Tuesday, 08 June 2021 00:00

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds, and every 19 minutes, an older person dies from falling. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

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Monday, 12 April 2021 00:00

Ankle Joints, The Achilles Tendon, and High Heels

The ankles may suffer for women who choose to frequently wear high heels. This can be a result of the amount of body weight the ankle joints bear, and is generally increased when high heels are worn. Research has shown that arthritis may develop in women who enjoy wearing high heels, which can cause severe pain and discomfort. Additionally, the Achilles tendon can be affected. This is the tendon that is located in the back of the leg, and connects the calf muscles to the heel. Consistent wearing of high heels, can make this tendon feel stiff. If you would like additional information about the effect high heels have on the feet, please confer with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Sutera and Jones Surgical Podiatry. Our doctors 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 one of our offices located in Media, Glen Mills, Riddle Memorial Hospital, and Concordville, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 12 April 2021 00:00

Why High Heels Are Not Ideal for Healthy Feet

It is no secret that high heels are uncomfortable to wear for long periods of time. Although beauty is pain, you should not sacrifice the health of your feet for a stylish heel. Wearing high heels can potentially cause many different foot conditions that may be avoided by wearing proper footwear.

The structure of high heels forces weight of your body to get shifted forward toward the ball of the foot. The higher the heel you wear, the more weight and pressure get shifted forward. The pressure that your toes may experience from wearing heels may lead to hammer toes, bunions, and ingrown toenails. Extra weight and pressure resulting from wearing heels may cause stress fractures. Furthermore, heels may cause pinched nerves which may result in Morton’s neuroma.

High heels are even more dangerous for people who are clumsy. Falling or tripping while wearing heels can cause an ankle sprain or twist.

What many people don’t know is that heels can also cause back and knee problems. In order for your body to stay balanced on heels, your spine has to sway unnaturally, which adds stress to your spine muscles. This may cause you to experience a sore lower back.

If you decide to wear high heels regardless of the risks associated with them, there are ways you can minimize their harmful effects. One way to reduce injury is to massage and stretch your legs at the end of the day. Stretching can prevent the Achilles tendons and calf muscles from becoming too tight. If you are simply looking for more height, wedges and platforms provide a better surface area to distribute the body weight across compared to thinner heels.

If you experience pain from wearing high heels, it is important to see a podiatrist before any of your symptoms become worse.

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Monday, 25 January 2021 00:00

Swelling of the Feet During Pregnancy

Swollen feet are a common result of pregnancy. While the fetus puts extra weight on the feet and legs, circulation also slows and fluid can build up. This ultimately leads to the feet swelling. Pregnant women whose feet have swollen should avoid standing for long periods of time, slightly elevate the feet, limit salt intake, keep hydrated, wear comfortable shoes and socks, and massage the feet regularly. While foot swelling is normal during pregnancy, a sudden or rapid increase in swelling should be checked by a podiatrist. It is also important to seek medical attention if one foot is more swollen than the other, there is pain or heat in the calf, or the skin is red or discolored.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Sutera and Jones Surgical Podiatry. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, 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

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Monday, 25 January 2021 00:00

Foot Care for Pregnant Women

The natural weight that pregnant women gain causes their center of gravity to be completely altered. This causes them to have a new weight-bearing stance which adds pressure to the knees and feet. As a result, pregnant women often experience severe foot pain. The two most common foot issues experienced by women in their pregnancies are edema and over-pronation. It is important for all pregnant women to learn more about how to take care of their feet so they are more comfortable during their pregnancy.

Over-pronation, which is commonly referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing. This causes the person’s feet to roll inward while walking. Pregnant women often experience this due to the sudden weight they gain.

Edema, also referred as swelling in the feet, typically occurs in the later part of the pregnancy. It is the result of the extra blood accumulated in the pregnant woman’s body. The enlarged uterus puts more pressure on the blood vessels in the pelvis which causes leg circulation to slow down. This causes blood to pool in the lower extremities.

Fortunately, there are ways to treat both edema and over-pronation. Edema can be treated by elevating the foot as often as possible. Wearing proper fitting footwear will also be helpful for those with edema. A treatment method for over-pronation could be orthotics. Orthotic inserts should be designed with appropriate arch support and medial rear foot for your foot.

It is best for pregnant women to buy new shoes during the day, because this is the time where swelling is at its peak. Pregnant women also shouldn’t rush when buying shoes. It is always advised that you make sure your shoes fit properly but this is especially important during pregnancy.

If you are a pregnant woman, you should consult with a podiatrist in order to make sure your feet are healthy throughout the entirety of your pregnancy.

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Tuesday, 24 August 2021 00:00

How Do Podiatrists Treat Plantar Hyperhidrosis?

