Treatment for Bunions in MarylandBunions are one of the most common disorders treated by podiatrists across the country. Wearing any type of shoe may be painful when you have a bunion, and the bigger your bunion gets, the more it hurts to walk.

Bunion surgery, or bunionectomy, realigns the bone, ligaments, tendons and nerves so your big toe can be brought back to its correct position and the bump on the inside of the joint removed.

Most bunions can be treated conservatively with wider & softer shoes, pads to relieve the pressure and/or medications. If this does not help then surgical treatment is indicated.

If you are considering bunion treatment from a Maryland Podiatrist please contact our podiatry offices today to schedule a consultation.

Dr. Burton Katzen class of “71” has been elected president of the Temple University School of Podiatric Medicine alumni board of directors and will serve a two year term beginning July 1st. Drs’ Jay Schnitzer will serve as vice-president, Jeff Keating as treasurer, and George Yarnell as secretary.

Dr. Katzen also announced that the 8th annual Alumni board foot and ankle seminar will be held the weekend of September 17th at the school. The previous seminars have raised over $200,000.00 with the money going to the student scholarship fund.

Also, an alumni dinner and reception will be held in conjunction with the national convention on July 15th at the Philadelphia Downtown Marriott. For tickets and information contact Pamela Vasserman at the alumni office at (215) 625-5258.

Treatment for Broken AnklesAt its mildest, ankle pain is uncomfortable. In its most severe cases, ankle pain can be debilitating, rendering the sufferer unable to walk. Most often, ankle pain is described as a dull, persistent ache that occurs when the ankles bear weight or when they are in motion. Ankle pain can occur in anyone, regardless of age or gender. However, it’s most common in athletes and men under the age of 24. In women, ankle pain is more prevalent over the age of 30.

What causes ankle pain?

Often, ankle pain occurs after a fall or sports injury. However, there are numerous other causes of ankle pain. A sprain is one of the most common causes. An ankle sprain results from injury to the ligaments that connect the ankle bones. If one of the bones in the ankle is fractured, ankle pain is often severe.

Sprains and fractures due to injury aren’t the only causes of ankle pain. Less common causes include gout, osteoarthritis, and even infection. In runners, a frequent cause of ankle pain is Achilles tendonitis. This occurs when the calf muscles at the back of the leg are overworked.

Diagnosing ankle pain

To determine the cause of your ankle pain, your podiatrist will begin by asking you questions: how long have you been in pain? What were you doing when the pain began? Then, your podiatrist will examine your ankle. Often, an X-ray is ordered to determine if there is a sprain or fracture. Sometimes, fluid is taken from the ankle joint to check for infection.

Treating ankle pain

The treatment plan for ankle pain depends on the underlying cause. Many cases of ankle pain are treated with rest and immobilization. You might be required to use crutches for several weeks. Your podiatrist might also suggest elevating your ankle when you’re at rest. Additionally, your podiatrist might also direct you to apply ice to your ankle a few times each day in an effort to reduce swelling. Compression bandages can also be used to reduce swelling. Anti-inflammatory medications might also be recommended to help with pain and swelling.

If you’re suffering from ankle pain that is not resolving, please contact us today to learn more.

Foot Care For Wearing HeelsIn May 2015, The Journal of Foot & Ankle Surgery® published a study that confirmed what podiatrists have known for decades. High-heel shoes may potentially cause wearers to experience ankle sprains as well as a cavalcade of other injuries. The study looked at foot and ankle injuries over a span of 10 years, starting with 2002. But one doesn’t have to go back that far to see what kind of damage wearing high-heels can do to the ankle.

In April 2015, high-heel wearing Britney Spears had a very public accident on stage. The video of her injury made its rounds on social media and in the mainstream media. So, many people got to see the unfortunate incident go down. In the end, she had to alter her tour schedule to accommodate what the media reports widely claimed was an ankle sprain.

