Tuesday, 09 July 2024 00:00

Well-Fitting Shoes

Finding the right shoe size is important for maintaining foot health and overall comfort. Wearing shoes that are too tight or loose can lead to a variety of foot problems, including blisters, calluses, bunions, and even long-term issues like hammertoes and plantar fasciitis. Properly fitting shoes provide the necessary support and cushioning to prevent these conditions and promote healthy foot mechanics. To find the right shoe size, measure your feet at the end of the day when they are at their largest. Ensure there is about a half-inch space between your longest toe and the end of the shoe. Consider the shoe's width, as shoes that are too narrow or wide can cause discomfort and foot deformities. It is also important to try on both shoes, as feet are rarely identical in size. A podiatrist can provide expert advice on the best shoe type for your foot shape and specific needs, helping you avoid common pitfalls, in addition to finding shoes that offer both comfort and support. It is suggested that you schedule an appointment with this type of medical professional for personalized advice and to address any existing foot issues.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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, 09 July 2024 00:00

Proper Shoe Fitting

When it comes to maintaining foot health, wearing properly-fitting shoes is important. While wearing the appropriate pair of shoes may seem like a trivial concern, the reality is that improperly fitted shoes cause an astounding amount of injuries to the feet. The overall structure and the biomechanics of our bodies are directly affected by our posture, gait, and feet. Because of this, pain and discomfort felt throughout the body are often related to a problem in the feet. And, most foot problems usually stem from improper footwear.

Shoes should not be purchased with the expectation that they will easily stretch and contort to the size and shape of your feet. When shopping for footwear, look for shoes that fit correctly and comfortably as soon as you put them on. Do not purchase shoes that are too large or that slip in the heel area when you walk. Do not choose shoes that are loose with the intention of wearing thicker socks to compensate for the space. The widest portion of the shoe, the ball of the foot, must be made sure to fit comfortably in the shoe. 

Keeping all of these suggestions in mind may be difficult when shopping and when trying to select from a wide array of different shoes. Nonetheless, your time and money will be wasted if you purchase a pair of shoes that are too uncomfortable for you to actually wear them. After finally selecting and purchasing a pair of shoes, try them on at home. To truly ensure whether or not your shoes fit comfortably with normal activity, walk around on a carpeted surface to determine how they feel on your feet.

The possibility of damaging your feet’s 33 joints, 26 bones, and 100+ ligaments is much higher than many people suspect. Finding an appropriate and properly-fitted pair of shoes is perhaps the single most important action you can take to maintain excellent foot health and help prevent injury. The fact that our feet continue to change with age is one that many people often forget. Even if our feet no longer change in size when we mature, our feet will still change in shape.

If you already have pre-existing foot problems, there is a greater possibility that wearing improperly-fitted shoes will worsen those problems. The good news, however, is that appropriate footwear is not difficult to find. While shopping for shoes, remember that improper footwear can detrimentally affect the feet, the entire body and its biomechanical structure as well. The shoes you wear can greatly impact your legs, back, and entire body, as your posture and gait are related to your feet. Finding and selecting the best properly-fitted shoes is necessary in achieving optimal health.

Tuesday, 02 July 2024 00:00

Best Exercises for Flat Feet

Flat feet can cause discomfort and impact overall mobility, and specific exercises can help strengthen the arches and alleviate symptoms. Towel scrunches are effective, and can be done by simply placing a towel on the floor, using your toes to scrunch it toward you, then release. Toe extensions involve sitting with your feet flat and lifting only your toes while keeping the rest of your foot on the ground. The stork stretch, where you balance on one foot while pulling the other foot towards your buttocks, helps improve balance and strengthen the foot muscles. Using a foot roller, back and forth under your arch, massages and stretch the muscles. These exercises, when practiced regularly, can enhance arch strength, reduce pain, and improve the overall function of flat feet. Flat feet can cause discomfort while standing or walking. If you have flat feet, it is suggested that you confer with a podiatrist who can perform a comprehensive foot exam and offer relief solutions, if needed.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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, 02 July 2024 00:00