Plantar hyperhidrosis is a condition that causes the feet to sweat excessively. Having wet, sweaty feet most of the time is not only annoying, but can ruin your shoes, increase your risk of slipping and falling, and break down the skin on the feet, leading to athlete’s foot and other skin infections. The first line of treatment for this condition is usually topical medications, which are applied directly to the skin’s surface. Your podiatrist may prescribe an antiperspirant cream or powder. If these fail, your doctor may suggest iontophoresis, a procedure that uses electrical currents to reduce sweating. Botox injections into the feet are another potential solution. To learn more about treatments for plantar hyperhidrosis, please consult with a podiatrist.

If you are suffering from hyperhidrosis contact one of our podiatrists of Sutera and Jones Surgical Podiatry. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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Tuesday, 24 August 2021 00:00

Hyperhidrosis of the Feet

Hyperhidrosis of the feet, also termed plantar hyperhidrosis, is characterized by excessive sweating of the feet that can be onset by any cause, such as exercise, fever, or anxiety. Most people suffering from hyperhidrosis of the feet also experience hyperhidrosis of the hands, or palmar hyperhidrosis. Approximately 1-2% of Americans suffer from this disorder.

Sweating is a healthy process utilized by the body in order to cool itself and maintain a proper internal temperature, which is controlled by the sympathetic nervous system. In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than is actually needed.

Plantar hyperhidrosis is considered primary hyperhidrosis. Secondary hyperhidrosis refers to excessive sweating that occurs in an area other than the feet, hands, or armpits, and this indicates that is related to another medical condition, such as menopause, hyperthyroidism, or Parkinson's disease.

Symptoms of hyperhidrosis of the feet can include foot odor, athlete's foot, infections, and blisters. Because of the continual moisture, shoes and socks can rot which creates an additional foul odor and can ruin the material, requiring shoes and socks to be replaced frequently. In addition to the physical symptoms, emotional health is often affected as this disorder can be very embarrassing.

If left untreated, hyperhidrosis will usually persist throughout an individual's life. However, there are several treatment options available. A common first approach to treating hyperhidrosis of the feet is a topical ointment. Aluminum chloride, an ingredient found in antiperspirants, can be effective at treating hyperhidrosis if used in high concentration and applied to the foot daily. Some individuals can experience relief this way, while others encounter extreme irritation and are unable to use the product. Another procedure is the use of Botulinum Toxin A, commonly referred to as Botox. This is injected directly into the foot, and is effective at minimizing the sweat glands in the injected area. These injections must be repeated every 4 to 9 months.

If these treatments are ineffective, oral prescription medications may be taken in an effort to alleviate the symptoms. Again, some will experience relief while others do not. Going barefoot reportedly provides relief for most sufferers.

A final approach to combating hyperhidrosis of the feet is through surgery. Surgery has been less successful on patients with plantar hyperhidrosis than on those with palmar hyperhidrosis. It is only recommended when sweating is severe and other treatments have failed to work. This kind of surgery usually involves going into the central nervous system, and cutting nerves to stop the transmission of signals telling the foot to sweat.

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Monday, 11 January 2021 00:00

Why Do Wounds on the Feet Occur?

People who have diabetes need to be aware of wounds on their feet. If prompt medical attention is not received, cuts and scrapes may heal slowly, and ultimately could become infected. Diabetic patients are also prone to developing peripheral arterial disease which can cause a lack of sensation in the feet. When this occurs it becomes even more difficult to feel existing wounds. Treatment options may include wearing specialized shoes or insoles, and it may help to have any dead tissue removed. Taking antibiotics may accelerate the healing process if the wound has become infected. If you have developed wounds on your feet it is strongly suggested that you are under the care of a podiatrist who can decide what the best treatment is for you.

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

What Is Wound Care?

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

What Is the Importance of Wound Care?

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

How to Care for Wounds

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

If you have any questions, please feel free to contact one of our offices located in Media, Glen Mills, Riddle Memorial Hospital, and Concordville, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wound Care

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

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

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

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Tuesday, 13 July 2021 00:00

Understanding Morton’s Neuroma

A neuroma is a condition where the tissue that surrounds a nerve becomes thickened and inflamed. A neuroma can materialize around any nerve of the body, but when it occurs between the 3rd and 4th toes (or less commonly the 2nd and 3rd toes), it is known as Morton’s Neuroma. This benign growth of nerve cells can cause tingling, pain, and numbness in the ball of the foot—often making it feel as if there is a pebble stuck in your shoe. It is suggested that you see a podiatrist if you suspect you have Mortaon’s neuroma, as the condition may worsen and possibly lead to permanent nerve damage.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Sutera and Jones Surgical Podiatry. Our doctors will attend to all of your foot care needs and answer any of your related questions.

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

Ill-fitting high heels or shoes that add pressure to the toe or foot
Jogging, running or any sport that involves constant impact to the foot
Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

Blog

Falls Prevention

Ankle Joints, The Achilles Tendon, and High Heels

Why High Heels Are Not Ideal for Healthy Feet

Swelling of the Feet During Pregnancy

Foot Care for Pregnant Women

How Do Podiatrists Treat Plantar Hyperhidrosis?

Hyperhidrosis of the Feet

Why Do Wounds on the Feet Occur?

Wound Care

Understanding Morton’s Neuroma

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