Monday, 07 August 2023 20:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Monday, 30 October 2023 20:00

Reasons for Swollen Feet

Swollen feet can cause both inconvenience and discomfort, but ignoring them may be dangerous, as edema can be a symptom of an underlying condition. One of the most common causes of swollen feet is pregnancy, which can be the result of increased fluid retention and hormonal changes. Injuries to the leg or ankle can lead to swelling, as ligaments stretch beyond their normal range of motion. Lymphedema, another cause of swelling, results from the accumulation of lymphatic fluid, often after cancer radiation therapy or lymph node removal. Venous insufficiency, which stems from damaged vein valves in the legs and feet, can also cause the feet to swell, and can be accompanied by potential symptoms such as ulcers and skin discoloration. Infections pose a risk, especially for those with diabetic neuropathy or nerve problems, making regular foot exams with a podiatrist essential for diabetics patients. Certain medications can induce foot swelling as a side effect, necessitating consultation with a podiatrist. Arthritis can affect joints, causing swelling as a result of increased synovial fluid or inflammation. While mild foot swelling may not always warrant medical attention, chest pain, breathing difficulties, or shortness of breath require immediate evaluation as they may indicate pulmonary edema. If you notice sudden or unusual swelling in your feet, it is strongly suggested that you make an appointment with a podiatrist at your earliest opportunity.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Thomas Vail, DPM of Step Alive Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Findlay, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Monday, 30 October 2023 20:00

Swelling of the Feet

There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.

Flat feet, also known as fallen arches, are a common condition that affects individuals of all ages. Identifying whether you have flat feet involves recognizing various signs and symptoms. First, stand on an even surface and observe the soles of your feet. If your arches touch the ground entirely or appear significantly lowered, you may have flat feet. Pain or discomfort in the feet, particularly in the arches, heels, or calves, can also indicate flat feet. Additionally, your shoes may wear out more on the inner side, revealing your foot's pronation pattern. Consulting a podiatrist for a thorough evaluation and diagnosis is essential to determine if you have flat feet. A podiatrist will explore appropriate treatments and support options for your specific needs. If you think you have flat feet, it is suggested that you schedule an appointment with this type of doctor as soon as possible.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Thomas Vail, DPM from Step Alive Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is 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. About 20-30% of the population generally has flat feet because their arches 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 Findlay, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 23 October 2023 20:00

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Toenail fungus, medically known as onychomycosis, can be a persistent and unsightly problem. However, staying vigilant and proactive can help you maintain healthy toenails. One of the primary prevention strategies is maintaining good foot hygiene. Regularly wash your feet with soap and water, ensuring to dry them thoroughly, especially between the toes. Keep your toenails trimmed and cut them straight across to prevent debris buildup. Opt for breathable footwear and moisture-wicking socks to reduce the risk of fungal growth in damp environments. If you visit public pools or locker rooms, it is helpful to wear shower shoes that can minimize contact with potentially contaminated surfaces. Additionally, avoid sharing personal items such as nail clippers or shoes with others. Lastly, manage underlying health conditions, as problems like diabetes or weakened immune systems can increase susceptibility to toenail fungus. If you have toenail fungus, it is strongly suggested that you speak with a podiatrist for effective treatment methods and additional prevention strategies.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Thomas Vail, DPM of Step Alive Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our office located in Findlay, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Monday, 16 October 2023 20:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Monday, 20 November 2023 19:00

Understanding How to Live With Gout

Gout, a form of arthritis, paints a distinctive portrait of discomfort that individuals must learn to decipher. Recognizing the signs is pivotal, and sudden, intense joint pain, often in the big toe, signifies the onset. Swelling and redness can accompany these flares, underscoring the need for early identification. The causes of gout reside in an excess of uric acid, leading to the formation of sharp crystals in the joints. Factors such as diet, genetics, and underlying health conditions contribute to the heightened uric acid levels. Living with gout necessitates a multidimensional approach. Adopting a gout-friendly diet, staying hydrated, and managing weight are fundamental steps. Navigating life with gout demands an understanding of one's body and a commitment to a holistic lifestyle that fosters joint health and overall well-being. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Thomas Vail, DPM from Step Alive Foot & Ankle Center. Our doctor will treat 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 Findlay, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 20 November 2023 19:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Monday, 13 November 2023 19:00

Foot Pain From Working on Your Feet

Any job that requires you to stand on your feet all day can be tough. At first, it may begin with sore feet, but with time, you may become generally tired. Your feet and legs carry your body weight and help you to stay upright. Standing too long may cause pain, swelling, and cramps as a result of fluid buildup and poor blood flow. This is not just a problem for factory, warehouse, or healthcare workers; it is something that is noticed in many jobs, such as oil rigs, restaurants, and retail. The discomfort can get so bad it feels like your feet are on fire. As the day goes on, your feet may become numb, causing feeling to become temporarily lost. If you have a job that requires you to stand on your feet all day, it is suggested that you make an appointment with a podiatrist who can help you by providing strategies and treatment that can protect your quality of life and job performance.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Thomas Vail, DPM from Step Alive Foot & Ankle Center. 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 our office located in Findlay, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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