Podiatry

Turf Toe: A Tough Injury to Overcome

2011-10-10T15:13:00.000-05:00

With the fall weather comes football season – and unfortunately, with football season comes injury. Whether you find yourself at your local football field to cheer on your own football star, cheering on your high school team from the stands, watching the Buckeyes take the field on Saturdays or the Bengals or Browns on Sundays, chances are you’ll hear the expression “turf toe” at one time or another this season. The expression turf toe might lead one to believe that the injury is a minor ailment limited only to those wearing football helmets and jerseys; however, this is not the case. Turf toe often plagues dancers as well, and can actually impact anyone in the right circumstances as it is an injury to the soft tissue around the big toe joint that occurs when the toe is extended beyond its normal range of motion.

Turf toe isn’t a simple injury that pulls a player out of a game or a dancer out of a single performance. It can leave athletes sidelined for weeks in extreme pain.

The good news is that there are a few precautions you could take to limit your risk for turf toe. The number one recommendation is to wear shoes with support to prevent the toe joint from bending too far. Your podiatrist may also be able to recommend or prescribe special inserts for you that will help prevent this.

Particularly if you’ve had more than one battle with turf toe, it may benefit you to consult with a physical therapist or sports medicine specialist to see if there are steps you can take to help correct any problems with your natural gait or develop some ways to help reduce the likelihood of injury.

Feeling the Pinch this Autumn? Bunions May Be to Blame

2011-09-27T13:23:00.000-05:00

With the curtain closed on summer and sandal season, fall is the season during which Community Foot Specialists sees an upswing in patients whose feet are feeling the pinch in their closed-toe footwear. This seasonal phenomenon seems to focus on women, although there are men who have this issue. The common culprit? Painful bunions that were given room to breathe during sandal season, but now face close quarters of a fall boot or shoe.

Bunions are abnormalities that form on the joint at the base of the big toe in the form of a bony bump. They occur when the big toe pushes against the other toes, which force the big toe joint in the opposite direction. As time passes, the abnormal positioning of the toe enlarges the joint. This further crowds the toes of the foot and causes pain and discomfort.

Bunions can occur for a variety of reasons. One of the most common causes is tight shoes, although they can also come about as a result of an inherited structural or mechanical defect, a stress to the foot, or a medical condition.

To help avoid bunions, don’t wear pointed shoes. Choose footwear with a wide foot box to give all of your toes plenty of room. If bunions become so painful that they impede daily activities, the American College of Foot and Ankle Surgeons recommends discussing surgical options with your podiatrist. However, please note that Community Foot Specialists firmly believes in exhausting the most conservative foot care treatment options first before considering surgery.

Community Foot Specialists can be reached at 937-426-9500. Or you may visit our website to request an appointment, view common conditions we treat, or get any other info you might need.

Tips on Orthotics

2011-08-31T08:38:00.002-05:00

If you have orthotics or are considering purchasing them, you may want to consider the following tips to ensure that you are getting the most for your money and doing the best thing for your feet. First, keep in mind that orthotics are not just for wearing with one particular type of shoe – they can be worn with athletic shoes, dress shoes, work boots, snow shoes – pretty much all types of shoes that have a back to them and provide some support at the base of the shoe.

When going shoe shopping, be sure to bring your orthotics with you and wear them when trying on new shoes. You want to be sure that the shoe will work with the orthotic while providing comfort and the right kind of support for your foot. Likewise, you want to be sure that the orthotic will work with the shoe you have in mind.

Also, you will want to have the same shoes or stockings that you plan to wear with the shoes you purchase so that you can see how they work with your orthotics and your shoes. Make sure they are comfortable and functional.

Return to your podiatrist’s office for a follow-up evaluation of the functioning of your orthotics to ensure that they are working as they should with your feet. Your podiatrist will work to be sure that he or she has prescribed the orthotic to best meet your specific needs.

Moving to Electronic Medical Records

2011-08-09T12:14:00.000-05:00

by Dr. Allen C. Guehl

Regardless of your opinion on health care reform and whether the U.S. will be able to convert all medical records into the electronic format by the 2014 deadline, there is no denying that in this technological age, movement toward electronic medical records is all but certain.