When a woman sprains her ankle, doctors will assign the injury a grade. The grades run from one to three with three being the most severe. It often involves mid-section ruptures or separation of the ligament from the bone. Once the ligament ruptures or separates from the bone, the person must be immobilized and kept that way for an extended period of time.

If the ankle injury does not look like it will heal properly, scheduling surgical reconstruction or arthroscopy may be the next logical step. Oftentimes, when combined with physical therapy, it will completely reverse the damage. However, in some segments of the population full restoration of ankle movement may not be possible (e.g. elderly). The ultimate outcome of grade three ankle sprains all hinges on numerous factors. A podiatrist will typically review a patient’s case file prior to recommending surgery just in case.

Lower grade ankle sprains are treated differently, although rest and immobilization may be a part of the person’s care plan. Healing time is generally shorter and range-of-motion exercises are typically a central part of the plan. Anti-inflammatory drugs may be prescribed for painful ankle injuries as well. If you or a loved one experiences a high-heel related ankle sprain, please seek professional podiatry care right away.


Image courtesy of Marin/ FreeDigitalPhotos.net

Understanding Plantar Fasciitis and Finding Remedies for the PainWhen you’re having heel pain, you’ll try anything to get rid of the pain. One technique that is rapidly gaining popularity today is shockwave therapy for heel pain.

This therapy works on the proven theory that creating micro-trauma on a cellular level causes the blood vessels and bone cells within your body to regenerate so that they heal faster. As such, it is a safe, non-invasive way to treat many chronic conditions.

What some people find funny is the paradox here that when you damage your foot, you actually heal it. The technique used here involves a series of movements that place tension on the area of your heel that’s causing the pain. Your technician then uses a shockwave hand piece transmitting shock waves to this area for four or five minutes.

These shocks feel like a small baseball bat that’s hitting your heel’s tissue causing the microbleeding and bruising that aren’t too painful and thus don’t require any anti-inflammatory drugs or icing. The bruising is actually a necessary part of the repair process that takes place over the next few months.

So, while the process is uncomfortable, it isn’t painful. Even the minimal amount of discomfort you feel diminishes as the treatment goes on. Therefore, there’s no reason you wouldn’t want to undergo the treatment again in the future. In fact, considering that you’ll experience between a 70% and 90% reduction in your pain, you’ll want to have at least three or four more treatments so that you can walk on your heels once again.

Treatment for Corns and CallusesWarm weather is coming and your tootsies need to be in excellent condition to pull off the hottest looks. Unfortunately right now, they’re literally a train wreck waiting to happen. You’ve got foot corns and calluses, not to mention ratty cuticles and discolored nails.

What to do, what to do? We know, try these great podiatrist approved tips and get rid of those problems before the sun shines:

Soak your feet for 30 minutes then rub those softened calluses away with a sanitized pumice stone. Skip the callus shaver, metal rasp and acidic pads, especially if you have peripheral neuropathy. In the wrong hands, they have a tendency to be harsh on the skin and can cause nasty cuts as well as serious foot infections.

Before going to bed each night, treat your feet to a moisturizer. Slather one on and then cover your tootsies with clean, cotton socks. Otherwise, the moisturizer is apt to end up all over the bed sheets and your bedroom slippers not to mention the bathroom floor. Good choices are creams that contain vitamin E or non-acidic, prescription corn medications.

Reduce the amount of pressure on your feet as often as possible, even if it means buying some new things. After all, having healthy feet and feeling comfort are well worth the investment. Put gel floor pads down at work and change your footwear. Ask your podiatrist about shoes with built-in dells as well as moleskin, felt pads and orthotics.

Check yourself in the mirror and watch how you walk. Take steps to improve your posture and keep the weight placed onto your feet during everyday activities on an even keel. If necessary, see a specialist and ask about therapy that may improve your body’s mechanics overall.

Finally, consider having a licensed podiatrist remove the remaining foot corns and calluses for you. In 99.9% of the cases, this type of work is performed in podiatry offices and won’t keep people from resuming their normal activities. For information about making an appointment, please click here.

