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Wednesday, 18 June 2014 13:40

A Look at Painful Plantar Warts

16.PlantarWartPlantar warts are benign growths that develop on the bottom of your feet caused by direct contact with the human papilloma virus (HPV) -- the same virus that causes warts on other areas of the body. Some people are more susceptible than others to HPV, and not everyone will develop plantar warts if they come into contact with the virus. Individuals with weak immune systems or damaged skin on the feet are at a higher risk for plantar warts.

Plantar warts most often develop on the weight-bearing areas of the foot -- the heel or the ball of the foot -- causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:

  • Pain or discomfort when walking or standing
  • Thick, scaly skin that often resembles a callus
  • Hard, flat growths with well-defined boundaries
  • Tiny black specks (clotted blood vessels) that often appear on the surface of the wart

Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:

  • Changing your shoes and socks daily
  • Keeping your feet clean and dry
  • Avoid picking at warts as the virus may spread
  • Avoid direct contact with an individual who has plantar warts
  • Checking your child's feet periodically
  • Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
  • Never ignore skin growths or changes in your skin

You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact Ian C. Klein, DPM, FACFAO if your warts:

  • Change color or shape
  • Cause unbearable pain and discomfort
  • Interfere with activities
  • Multiply or reappear

Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit Ian C. Klein, DPM, FACFAO to ensure a correct diagnosis. Early diagnosis and treatment from our Saint Petersburg office can decrease the risk of the wart spreading and multiplying.

15.Plantar FasciitisHeel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.

Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon. The most common complaint of plantar fasciitis is pain in the bottom of the heel that develops gradually. The pain is usually worse in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching. To reduce pain associated with plantar fasciitis:

  • Rest. Limit and/or avoid activities that make your heel hurt.
  • Ice. Reduce pain and swelling by icing the affected area each day.
  • Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
  • Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.

When conservative treatments aren't effective or your pain persists for more than a few weeks, schedule an appointment with Ian C. Klein, DPM to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include, stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be considered.

With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit Ian C. Klein, DPM when you first experience pain for a proper diagnosis and an appropriate treatment plan for your individual needs.

13.NeuromaA neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.

There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

  • A sharp, achy or burning pain in the ball of your foot
  • Numbness, tingling, or cramping in the toes or forefoot
  • Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with certain foot deformities - bunions, hammertoes and flatfeet- are at higher risk for developing a neuroma. Women are also more likely to develop this condition as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.

Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with the severity of each neuroma, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our Saint Petersburg office at the first sign of pain.

Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

  • Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
  • Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
  • Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
  • Icing to reduce inflammation.
  • Rest to lessen repetitive pressure on the neuroma.

In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments.  Dr. Ian C. Klein can help you determine the best approach for your specific condition.

Friday, 10 January 2014 20:24

Metatarsalgia: Ball of Foot Pain

12.HeelPainMetatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot -- the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren't affective and pain persists, visit Ian C. Klein, D.P.M. for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist at our Saint Petersburg office may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.

11.IngrownToenailsIngrown toenails, also known as onychocryptosis, can be embarrassing, annoying and painful. This common condition occurs when the surrounding skin on one or both sides of the nail grows over the edges of the nail, or when the nail itself penetrates the skin. As the nail digs into the skin, redness, swelling, and pain are often the result.

People develop ingrown toenails for various reasons. Poor nail-trimming is the most common cause, as this encourages the skin to fold over the nail. Other causes include trauma, such as stubbing a toe, or skin conditions, such as fungal infections or nails that are simply too large. In some cases, the condition may even be inherited. Poor-fitting shoes generally aggravate the condition, making it worse.

Many cases of ingrown toenails may be prevented by:

  • Wearing well-fitted shoes and socks
  • Protecting feet from trauma when possible
  • Trimming toenails straight across and avoiding repeated trimming of the nail borders
  • Keeping feet clean and dry to prevent infection

If an infection is not suspected of your ingrown, it can usually be safely treated from home by soaking your foot in warm water. Avoid "bathroom surgery" and repeated cutting of the nail as this will only make the condition worse.

When attempts to reduce your symptoms from home fail, or when pain, inflammation, swelling or discharge accompany your ingrown, the toenail is most likely infected and should be treated by a podiatrist at our Saint Petersburg office. People with diabetes, nerve damage or poor circulation should always seek care immediately if an ingrown nail is detected, regardless of the severity.

A podiatrist can examine the affected toe and determine the best treatment for your condition. For an infection, an antibiotic may be prescribed. Other treatments may involve trimming or removing the infected nail with a minor in-office surgical procedure.

