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Research Allows a Greater Understanding of Peripheral Neuropathy
New research will create greater understanding of the underlying molecular mechanisms of peripheral neuropathy and hopefully lead to new treatments, Medical News Today reports. The new discovery involves the activity of the brain’s anterior cingulate cortex (ACC), thought to be the area often involved in pain processing. In peripheral neuropathy, the damaged nerve fibers have a heightened response to normal singers and send incorrect messages to pain centers in the brain. In diabetic neuropathy, one of the most common forms of peripheral neuropathy, pain often begins in the feet before moving up the legs.
Nerve disorders of the feet and ankles can become very cumbersome. If you have any concerns about your feet and ankles contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
Nerve Disorders of the Foot and Ankle
There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.
Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.
There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.
Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf. In other instances one may encounter partial numbness and atrophy if the cases are extreme.
If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Nerve Disorders of the Foot and Ankle
Similar to well known nerve disorders in the hands, such as carpal tunnel syndrome, nerve disorders that affect the foot and ankle occur in patients for reasons ranging from stress to genetics. Nerve disorders of the foot should be addressed right away because they may be immobilizing in serious cases. Two of the most common nerve disorders of the foot and ankle are Interdigital Neuroma and Tarsal Tunnel Syndrome.
Interdigital Neuroma is caused by localized inflammation of one of the nerves that controls toe sensitivity in the frontal area of the foot. This inflammation is generally only found in the second or third interspace, and any other symptoms similar to Neuroma on other digits should be checked against other disorders. Symptoms include chronic burning or tingling sensations between the affected toes which can, at times, migrate to the toes themselves. This pain is often increased by walking, running, or by wearing shoes that compress the toes, such as high heels. A doctor should be consulted if this pain is chronic and if the symptoms get worse.
Typical examinations to determine the presence of Neuroma include radiographs, MRIs, and even bone scans of the affected area. Bone scans are only required if degeneration of bone is suspected, however. Surgery is often not required to alleviate the symptoms of Neuroma, and in many cases functional orthotics can be used to alleviate the stress of constant weight on the affected toes. Surgery is recommended for those patients that suffer from symptoms for 6 months or more, so reporting symptoms early can increase the rate of non-surgical recovery.
Tarsal Tunnel Syndrome, a condition that is less common than Interdigital Neuroma, is similar to Carpal Tunnel Syndrome in that it is caused by a compression of the nerve caused by any number of factors (mostly associated with excess pronation). Typically seen in those that have either flatfeet or valgus heel positions, Tarsal Tunnel Syndrome has patients complaining of moderate to severe ankle pain that starts along the bottom of the foot and often proceeds to the calf. Some more extreme cases occur with partial numbness and even atrophy of the foot and surrounding muscles.
If there is a good chance that someone has Tarsal Tunnel Syndrome, an EMG test is often used to diagnose the condition. If the diagnosis is positive, an MRI can be used to identify the compression of the nerve. Treatment with NSAIDS, functional orthotics, and rest off of the feet is often prescribed, but again, long standing symptoms require surgery, as do exacerbated symptoms caused by lesions present between nerves.
Foot Therapy for Sports Injuries
Whether in practice or in the game, athletes put their bodies through great stress. Some sports tax and demand more from the body than others, but every sport has an element of inorganic movement or unnatural motion. For ample, in softball, a pitcher winds up and flings her body with incredible amounts of dexterity in order to get the most ideal velocity out of her pitches. This motion, incredibly taxing on the body, can cause serious injury.
With regards to athletic injuries, one of the most common issues resides in the feet. Whether a damaging fracture that leaves athletes sidelined or simple turf toe, foot injuries can be very frustrating and painful. Regardless of sport, athletes require use of their feet in some fashion. This is why foot therapy is so vital in order to get athletes back on the right track and training again to return to the field.
No matter the injury, the best way to speed up the recovery period is to receive physical therapy. Physical therapy as a founded practice has proven to work for millions of people. Physical therapists are trained specifically to help people return to proper form from any injury, having gone through years of schooling in order to do so.
