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Thursday, 02 December 2021 00:00

The Many Possible Causes of Ankle Pain

Ankle discomfort can manifest as pain, stiffness, swelling, bruising, redness, tingling, or an inability to put weight on the ankle. There are several possible causes of ankle pain with the most common being sprains and strains of the ankle’s ligaments, and fractures of one or more bones in the ankle. Achilles tendon ruptures are another possible cause of ankle pain. They can occur when the Achilles tendon tears away from the heel bone which can cause swelling, bruising, and pain in the ankle. Rheumatoid arthritis, where the body’s immune system attacks the lining on the inside of the joint capsule, can occur in the ankle joint and be quite painful. Another form of arthritis—gout—causes a painful buildup of hardened uric acid crystals to deposit on joints, which can occur not only in the big toe, but the ankle joint as well. A bacterial infection (sometimes referred to as septic arthritis) may also set in the ankle joint, causing cartilage and bone damage, and pain. It is highly suggested that you seek the care of a podiatrist to determine the source and receive treatment for any ankle pain or discomfort you may be experiencing.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 Ankle Pain
Tuesday, 23 November 2021 00:00

Signs You May Have a Fungal Toenail Infection

A fungal nail infection occurs when the nail is invaded by a fungus. As the fungus multiplies, the infected toenails begin to undergo changes. They may become thickened, brittle, crumbly, and discolored. In more severe cases, the nail can become misshapen and may begin to separate from the nail bed, causing pain and emitting a foul odor. The infection can spread from nail to nail, and surrounding skin can also become infected. A combination of topical and oral medications is often prescribed to treat toenail fungus. Laser therapy can also be a potential treatment option. To learn more, please consult with a podiatrist. 

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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 How to Treat Your Toenail Fungus
Tuesday, 16 November 2021 00:00

What Is Cuboid Syndrome?

The cuboid bone is a tiny, cube-shaped (cuboidal) bone, which is one of the seven tarsal bones of the foot. It is located on the outside of the foot, roughly halfway between the pinky toe and the heel. The cuboid bone moves slightly during normal foot motion, however, forceful movements or certain positions that are maintained for prolonged periods of time can cause the cuboid bone to shift excessively and therefore it  becomes dislocated. This is known as cuboid syndrome. Symptoms may include pain and possibly swelling on the lateral (outside) part of the foot which increases when walking or standing. It may even be difficult or impossible to walk. Podiatrists may use a “whip” procedure to quickly and firmly apply force to the cuboid bone to get it back into alignment as the patient relaxes in a prone position. If you believe you may be suffering from cuboid syndrome, contact a podiatrist.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 Cuboid Syndrome
Friday, 12 November 2021 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

In Extracorporeal Shock Wave Therapy (ESWT), a handheld device sends a series of acoustic pulses through the surface of the skin to an area of damaged tissue. This intense energy creates a microtrauma in the injured tissue, causing the body to respond by increasing blood circulation and metabolism. This accelerates the body’s natural healing response, helps the body to produce new cells, and reduces pain. Shockwave therapy is a non-invasive treatment with minimal side effects. The treatments only take a couple of minutes and are usually administered once a week for 3-4 weeks or more, depending on the level of damage/pain and how long it has been present. Shockwave therapy can be very effective in the treatment of plantar fasciitis, Achilles tendinopathy, and more. Contact your podiatrist to see if your condition may be treated with ESWT.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

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 Treating Heel Pain with Shockwave Therapy

Playing sports is a great way to stay active and physically fit. However, it is important to practice a few precautionary methods to keep yourself safe and injury free. Take the extra time to stretch, warm up, and cool down properly. This alone will help you avoid many injuries. Staying hydrated will keep muscles from getting cramped and tense, which can lead to strains and tears. Learning the proper form and technique necessary to perform your sport will reduce the risk of fractures and other injuries. You can help avoid Achilles tendon injuries by strengthening your calves and cross-training. Another important prevention method is to wear the right athletic shoe for the sport you are playing, and make sure the shoe matches your foot type and that it fits properly. Always replace shoes that become worn down at the heel and tread. Make an appointment with a podiatrist for more advice on footwear, stretches and other preventative tips to avoid sports injuries.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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 Preventing Running Injuries
Tuesday, 26 October 2021 00:00

What Are the Different Types of Fractures?

There are many ways to break a bone. Acute fractures occur suddenly and are caused by direct trauma. Stress fractures are small and caused by repetitive damage from overuse. Fractures can be closed or open. In a closed or simple fracture, the skin remains intact. In an open or compound fracture, the bone breaks the surface of the skin. Fractures can further be categorized based on how the bone is broken. A transverse fracture means that the bone is broken in a straight line, while an oblique fracture means that the bone is broken diagonally. A spiral fracture circles around the bone. A comminuted fracture is when the bone breaks into more than one piece. An avulsion fracture is when a ligament or tendon tears and pulls a small piece of bone away with it. If you have broken a bone in your feet or ankles, please seek the care of a podiatrist. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete 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 care needs.

Read more about Sports Related Foot and Ankle Injuries
Wednesday, 13 October 2021 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 19 October 2021 00:00

An Athlete’s Foot Overview

Athlete’s foot or Tinea Pedis, is a fungal infection that can produce a red, itchy, stinging, flaky rash on the uppermost layer of skin between the toes and on top of the foot. The microorganism responsible for  Athlete’s foot is called Trichophyton, which loves moist, warm environments. Athlete’s foot can spread through skin-to-skin contact at the site where the fungus lives. It can also spread indirectly, through contact with a contaminated area or object such as shoes, towels, socks and more. Untreated Athlete’s foot may spread the infection from toe to toe, or even to the hands in rare cases. If you believe you have Athlete’s foot call a podiatrist as soon as possible to determine what treatment option is best 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 Howard Waxman, DPM from Pleasant Valley 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 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 How to Deal with Athlete's Foot
Tuesday, 12 October 2021 00:00

When Should I See a Doctor for Foot Warts?

Plantar warts are skin growths on the bottom of the foot that are caused by the human papillomavirus (HPV). Although these warts are not dangerous and typically go away without treatment, this can take several months or even years. Waiting for the warts to disappear on their own may not be a desirable option if the warts are painful or if they spread. Plantar warts can be easily spread by touching them and then touching another part of your body. You should seek medical care if the warts are painful or showing signs of infection, such as increased swelling, pain, warmth, redness, or pus drainage. Podiatrists use a variety of treatments to remove warts more quickly. These include topical medications, cryotherapy, laser therapy, and surgical removal. If you have foot warts that are bothering you, please consult with a podiatrist.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 What Are Plantar Warts?
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