Preventing Foot Problems
Our feet are body parts that are often taken for granted but they are so important to get us through life. Most people have probably suffered from foot and/or ankle discomfort at some point. The majority of ankle and foot problems are chronic and are generally caused by repetitive movement leading to overuse and strain. Overloaded tendons or joints can lead to tendonitis or cartilage breakdown and continual stretching of ligaments can lead to joint instability. Important things to consider in trying to prevent foot problems include force (compression, tension, torsion/twisting) on feet and ankles, foot type, body weight, activity, and frequency of activity. Developing a relationship with a podiatrist early and seeing such a specialist throughout one’s life can help with the prevention of foot and ankle problems and treatment of such problems if they do arise.
If you have any concerns about your feet, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor 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 office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Successful Foot Surgery
Many patients choose to have foot surgery performed when other treatment options have failed. A common surgery is called bunionectomy, and this is successful in removing bunions. A bunion is defined as a bony protrusion on the side of the big toe and can cause pain and discomfort. Severe cases of arthritis in the feet may require surgery. This is accomplished by fusing the bones together which may eliminate existing pain. Heel surgery is done to find relief from foot conditions that can include heel spurs and plantar fasciitis. Patients who have Morton’s neuroma may benefit from having surgery performed that may involve cutting a piece of the nerve that was causing the condition. If you have foot pain, please consult with a podiatrist who can determine if surgery is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Maintaining Strength May Help to Prevent Falling
Research has indicated that falling is the leading cause of many injuries in the United States. The feet are often affected when a fall has occurred, which may result in broken toes or a broken foot. The fear of falling can cause seniors to limit completing daily activities. This behavior may cause the patient to become weakened, and falling may happen more often. Falls may be prevented by becoming stronger, and this is often done through participating in an exercise program. There are measures that can be implemented in the household that may help to prevent falling as well. These can include installing grab bars in the toilet and shower area, and improving lighting in the living areas. Many people find it helpful to use a bathmat, in addition to removing worn rugs from the steps. If you would like more information about how falling can affect the feet, and how to prevent it, please consult with a podiatrist.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Possible Causes of Cracked Heels
Many patients experience the uncomfortable foot condition that is referred to as cracked heels. It can be caused by living in a dry climate or it may develop from specific medical conditions, including eczema and psoriasis. Additionally, patients can have cracked heels from wearing shoes that have an open back. Relief may be found when the feet are washed and dried thoroughly, followed by using a good moisturizer. It can help to drink plenty of fresh water daily, in addition to wearing shoes that are made of breathable materials. Cracked heels can become painful so it is suggested that you schedule an appointment with a podiatrist who can offer you correct treatment solutions.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Baby’s First Shoes and Walking
Many parents choose to have their babies wear shoes, despite the fact that research has indicated that shoes are unnecessary to wear until walking begins. At this time, the first shoes often consist of having a flexible and non-slip sole, in addition to fitting correctly. The shoe is ideal when it fits securely on the foot. This can be helpful in preventing stubbed toes, splinters, or broken toenails. There are certain foot conditions that children can develop that require the expertise of a podiatrist. If your child has ingrown toenails, walks on their toes, or doesn’t walk by 15 months, it is suggested that you schedule an appointment with a podiatrist.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor 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 office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Dealing With Blisters on the Feet
A blister is a sac of fluid that develops in the upper layer of your skin when a body part, typically a toe, rubs against a hard surface like the side or top of a shoe. This is the body’s way of protecting the toe from injury. While most blisters are clear, if one becomes infected it may fill with blood or a yellowish-green pus. Generally, a blister will heal itself in a few days, especially if the activity that caused it is stopped. For instance, if you are walking for long periods in hard leather shoes, and a blister develops, it’s a good idea to change to a more open type of shoe. It's never wise to pop a blister, as that can leave you open to serious infection. If it bursts on its own, avoid removing the dead skin, but gently wrap the area in sterile gauze until it heals. Any time a blister becomes extremely painful or appears to be infected, it is important to consult a podiatrist as soon as possible for appropriate treatment options.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Running and the Cuboid Bone
The cuboid is a small, wedge-shaped bone located along the outside of the midfoot. This bone helps keep the foot stable and allows it to move properly. Runners sometimes find themselves with cuboid injuries due to the repetitive stress placed on the feet as they hit the pavement. When the cuboid bone is injured, it can make it extremely painful to run, walk, or even stand on the affected foot. The bone may become misaligned, causing a sharp pain in the foot, swelling, redness, tenderness, and weakness. Runners should rest the injured foot and refrain from running or other high impact exercise for a period of time to allow the injury to heal fully. If you are suffering from foot pain, it is strongly suggested that you seek the care of 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 Harvey Jacobs, DPM from Quality Foot Care Center. 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Are My Feet Tingling?
