The Three Types of Sesamoid Injuries
The sesamoids are two small, pea-shaped bones located just beneath the base of the big toe. These bones are responsible for helping the big toe move normally and provide leverage when the big toe pushes off while walking or running. The sesamoid bones can become injured from excess pressure on the balls of the foot. There are three main types of sesamoid injuries. Turf toe occurs when the soft tissue surrounding the big toe joint is injured and causes immediate sharp pain and swelling. A fracture occurs when a sesamoid bone breaks. Sesamoiditis occurs when the sesamoid bones and surrounding tendons become inflamed. If you are experiencing foot pain, it is strongly suggested that you seek the care of a podiatrist.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Wounds Affect the Layers of the Skin
The skin is an amazing sensory organ that protects the body from harmful elements, germs, and toxins, and also helps with regulating temperature and sensation. Wounds are caused by a cut, abrasion, or other trauma to the skin and can affect one or more layers. Superficial wounds typically affect only the skin’s outermost layer, the epidermis. Deeper wounds can also affect the lower layer (dermis), the cushioning subcutaneous fat tissue below that, and even—in worst case scenarios—underlying muscle, bone, nerves, and tendons. It is important to seek medical treatment for deeper wounds to prevent complications such as infection and damage to underlying structures. This is especially important for people with diabetes whose ability to detect and heal wounds is diminished due to poor circulation and nerve damage associated with this disease. If you have a wound on your foot that is painful, swollen, tender, red, or bleeding, seek the care of a podiatrist as soon as possible for prompt treatment.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Barbara Davis from Gilbert Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
If you have any questions, please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Managing Arthritis With the Right Shoes
Both osteoarthritis and rheumatoid arthritis can cause joint pain, stiffness, and difficulty walking. Wearing the right shoes can help manage the symptoms of arthritis and maintain your mobility. The shoes you wear should fit properly and be comfortable. Box toed shoes, or shoes with a wide toe box, are beneficial as they give your toes space to move and don’t put excess pressure on them. Running shoes can also be helpful for symptom management as they are typically made of lightweight and comfortable materials and offer support for the foot. Your podiatrist may also suggest orthotic insoles that you can put in your shoes to relieve pressure and support your feet. If you are living with arthritis and would like more information about how to find the right shoes for you, please consult with a podiatrist.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.
Symptoms
- Swelling
- Pain
- Stiffness
- Decreased Range of Motion
Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.
Risk Factors
- Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
- Obesity – Excess weight can contribute to osteoarthritis development
- Infection – Microbial agents can infect the joints and trigger arthritis
- Joint Injuries – Damage to joints may lead to osteoarthritis
- Age – Risk increases with age
- Gender –Most types are more common in women
- Genetics – Arthritis can be hereditary
If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.
If you have any questions, please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When Heel Spurs Become Painful
When the heel bone is under repeated stress, calcium deposits can form on the inside of it. These deposits, known as heel spurs, point towards the arch and can measure up to half an inch. Heel spurs can be associated with plantar fasciitis, and they are sometimes masked by the discomfort of that condition. Some heel spurs may not produce any symptoms, while others can be quite painful. You can try to get relief from a heel spur by using cold compresses or over-the-counter anti-inflammatories to reduce inflammation. Certain foot and calf stretches may also help to relieve pain as well. Patients who are struggling with heel pain that may be a heel spur should consult with a podiatrist. A podiatrist can diagnose the source of the pain and offer more advanced forms of treatment.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Gilbert, PA . We offer the latest in diagnostic and treatment technology to meet your needs.
