07 May 2024 00:00

Causes of Painful Foot Ulcers

Foot ulcers are serious, open wounds that can develop on the feet, particularly in individuals with diabetes or poor circulation, and can cause considerable foot pain. These ulcers typically occur due to a combination of factors, including nerve damage, reduced blood flow, and repetitive pressure or trauma to the skin. Diabetes, in particular, increases the risk of foot ulcers due to its effects on nerve function and blood circulation, making the feet more susceptible to injury and slower to heal. Left untreated, foot ulcers can lead to severe complications, including infection, tissue damage, and even amputation. The pain associated with foot ulcers can vary depending on the severity and location of the wound but is often described as sharp, burning, or throbbing. Individuals with foot ulcers may also experience tenderness, swelling, and redness in the affected area. The majority of foot ulcers cause issues that demand medical attention. If you have a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can offer you effective treatment and management strategies.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 30 April 2024 00:00

The Anatomy and Causes of Bunions

Bunions, medically known as hallux valgus, are a foot deformity that affects the joint at the base of the big toe. This condition occurs when the bone or tissue at the joint shifts out of place, causing the big toe to lean inward toward the other toes. The anatomy of a bunion involves the misalignment of the metatarsophalangeal, known as the MTP, joint that leads to a bony bump on the side of the foot and the deviation of the big toe. Several factors contribute to the development of bunions, including genetics, improper footwear, and structural foot abnormalities. Individuals with a family history of bunions are more predisposed to developing them, as are those who frequently wear tight or narrow shoes that squeeze the toes together. Additionally, conditions, such as flat feet or low arches, can increase the risk of bunions by placing excessive pressure on the MTP joint. Understanding the anatomy and causes of bunions is helpful for effective prevention and treatment strategies. If you have a bunion, it is suggested that you consult a podiatrist who can offer you effective management techniques.

If you are suffering from bunion pain, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Read more about Bunions
Tuesday, 23 April 2024 00:00

Ingrown Toenail Surgery

Ingrown toenails can be a literal pain, causing discomfort and sometimes infection. Fortunately, there are surgical solutions such as nail avulsion and wedge excision. Nail avulsion involves removing the entire nail or part of it, providing relief by preventing further ingrowth. This procedure is commonly used when the ingrown nail is recurring or severe. Conversely, wedge excision involves removing a portion of the nail along with the underlying tissue. It aims to eliminate the ingrown part while preserving the appearance and function of the nail. Both procedures are typically performed under local anesthesia, ensuring minimal discomfort for the patient. Following either procedure, proper post-operative care is vital in promoting healing and preventing complications. Ultimately, nail avulsion and wedge excision offer effective solutions for those suffering from the discomfort of ingrown toenails, providing relief and restoring comfort to daily activities. If you have an ingrown toenail, it is suggested that you speak to a podiatrist who can help you decide if one of these types of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

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

  • Removing foot deformities like bunions and bone spurs
  • 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 office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot and Ankle Surgery
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