During physical therapy, you will go through organized training in order to get back into form. Sometimes training can be quite difficult, especially in the beginning when there is more pain and the foot feels awkward. To alleviate that you will do basic twisting and stretching exercises in order to get flexibility and foot mobility back up. The therapist will also massage the injured area in order to activate and relax muscles. Over time you will eventually move up to strengthening exercises, designed specifically so that activation of the injured area is ensured.
Foot therapy for sports is a modern science miracle. Devoid of fancy chemicals and terminology, physical therapy is an evidence based practice that is well designed as any other. Due to huge advancements and knowledge of muscles and joints, physical therapists can turn catastrophic injuries around so athletes can return to the game once more.
Pedicurists Cannot Act as Your Podiatrist for Foot Problems
While most people get pedicures to wind down and relax, pedicurists want some of their customers to know a few things they should and should not expect from the process. While pedicurists will take care of your feet by removing dead skin and calluses, somethings they just cannot take care of. For example, plantar warts, ingrown toenails, and fungal should not be taken care of at home or at a nail salon, they should be taken care of by a podiatrist. “A podiatrist is qualified to take care of the problem as quickly as and pain-free as possible,” says pedicurist Alexandra Calle.
Plantar warts can be very uncomfortable. If you have any concerns with plantar warts on your feet contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Legions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
Treatment
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, will help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact our offices located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Tour de France Winner Breaks Foot During Vuelta a Espana
Tour de France winner, Chris Froome, will have to withdraw from the Vuelta a Espana after suffering from a broken foot. The injury occurred after Froome crashed during the rocky ride through Andorra. Although the French cyclist was looking to win both the Tour de France and Vuelta a Espana just like fellow cyclists Jacques Anquetil (1963) and Bernard Hinault (1978), the crash diminished those goals early. “Really appreciate all the messages of support, I did my best to hang in there today as best I could with the hop of continuing,” Froome stated on Twitter after the injury.
A broken foot requires immediate medical attention and treatment. If you are seeking treatment for a broken foot, visit Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will assess your injury and provide you with quality treatment.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Bruising
- Pain
- Redness
- Swelling
- Blue (foot)
- Numbness
- Cold
- Misshapen
- Cuts
- Deformities
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.
Sneakers Becoming More Popular than High Heels due to Comfort
When it comes to fashion, many people would assume that footwear such as high heels, sandals and espadrilles would always remain in style. In the past, sneakers had always been associated with sports performance; a realm beyond fashion. Trends appear to be changing, however, as sneakers are becoming more and more prevalent with the revival of casual comfort in fashion footwear. Jaime Barr, footwear and accessories editor at trend forecasting firm WGSN, shared, “Now that people are used to having comfort features worked into their shoes it’s going to be really hard to go back.”
High heels have a history for causing foot and ankle problems. If you have any concerns about your feet contact Dr. Kevin Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
Effects of High Heels on the Feet
High heels are popular shoes among women because they are associated with femininity. Despite their appeal, they can cause many health problems if worn too frequently.
What parts my body will be affected by high heels?
- Ankle Joints
- Achilles Tendon – may shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – heels cause the knees to bend constantly, creating stress on them
- Back – they decrease the spine’s ability to absorb shock, which may lead to back pain. Also, the vertebrae of the lower back may compress.
What kinds of foot problems can develop from wearing high heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How can I still wear high heels and maintain foot health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock; you can buy either full inserts or metatarsal pads.
If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Effect of High-Heels on the Feet
For hundreds of years, women have been wearing various kinds of high-heels for mostly aesthetic reasons. Women who wear high-heels appear to be taller and to have longer and thinner legs, and the wearer’s gait and posture changes. Though high-heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.
The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high-heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen, which can cause problems when shoes without heels are worn.
By putting a great deal of pressure on the ball of the foot, by forcing the toes into a small toe box, high-heels can cause or may worsen many foot problems, such as corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.
