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Monday, 03 August 2020 00:00

Causes of Tarsal Tunnel Syndrome

The Tarsal Tunnel is a narrow tunnel in the ankle, next to the ankle bone, that serves as a pathway for nerves, veins, arteries and tendons. Tarsal tunnel syndrome occurs when the tibial nerve in this tunnel gets squeezed or pressed, resulting in multiple issues. One common cause of tarsal tunnel syndrome is flat feet because flat feet can cause the heel to turn outward and put pressure on the nerve. Additionally, a varicose vein, a cyst, a swollen tendon, or a bone spur can also put pressure on the nerve. Other causes of tarsal tunnel syndrome include swelling from conditions such as an ankle sprain, diabetes, or arthritis. If you are experiencing a tingling or burning sensation, numbness, or a shooting pain in the foot, you may be experiencing tarsal tunnel syndrome, and it is recommended that you consult with a podiatrist.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

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 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 Tarsal Tunnel Syndrome
Monday, 27 July 2020 00:00

What Is Plantar Fasciitis?

The plantar fascia is a thick band of fibrous tissue that connects the heel to the toes along the bottom of the foot. Since the plantar fascia works as a shock absorber and arch support, it can become painful when it is overloaded or overstressed.  This pain is known as plantar fasciitis.  Research has shown that pain is most commonly located on the inside of the heel and occurs during weight-bearing activities.  A podiatrist will be able to examine the foot and heel for further issues, particularly a stress fracture.  A podiatrist may also take X-rays or use an ultrasound machine to determine the extent of the injury. Some treatment options may include rest, a change in footwear, orthotics or physical therapy.  If you believe that you may be afflicted with plantar fasciitis, it is important to check with a podiatrist for a proper diagnosis and treatment plan.

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
Monday, 20 July 2020 00:00

Diagnosing and Treating Ankle Sprains

An ankle sprain is one of the most common sports injuries that occurs when ligaments that keep the ankle stable are damaged.  Ankle sprains are commonly caused by a twist of the ankle, and athletes whose sports require frequent changes of direction are at a higher risk.  Athletes who have previously sprained their ankle or are returning to action too soon are also at risk.  When an ankle sprains, swelling and bruising will occur quickly, and a podiatrist will likely need to take an X-ray to make sure that the ankle isn’t broken.  Most simple ankle sprains are treated with ice and support like a wrap, brace or walking boot.  Crutches may be needed as well, in order to keep weight off of the injured ankle.  If you believe you have sprained your ankle, make sure to consult with a podiatrist for proper treatment.  A podiatrist will also be able to make sure that there are not more extensive injuries, and they can provide help to prevent future ankle sprains. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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 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 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 Sprains

Children who frequently participate in running and jumping activities may complain about heel pain. It may be indicative of a condition that is referred to as Sever’s disease, which affects the growth plate in the heel. It may become irritated as a result of repetitive motions during specific sporting activities. Parents may notice that their child begins to walk with a limp, and the back of the heel may be swollen. It is beneficial to rest and elevate the affected foot, and it may help to relieve a portion of the pain when the calf muscles are stretched. If your active child complains of heel pain, it is advised that you schedule a consultation with a podiatrist who can properly diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Read more about Sever's Disease
Monday, 06 July 2020 00:00

Types of Corns on the Feet

A corn on the foot can develop from excess pressure. This is often the result of wearing shoes that do not fit correctly. The types of corns that can form are referred to as hard and soft corns. The latter gradually develops between the toes and can cause severe pain and discomfort. The top of the corn is often moist, and toes that are crammed together for the majority of the day may cause this to occur. Hard corns can develop on top of the toes, or on the bottom of the feet. Patients who run barefoot may be susceptible to developing a hard corn. Additionally, they can form on top of the toes from wearing shoes that can cause excess friction as walking and running are pursued. If you have a corn on your foot, please consult with a podiatrist who can effectively treat any type of corn.

If you have any concerns regarding your feet and ankles, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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 Corns: What Are They, and How Do You Get Rid of Them
Sunday, 05 July 2020 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.

Monday, 29 June 2020 00:00

Possible Symptoms of Neuropathy

The medical condition that is known as neuropathy can affect the feet. Common symptoms patients experience may include a numbing or tingling sensation, and it is often difficult to feel existing cuts or bruises. People who are diabetic may be prone to developing neuropathy. It is beneficial for these patients to have regular foot examinations, refrain from walking barefoot outdoors, in addition to wearing shoes that fit correctly. Relief may be found when blood glucose levels are properly managed, and healthy eating habits are implemented. If you have symptoms of neuropathy, it is strongly advised that you are under the care of a podiatrist who can help you to begin the correct treatment plan.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then 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 Neuropathy
Monday, 22 June 2020 00:00

Plantar Warts Are Caused by a Virus

Plantar warts develop on the bottom of the feet. They grow into the sole of the foot as pressure is endured from walking during the day, and can cause severe pain and discomfort. They appear as small, hardened areas, and may have black dots in the center. These develop as a result of blood vessels that grow inside the wart. Plantar warts are caused by a virus that lives and thrives in warm and moist environments. These types of places can include public swimming pools, shower room floors, and locker rooms. Patients who have a weakened immune system may be prone to getting plantar warts, in addition to people who have a history of developing this type of wart. It is suggested that you speak to a podiatrist if you have a plantar wart, who can determine what the best course of treatment is for you.

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 Plantar Warts

A nerve tissue that has become thickened is referred to as a neuroma. If the tissue that is found between the toes near the ball of the foot becomes inflamed, it is a condition that is known as Morton’s neuroma. It can happen as a result of wearing shoes that are too narrow, or from participating in sporting activities where pressure is placed on the front of the foot. Additionally, it may develop from existing foot deformities that can include flat feet and bunions. A noticeable symptom that patients could have is a burning pain on the sole of the foot, which may travel to the toes. Mild relief may be found when orthotics are worn, and this may give the affected foot the support that is needed as the pressure is reduced. It can be beneficial to avoid wearing high heels, and choosing to wear shoes that are wider in the toe area may be more comfortable. If you have a sharp pain on the bottom of your foot, it is suggested that you speak with a podiatrist who can properly diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different 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 care needs.

Read more about Morton's Neuroma
Monday, 08 June 2020 00:00

Shoes and Children Walking

When babies are born, their feet are flexible, and will gradually strengthen as they get older. During their first year, their feet will grow to approximately half of their adult foot size. As walking begins, it is beneficial to have your child walk barefoot while indoors. When the toes grasp the floor, the overall foot becomes stronger. When it is time for your child to walk outside, and the first shoes are purchased, there are important things to look for. The shoes need to be made with breathable materials, in addition to fitting properly with ample room for the toes to move freely in. Many parents observe their child’s walking patterns, as this can help to recognize potential problems. It is advised that you consult with a podiatrist who can provide useful information about your child’s feet.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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 to Do to Keep Your Child’s Feet Healthy
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