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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.
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 one of our podiatristsof The Podiatry Center. 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 offices located in Richmond and Glen Allen, VA. We offer the newest diagnostic tools and treatments for your foot and ankle needs.
Ohio State University Wexner Medical Center surgeon, Dr. Timothy Miller, recently streamed an Achilles tendon surgery on the video-streaming appPeriscope. Dr. Miller is one of the first among many surgeons using the app hoping that it will help advance medical education. In this day and age of medical education, students and residents are all equally busy which makes the viewing of cases like these increasingly difficult. The streaming session reeled in nearly 170 live viewers, was viewed more than 800 times after during the 24 hours Periscope archived the surgery, and with the help of an assistant in the operating room, five to six questions were answered during the procedure.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns about your feet or ankles, contact Dr. Glen R. Wilensky and Dr. Julie A. Greenwood of The Podiatry Center Richmond. Our doctors will treat your foot and ankle needs.
What is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.
What are the symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our offices located in Glen Allen and Richmond, VA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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.
Gareth Bale of Real Madrid has undergone a series of medical tests to ensure his toe is not broken. Bale was sent to Sanitas La Moraleja after suffering a blow to his right toe during a game in Gijon. While the x-rays revealed Bale had no broken bones, the club has taken the matter seriously to quickly rule out injury. Bale has since been preparing for a game against Betis.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns contact one of our podiatrists of The Podiatry Center. Our doctors 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 offices located in Richmond and Glen Allen, VA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
According to a research conducted in New Zealand, where there is the most gout cases compared to anywhere else in the world, tomatoes may trigger gout attacks. In a survey consisting of 2,051 New Zealand citizens it was noted that tomatoes along with seafood, alcohol, and red meat are consistent triggers of gout. N. Lawrence Edwards, MD who was not directly involved with the research states that although this knowledge helps gout sufferers control their attacks, food is just one factor in gout management. “People can’t go on a restrictive enough diet so that their uric acid will be lowered to the point that they’re not at risk for gout flares,” he mentions.
Gout is a foot condition that requires certain treatment and care. If you have any concerns regarding gout, consult with Dr. Glen R. Wilensky and Dr. Julie A. Greenwood from The Podiatry Center. Our doctors 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 offices located in Richmond and Glen Allen, VA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.
To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.
When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.
Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise and referrals will be made to specialists that handle the greater health problems.
Some podiatrists have their own solo small private practices or clinics where they have a small staff and administrative personnel but many work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals or visiting patients in nursing homes. They typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Some other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.
Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that result from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.
The American Podiatric Medical Association recently published a study revealing that much of this nation’s foot pain goes untreated. In a survey of 1,000 people over the age of 18, 77% reported experiencing foot pain, but only a third of those claim they would see a podiatrist. Half of the participants with foot pain say that the pain has hindered walking, exercising, playing with grandchildren, and other daily activities.
Among the group who sought podiatric help, 88% reported a quick diagnosis and 76% received treatment that eliminated the problem. A third of the group said that their visits to the podiatrist exposed other health concerns, such as diabetes, circulatory issues, and nerve issues.
"It's not surprising to see how many people are affected by foot pain, when survey results show that we view our feet as the least important body part in terms of our overall health and wellbeing," said AMPA President Frank Spinosa. "Our feet are literally and figuratively the furthest things from our minds."
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Seek the assistance of one of our podiatrists of The Podiatry Center. Our doctors will provide the care you need to keep you pain free and on your feet.
What is a Podiatrist?
Someone would seek care of a podiatrist when they have suffered a foot injury or have common foot ailments such as: heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
physical therapy
drugs
perform surgery on lower extremity fractures
orthotic inserts or soles
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
For more information about Podiatrists, follow the link below.
If you have any questions, please feel free to contact our offices located in Richmond and Glen Allen, VA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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