A study was recently conducted in order to discover the effectiveness of PRP (also known as ACP) injections compared to corticosteroids in treating plantar fasciitis. The experiment started out by giving the treatment to the patients a year before their recovery was analyzed. According to Kevin Willits, the doctor who conducted the study, “The majority of subjects improved. There was no statistically significant difference between ACP and corticosteroid injection in the treatment of plantar fasciitis.” The conclusion of the study was that both methods of treatment were effective and that “further research is certainly warranted.”
What is PRP?
Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.
Uses of PRP
Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.
PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.
Ultrasound – An ultrasound is needed for proper placement of the platelets.
Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.
Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.
One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.
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 PRP Injections In Your Feet
It was recently announced that Greg Bird of the New York Yankees would have to undergo surgery to remove a bone in his foot. It is believed that he suffered the injury when he fouled a ball off his ankle in spring training. Although at first he tried to play through the pain, his road to recovery has been unsuccessful. Bird’s absence has ravaged the Yankees, who have been getting some of the worst production from first base in the league. Bird was only able to play 19 games this year with a batting average of only .100. It is unknown whether or not Bird will be ready to return to the team by the end of the season, but it is likely he will be able to play in 2018.
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 Saint Petersburg, FL.. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Foot Surgery
Polyneuropathy is a disease that affects the peripheral nerves of the body, and it is most commonly caused by diabetes. Diabetes causes blood sugar levels to become elevated, which can lead to a decrease in the amount of blood flow that gets to the nerves. As a result, the nerves’ ability to process sensation becomes disrupted. Other less common causes of polyneuropathy include vitamin B12 deficiency, low thyroid levels, HIV, Lyme disease, and exposure to certain medications. Another less common cause for the disease may be a genetic disorder; however, these are often only diagnosed as a cause after all other possible options have been ruled out.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
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 Systemic Diseases of the Foot
Some of the most common complaints people have with their feet are pain, ingrown toenails, cracked heels, and fungus. When it comes to foot pain, many people are unaware that flat shoes can be just as bad as high heels. Flats do not offer any support for the foot, which can cause those who wear them to experience a lot of pain. Ingrown toenails are often the result of cutting your nails incorrectly; instead of cutting your nails in a rounded shape, you should cut them straight across. If you are trying to cure your cracked heels, you should know that they are caused by a lack of moisture in the feet. A helpful tip is to always moisturize and treat your feet the same way you would want to treat the skin on your face. If you want to get rid of toenail fungus, you should always treat it in its early stages, instead of letting it progress into something much worse. If you have any questions about any of these common foot issues, you should speak to a podiatrist right away.
Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.
Everyday Foot Care
Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.
It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.
Foot exercises may be done in order to alleviate pain you are experiencing in your feet. If you are someone who suffers from plantar fasciitis, there is a simple exercise you can do to feel some relief. You start by sitting in a chair with a tennis ball under your foot. Begin to roll the ball back and forth between your heel and the ball of your foot. This exercise can be done a few times a day in order to alleviate pain, and it should be done on both feet. If you are experiencing a heel spur, you would repeat this exercise but with a frozen water bottle. The coldness of the bottled water will assist in relieving inflammation.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, 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.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Dr. Klein to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
Michael Brantley of the Cleveland Indians was recently placed on the disabled list due to a sprained ankle. The outfielder suffered the injury earlier this season during a game against Kansas City and has not fully recovered from its effects. Brantley had already missed five games on paternity leave, but that wasn’t enough time for him to fully recover from the ankle injury. Fortunately, the Indians consider this to be a minor setback as Brantley is expected to be back within a week or so. While Brantley is out, the team is expected to give extra at-bats to Daniel Robertson and Austin Jackson.
