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Tuesday, 04 July 2023 00:00

Various Types of Stress Fractures

A stress fracture, or hairline fracture, often develops gradually. It is considered to be a break in the bone, and can happen in the foot or ankle. It can occur from repetitive overuse, and treatment can begin with temporarily stopping the activity that caused the fracture. Common causes of a stress fracture can include increasing speed and distance too quickly, or from running on uneven surfaces. There are four types of stress fractures, and the most common type affects the second metatarsal in the forefoot. The sesamoid bones may also fracture, in addition to the navicular or heel bone. The symptoms that many people experience with a stress fracture can include pain and swelling surrounding the affected area, and it can be uncomfortable when touched or walked on. A stress fracture requires immediate medical attention, which may prevent it from lapsing into a full blown fracture. This can require the patient to frequently elevate the foot, and to keep weight off of it as much as possible. Many people will wear a protective boot or use crutches that can help with mobility. If you have foot pain, and fear you may have a stress fracture, it is strongly suggested that you visit a podiatrist who can properly diagnose and treat this foot condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Dealing with Stress Fractures of the Foot and Ankle
Tuesday, 27 June 2023 00:00

How Is a Broken Ankle Diagnosed?

There is no doubting what happens when a broken ankle occurs. This foot condition happens suddenly and is accompanied by extreme pain and discomfort. It is often difficult, if not impossible, to walk, and immediate medical attention is often sought for relief. The ankle is composed of three bones. The tibia is the large bone in the lower leg, referred to as the shinbone. The calf bone is called the fibula and is the smaller bone in the lower leg. The bone found between the heel bone, tibia, and fibula is known as the talus, and any of these bones can be fractured in the ankle. A diagnosis is often performed that can consist of having an X-ray taken, which successfully determines the severity of the injury. It is beneficial to keep weight off the foot as much as possible and wear a protective boot or cast. Many people use crutches to help provide mobility until the healing process has been completed. If you have broken your ankle, it is suggested that you contact a podiatrist as quickly as possible who can effectively treat this condition.

Broken ankles need immediate treatment. If you are seeking treatment, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about All About Broken Ankles
Tuesday, 20 June 2023 00:00

Stationary Bikes and the Feet

Working out on a stationary bike can provide good cardiovascular fitness and burn calories, without incurring joint pain other forms of exercise can cause. However, while riding on a stationary bike, people can suffer from foot tingling, numbness, and pain. This can be brought on by constriction of nerves or a lack of blood supply to the feet. Causes of this sensation can be as simple as shoelaces being tied too tight, or the pressure from the bike pedals pressing on the small nerves between the toes. Additionally, it may happen from an electrolyte imbalance, or a vitamin deficiency.  More serious health conditions, such as multiple sclerosis or Raynaud’s phenomenon can also cause tingling of the feet. Things to check for can include the fit of shoes, and making sure there is plenty of room for the toes to move freely in. The shoelaces may also need to be loosened, in addition to the adjustments of the seat and pedal distance. Pressure from the seat should be on the sit bones, and the pedal distance should allow for a small amount of bend in the knee when the foot is extended. Rest may help if the tingling is from overuse and it may be beneficial to wear orthotics if it is from nerve pressure. If you are experiencing tingling or pain in your feet while riding a stationary bike, it is suggested that you visit a podiatrist who determine the underlying cause, and obtain treatment for relief.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Howard Waxman, DPM of Pleasant Valley 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 one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot And Ankle Injuries
Tuesday, 13 June 2023 00:00

Causes of Pain Under the Big Toe

The big toe contributes in large measure to a person’s ability to stand, walk, or run. It bears the majority of the body’s weight when doing any of these activities. For that reason, the big toe can often become painful. Two common causes of pain under the big toe are gout and sesamoiditis. Gout is an inflammatory condition brought on largely by an overabundance of uric acid in the body. When the uric acid crystallizes within the joint of the big toe, the result is sharp, throbbing, and constant pain. Other symptoms are redness, swelling, and tenderness to touch. Gout flare-ups typically subside after a week or so, but may return if the underlying causes are not treated. Sesamoiditis is the inflammation of two tiny bones located just under the big toe joint. This pair of bones, which are free-floating, help with balance and allow the big toe to flex. The sesamoids are under constant pressure during ambulatory activities, typically felt in runners, dancers, and other athletes who put extreme pressure on the big toe. For help with these or other complaints of pain in the big toe, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain

Orthotics are medical devices that are worn inside the shoe. People who have foot pain or an abnormal foot structure may benefit from wearing orthotics, which may aid in completing daily activities. Custom-made orthotics may help patients who have diabetes, plantar fasciitis, or arch pain. These are designed and fitted by podiatrists and many benefits can be associated with wearing these types of orthotics. These can include improving the gait, or walking style, maintaining body alignment, and possibly relieving foot pain from arthritis. Wearing orthotics may reduce existing ankle pain, and it may be easier to walk. If you have foot pain for any reason, it is suggested that you speak with a podiatrist who can discuss the benefits of wearing custom-made orthotics and determine if this is the right choice for you.

If you are having discomfort in your feet and would like to try orthotics, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 30 May 2023 00:00

Tendonitis of the Feet and Ankles

Tendonitis of the feet and ankles is a frequent cause of foot pain and swelling. It occurs when the tendons that are attached to the leg, foot, or ankle bones become inflamed from injury or overuse. Different areas of the foot and ankle can be affected by tendonitis, including the back of the ankle, the side along the big toe, and the top of the foot. With this condition, pain typically subsides with rest, only to resume with movement. Tendonitis of the foot and ankles can be incurred from sports injuries, abnormal foot structure, trauma to the feet or ankles, and pre-existing health conditions. If you suffer from tendon pain in your feet or ankles, it is suggested that you contact a podiatrist who can properly diagnose this condition, and provide effective treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Trauma
Tuesday, 23 May 2023 00:00

Sources of Plantar Fasciitis

The strong tendon found on the bottom of the foot which connects the heel to the toes is called the plantar fascia. Inflammation or a tear to this tendon can be quite uncomfortable and result in plantar fasciitis. This condition can be caused by frequently running on uneven surfaces or wearing shoes that do not fit correctly. Many people who stand for the majority of the day may develop plantar fasciitis, in addition to pregnant women due to the extra weight their feet must bear. While pregnancy is a temporary condition, obesity may be a more permanent one, and this can put constant pressure on the plantar fascia. Studies suggest that people who have poor circulation may slowly develop plantar fasciitis because of the loss of blood flow to the feet. If you have heel pain, it is strongly suggested that you speak with a podiatrist who can offer you permanent treatment solutions.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Howard Waxman, DPM  from Pleasant Valley 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 the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 16 May 2023 00:00

Reasons to Have Foot Pain

The feet bear the weight of the body, and it is not surprising they can begin to hurt. Many people have flat feet and can have consistent aching. Wearing orthotics may help to provide an arch, in addition to performing balancing exercises. A common foot condition that is known as plantar fasciitis can cause debilitating heel pain. It affects the plantar fascia, which connects the heel to the toes and is found on the sole of the foot. The plantar fascia can become torn for various reasons, and the condition might worsen until medical treatment is sought. Some people experience pain that surrounds the toes, and this is known as metatarsalgia. It can come from repetitive stress during specific exercises or may happen from excessive running. Pain that develops at the bottom of the big toe may be known as turf toe. It can happen from frequently kicking a soccer ball, or from participating in similar kinds of sports. If you have foot pain, it is suggested that you speak with a podiatrist who can diagnose and treat various foot problems.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Howard Waxman, DPM from Pleasant Valley 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 one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 09 May 2023 00:00

Foot Problems Caused by Diabetes

Diabetics are at extreme risk for a number of conditions that can affect the health of the lower extremities. Around 60 percent of diabetics develop a foot ulcer, brought about by peripheral nerve and vascular diseases. For that reason, a simple sore or slight wound on the feet can become a serious health threat. Loss of sensation in the feet and toes, caused by neuropathy, can make it difficult to notice a cut or sore. Constricted blood flow to the feet, caused by peripheral artery disease, can slow the healing process. If left unattended, even a tiny wound can become infected and turn into an open wound, or ulcer. As the untended ulcer continues to grow, tissue may die, and if left long enough can turn into gangrene. If the infection reaches the bone, loss of a limb then becomes a possibility. Diabetic foot ulcers are believed to be responsible for more hospital admissions than any other diabetes complication. The essentials to prevent this chain of events are a careful and regular routine of foot care and consistent regulation of insulin and blood sugar levels. Professional care from a podiatrist is suggested for any diabetic who struggles with such foot problems.  

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions
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