| Diagnosis
and specialized treatment of: |
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| Achilles
Tendon |
Ankle
Instability |
Ankle
Sprains |
| Arthritic
Foot & Ankle Care |
Athletes
Foot |
Bunions |
| Calluses |
Corns |
Crush
Injuries |
| Diabetic
Foot Infections |
Flat
Feet |
Fungus
Toenails |
| Geriatric
Foot Care |
Hammertoes |
Heel
Spurs |
| Infections |
Ingrown
Toenails |
Injuries |
| Metatarsalgia |
Neuromas |
Plantar
Fasciitis |
| Poor
Circulation |
Warts |
Wounds |
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| Heel
Pain |
| One
of the most common problems that presents in the office
is painful heels upon rising out of bed in the morning
or during the day after sitting down and then getting
back up are the most common symptoms that describe this
heel pain. Patients often come in hobbling with a significant
disability that prevents them from functioning at their
jobs. This problem can be treated conservatively and
usually doesn't require surgery. There are many different
forms of treatment starting with oral medications, injections,
and ice for the pain. The second part of the treatment
which is often overlooked is addressing the cause of
the problem which is mechanical. This is treated by
stretching exercise, night splints, orthotics, and changing
shoe gear and activities. When one or all of these things
are done the problem can be resolved 85% of the time
without surgery. |
| |
| Ingrown
Toenail |
| Another
common problem that presents in the office is an ingrown
toenail. This problem usually affects the big toenail
on one or both borders but can occur on any nail. Patients
usually suffer with this anywhere from one week to a
few months before presenting to the office. The toe
is usually red and swollen and extremely painful at
the corner of the nail where the nail presses against
the skin. This problem can be easily treated in the
office with a small surgical procedure to change the
shape of the nail. When the problem has occurred before
we usually try to correct the problem permanently. This
generally requires only a short healing time and doesn’t
interfere with activity other than the day of the procedure. |
| |
| Diabetes
& Assorted Foot Problems |
| Another
problem which presents to the office is patients with
diabetes and an assortment of foot problems. Talking
about it here, there is not enough space due to the
vast complexity of diabetic foot problems. However,
most patients with diabetes for 20 years or more will
develop some circulation problems or lack of feeling
in the feet. This can occur unfortunately sooner than
20 years. These problems can cause the patient either
not to feel a wound on the foot or to feel pressure
from a callous. Therefore, the problem can develop into
an infection and cause ulcers which care holes in the
skin. Patients with poor blood flow do not heal well
when these things develop. If you are diabetic, it is
very important to have your feet checked regularly by
a foot doctor, so that you may be evaluated for risks
to your feet and prevention for problems. It is the
single most important thing you can do if you're diabetic,
because foot infections are the most common reason diabetics
are admitted to the hospital. |
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