Ankle sprains are common, but need immediate attention. If you need your feet checked, 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.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
It is important that you own the right pair of survival boots when you are faced with an environmental disaster. Prior to purchasing a pair of boots for your feet, consider the following criteria your boots should meet to ensure a proper fit. Your boots should be comfortable, durable, and breathable while simultaneously providing support and traction. Comfort should be first on your list of concerns so that you can move around without undergoing unnecessary pain. Support is also crucial so that your feet will be able to walk for miles without encountering any ankle related injuries. Furthermore, durability is important so that your shoes will last for a long time without wearing down easily. Traction is also an important factor because you will need to maintain your balance in slippery environments.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
Morton’s neuroma occurs when there is a thickening of the tissue around the nerves leading to your toes. The pain associated with it is most commonly found between the third and fourth toes, but it can also be felt near the ball of the foot, or between the second and third toe. Causes of pain may be due to wearing shoes that are too tight such as high heels. Compared to others, people with bunions, hammertoes, and high foot arches may have a higher risk of developing Morton’s neuroma. If you suspect that you may have Morton’s neuroma it is important that you seek the assistance of a podiatrist right away in order to receive treatment.
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 and ankle needs and answer any of your related questions.
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 Morton's Neuroma
Wearing flip-flops excessively can cause your foot to become vulnerable. A lack of support may cause critical problems in the arch, forefoot, and heel of the foot, so it is important not to frequently wear flip-flops in order to avoid these issues. Other problems that may result from wearing flip-flops include: back pain, knee pain, stress fractures, and bone spurs. If you frequently wear flip-flops and are experiencing pain in these areas, you may want to seek help from a podiatrist.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer. However, these shoes can cause harm to the feet.
How Can Flip-Flops Affect Me Long-Term?
- Ankle problems
- Hip problems
- Lower back problems
- Pain in the balls of the feet
- Problems with foot arches
- Changes in the way you walk
Are there injuries associated with flip-flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:
- Sprained ankles
- Cuts and Scrapes
I like wearing flip-flops, are there safe alternatives?
When buying flip-flops, try to find ones that have sturdy soles and that are made of high quality materials that will support for your feet. These flip-flops will cost more, but will also last longer as a result.
The plantaris muscle originates above the knee and inserts into the heel joining the Achilles tendon. While the plantaris muscle has no vital function, it is adjacent to the gastrocnemius and soleus muscles which connect with the Achilles tendon for support. If the Achilles tendon begins to tear, this can have serious implications on the leg which will no longer be able to push the foot off the ground. If this injury occurs to you, it is important that you seek help from a podiatrist as soon as possible.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel 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 create immense 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 injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
- Extreme pain and swelling in the foot
- 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 you have any questions please feel free to contact our office located in Saint Petersburg, FL.. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.Read more about What are Achilles Tendon Injuries
Plantar warts are caused by the human papillomavirus (HPV). This virus thrives in warm, damp environments such as gym showers or other public facilities. In special cases, untreated plantar warts may develop into methicillin-resistant staphylococcus aureus (MRSA). Although sometimes plantar warts may go away on their own, if they are chronic or become painful you should consult with a podiatrist to go over treatment options.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
Pregnancy can create additional pressure on the feet, making certain everyday activities and responsibilities difficult for women. Women who work desk jobs should ensure that they’re sitting in chairs that offer optimal support, while women who spend a majority of their time standing should occasionally elevate their feet using a foot rest. Wearing comfortable shoes is also a must and should never be overlooked. Elevating the feet can also help pregnant women in managing edema, as the feet often swell during pregnancy.
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 Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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
Anyone that has ever had Athlete’s foot knows how much of a nuisance it is. It itches and itches, and no amount of scratching will make it relent. The foot gets red, and pain can quickly ensue. Athlete’s foot is a fungus, and like most fungi, thrives in warm, moist environments. The gym is a perfect place for this fungus, so it is important to remember to wear sandals when showering after your workout. Keep your feet dry, make sure to clean them well, and change your socks daily. If your feet are prone to sweating you may have an increased risk of Athlete’s foot, so double your efforts in this regard. If you do contract the disease, over the counter treatment options are available, and are quite effective.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
Running shoe companies are looking to 3D-printing to provide customers with the comfort and customization many runners require in running shoes. A new 3D-printing process, “selective laser sintering,” creates components of a shoe one layer at a time and allows companies to engineer the structure of a shoe, from outsole to midsole. Companies such as Nike, New Balance, and Adidas have used 3D-printing in recent releases. The new process will allow athletic companies to create one-of-a-kind models from the bottom up and to hone in quickly on custom fits for their clients and their running shoe needs.
If you are a runner, wearing the right running shoe is essential. For more information, 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.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.