In a China of the past, women with bound feet were stereotypical and quite common. The practice was popular due to the belief that small feet were a sign of beauty and attraction. The practice was eventually outlawed in the country following strong opposition from 19th-century Christian missionaries. Despite its outlaw, elderly women with bound feet can still be found, particularly in China’s rural areas. Relatives of women with bound feet can recall the practice’s negative effects; bound feet caused poor circulation, which often brought along severely unpleasant headaches.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our podiatrist will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.

It can also cause:

-muscle pain      -numbness in legs

-cramps            -skin discoloration

-weakness        -slower nail & hair growth

-stiffness          -erectile dysfunction

Those who have diabetes and or smoke are at greatest risk for poor circulation, or who are over 50.

If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always see a doctor as they will help try and fit a regime that suits you. A doctor will also prescribe you medication which will help for PAD.  

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.

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In the past couple of years, the running shoe market has skyrocketed with nearly thirty-five legitimate running shoe models currently for sale in the United States this year. Experts claim this may be occurring because we live in a fitness conscious society where there is high appeal for running shoes. Since running has become a more accessible form of exercise more people than ever before are interested in purchasing the proper shoe for their foot type.

The right running shoe is essentially different for every person. If you have any concerns feel free to contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

Choosing the Right Running Shoes for Your Foot Type

Running is a physical activity although fun, can put a lot of stress on the joints, bones and ligaments of the body. Injury and stress on the foot can be an important factor on which kind of shoe you’re wearing. Running shoes should be worn based on your foot type. It is important to find out what fits you based on cushioning, stability and motion.

Determining your type

Speak with a shoe specialist or retail professional to see what your foot type is. They will be able to identify and measure your arch type, stride and gait.

Running Mechanics

When you are running or walking in your shoes, every step determines how your foot is landing. Pronation is the natural rolling of your ankle from outside to inside during foot strike.

Pronation is a correct form of walking or running. It helps absorb shock and store energy from your lower extremities. Neutral runners who pronate correctly do not need specific shoes, since they have stability and control.

Over-pronators

Those who run with excessive ankle rolling. Over-pronators tend to have ankles that angle inward, flat feet, and or bowed legs. This can cause a series of injuries: of the knees, ankles and Achilles tendons.

Under-pronation

Under-pronation is less common than over-pronation. This usually happens to those who have inflexible feet and high arches. Even though there is less rotational stress on the ankles and knees, it prevents any kind of shock absorptions. Under-pronation needs shoes with increase in cushion and flexibility.

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.

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Skinnygirl founder and Real Housewives of New York star Bethenny Frankel recently broke her toe while jumping out of bed. The 44-year-old took to Instagram to show off the bruised middle toe captioned, “This idiot broke her toe jumping outta bed, but a rough paddle race Saturday was not prob.” A few days prior Frankel participated in the Paddle & Party for Pink in the Hamptons, NY where she paddle raced for charity and did not sustain any injury. Additionally, Frankel’s surrounding toes were left unharmed and were taped alongside the broken toe to use as a splint.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• throbbing pain
• swelling
• bruising on the skin and toenail
• the inability to move the toe
• toe appears crooked or disfigured
• tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any concerns 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.

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Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications, but it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it, then taping the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery; especially when the big toe has been broken. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications, and prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma, as they will be able to diagnose the injury and recommend the appropriate treatment options. 

Riley Curry, daughter of NBA Champion and MVP Stephen Curry, has been recently pictured having her ankles taped for support by her father. The picture captioned “Must run in the family,” comes after many of her relatives have been known to suffer from weak ankles. Stephen suffered from ankle issues early in his career causing him to miss much of the 2011-12 season as well as some of the 2013 season. Seth, Riley’s uncle also suffered from ankle injuries during his senior year at Duke.

Ankle injuries are often common, but need immediate treatment. If you have any concerns about your ankles contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

What To Know About Ankle Injuries

It is very common to incur an injury to the ankle. As the point of connection from the leg and the foot, the ankle is susceptible to sprains and fractures due to its location. Ankle sprains, the most common ankle injury, occur when the foot is twisted in an unnatural way. This unnatural twisting results in severe pain as a result of inflammation and swelling. This inflammation and swelling comes from fluid leakage into the tissues, which sensitize and place additional pressure on the nerves. Heavy blood flow also occurs, which is why swollen ankles are warm to the touch. Ankle sprains can occur by the following means:

• Sports injuries
• Slipping on stairs
• Walking on uneven ground

While ankle sprains can be minor, if you are experiencing severe pain, bone deformity, loss of sensation or even an inability to walk, it is a sure sign that you require immediate medical attention. X-rays could determine potential fractures. The ankle can experience injury in the joint, tendons, and ligaments. Anytime there is an ankle injury ice should be applied to the injured area in order to reduce inflammation. To reduce pressure, elevate the ankle above the level of the heart and apply an elastic bandage as needed.

If you have any concerns contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot or ankle needs.

Read more about ankle injuries.

Ankle injuries are a very common injury to the foot. The ankle is the point of connection from the leg and the foot. The joint is the point where the tibia (big leg bone), fibula (small leg bone) and the talus (top of the foot) all meet. These bones are held together by tendons and ligaments. Tendons hold muscles to bone and ligaments hold bones together. An ankle sprain involves the ligaments of the foot.