Understanding High Ankle Sprains
An ankle sprain can occur when the ligaments, which connect the bones in the ankle, are partially torn. A high ankle sprain is a sprain that occurs in the upper ligaments of the ankle that connect to the tibia and fibula. Low ankle sprains happen when the ankle gets twisted towards the inside of the leg, and they tend to be much more common than high ankle sprains. High ankle sprains usually occur during high impact athletic activities and often coincide with a broken ankle or tears to the ligaments on the inside of the ankle. Because of this, the pain from a high ankle sprain can be felt in a variety of areas. Frequent signs of a high ankle sprain include pain above the ankle (between the tibia and fibula) and intense pain when ascending or descending the stairs (or any activity that involves flexing the ankle upwards). If you believe you have sprained your ankle, schedule an appointment with your local podiatrist right away to ensure proper healing.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor 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
- Swelling
- 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.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Lessening the Impact Flip Flops Have On Your Feet
Flip-flops are not the best type of footwear because they typically do not offer the support, structure, or cushioning your feet need. However, wearing them in places like public pools, locker rooms, and showers is a good way to protect your feet from infections like athlete’s foot and toenail fungus—provided the flip-flops are well-made and you wear them in moderation. The following tips will help you purchase flip-flops that are less harmful to your feet. Look for a contoured footbed that is anatomically shaped with great cushioning to help with shock absorption, plenty of support for the arch, and a heel cup. There are advanced construction and material features in better flip-flops that restrict your foot from rolling inwardly and flattening your arches (pronation)—which often occurs when wearing flip-flops. Also, a wider footbed will allow the toes to move. Outsoles should be slip-resistant and durable. Padding or lining on the thong provides additional comfort and prevents rubbing or chafing between the toes. A podiatrist can offer additional advice on choosing footwear that is appropriate for your type of foot.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor 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
- Blisters
- Infections
- 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.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Peripheral Artery Disease Explained
Peripheral artery disease (PAD) is a medical condition that can cause poor circulation in the lower limbs. This occurs due to a buildup of fatty plaques in the arteries that supply the lower limbs. The plaque causes arteries to narrow and harden, making it more difficult for blood to travel through them and bring oxygen and nutrients to the feet and ankles. In its early stages, PAD may be asymptomatic. As it progresses, symptoms can include foot and leg cramps, numbness, weakness, coldness, skin discoloration, hair loss, and slow-healing sores and wounds on the lower limbs. Your podiatrist can screen you for PAD through a variety of simple, noninvasive tests. If you suspect that you may have PAD, or if you are an older adult or have a family history of vascular disease, it is suggested that you visit a podiatrist for a PAD screening.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Barbara Davis from Gilbert Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Bunion Symptoms and Complications
A bunion is a bony lump that can form along the outside of the foot at the base of the big toe joint. This is a common type of deformity that can progressively worsen over time, with the bump enlarging and pushing the big toe towards the smaller toes and out of alignment. Symptoms of a bunion include a hard lump on the side of the toe, toe deviation, pain, stiffness, and redness. A large enough bunion may cause the sesamoid bones, located just under the big toe, to shift out of place. Additionally, the small, fluid-filled sacs (bursa) that sit over the big toe may become irritated and inflamed, leading to a painful condition called bursitis. If you notice a bunion forming on your foot, it is suggested that you consult with a podiatrist as soon as possible.
If you are suffering from bunion pain, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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What Is Blue Toe Syndrome?
Blue toe syndrome is a condition in which one or more toes develop a lace-like, bluish-purple discoloration (livedo reticularis) due to a blockage of the small blood vessels in the foot. In addition to skin discoloration, blue toe syndrome can cause intense pain in the foot that may radiate higher up into the leg. This condition is often associated with older age and other conditions that affect blood flow, such as atherosclerosis. Left untreated, blue toe syndrome can lead to skin ulceration, tissue death, and even gangrene. If you notice a sudden bluish-purple discoloration in your toes, it is suggested that you seek the care of a podiatrist as soon as possible.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Lisfranc Injuries 101
A Lisfranc injury occurs when there is a dislocation or fracture in the Lisfranc joint complex, an area composed of the five metatarsal bones and the tendons and ligaments which connect the midfoot to the forefoot. While it is a rare injury, it is often a result of trauma from a direct force or a sudden rotation of the midfoot area. Because of this, athletes who play sports such as baseball or football are often at the highest risk for developing this injury. A Lisfranc injury is often indicated by swelling and pain at the top of the midfoot area, and there may be a visual bone deformity. Patients who believe that they may have a Lisfranc injury should consult with a podiatrist because delaying treatment can cause long-term or permanent damage.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Treatments for Athlete’s Foot Blisters
Athlete’s foot is a fungal infection of the skin of the feet. It is characterized by a red, itchy, peeling rash on the soles of the feet or in between the toes. Athlete’s foot can also cause blisters to form on the feet. Athlete’s foot can be treated with both over-the-counter and prescription antifungal medications. Most over-the-counter medications are topical and applied directly to the skin. Prescription medications can be topical, such as antifungal creams and powders, or oral. Your doctor may also prescribe corticosteroid cream to reduce swelling and redness. If you have athlete’s foot, a podiatrist can help find the right treatment for you.
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. Barbara Davis from Gilbert Podiatry. Our doctor 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
- Exfoliate
- 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.
If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Read more about Athlete's FootHow Is Tarsal Tunnel Syndrome Diagnosed?
Tarsal tunnel syndrome can occur when the posterior tibial nerve that runs along the back of the ankle is pinched due to swelling or trauma. This can lead to symptoms that may include tingling, numbness, burning, or shooting pain in the affected leg. While anybody can get tarsal tunnel syndrome, it most frequently affects adults, and particularly those who have arthritis and other systemic diseases or previous injuries to the ankle area. To diagnose this condition, a podiatrist may take your medical history, conduct a physical examination, and perform a nerve conduction study or EMG. Imaging studies, like MRIs, may be used to rule out other causes for your symptoms. If you are experiencing any lower limb pain, it is suggested that you see a podiatrist.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor 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 Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.