Treatment for Corns and CallusesCorn and calluses are thick layers of dead skin that normally develop on your feet and toes. They are caused by excessive friction or pressure often from ill-fitting, tight shoes. Another cause is due to frequent, repetitive motions such as running that cause friction between the bones, skin and shoes. There are different ways to treat these embarrassing foot conditions. Here are just some of the proven methods at treating them.

One method is investing in surgery. This is a necessary option for removing stubborn corns, but it is rare. However, if your corns and calluses are not relieved by periodic shaving, shoe inserts or padding, this option is the way to go.

Another option is treating your corns and calluses yourself. You could do this by soaking your feet in warm water. After drying your feet, rub them gently with a pumice stone. Moisturize them with a good foot lotion. Repeat every day or every few days as needed.

Here is a natural remedy for treating corns that looks interesting. Place a raisin on top of the corn and hold it in place with a band-aid. The raisin will soften the corn and serve as a cushion to reduce pressure on the sensitive spot. You could find this idea here.

The last option in treating these foot conditions is seeing a foot specialist, or a podiatrist. If your corn or callus makes it hard for you to even walk, you may want to consider this option. A podiatrist may suggest special padding or shoe inserts that could relieve some of the stress on your feet. However, if your corn or callus is painful, he may just shave it away.
Getting rid of foot corns & calluses isn’t easy, but with a lot of effort it can be accomplished. Just be sure to wear comfortable shoes as much as possible. For more information on corns and calluses, visit www.health.harvard.edu/pain/calluses-and-corns.

podiatrist examines a bunion on a foot

podiatrist examines a bunion on a foot

Bunions are deformities of the MTP (metatarsophalangeal) joint, which lies at the base of your big toe. This condition can severely affect your foot from functioning properly, as well as cause discomfort and damage your other toes. If you have a bunion, you need to get a professional diagnosis and receive treatment from a Clinton podiatrist.

Diagnosing Bunions

It can be obvious that you have a bunion from the pain and the odd shape of your big toe. However, you still should get a professional diagnosis.

  • X-Rays—In most cases, a podiatrist will x-ray your foot to evaluate the severity of the condition.
  • Blood Tests—These are done to determine if a particular form of arthritis is the cause of the pain.

Nonsurgical Treatments

Fortunately, most bunions can be treated at home, without needing surgery. The goal of any bunion treatment is to alleviate toe pain, as well as stop the bunion from growing worse.

  • OTC (over-the-counter) pain medications, as well as medicines designed to relieve inflammation, can help relieve symptoms
  • Warm foot baths and heating pads can be effective in easing discomfort
  • Ice packs are another way to treat bunions. They should be applied to your toe joints for 10- to 20-minute intervals.
  • Splints, bunion pads and shoe inserts are also used in treating symptoms.
  • Wearing “roomy” shoes that have deep and wide toe boxes (the area surrounding the toes) can help. Don’t wear narrow, tight shoes or high heels that place pressure on our big toe joint.
  • Prescription shoes, which are made with specially designed insoles that help relieve pressure from affected joints, is another treatment. These shoes also are effective in helping the foot become restored to its correct shape.

Bunion Surgery

Sometimes surgery is necessary when severe symptoms are involved. This type of surgery, known as a bunionectomy, is done to realign the bone located behind the big toe. To do this, a podiatrist cuts the ligaments at the joint.

In severe cases, an osteotomy may be needed in which the bone is cut. This surgery involves using screws and wires to secure the bones. It also entails shaving or removing the excess bone.

Warnings

  • As with most surgeries, there’s always the chance of side effects. Complications may occur, such as bunion recurrence, limited toe motion and pain.
  • Bunions generally develop by your feet being continually squeezed into pointed-toe and narrow footwear.

Ignoring bunions only intensifies the condition. Don’t hesitate to contact our Clinton foot clinic today if you have bunions.

Can You Treat Morton’s Neuromas with a Trip to the Massage Parlor?Many international tennis fans were saddened to learn about Milos Raonic. In the week before Memorial Day 2015, the 24-year-old, Canadian tennis player found himself in an unfortunate situation. The source of his consternation was an ongoing foot injury.