Ankle sprains occur when the foot is twisted in an unnatural way. While sports injuries have many ankle sprains, other common experiences such as slipping on stairs or walking on uneven ground can result in an ankle sprain. When the foot twists in a way that is not natural, the ligaments will be stretched.

Immediately after an ankle sprain occurs, there will be fluid leakage into the tissues. This causes inflammation and swelling which results in pain. Nerves are sensitized and the increase in fluids puts additional pressure on the nerves which causes an increase in pain. When this occurs, heavy blood flow to the injured area will often result in heat, making swollen ankles warm to the touch.

Severe pain, deformity of the bone, loss of feeling, and inability to walk for even minimal amounts of time are indications that you need to seek immediate medical attention. The ligaments that hold the foot bones together might become too stretched which can cause the bone to feel out of place or dislocated. A podiatrist will provide an examination to make sure there is feeling present, adequate movement, and that the tendons have not been damaged. If symptoms warrant it, an x-ray will be ordered to determine possible fractures.

One of the first things to do after an ankle injury is to apply ice to the area of injury. The immediate use of ice helps to reduce inflammation, but should not be applied directly to the injured area. Reducing the pressure on the ankle is another key step when treating sprains. This involves elevating the ankle above the level of the heart to reduce the flow of fluids. An elastic bandage may be needed which provides support for the ankle and prevents inflammation through compression.

Limiting motion of the injured ankle will help speed up the recovery. Using a brace or crutch is an effective way to limit motion and promote a speedy recovery. If properly addressed, ankle sprains can heal in a minimal amount of time. There may be some limitation as to movement, however, stretching and rotation of the joint can get it back to prior injury status.

John Calvo has been suffering from gout since he was 25 years of age. Nearly twelve years later Calvo understands what triggers gout attacks and what can prevent them. Calvo recalls the pain felt during his first couple of attacks stating, “I just thought I had a broken toe… Bloodwork was done. Doc said it showed uric acid levels of a 40 year old.” Since then Calvo has found his gout attacks occur after drinking beer and his relatives have attacks after eating pork and shellfish. While uric acid is found in nearly every organism, high protein meats or foods with high levels of purine are most likely to trigger an attack.

Gout is a foot condition that requires certain treatment and care. If you have any concerns regarding gout, consult with Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will assist you with all of your foot and ankle needs.

What is Gout?

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

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

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

If you have any questions, please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic and holistic treatment protocols for all your individual foot and ankle needs.

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Fifteen years ago, Dipa Karmakar was a flat-footed six-year-old participating in gymnastics when Coach Bishweshwar Nandi decided to take her on. Today the partnership has corrected her flat foot and Karmakar has recently won the bronze medal at the Asian Championships in Japan. “I still remember Dipa coming to see me as a flat-footed kid, which is not good for a gymnast. It affects the spring her in jump,” stated coach Nandi. Since the fix, Karmakar has had a variety of successes including becoming the first Indian woman to win a Commonwealth medal at the 2014 Glasgow games on the Vault table.

Most arches will develop in children after a certain age. If you suspect that your child has the condition, speak to Dr. Kevin H. Lapoffof Lake Worth Podiatry. Our doctor will answer any of your foot and ankle related questions and attend to all of your podiatric needs.

What are Flat Feet?

Flat feet are 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. Standing about 20-30% of the population generally has flat feet because their arch 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 office located in Lake Worth, FL. We offer the newest diagnostic tools and treatments for your foot and ankle needs.

Read more about Flat Feet

Affecting about 20-30% of the population, flat feet is a condition in which the foot’s arch either drops or never develops. Flat feet is relatively common in babies and small children as a result of the arch not developing. Adults can develop flat feet as a result of injury or pregnancy due to increased elasticity. However, in adults flat feet is usually a permanent condition.

Flat feet can make walking difficult since it places undue stress on the ankles. This stress throws off the general alignment of the legs since flat feet cause the ankles to move inward, causing discomfort. Flat feet can also affect the knees since arthritis is a common condition in that area. Fortunately, in many cases flat feet do not directly cause any pain.

When it comes to runners, there are specific shoes that can help realign the ankles and provide more support while lessening the amount of pronation involved. Running often causes weight shifting very quickly, so it’s important to be informed whether or not you are affected by flat feet. Knowledge about flat feet is crucial, especially when it comes to preventing injuries.

To be able to diagnose flat feet, a test commonly used is known as the wet footprint test. In the wet footprint test, the individual places a flat foot on a surface to generate a footprint. If there is no indication of an arch or any indentations, that person could have flat feet. In any case, if there is a possibility of having flat feet, a podiatrist should be consulted.

Once flat foot has been diagnosed, it can be treated by wearing insoles. There are two types of flat feet. The first type is rigid, where the feet appear to have no arch even if the affected person is not standing. The other condition, known as flexible flat feet, occurs when the arch seems to ‘go away’ when someone is standing but appears while sitting. In the case of flexible flat feet, unless pain is caused by the condition, there is no need for treatment. However, in the case of rigid flat feet or pain involved in flexible flat feet, orthotic insoles and exercises are prescribed to help the arches develop.