Not only does wearing very high-heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high-heels. High-heels causes the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like this. By limiting the natural motion of the foot during walking, high-heels also cause an increased in stress on the knees.
Similarly, the back may also be affected by high-heels because it causes the back to go out of alignment. If high-heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.
However, this is not to say that high-heels can never be worn. If worn occasionally, they will not cause serious problems. They should not be worn every day in order to avoid the long-term physical health problems of the feet, knees, ankles, and back like mentioned above.
Four Expert Tips for Ingrown Toenail Prevention
Spring and summer weather is a sure indication of sandals, bare feet, and painted toes. Some women, however, have to contend with foot conditions such as ingrown toenails that developed over the winter months. Experts provide women with 4 tips for ingrown toenail prevention and treatment. Be careful while cutting toenails and be careful to not cut the cuticles. Wear shoes that do not squish toes or force the big toe inward. Clip toenails straight across. Finally, soak the feet in a solution of ½ cup iodine and 1 gallon of warm water for 15 to 20 minutes a day.
Ingrown toenails are very painful and could lead to other complications. If you have any concerns about your ingrown toenails contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.
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 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
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. 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 our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Donald Trump Blames Lack of Military Experience on Heel Spurs
Potential GOP candidate for President of the United States and business mogul Donald Trump is known for making out of the ordinary statements including a few statements about his medical deferment from serving in the military. Donald Trump, often criticized for not having served in the military, has stated, “My [draft number] was so incredible and it was a very high draft number. Anyway I never had to do that, but I felt that I was in the military in the true sense because I dealt with those people.” Trump also cited his lack of military experience due to heel spurs on both of his feet.
Heel spurs can be incredibly painful, and sometimes might make you unable to participate in physical activities. To get medical care for your heel spurs, call Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor 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 a cause from small fragments of bone breaking off one section of the foot, attaching it to the back of the foot. Heel spurs can also be bone growth on the back of the foot. Bone may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs. Pain sometimes intensifies with age. Heel spurs are known to cause a substantial amount of pain. One of the main associations spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often times 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 poke and affect other boners 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. Medicines, surgery, and herbal care are some options.
For more information about Heel Spurs, follow the link below.
If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.
Heel Spurs
Heel spurs are most commonly the result of calcium deposits on the back of the foot where the heel is. They may also be the result of small fragments of bone breaking off one section of the foot and attaching to the back of the foot. Heel spurs can also be bone growth on the back of the foot. When this is the case, the bone growth tends to grow in the direction of the arch of the foot.
Heel spurs are most commonly diagnosed in older individuals. Younger individuals also suffer from heel spurs, but the pain associated with the condition usually intensifies in aging. Heel spurs have the propensity to inflict a great deal of pain, although the heel spur itself does is not always the cause of the pain. Heel spurs are often associated with plantar fasciitis.
The pain that is associated with bone spurs can be traced to the placing of weight on the feet. As the individual stands or walks their weight is placed on the feet, causing the bone spur to press on and poke the other bones and tissues in the feet. This may result in severe pain. As the condition continues to persist the tissues in the feet will become tender and overly sensitive.
If an individual is suffering from heel spurs and their related pain, there are a number of treatments that may be undertaken. These treatments range from medicines, surgery, and herbal treatments. One of the simplest ways to ease the pain and discomfort of heel pain is to use special foot supports. These insoles are placed directly in the individual's shoes. They relieve the pain and tension that is placed on the foot by offering a soft gel pad for the weight to be evenly distributed without causing pain.
There are also a number of exercises that some believe may relieve or actually reverse heel spur growth and therefore stop the pain. One such exercise has the ball of the foot against the wall while balance is maintained on the heel of the foot. The individual then shifts their weight towards the wall, causing a rubbing of the heel spur. Other exercises and stretches may also be performed that can help loosen and relax muscles and tendons in the feet, relieving pain. Applying ice packs and taking anti-inflammatory medication may also help. Night splints may be worn while sleeping to keep the foot stretched out, which may make the foot less painful in the morning.