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Monday, 28 December 2015 23:03

Nerve Pain affects Half of Diabetic Patients

neuropathyNerve pain is one of the many common symptoms diabetics suffer from. An estimated 50% of diabetic patients develop nerve damage over the course of their diabetes. Nerve pain, or neuropathy, can develop in four forms: peripheral, autonomic, radiculoplexus, and mononeuropathy. Of the four, peripheral neuropathy is the most common and is associated with tingling and burning in the extremities. The longer a patient is diabetic, the higher his or her risk for nerve damage.

Aside from neuropathy and paresthesia, several nerve complications can ail the feet. For assistance with a nerve disorder in your lower extremities, visit Dr. Ian Klein, D.P.M. of Florida. Dr. Klein can provide you with a specific diagnosis and work with you to alleviate your symptoms.

Nerve Disorders of the Foot and Ankle

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf.  In other instances one may encounter partial numbness and atrophy if the cases are extreme.

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 Nerve Disorders of the Foot and Ankle

Monday, 21 December 2015 23:59

David Pastrnak to undergo Surgery for Injury

fracturesDavid Pastrnak of the Boston Bruins will reportedly be off the ice for an indeterminate amount of time due to an injury. The injury in question was identified as a “non-displaced fracture” after a second set of X-ray scans. The fracture seemed to occur as a result of a shot that hit Pastrnak’s foot during a game against the Arizona Coyotes. Boston general manager Don Sweeney stated, “The initial X-rays were normal. We waited for swelling to go down. The symptoms were still persisting, so we went to have a more definitive CT scan. And it did reveal a small non-displaced crack in an awkward location, so we have to give him some time.”

Foot surgery is sometimes necessary. If you are struggling with a foot or ankle condition, talk to Dr. Ian Klein, D.P.M. of Florida. Dr. Klein can treat 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 help with the problem. Some of the cases in which surgery may be necessary are:

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

What Types of Surgery Are There?

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

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

Benefits of Surgery

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

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

If you have any questions, please feel free to contact our 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

corns2Cracked heels are a result of neglecting your feet, with dead skin and dryness leading to your heels hardening. NDTV’s Food blog gives some tips and recipes on how to manage cracked heels. Author Suparna Trikha recommends soaking your feet in different oil and milk recipes, or using a sea salt and oatmeal scrub. You can also exfoliate your heels with a lime and sugar mixture, or give yourself a pedicure.

Cracked heels can become painful if left untreated. To learn more, consult with Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will attend to all of your foot and ankle needs.  

The Truth about Cracked Heels

Cracked Heels

Cracked heels are unappealing, and make it harder for you walk around in sandals. Not only may they look bad, but they can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How do you get them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief, or who suffer from chronic dry feet.

Wear Socks – wearing socks with medicated creams, helps lock in moisture so it can stay on longer.

Moisturizers – applying it both day and night will help alleviate dryness which causes cracking.

Pumice Stones – these remove dead skin, and then you can massage cream onto your foot. This way the cream will be absorbed. The skin needs to be exfoliated; therefore the outer layer dead skin needs removal.

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.

diabetic foot care3Dez Bryant of the Dallas Cowboys received a therapeutic injection to reinforce his recovery from a fractured right foot. The therapeutic injection included bone marrow stem cells that were taken from his hip and then injected into his ankle. Team owner Jerry Jones stressed that the procedure was not an indication for a setback in Bryant’s rehab. “There is not a concern about his progress,” Jones shared. “That fact that he can do that (injection therapy) is a positive. This was not something to address something that was a surprise or anything. It was something to get him some additional strength.”   

Foot therapy is necessary for those recovering from both foot deformities and foot injuries. If you have concerns regarding therapy, speak to Dr. Ian Klein, D.P.M. of Florida. Dr. Klein can answer any of your podiatric questions.

Most common injuries

People who are constantly on their feet are prone to a variety of injuries. Therefore, it is important to take part in physical therapy in order to get back on the right track quickly.

What to do when injured

Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. This is important for those wanting to get back into the game quickly. It is a proven method that has helped millions of people return from any injury.

During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. These are some steps physical therapy often involves:

  1. Basic stretching & twisting exercises – getting the feet’s mobility and flexibility up.
  2. Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.
  3. Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.

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 Therapy

Monday, 30 November 2015 22:50

Japanese High Heel Design alleviates Pain

corns2A revolutionary new design in high heels from Yasuyuki Yamada has come out of Japan that has a spring heel designed to be pressed down as you walk, alleviating the pain associated with wearing high heels. With the introduction of a spring in place of the traditional heel, each time you take a step in them, some of the shock is absorbed by the spring, allowing you to feel more comfortable walking and standing in high heels. This new design could help alleviate the pain associated with wearing high heels in women across the world.

High heels can create a myriad of foot and ankle problems. If you have any concerns about your feet contact Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will treat your foot and ankle needs.

Effects of High Heels on the Feet

High heels are popular shoes among women because they are associated with femininity.  Despite their appeal, they can cause many health problems if worn too frequently.

What parts 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.  Also, 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; you can buy either full inserts or metatarsal pads. 

