Monday, 14 December 2020 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

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Monday, 14 December 2020 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

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Monday, 07 December 2020 00:00

Scans to Detect Peripheral Artery Disease

Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are two kinds of noninvasive imaging studies that can be used to visualize the blood flow in different areas of your body, including your lower limbs. A podiatrist may request that you undergo one of these imaging studies if they suspect that you might have peripheral artery disease, a condition that causes poor circulation to the lower limbs. Both of these tests require the patient to lie down on a motorized bed that moves through a scanner, which takes images of your lower legs. CTAs require the injection of an intravenous contrasting agent and the use of radiation in order to see your blood flow, while an MRA may or may not require the use of a contrasting agent, but does not use radiation. For more information about these and other tests to assess blood flow in the lower limbs, please speak with a podiatrist.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

The most common tests include:

Ankle-Brachial Index (ABI) examination
Doppler examination
Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

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Monday, 07 December 2020 00:00

Vascular Testing in Podiatry

In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.

Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.

Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.

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Monday, 30 November 2020 00:00

Stretches That Can Help You to Feel Better While Standing

The most common side effects from standing for the majority of the work day can be swollen feet and tight calves. It is helpful to wear shoes and socks that fit correctly, as this may help to alleviate potential foot conditions.There are specific stretches that can be performed which may help to strengthen the legs. One effective stretch is referred to as Standing Half Moon, which is a simple yoga pose to perform. This is practiced by raising your arms above your head while standing normally, and slowly bending to one side. You can switch sides after a gentle stretch is felt in the calf muscles. The back and legs can be stretched by folding forward. Simply bend forward while your arms are hanging in front of you, and the stretch can be felt throughout the body. If you would like additional information about effective stretches that can protect your body while working on your feet, please consult with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Lee R. Stein from Lake Shore Foot & Ankle, PC. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

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Monday, 30 November 2020 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

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Monday, 23 November 2020 00:00

Factors That Contribute to Plantar Fasciitis

Plantar fasciitis is an overuse injury that causes inflammation of the plantar fascia, a ligament that runs along the bottom of the foot and connects the heel bone to the toes. This condition can cause foot pain, redness, swelling, and warmth. While plantar fasciitis is caused by repetitive overstretching of the plantar fascia and can affect anybody, there are certain risk factors that can make someone more likely to develop this condition. These include having very high arches or flat feet, being female, regularly walking, running, or dancing for exercise, being engaged in activities or occupations that require standing for prolonged periods of time, being between the ages of 40 and 60, wearing high heels, being overweight, having poor foot biomechanics, rapidly changing your activity level, and tightness in the hamstring muscles, calves, or Achilles tendons. For more information about plantar fasciitis, as well as diagnostic and treatment options, please speak with a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

Excessive running
Non-supportive shoes
Overpronation
Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

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Saturday, 14 November 2020 00:00

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!

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Monday, 16 November 2020 00:00

Laser Surgery for Plantar Warts

Plantar warts are warts that occur on the bottom of the foot. There are many different treatments for these warts, such as topical medications and freezing the warts off with liquid nitrogen. If these treatments have failed, or if the warts are large and widespread, laser surgery to remove the warts may also be an option. During this procedure, a beam of light is aimed at the foot to destroy the wart tissue. Anesthesia may be used to minimize pain. If you have plantar warts, it is suggested that you consult with a podiatrist to find the right treatment for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Lee R. Stein from Lake Shore Foot & Ankle, PC. Our doctor will assist you with all of 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

Lesions 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

Treatment

Freezing
Electric tool removal
Laser Treatment
Topical Creams (prescription only)
Over-the-counter medications

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, can 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.

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