Tuesday, 10 October 2023 00:00

Common Sources of Heel Pain

Heel pain can be a real hindrance, affecting your daily life and mobility. Recognizing symptoms of heel pain helps you identify the cause and find relief. Plantar fasciitis is the most common complaint associated with heel pain. It often causes a sharp pain in the heel, especially in the morning. This condition occurs when the plantar fascia, the tissue connecting your heel bone to your toes, becomes inflamed. Achilles tendinitis results in pain in the back of the heel as the Achilles tendon, which connects the calf muscles to the heel bone, is torn and becomes inflamed. Heel spurs, bony growths on the underside of the heel bone, often accompany conditions like plantar fasciitis and may induce further pain. Bursitis, the inflammation of the bursa sacs around the heel, can lead to pain when walking or wearing tight-fitting shoes. Stress fractures, tiny cracks in the heel bone caused by repetitive stress, result in localized pain. If you're experiencing heel pain, it is suggested that you make an appointment with a podiatrist for an examination and a diagnosis. Then this medically trained foot doctor can formulate a  personalized treatment plan to get you back on your feet pain-free.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Duryea and Bangor, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 10 October 2023 00:00

Heel Pain

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Tuesday, 03 October 2023 00:00

Causes and Treatment Options for Bunions

Bunions are bony bumps that form at the base of the big toe and are a common foot condition that can cause pain and discomfort. Bunions typically develop due to a combination of factors. Genetics plays a role, and if bunions run in your family, you may be more susceptible. Wearing ill-fitting shoes, especially those with narrow toe boxes or high heels, can exacerbate the condition. Overpronation, when the foot rolls inward excessively, and certain medical conditions, such as arthritis, can contribute to bunion formation. Symptoms of bunions often include pain, swelling, and redness at the base of the big toe. The big toe may also lean toward the other toes or overlap them. Corns and calluses can develop where the big toe rubs against the adjacent toes. Treatment options for bunions consist of lifestyle changes, including wearing wider and more comfortable shoes, custom orthotics or bunion pads. In more severe cases, surgical intervention may be necessary to realign the toe joint. By understanding bunions and seeking appropriate care from a podiatrist, individuals can effectively manage their symptoms and maintain foot health. If you have developed a bunion, it is strongly suggested that you consult with this type of doctor who can help you to manage this condition.

If you are suffering from bunions, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

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Tuesday, 03 October 2023 00:00

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Wednesday, 27 September 2023 00:00

Keep Your Feet Healthy So You Can Stay Active

Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.

Prevent injuries and see a foot specialist.

Tuesday, 26 September 2023 00:00

Causes and Treatment of Gout

Gout is a form of arthritis caused by the accumulation of uric acid crystals in joints. These crystals, which frequently form primarily in the big toe, can lead to severe pain, inflammation, and ultimately joint damage. Causes of gout include dietary choices of high-purine foods such as red meat, seafood, and alcohol. Additionally, genetics can influence gout susceptibility, and a family history of the condition increases the risk. Medical conditions such as obesity, hypertension, and kidney disease also contribute to gout development. Several treatment options are available to manage gout. Lifestyle adjustments are key, including adopting a low-purine diet, reducing alcohol intake, and maintaining a healthy body weight. Anti-inflammatory drugs and urate-lowering medication, can effectively reduce the strength of symptoms and prevent flare-ups. Resting the affected joint and elevating it can help alleviate pain, while the application of ice during an attack and heat during recovery aids in reducing discomfort. Ignoring this condition can lead to serious joint problems. If you're experiencing gout symptoms, it is suggested that you seek prompt care from a podiatrist. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

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Tuesday, 26 September 2023 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 19 September 2023 00:00

Common Foot Problems in Children

Children's feet are essential for their overall health and development. However, various foot problems can affect children as they grow. Flat feet, or pes planus, is a common condition where the arches on the inside of the feet do not develop fully, making the entire sole touch the ground. While this is normal in infants, it should resolve as they age. Ingrown toenails can cause pain, redness, and swelling, often the result of improper nail trimming or tight shoes. Proper nail care and footwear are key to preventing this issue. Sever's disease, medically termed calcaneal apophysitis, is common in active children between the ages of 8 and 14. It affects the growth plate in the heel and causes heel pain, especially during physical activities. Deformities, such as clubfoot, curly toes or overlapping toes, can be present from birth or develop later. Early intervention can help correct these deformities. Parents may wish to regularly inspect their children's feet and seek the help of a podiatrist for any of these common foot problems. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

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Tuesday, 19 September 2023 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Understanding how your choice of footwear can affect your feet, legs, and joints is crucial. Ill-fitting or unsupportive shoes can exert pressure on these areas during physical activity, potentially resulting in discomfort and injuries. Inappropriate footwear choices may contribute to common sports injuries such as shin splints and Achilles tendon pain, as well as foot problems that can include corns, bunions, ingrown nails. These issues can severely limit or even halt your physical activity. Different activities require specific types of footwear, such as beach and road running. Wearing unsuitable shoes can worsen existing problems, such as hip, knee, ankle, or foot pain or arthritis. Even short periods of wearing in ill-fitting shoes can cause stress and pain in your bones, joints, and supporting soft tissues, especially if you stand for extended periods at a time. Your choice of shoes can significantly affect your walking style or gait. The correct step involves the heel making initial contact with the ground, followed by a slight inward roll of the arch. This can allow the ball of the foot and big toe to follow. The heel then lifts off the ground, enabling you to push off from the ball of your foot and big toe. Some individuals have arches that roll excessively inward or outward, both of which can impact how effectively your feet absorb shock. If you have questions about how the shoes you wear are affecting the biomechanics of your feet, it is suggested that you make an appointment with a podiatrist for a consultation.

If you have any concerns about your feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

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