Treating Foot Problems as You Age

Adults often experience the onset of foot conditions more and more as they age. Just like the tires on a car, the feet simply begin to wear down. It is thought that the average senior puts about 115,000 miles on their feet over a lifetime. If foot problems are taking a more prominent role in your life, there are some ways to help prevent them from getting worse. Check to see if you need different shoes, because feet tend to widen as you age. Shoes with good support can also help prevent falls. It may also be time to give up high heels and pointy-toed shoes which often cause bunions, hammertoes, corns, and other foot ailments over time. The wearing away of the natural fat pads on the heel and ball of the foot may indicate a need for shoe inserts or orthotics to help cushion your feet. If standing or walking is becoming difficult, implementing the use of a walker, walking stick, or cane may help to prevent loss of balance and falls. Finally, it is a good idea to make regular appointments with a podiatrist to make sure your feet are receiving the proper care they need.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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The 8 Principles of Foot Ulcer Prevention for Diabetics

The presence of diabetic peripheral neuropathy (nerve damage) and peripheral artery disease (poor circulation) in many diabetic patients creates a perfect storm of factors that can make wounds difficult to detect and take longer to heal. Chronic wounds that don’t heal (ulcers) are potentially very dangerous to both the overall health of the patient as well as their affected limb. There are eight steps every diabetic should take to help prevent such ulcers: 1) check your feet daily for cuts, growths or red spots, 2) wash and thoroughly dry your feet every day, 3) moisturize your feet, except between the toes, 4) trim your toenails straight across, but not too short, 5) avoid walking barefoot, and wear shoes that fit well, 6) protect your feet from extreme heat or cold, 7) elevate your feet as much as possible when sitting, and exercise your toes and ankles to aid circulation, and 8) have a podiatrist examine your feet at least once a year.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Self-Care for Heel Spurs

Heel spurs are bony bumps that can form on the underside of your heel bone. They are usually painless, but can become painful if the tissue around the heel swells. Pain typically worsens with activity. There are several things that you can do at home to address heel spur pain. First, you should rest your injured foot so that it can heal. Keep weight and pressure off the affected foot if possible, and apply ice to the injury to reduce swelling. Stretch your legs and feet before getting out of bed to loosen the muscles and tendons in your feet. Wearing properly fitting shoes or orthotic inserts can also help to cushion and support your feet, and you may wish to also take over-the-counter medications to reduce pain. If your heel pain doesn’t improve or worsens, it is strongly suggested that you seek the care of a podiatrist for a proper examination.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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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.

Why Are My Toenails Ingrown?

Ingrown toenails occur when the edges of a nail grow into the surrounding skin, causing pain, tenderness, redness, and swelling. The most common causes of ingrown toenails are trimming the nails improperly, wearing shoes that are too tight in the toe area, or having an abnormal gait or toe shape. Some people can also be prone to ingrown toenails due to genetic differences in the shape of their toenails. Mild ingrown toenails often heal with at-home treatments, such as putting cotton between the ingrown toenail and skin fold and wearing roomier or open-toed shoes. In cases where the ingrown toenail is severe or the surrounding area becomes infected, surgery may be needed to remove the ingrown nail. If you have painful ingrown toenails, please seek the care of a podiatrist. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Being Overweight Can Cause Foot Problems

The more you weigh, the more stress is placed on the joints and tendons that support your feet and ankles. This can further extend to your knees and back as you compensate for the pain in the lower joints. Obesity can place enough strain on your feet to cause plantar fasciitis, a painful inflammation of the ligament that connects the heel bone to the front of the foot. Plantar fasciitis affects about 1 in 10 adults and is most likely to develop between the ages of 30 and 50. If you are experiencing persistent heel or foot pain, it is suggested that you see a podiatrist for information about the possible causes and advice for proper treatment.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

  • When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
  • Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
  • Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Stretches to Help Improve Plantar Fasciitis

When the fibrous tissue on the sole that connects the heel with the front of the foot (plantar fascia) becomes damaged and inflamed, this is known as plantar fasciitis. Plantar fasciitis can also cause tense muscles in other parts of the foot and calf. Sometimes stretches can ease some of this tension and discomfort in these muscles as well as the plantar fascia. Simple calf stretches are a good place to start. To get a good stretch in the affected foot, place it behind you—flat on the ground—with the leg and knee straight. The other leg should be bent in front of you with that foot also lying flat, and your hands placed against a wall in front of you. Hold that position for 10 seconds and then release. You should feel an easy stretch in the calf and heel of the affected foot. Rolling a foam roller or ball back and forth under the affected foot while seated can also provide a good stretch in the foot. For another gentle calf stretch, sit on a chair and either curl a towel on the floor or pick up marbles with your toes. If your plantar fasciitis does not improve or is severe, a podiatrist can offer many solutions to treat it.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Pennsylvania Foot & Ankle. Our doctors 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 Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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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.

Diabetic Neuropathy

Diabetic neuropathy is a type of nerve damage caused by diabetes. High blood sugar levels, combined with high levels of fats in the blood, can hurt the nerves in your body. The nerves of the lower legs and feet are often the first affected, leading to a condition known as peripheral neuropathy. It is said that between 1/3 and 1/2 of people with diabetes develop peripheral neuropathy, which can cause such symptoms as numbness, weakness, burning, tingling, and pain in the lower limbs. Peripheral neuropathy can also make wounds more likely to develop on the feet, as the loss of sensation makes it difficult to detect injuries in their early stages and treat them before they have progressed. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist for regular checkups. 

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 one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors 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 Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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