Changes in the feet sometimes provide the first clues to peripheral artery disease, or PAD. This condition develops when narrowed arteries restrict blood flow to the legs and feet. A podiatrist begins the evaluation by asking about symptoms and reviewing medical history. Questions focus on leg pain while walking, foot discomfort at rest, and wounds that heal slowly. The podiatrist also reviews risk factors like smoking, diabetes, and high cholesterol. Some patients have few noticeable symptoms, making a careful examination especially valuable. Finding circulation problems early helps guide treatment before reduced blood flow causes potentially serious tissue damage.

During the examination, the podiatrist checks pulses in the feet and ankles. Skin temperature, color changes, and slow-healing sores provide additional clues. However, these findings alone do not confirm PAD. The next step frequently involves an ankle-brachial index, or ABI, which compares blood pressure at the ankle with blood pressure in the arm. Blood pressure cuffs and a handheld ultrasound device measure both pressures. A lower ankle pressure suggests reduced circulation. An ABI of 0.90 or below supports a PAD diagnosis. The podiatrist performs this test or arranges testing at a vascular laboratory, then reviews the results alongside the examination findings.

Additional testing helps when the initial results do not explain the symptoms. Diabetes and kidney disease sometimes cause stiff arteries that make ankle pressure readings misleadingly high. In these cases, a toe-brachial index compares blood pressure in the toe with pressure in the arm. Testing after treadmill walking also helps identify circulation problems that resting measurements miss. A more detailed ultrasound examines blood flow and locates narrowed arteries. If you have symptoms of peripheral artery disease that affects the feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

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 Dr. Lee R. Stein from Lake Shore Foot & Ankle, PC. 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 one of our offices located in Chicago, and Highland Park, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A split toenail occurs when the nail develops a crack, separation, or break. Toenails can split because of pressure, injury, or changes within the nail. A vitamin deficiency may affect nail strength, while a nail infection can change nail texture and make it easier to break. Symptoms may include a visible split, rough edges, or discoloration. Paying attention to these changes can help protect the nail.

Several risk factors can make toenail splitting more likely. Repeated injury from wearing tight shoes can place pressure on the nail and cause damage. Frequent moisture can weaken the nail. Certain nail infections may cause thickening or brittleness, which can lead to splitting. Nutritional deficiencies may contribute when the body lacks nutrients needed for healthy nail growth. Additionally, age can also affect nail texture. Keeping nails trimmed properly and wearing comfortable shoes can reduce stress.

Strong toenails provide an important layer of protection for sensitive tissue underneath. Healthy nails help shield the toe from pressure, friction, and impacts. When a toenail splits, the opening can expose the nail bed and create an opportunity for irritation or infection. A podiatrist can examine the nail and look for infection or injury. Treatment may include trimming damaged edges, treating an infection, or recommending nutrition. The goal is healthy growth.

At home, keep the nail clean and dry, and avoid pulling at a loose section. Choose shoes with enough room for your toes and trim toenails straight across. Avoid harsh products that can dry the nail and surrounding skin. If the nail becomes painful, discolored, or repeatedly splits, podiatric care can help identify the cause. Your podiatrist can recommend steps to protect the nail. If you have split toenails, it is suggested that you consult a podiatrist for effective treatment tips.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Lee R. Stein of Lake Shore Foot & Ankle, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Chicago, and Highland Park, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Orthotics are medical devices designed to support the feet and improve how they function during movement. They may help align the foot, correct certain deformities, or prevent existing problems from worsening. Foot orthotics can also reduce pressure on painful areas and support a natural walking pattern. These devices are used for several foot and ankle problems, including plantar fasciitis, arthritis, and flat feet. Orthotics may also be useful for certain tendon problems or sports injuries. By changing how forces are distributed across the foot, an orthotic device can reduce abnormal pressure during weight-bearing activities.

Different types of orthotics are available depending on a person’s foot structure and medical needs. Prefabricated orthotics are standardized devices that can be prescribed for several foot problems. Custom foot orthotics are individually made and may be appropriate when specific support is required. Some custom devices provide cushioning and absorb shock, while others are more rigid to help control unwanted foot movement. Orthotic treatment may improve mobility and reduce discomfort. For example, arch support can help redistribute pressure in people with flat feet. Certain orthotic devices can also reduce stress on damaged tendons or help control movement in arthritic joints.

A podiatrist can evaluate foot mechanics and determine whether orthotics may be appropriate for a particular condition. This evaluation can include examining the foot’s structure and identifying areas experiencing excessive pressure. A podiatrist can then recommend an orthotic based on the specific problem rather than using a one-size-fits-all approach. The goal may be to improve alignment, reduce pain, or protect sensitive areas of the foot. Orthotics can be part of a broader treatment plan for both short-term and long-term foot conditions. The appropriate device depends on the diagnosis and amount of support required. If foot or ankle pain continues to interfere with comfortable movement, it is suggested that you make an appointment with a podiatrist.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Lee R. Stein from Lake Shore Foot & Ankle, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact one of our offices located in Chicago, and Highland Park, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toe pain can develop after an injury, and a fracture is one possible cause. Toe fractures commonly occur when a heavy object falls on the foot or when a toe is forcefully stubbed. These injuries can affect movement because the toes help support the foot while walking. Common signs of a fractured toe include pain, swelling, and tenderness. Bleeding may also develop beneath the toenail, particularly when the toe has been crushed. Although many toe fractures involve little movement of the broken bone, certain injuries can be more complicated and require medical attention.

Diagnosing a toe fracture depends partly on the location and appearance of the injury. X-rays may be needed when the toe appears rotated, a joint may be involved, or part of the big toe is injured. When imaging is necessary, different X-ray views can help medical professionals examine the damaged bone. A displaced fracture means that the broken portions of bone have moved out of their normal position. A toe that appears deformed may indicate a more complicated injury. Fractures involving the big toe can require particular attention because this toe plays an important role in supporting the foot.

A podiatrist can examine toe pain after an injury and determine whether a fracture may be responsible. The examination can assess swelling and tenderness while checking the position of the injured toe. Imaging can provide additional information when needed. Treatment depends on the type and severity of the injury. Many toe fractures involve stabilizing the injured toe next to another toe. However, a displaced fracture may require the bone to be returned to its proper position before stabilization. Certain fractures may require other measures to keep the bone positioned during healing. Professional evaluation can help determine appropriate treatment. If ongoing toe pain, swelling, or tenderness follows an injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Lee R. Stein of Lake Shore Foot & Ankle, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Chicago, and Highland Park, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.