Surgery for flat feet, also known as flatfoot reconstruction, presents individuals with both advantages and disadvantages to consider before making a decision. On the positive side, surgery can correct structural abnormalities, realign bones and tendons, and restore the arch of the foot, potentially alleviating pain and improving mobility. For individuals experiencing severe symptoms or those whose quality of life is significantly affected by flat feet, surgery can offer long-term relief and enhanced functionality. However, it is essential to weigh the potential drawbacks. Surgery entails inherent risks, including infection, nerve damage, and prolonged recovery periods. Additionally, the success of the procedure may vary, and there's no guarantee of complete symptom resolution. Furthermore, undergoing surgery requires a commitment to post-operative rehabilitation and lifestyle adjustments, such as avoiding high-impact activities and wearing supportive footwear. If you have flat feet that are causing you discomfort, it is suggested that you consult a podiatrist who can help you determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor will assist you with all of 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 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 Gilbert, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 30 April 2024 00:00

Vascular Testing of the Feet

Vascular testing of the feet by podiatrists is a critical diagnostic tool in assessing blood flow and circulation, especially in patients with diabetes or peripheral artery disease. Podiatrists employ various techniques to evaluate vascular health, including ankle-brachial index, or ABI measurements, Doppler ultrasound, and toe pressure measurements. ABI compares blood pressure in the ankle to that in the arm, indicating potential arterial blockages. Doppler ultrasound assesses blood flow velocity and direction, identifying narrowing or blockages in arteries. Toe pressure measurements gauge the pressure in the toes, offering insight into distal circulation. Indicators for conducting vascular testing include symptoms like leg pain, wounds that do not heal, or changes in skin color or temperature. Obstacles to performing these tests may include time, limited access to equipment, or patient discomfort. If you notice discomfort in your feet and toes that may indicate a circulation issue, it is strongly suggested that you schedule an appointment with a podiatrist so that if vascular testing is needed, it is done so in a timely manner.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Barbara Davis from Gilbert Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

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

How Is it Conducted?

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

 The most common tests include:

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

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

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

 

Read more about Vascular Testing in Podiatry

Peripheral artery disease, or PAD, is a condition characterized by narrowing or blockage of the arteries, typically in the legs, due to the buildup of fatty deposits. This restricts blood flow to the limbs, affecting the feet and causing various symptoms. Those at risk include smokers, diabetic patients, individuals with high blood pressure or cholesterol, and those with a family history of cardiovascular disease. Symptoms may include leg pain, cramping, numbness, weakness, or coldness in the feet and legs, especially during physical activity. However, some people with PAD may not experience any symptoms, a condition known as asymptomatic PAD. A podiatrist evaluates PAD through a comprehensive consultation, which may include assessing symptoms, and medical history, and performing tests like ankle-brachial index measurements or Doppler ultrasound to determine blood flow. Treatment focuses on managing symptoms, improving circulation, and reducing the risk of complications through lifestyle changes, medications, or surgical interventions. If you suffer from foot symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist for care.

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.

Read more about Peripheral Artery Disease
Tuesday, 16 April 2024 00:00

Safeguarding Your Feet and Home

Preventing slips, trips, and falls is essential for avoiding injuries, including those that are foot-related. Falls account for nearly one-third of non-fatal injuries in the United States, highlighting the importance of proactive measures to mitigate risks. In the home, maintaining good housekeeping practices and promptly addressing spills or leaks can significantly reduce the likelihood of accidents. Proper maintenance of flooring and walking surfaces is also essential to prevent slips and trips. Differentiating between slip-resistant footwear for wet or slippery conditions and shoes with proper traction for outdoor activities can further enhance safety. By prioritizing preventive measures, individuals can safeguard against falls and protect their overall well-being. If you have sustained a foot-related injury from a slip, trip, or fall, it is suggested that you schedule an appointment with a podiatrist for treatment. This medical professional can provide valuable guidance on footwear selection and foot care practices to improve stability and reduce the risk of falls, especially for individuals with underlying foot conditions or mobility issues.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Barbara Davis from Gilbert Podiatry. Our doctor will assess your condition and provide you with quality advice and care.