Peripheral neuropathy causes damage to the nerves outside of the spinal cord and brain, which can result in a host of symptoms, starting in the feet. You may have peripheral neuropathy if you feel tingling or pins and needles in your feet. You may also experience stabbing, shooting, or burning pain in your feet, which tends to be worse in the evening. Your feet may feel numb, weak, or “dead.” They may even be so sensitive that the bed sheets brushing against your feet causes pain. You may have difficulty sensing temperature in your feet, or you may get the sensation of wearing socks even if you are barefoot. In some cases, you may develop ulcers (open wounds) on your feet or legs. While there is no cure for nerve damage, you can help prevent the condition from worsening by keeping blood glucose levels in target range. A podiatrist can also help you keep your feet and legs as healthy as possible and help manage the pain and discomfort caused by peripheral neuropathy.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When Do I Need to See a Podiatrist?
There are 26 bones in the foot along with a complex network of joints, tendons, ligaments and muscles. A doctor who specializes in conditions and ailments that affect these structures, as well as the ankle, are known as podiatrists. Podiatrists can have a variety of focuses, such as surgery, wound care, sports injuries and diabetic conditions. Common issues that they often treat include heel pain (ex. plantar fasciitis or heel spurs), flat feet, sprained ankles, plantar warts, nail conditions (ingrown toenails and fungal nail infections), and corns/calluses. Conditions in the foot that cause severe pain, an inability to bear weight, swelling, numbness, an open sore, or sign of an infection should be looked at by a podiatrist.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
What Are These Bumps Around My Heels?
When you stand on the ground, do you notice small, soft bumps on the bottoms of your feet? Do they disappear when you sit down? If so, you may have piezogenic pedal papules. These tiny bumps are round, squishy, and skin-colored and tend to occur around the heels. They are caused by fat below the skin poking through connective tissue defects in the feet. Piezogenic pedal papules are very common, affecting approximately 60% of adults. In the majority of cases, these papules cause no symptoms. In about 10% of people, papules may cause foot pain, which can be treated through conservative measures, such as avoiding standing for prolonged periods of time, treating any existing foot injuries, wearing orthotics, and weight loss. For more information about piezogenic pedal papules, please consult with a podiatrist.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Fissure Causes
Heel fissures are cracks in the skin on your heels. For many, these cracks are simply a cosmetic concern, but for some people, the skin can become extremely dry and crack deeply. This can cause discomfort or pain, especially when you stand or walk., and the fissures may even bleed. Cracked heels have many potential causes. These include environmental or lifestyle factors, like living in a dry climate, taking excessively hot showers, or wearing open-back shoes, and underlying medical problems, such as diabetes, eczema, or a fungal infection. If you have dry, cracked heels that are bothering you, please seek the care of a podiatrist.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Fasciitis: An Unusual Name for a Common Problem
Although the term plantar fasciitis sounds unusual, the condition it describes is the most common form of heel pain. “Plantar” has to do with the sole of the foot, while “fascia” is a fibrous band of tissue. “Itis” is a suffix used to indicate inflammation. Put those three things together and you are describing an inflammation of the fibrous tissue on the sole of the foot — otherwise known as plantar fasciitis. It can cause a stabbing pain near the heel, which is worst in the morning as you take your first steps, or after periods of rest. This pain can subside as your feet become warmed up. Although runners often develop plantar fasciitis, it can also be common in people who are obese or who wear shoes without adequate support. If you believe you have plantar fasciitis, it is a good idea to contact a podiatrist right away to receive an accurate diagnosis and begin proper treatment as soon as possible.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
