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The ankle-brachial index (ABI) is a screening tool used to identify peripheral artery disease, a condition that causes poor circulation in the lower limbs. The ABI is a simple measure that involves taking the blood pressure at the arm and at the ankle and comparing the two numbers to determine the patient’s risk of having peripheral artery disease. This is most frequently done using a blood pressure cuff and a Doppler ultrasound instrument. Some doctors may do the ABI using an automated device instead. Regardless of the method used to obtain this reading, the ABI is quick, noninvasive, and virtually painless. If you suspect that you may have poor circulation in your feet and ankles, please consult with a podiatrist who can screen you for peripheral artery disease.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

 

Read more about Vascular Testing in Podiatry

Morton’s neuroma occurs when tissues in the foot become thickened due to an injury, irritation, or excessive pressure on the nerves of the toes of the foot. Improperly-fitted shoes, high heels, high-impact activities, or even having a foot that is malformed can contribute to these nerves becoming damaged. Individuals with Morton’s neuroma can feel pain concentrated in the ball of the foot or between the 3rd and 4th toes, and may even experience a burning, tingling, or numbness. Podiatrists often treat Morton’s neuroma and reduce a patient’s pain with MLS Laser Therapy, which sends out multiple healing energy waves deep beneath the skin to repair nerves and tissues.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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.

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

Read more about What is Morton's Neuroma?
Monday, 15 March 2021 00:00

What Is Tarsal Tunnel Syndrome?

Tendons, blood vessels, and nerves—such as the tibial nerve which provides feeling and mobility in the foot—travel through the tarsal tunnel in the ankle. When the tibial nerve gets constricted or damaged, Tarsal Tunnel Syndrome can occur. This condition produces tingling or numbness, pain, and a weakening in muscles and various parts of the foot. It can be triggered by swelling, abnormal growths in bones and joints, varicose veins, abnormal arches, and various systemic diseases. A complete recovery is possible if the condition is diagnosed and treated in its early stages. To avoid permanent complications such as pain, numbness, and immobility, it is suggested to consult with a podiatrist who can provide a variety of treatments and therapies.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
Monday, 08 March 2021 00:00

Is My Ankle Pain Arthritis?

The ankle joint, where the shin bone and the bone at the top of the foot meet, is a common area for arthritis to develop. Arthritis symptoms that affect the ankle include pain, tenderness, swelling, stiffness, and a reduced range of motion in the joint. Certain types of arthritis are more likely to affect the ankle joint than others. Post-traumatic arthritis, which occurs following an injury such as a dislocation or an ankle fracture, may be responsible for ankle arthritis. Rheumatoid arthritis, which can affect any joint in the body, may also cause ankle pain. Osteoarthritis, the most common type of arthritis which is associated with aging, rarely occurs in the ankle. If you are experiencing ankle pain, please consult with a podiatrist, who can diagnose and treat your condition.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

Read more about Ankle Pain
Monday, 01 March 2021 00:00

Two Categories of Flat Feet

Patients who are missing an arch in their foot have the condition that is known as flat feet. Flat feet fall into two categories. Flexible flat feet have an arch that disappears when the foot bears weight and reappears while sitting or standing on tiptoes. Rigid flat feet do not have an arch regardless of whether you stand or sit. Children that have flat feet may benefit from wearing soft insoles, and this may provide additional comfort. If your child has flat feet that are causing them discomfort, it is suggested that you confer with a podiatrist who can offer treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about Flatfoot
Monday, 22 February 2021 00:00

What Can Cause Heel Pain?

Heel pain has many potential causes. Plantar fasciitis, the inflammation of the ligament that runs along the bottom of your foot, can cause a stabbing heel pain that is at its worst first thing in the morning. Heel spurs, which are bony growths on the heel bone, sometimes cause heel pain if they poke into the soft tissue of the heel. Sever’s disease, an overuse injury that typically affects children, causes pain in the heel due to inflammation of the heel’s growth plate. Achilles tendonitis, in which the Achilles tendon is inflamed due to overuse or injury, can cause pain in the back of the heel. If you are experiencing heel pain, it is suggested that you see a podiatrist to get a proper diagnosis and treatment.

Many people suffer from bouts of heel pain. For more information, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Monday, 15 February 2021 00:00

Risk Factors for Plantar Fasciitis

Plantar fasciitis is the inflammation of the ligament that runs along the bottom of the foot, called the plantar fascia. Plantar fasciitis usually leads to pain and swelling in the heel that is typically worse in the morning or after prolonged periods of standing. As a patient ages, the plantar fascia does not stretch as well. This, combined with the natural wearing of the fat pad on the heel over time, means that aging increases the risk of plantar fasciitis. However, aging is not the only factor. Those who are overweight, have diabetes, spend long periods standing, or have high arches or tight calf muscles, are also at an increased risk for developing plantar fasciitis. If you are suffering from heel or arch pain that you believe may be plantar fasciitis, it is important to consult with a podiatrist for an accurate diagnosis and treatment plan.   

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

Read more about Plantar Fasciitis
Monday, 08 February 2021 00:00

Techniques That May Help to Prevent Falling

Falling episodes among elderly people is a common occurrence worldwide. Many patients' feet are affected, and may endure a broken foot or sprained ankle as a result of an unexpected fall. Effective prevention techniques can consist of improving lighting in the household and getting regular physical examinations. Maintaining correct medications which may affect your vision can also reduce the risk of falling. Additionally, many patients find it is beneficial to install grab bars in the shower and toilet area, as this provides the necessary stability that can help to prevent falling. If you or a loved one is concerned about how falling can affect the feet, it is suggested that you speak with a podiatrist who can help you with proper prevention techniques.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Read more about Falls Prevention
Monday, 01 February 2021 00:00

How Gout Develops

An excess amount of uric acid in the body can lead to a painful condition that is known as gout. This condition is considered to be a form of arthritis and can cause difficulty in walking. It can occur as a result of elevated purine levels which may happen for several reasons including genetics, eating large amounts of shellfish, red meat, and drinking sugary beverages. Additionally, obesity may contribute significantly to the onset of gout. Many patients experience severe pain in the joints surrounding the big toe as a result of inflammation. A proper diagnosis can consist of extracting a small amount of fluid from that affected area. This is followed by viewing it under a microscope to look for uric acid crystals. Mild relief may be found when healthy foods are incorporated into your diet and from taking specific medications that can ease the pain and discomfort of gout. If you are prone to developing gout, it is strongly recommended that you are under the care of a podiatrist who can effectively treat this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Monday, 25 January 2021 00:00

What Can Cause Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve located in the ankle becomes compressed. This typically causes pain and numbness in the affected foot and toes. In about 40-50% of cases, tarsal tunnel syndrome is idiopathic, meaning that no cause behind the condition can be identified. In other instances, tarsal tunnel syndrome can be caused by a variety of other conditions that may compress the posterior tibial nerve, including muscle or bone injuries, ganglion cysts, or having flat feet. If you  have the symptoms of tarsal tunnel syndrome, it is suggested that you see a podiatrist for treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
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