Ingrown toenails may be annoying, but rest assured that they can easily be prevented and treated with the help of your podiatrist. If you think you have an ingrown toenail, visit Dr. Ian C. Klein for quick and easy treatment.

Friday, 01 November 2013 20:20

Hammering Out Painful Hammertoe

10.HammertoesA hammertoe is one of the most common toe conditions, usually stemming from muscle imbalance in which the joints of the second, third, fourth or fifth toe are bent into a contracted, claw-like position. In the early stages, hammertoes are flexible and can be corrected with simple conservative measures, but if left untreated, they can become fixed and require surgery.

The most common cause of hammertoe is a muscle imbalance. Tight-fitting and high-heeled shoes often aggravate the condition, crowding your toes forward. A hammertoe can also be the result of injury in which you break or jam the toe, or from conditions like arthritis or stroke that affect nerves and muscles. In some cases, hammertoes may even be inherited.

Because of their clenched, claw-like appearance, hammertoes will generally be visibly present. Other signs and symptoms include:

  • Difficult or painful motion of a toe joint
  • Redness or swelling at a toe joint
  • Development of calluses and corns
  • Open sores in severe cases

The foot and ankle professionals at our Saint Petersburg office recommend the following for preventing and reducing the symptoms associated with hammertoe:

  • Wear comfortable, proper-fitting shoes that provide support and allow enough room for your toes
  • Avoid high-heeled or narrow-toed shoes
  • Stretch your toe muscles to relieve pressure and pain
  • Apply splints, cushions or pads to relieve pressure
  • Moisturize with cream to keep the skin soft

Generally, a modification of footwear will reduce the symptoms associated with hammertoe. Other non-surgical treatment includes padding to shield corns and calluses and orthotic devices that are placed in the shoe to help control muscle imbalance. Dr. Ian C. Klein can help you determine the best treatment for your symptoms. Severe cases that don't respond to conservative measures may require surgery to restore your toe's flexibility and eliminate the pressure.

Hammertoes are progressive - they don't go away by themselves and the condition usually gets worse over time. Once Dr. Ian C. Klein has evaluated your hammertoe, a treatment plan can be developed that is suited to your needs.

9.growing painsIf your child has ever complained of not being able to sleep at night due to leg pain, he or she may be experiencing what many people refer to as growing pains -- a common occurrence seen in kids during their growth and development years.

Growing pains are often characterized by a sharp, throbbing pain in the leg muscles, usually occurring during the night and sometimes late afternoon without an apparent cause. The nighttime pain can be so intense that it is enough to wake the child from sleep. While there is no evidence that a child's growth is painful, these pains often occur during an active day of running, jumping or swimming.

Whenever a child is afflicted by episodes of recurrent leg pain, it is always best to have them evaluated by Dr. Ian C. Klein. Other foot and leg conditions should be ruled out before a diagnosis of growing pains is made. If the examination is normal, with no redness, tenderness, swelling, or limitation of movement, then it is generally safe to say the child is suffering from growing pains.

Consult with your physician or a podiatrist in St. Petersberg if aching legs are a chronic complaint or if the pain is so severe it interferes with the child's daily activities. Persistent pain and other unusual symptoms may indicate a more serious problem. The following symptoms are not due to growing pains and should be evaluated by a doctor:

  • Persistent pain
  • Swelling or redness in one specific area or joint
  • Limping
  • Fever
  • Loss of Appetite
  • Weakness
  • Fatigue
  • Abnormal behavior

There are no treatments or medications available for growing pains, but parents can help ease the pain with simple home remedies.

  • Massage and rub the child's ache until the pain passes
  • Stretch your child's legs throughout the day and before bed
  • Heating pads or warm baths can help soothe sore muscles
  • Over-the-counter pain relievers (always consult with physician first)

While growing pains are commonly seen in young children during the growth and development years, lower extremity pain can also be caused by mechanical misalignments and structural imperfections. A thorough evaluation is crucial in order to determine the exact cause of your child's leg pain. If growing pains are the cause of your child's discomfort, rest assured that the pain is only temporary and will pass with time.

Sunday, 01 September 2013 20:11

Fighting Off Foot Odor

8.Foot OdorThe feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. The presence of certain bacteria begins to break down the sweat, generating an unpleasant odor from the direction of your feet. Other factors can contribute to increased perspiration including anxiety, hormonal changes, medications and various skin conditions.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

  • Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
  • Keep feet dry as moisture enables the growth of bacteria.
  • Alternate shoes and avoid wearing the same pair for multiple days in a row.
  • Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
  • Wear cotton socks which whisk away moisture and absorb perspiration.
  • Apply foot sprays and powders to the feet. Ask Dr. Ian C. Klein for recommended products.
  • Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit Dr. Ian C. Klein, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our Saint Petersburg office and we'll work with you to determine the cause and most effective treatment for your condition.