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe.  Various types of flatfoot exist, each with their own varying deformities and symptoms.  The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot.  Other signs of flatfoot include:

  • “Toe drift,” or the pointing outward of the toes and the front part of the foot
  • The tilting outward of the heel and the tilting inward of the ankle
  • The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
  • Hammertoes
  • Bunions

One of the most common types of flatfoot is flexible flatfoot.  This variation usually starts in childhood and progresses as one ages into adulthood.  Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing.  When not standing, the arch returns.  Symptoms of flexible flatfoot include:

  • Pain located in the heel, arch, ankle, or along the outside of the foot
  • Overpronation, or an ankle that rolls in
  • Shin splint, or pain along the shin bone
  • General foot aches or fatigue
  • Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit.  X-rays may be taken to define the severity and help determine the treatment option best for your condition.  Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices.  If nonsurgical methods prove ineffective, surgery may be considered.  Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

Wednesday, 26 June 2024 00:00

Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Tuesday, 25 June 2024 00:00

Identifying Hammertoe and Its Causes

Hammertoe is a foot deformity where one or more of the smaller toes bend abnormally at the middle joint, resembling a hammer. This condition often results from an imbalance in the muscles, tendons, or ligaments that normally keep the toe straight. Common causes can include wearing ill-fitting shoes, especially those that are too tight or have high heels, which force the toe into a bent position. Other contributing factors include genetic predisposition, arthritis, and trauma to the toe. Symptoms of hammertoe include pain or irritation on the affected toe, especially when wearing shoes, as well as corns or calluses forming on the top of the joint due to friction. The affected toe may also become red, swollen, or stiff. Early detection is essential for effective treatment, which may involve changing footwear, using orthotic devices, and performing toe exercises. If you have developed a hammertoe, it is suggested that you consult a podiatrist who can offer you effective treatment options, which may include surgery for severe cases that can relieve pain and correct the deformity.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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.

Read more about What Are Hammertoes?
Tuesday, 25 June 2024 00:00

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Tuesday, 18 June 2024 00:00

Understanding Different Types of Gout

Gout, a form of arthritis, arises from a buildup of uric acid in the bloodstream, causing sharp crystals to form in the joints. It primarily affects the big toe but can also occur in other joints, like the ankle or knee. The uric acid buildup may happen due to certain dietary factors, such as consuming foods like red meat, seafood, and alcohol. Genetics and underlying health conditions such as obesity, high blood pressure, and kidney problems can also increase the risk of developing gout. Gout can present in various forms, including acute attacks, causing sudden and intense pain in the joints. Chronic gout involves recurrent episodes of pain and swelling, which may lead to joint damage over time if not treated properly. Another form, called tophaceous gout, occurs when urate crystals accumulate under the skin, forming lumps or nodules known as tophi. Symptoms of gout typically include severe joint pain, swelling, redness, and warmth in the affected area. If you struggle with gout or any symptoms that may result in gout, it is strongly suggested that you visit a podiatrist to receive proper care and treatment.

Gout is a painful condition that can be treated. 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 form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Read more about Gout
Tuesday, 18 June 2024 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Tuesday, 11 June 2024 00:00

Joint Involvement in Ankle Fractures

Ankle fractures refer to breaks in any bones that make up the ankle joint, typically involving the tibia, fibula, or talus. These fractures can be caused by trauma from falls, sports injuries, or vehicular accidents, as well as overuse injuries or underlying conditions like osteoporosis. The ankle joint is composed of three main bones which are the tibia, fibula, and talus, along with the surrounding ligaments and tendons that provide stability and support. Injury may involve any of these structures, ranging from minor hairline fractures to severe breaks that displace the bones. Depending on the severity and location of the fracture, treatment may involve immobilization with a cast or brace, realignment of displaced bones through manipulation or surgery, and rehabilitation to restore strength and function. Prompt medical attention is vital to prevent complications and ensure proper long-term healing. If you have broken your ankle, it is suggested that you make an emergency appointment with a podiatrist who can accurately diagnose the injury and offer treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

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 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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