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 the effects of high heels.

fractures1According to Dr. Scott Anderson of Daily Republic, several compounded studies on rheumatoid arthritis have shown that the disease affects much more than just the joints in your body. Being more and more referred to as a systemic disease, RA has been linked to lung damage, stroke, and heart disease. The article chronicles the increased risk of patients who smoke cigarettes, but also points out that even non-smokers can find themselves at risk.  

Understanding where RA starts will help treat and prevent the condition. If you are suffering from rheumatoid arthritis, contact Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will treat your foot and ankle needs.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Severe pain and immobility are caused by an inflammation of the lining of your joints, and in worse cases the destruction of the joint’s cartilage and bone can occur.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, many cases result in pain in the foot or ankle area. Pain will often initially present in the toes before the condition worsens and spreads throughout the entire foot.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of the feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that your podiatrist can treat the area effectively. Your doctor may ask you about your medical history and lifestyle to help determine possible causes of your RA.

Treatment

Unfortunately, there is no cure for RA, so treatment options are designed to specifically target the symptoms of it, most notably the pain it causes. Two types of anti-inflammatory drugs – non-steroidal or NSAIDs and corticosteroids – may be prescribed by your doctor. In some severe cases where the joints are too badly damaged, surgery may be an option. As always, speak with your podiatrist to help determine the appropriate treatment options available to 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 and ankle needs.

Read more about rheumatoid arthritis

Monday, 16 November 2015 22:46

Treatments for Hyperhidrosis

corns2Hyperhidrosis, or excessive sweating of the body, occurs when the body has a rise in temperature without physical activity or due to disorders such as diabetes or those involving the nervous system. Prescription antiperspirants and medications can be used to calm the sweat glands, but if there is no response to the treatment, surgery can be undergone to remove the problematic sweat glands. Iontophoresis, a procedure mostly done to the hands and feet, uses an electrical current given daily for several weeks to reduce the effects of hyperhidrosis.

If you are suffering from hyperhidrosis contact Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will treat 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.

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 Hyperhidrosis and the Feet

Monday, 09 November 2015 22:46

Children are not Bad Runners

children.pngA recent study has found that children have shorter and jerkier strides due to their shorter legs, which accommodate for their lacking length and height. Kids’ legs and feet remain close to the ground as they run because they simply do not have the time they need to leap into the air like adult legs. Jim Usherwood, coauthor of the study, shared, “Even when they think they’re running, they’re barely getting off the ground.” This does not necessarily mean that children are “bad” runners; they are simply working with what they have.  

Making sure that your children maintain foot health is very important as they grow up. If you have any questions contact Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will treat your child’s foot and ankle needs.

Keeping Children's Feet Healthy

Having healthy feet in childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care from birth to school-age.

Although babies do not walk yet, it is still very important to take care of their feet.

  • Avoid putting tight shoes or socks on his or her feet
  • Allow the baby to stretch and kick his or her feet to feel comfortable

As a toddler, kids are now on the move and begin to develop differently. At this age toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet

  • Show them proper hygiene to prevent infections such as fungus
  • Be watchful of any pain or injury
  • Have all injuries checked by a doctor as soon as possible
  • Comfortable, protective shoes should always be worn, especially at play

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 Keeping Children’s Feet Healthy

Monday, 02 November 2015 22:43

Energy Saving Boots can make Walking Easier

biomechanics9Boots designed by Steven Collins and his colleagues from Carnegie Mellon University reportedly make walking easier without using any power. These energy saving boots do this thanks to a spring and clutch mechanism inspired by the Achilles tendon. The spring stretches during the act of stepping forward while walking, which stores energy; energy is then released when the spring recoils, powering the foot to push off of the ground. Normally one’s muscles burn energy to exert the force needed to push the body forward; the boots, however, reduce how much force is needed and therefore reduce the energy needed to walk.

The biomechanics are the moving parts that manage the movement of your feet. If you would like more information, see Dr. Ian Klein, D.P.M. of Florida. Dr. Klein can assess and provide in-depth information as well as measure your personal foot biomechanics.  

A History of Biomechanics

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

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

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

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

Read more about Biomechanics of Podiatry

Monday, 26 October 2015 22:37

New Implant can treat Flat Feet

flat feet5Company Tyber Medical LLC has received approval for what will be a new implant procedure to treat flat feet. The device, called the “TyWedge Opening Osteotomy Wedge System,” will help to create an arch in a person’s foot. Flat Feet is one of the most common foot conditions people experience. While people often turn to orthotics or surgery to cure their flat feet, the Ty-Wedge instead uses a wedge made of plastic and titanium that is inserted through a surgical cut in the foot bone. Jeff Tyber, CEO and president of the company, is hopeful that the device will be launched later this year.  

Flat feet is a condition that can be aided with the help of a podiatrist. For assistance, speak to Dr. Ian Klein, D.P.M. of Florida. Dr. Klein will attend to all of your podiatric needs.

What are Flat Feet?

Flat feet are 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. Standing about 20-30% of the population generally has flat feet because their arch 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 Flat Feet

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