Thursday, 01 August 2013 20:07

Running the Race to Good Foot Health

7.Foot Care For RunnersIf you're a runner, it goes without saying that your feet take the brunt of the punishment. In fact, for runners the feet are more vulnerable to injury than any other part of the body. Luckily, both long-distance runners and casual joggers can improve their performance by paying extra attention to their feet and taking steps to prevent common foot problems. Poor fitting footwear is often the source of many foot problems caused by running. A visit to 7Dr. Ian C. Klein can help you determine the best shoes for your foot structure.

A Runner's Road Block

While many running-related foot injures can result from a fall or twisted ankle, most running injuries are caused by overuse, meaning the majority of runners experience foot and ankle pain because they do too much for too long. Runners should be aware of the signs of foot problems that can slow them down if not treated promptly. Common foot and ankle injuries experienced by runners include:

Achilles Tendonitis: Achilles tendonitis and other calf-related injuries are prevalent in runners. Poor training, overuse and improper footwear are the three most common reasons for this condition. A sudden increase in distance or pace can strain the muscles and tendons in the foot and ankle, causing small tears within these structures that result in pain and inflammation. Appropriate shoes and training are the most important steps to preventing Achilles tendonitis. Conservative treatment includes, rest, ice, stretching, and sometimes orthotics or physical therapy.

Heel Pain: Runners develop heel pain more than any other foot-related injury. Plantar fasciitis is the most common cause of heel pain, which is the result of excess stress placed on a ligament in the bottom of the foot. Rest, stretching and support are the best ways to ease the pain and inflammation. Reduce your mileage and avoid hill and speed workouts. Stretch before and after you run, and ice your heel after each workout. Special splints and shoe inserts from Dr. Ian C. Klein may also provide support and relief for your heel pain.

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body's ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist at Dr. Ian C. Klein. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

If you experience chronic foot pain from running, make an appointment with a podiatrist at our Saint Petersburg office. Leaving foot injuries untreated could result in more serious conditions, ultimately keeping you from your best performance. Keep in mind that these are not the only foot ailments caused by running, and when at-home foot care isn't effective, you'll need to be evaluated by a podiatrist. As in most cases, prevention is your best treatment. Good footwear, proper training and recognizing a problem before it becomes serious are your keys to staying on the road and avoiding foot injuries.

6.FlatFeetThe arch structure of our feet determines how we walk, which means our arches need to be both sturdy and flexible in order to adjust to different walking surfaces. For most people, their feet have a curve or an arch at the bottom that provides flexibility and shock absorption. But for the five percent of Adults in the U.S. with flat feet, also known as fallen arches, the arches of their feet are either partially or completely collapsed.

One common type of flatfoot is adult-acquired flatfoot. It is caused by overstretching the tendon that supports the arch. Flexible flatfoot is also common and occurs when the foot is flat when standing, but returns to a normal arch in non-weight-bearing positions.

Factors than increase your risk of flat feet include:

  • Excess weight
  • Age
  • Injury to your foot or ankle
  • Rheumatoid Arthritis
  • Pregnancy

When to See Your Saint Petersburg Podiatrist

Most adults with a fallen arch experience little to no pain. For these patients, treatment is rarely necessary. A painful flatfoot, however, may be the sign of a congenital abnormality or an injury to the muscles and tendons of the foot. Pain can be severe, making it difficult to walk, wear shoes and perform simple every day tasks. More than achy feet, flatfoot can also lead to other, more serious problems and pain for your ankles, knees, back and hips.

Common symptoms associated with flat feet include:

  • Swelling along the inside of the ankle
  • Feet that tire easily or ache after standing for an extended period of time
  • A lack of mobility in your foot and difficulty standing on your toes
  • Sore, swollen feet; especially in the heel or arch of your foot

Steps Away from Flatfoot Pain Relief

If you are experiencing pain caused by flatfoot, visit Dr. Ian C. Klein for an evaluation. We can identify the cause of your pain and recommend the best treatments for your type of arch.

Talk with your podiatrist about the following treatment options:

  • Shoe inserts/ Orthotics
  • Shoe modifications
  • Rest and ice
  • Stretching exercises
  • Non-steroidal anti-inflammatory medications
  • Surgery

Whether you were born with flat feet or you acquired fallen arches over time, if your flat feet are causing you pain or interfering with your day to day activities, visit Dr. Ian C. Klein. We can work with you to determine the best treatment options to eliminate the pain, improve your mobility and get you back to the activities you love.

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