For those that may have missed the sports headlines, he had Morton’s neuroma. The tennis pro tried surgical intervention to correct the problem but has yet to fully recover.

For many people who undergo a neurectomy, the post-surgery recovery period typically takes six weeks. By all media accounts, the tennis pro opted to have his surgery in early May. So, it is no wonder that he was unable to resume his frenetic pace in time for the start of Roland Garros tournament. At this point, he’s shooting for a return to the courts in late June and we hope that he makes it.

Morton’s neuroma is a common ailment that befalls pro tennis players and amateurs alike. It is brought about by a number of things, including playing on tennis courts for extended periods of time in athletic shoes that have certain types of toe boxes and little padding. The toe boxes compress the tennis player’s foot and a lack of padding doesn’t help matters either. As a result, one of the nerves in the foot becomes pinched.

Once pinched, the nerve becomes grossly irritated and misshapen. It also worsens over time if not treated effectively with one or more of the following:

  • Cortisone Injections and Oral Non-Steroidal Drugs
  • Modified Athletic Shoes and Supplemental Padding
  • Custom Orthotics for Tennis Players
  • Ice Pack Therapy and Activity Restrictions

Raonic allegedly began showing signs of his discomfort as early as April 2015. So he clearly wasted no time in receiving expert care from a podiatrist. Unfortunately for him, his case required surgical intervention. To learn more about the surgical methods used to treat professional athletes who have Morton’s neuromas, please contact a podiatrist or licensed foot surgeon.

5 Great Things to Do for Your Overworked, Flat Feet TodayDo you have overworked, flat feet that could use a little “me time?” Chances are you do. So, why not take time out and show those tired tootsies that you really do care about them? It’s a lot easier to get started than many overworked Americans think. To prove our point, here are five great things that you can easily do for your overworked, flat feet today:

    1.) Issue an Independence Day Proclamation

    Proclaim that it is Independence Day and release your feet from bondage. Once they’re out of your shoes and socks, wiggle them around a bit in the fresh air. Wiggling your naked feet al fresco may seem like a silly act but it’s really helping to do two, important things. First, it will help improve circulation in your lower extremities. And second, it will help get rid of any odor-causing moisture that may have been trapped next to your skin.

    2.) Break Out the Herbs, Salts and Warm Water

    Now that you’ve got the blood flowing, prepare to break out the fresh herbs, salts and warm water. It’s time for a quick soak. There are many types of DIY foot soaks that may help temporarily wash away the pain and funk of the day. A few to consider are arnica tincture, chamomile tea, Epsom salts, vinegar and peppermint tea.

    3.) Rub-a-Dub-Dub, It’s Better than a Scrub

    After the soak, dry off those flat feet and apply a wonderful moisturizer. Rub it in good and consider topping the massage off with a paraffin wax treatment to lock in the moisture. If you don’t have paraffin wax, try temporarily applying a heavy alternative that contains cooling agents. Examples include thick oils and petroleum jellies that have been infused with peppermint oil.

    4.) Rest and Elevation

    Afterward, wipe off all surface traces of the wax, oil or jelly. When your flat feet are clean and dry again, go ahead and prop them up while you relax in your favorite chair. It’s a great time to elevate the legs and let your entire lower body rest up for the following day.

    5.) Reach for a Pair of Massage Sandals

    Finally, if you have to get up and move around, reach for a pair of massage sandals without the toe straps. They are designed to help gently manipulate and support the arches while increasing blood flow. As such, they may just help get rid of any residual pain you may be feeling.

Next Page »

Dr. Burton Katzen, class of “71” has been elected president of the Temple University School of Podiatric Medicine alumni board of directors.

Burton-Katzen-Podiatrist

An alumni dinner and reception will be held in conjunction with the national convention on July 15th at the Philadelphia Downtown Marriott.
For more information, click here.

Subscribe!