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

How to Prevent Falls

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

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

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

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

Read more about Falls Prevention
Wednesday, 10 April 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 09 April 2024 00:00

Understanding Foot Pain

Foot pain is a common complaint that can significantly impact daily life. Several factors can contribute to foot pain, including improper footwear, overuse injuries, structural abnormalities, and medical conditions like arthritis or diabetes. To address foot pain effectively, seeking assistance from a podiatrist is often recommended. Podiatrists can diagnose the underlying cause of foot pain and develop personalized treatment plans tailored to individual needs. Treatment options may include orthotics, medication, or in severe cases, surgery. Prevention is also key in managing foot pain. Wearing supportive footwear, maintaining a healthy weight, practicing proper foot hygiene, and stretching regularly can help to prevent foot problems. If you suffer from foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Barbara Davis from Gilbert Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Read more about Foot Pain
Tuesday, 02 April 2024 00:00

Ingrown Toenail Management

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, leading to pain, redness, and potential infection. Causes include improper nail trimming, tight footwear, injury, or genetic predisposition. To prevent ingrown toenails, it is important to cut nails straight across and avoid rounding the edges. Wearing properly fitted shoes that allow for ample toe room can also reduce the risk. Allowing toenails to breathe by wearing open-toed shoes occasionally promotes healthy nail growth and reduces pressure on the toes. If you have an ingrown toenail and the pain worsens or it appears infected, it is suggested that you seek prompt treatment from a podiatrist. This foot doctor can provide professional care, such as lifting the nail edge, prescribing antibiotics for infection, or performing a partial nail avulsion procedure if necessary. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 Ingrown Toenails
Tuesday, 26 March 2024 00:00

Foot Symptoms of Genodermatoses

Genodermatoses encompass a group of genetic disorders affecting the skin, and sometimes, the feet serve as a significant indicator of these conditions. The foot symptoms of genodermatoses can manifest in various ways, reflecting the underlying genetic mutations. Some individuals may experience thickened, scaly skin on the soles of their feet, a common feature of certain genodermatoses like palmoplantar keratoderma. In other cases, individuals may develop blistering or ulceration on the feet due to conditions such as epidermolysis bullosa, where the skin is fragile and prone to tearing. Additionally, abnormalities in nail growth or structure can occur, ranging from thickened nails to the complete absence of nails, as seen in some forms of ectodermal dysplasia. Recognizing and understanding these foot symptoms is essential for early diagnosis and management of genodermatoses. If you have this rare foot condition, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Barbara Davis of Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Gilbert, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

Read more about Rare Foot Conditions

Plantar fasciitis, a common cause of heel pain, can be a debilitating condition that affects daily activities. However, incorporating specific exercises into your routine can help alleviate symptoms and promote healing. Stretching exercises such as calf stretches and towel stretches target the tight muscles and fascia in the foot, reducing tension and relieving pain. Additionally, rolling a frozen water bottle or a tennis ball under the arch of the foot provides gentle massage and helps decrease inflammation. Strengthening exercises like toe curls and marble pickups improve foot stability and support, reducing strain on the plantar fascia. Additionally, practicing foot arch exercises, such as arch lifts and toe spreads, can help strengthen the arch and alleviate pressure on the plantar fascia. Consistency is key when performing these exercises, and it is important to start slowly and gradually increase intensity to avoid making symptoms worse. If you have plantar fasciitis, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition, which often includes suitable exercises and stretches.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

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

What Causes Plantar Fasciitis?

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

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

Prevention

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

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

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

 

Read more about Plantar Fasciitis
Tuesday, 12 March 2024 00:00

Definition and Facts About Hammertoe

Hammertoe is a common foot deformity characterized by an abnormal bend in one or more of the smaller toes, typically affecting the second, third, or fourth toe. This condition can develop due to a variety of factors, including genetics, wearing ill-fitting shoes that crowd the toes, or underlying conditions such as arthritis or nerve damage. A hammertoe can cause discomfort, pain, and difficulty fitting into shoes comfortably. As the condition progresses, corns, calluses, and open sores may develop on the affected toes due to friction and pressure from footwear. Without intervention, a hammertoe can become rigid, making it challenging to straighten the affected toe. Seeking early intervention and adopting preventive measures can help manage hammertoe and prevent complications, ensuring optimal foot health and comfort. If you have developed a hammertoe, it is suggested that you seek the guidance of a podiatrist who can help you to manage this condition, which may include surgery for severe cases.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Barbara Davis from Gilbert Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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 Hammertoe
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