Community Foot Specialists wants to be a step ahead of all other Dayton Ohio podiatrists in terms of electronic medical records. We are already well on our way to achieving compliance ahead of the 2014 deadline.

So what does the shift to electronic medical records mean for our patients? Even if you are just visiting us for heel pain or ingrown nails, we will be asking all patients for updated allergy information, including information on the severity and type of allergic reaction you may experience. We will also be asking for your email address, so that you can also have access to your electronic medical records if you choose to. Electronic medical records will also allow us to send your prescriptions directly to your pharmacy, which we hope will be an added convenience for you. Although we will only be treating your feet, electronic medical records will also allow us to communicate your plan of care to your family doctor to help streamline your overall care.

We ask for your patience and understanding as we transition. We are hopeful that this change to electronic medical records will be beneficial for all of our patients and for us as your doctors. If you have any questions or concerns about electronic medical records, please let us know. Your privacy and health information is very important to us, and we take your concerns very seriously. Thank you.

Study: More Americans Having Bouts with Gout

2011-07-29T09:55:00.000-05:00

A new study published in the journal Arthritis & Rheumatism reveals that 8.3 million Americans suffer from the incapacitating condition of gout – up from 6.1 million Americans 20 years ago.

Gout is caused by high uric acid levels in the bloodstream, causing crystals that precipitate in joints of the foot. Gout pain typically affects the joint of the big toe. (This is true in just about 75% of cases.) As uric acid levels increase, so does the likelihood of gout pain. Gout pain typically manifests in episodes – called gout attacks or gout flares. During a gout attack or gout flare, a person feels an extreme amount of pain and experiences severe swelling and redness in the big toe. A gout attack or gout flare can last just hours or days, but over time they can last longer, occur with greater frequency, or even become more painful.

These attacks or flares may occur only at certain times of the year. Typically they start during the night without warning. Patients sometimes complain that it hurts to even have a sheet touch the inflamed area when lying in bed. A number of triggers have been identified which are responsible for gout attacks. They include alcohol, dehydration, certain medications, stress, certain diets that are high in purines from meat and fish, and rapid lowering of uric acid levels with medication.

Treatment of gout is usually done with anti-inflammatory medication and steroids. Lifestyle changes – such as the avoidance of alcohol, diet low in purines from meat and fish, and even exercise – can be helpful in lessening the likelihood that you will suffer from gout attacks.

Worried about warts? Here's what you should know.

2011-07-18T14:45:00.000-05:00

With the beautiful summer weather comes more time by the pool. And with more time by the pool comes more foot ailments – particularly plantar warts.

This is because plantar warts are caused by a virus. They are fairly common, occurring on the sole of the foot. They are more prone to develop in areas on the sole where there is more pressure and friction.

The wart develops on the superficial, outermost area of the skin and appears as a thickened growth – almost like a callus. While normally not painful, if the wart is located on an area that is subjected to pressure it can become quite tender.

It is important to know that because warts are caused by a virus, they are contagious. In summer, it is common to see a number of patients with plantar warts picked up from walking barefoot at the pool or using the pool showers without wearing flip flops or water shoes. While plantar warts can be seen in all age groups, they are most common among children 12-16. We also see an upswing of plantar warts in the fall when college students head back to the dorms.

Since warts are common among children, it is important to make sure your children understand the importance of wearing footwear whenever possible, even when walking around the pool and especially in the shower/locker room area. Also, you should make a point to ask your child about their feet periodically or check their feet yourself for any evidence of warts or other foot conditions. Sometimes they may be embarrassed to tell you about a problem, think it is normal, or not even notice that there is a problem. However, if they are walking barefoot in your home, they could be spreading the virus on your floors and putting other members of your family at risk for warts.

And finally – please do not try any do-it-yourself fixes to rid yourself of the warts. At Community Foot Specialists, we’ve seen patients who have tried cutting the wart from your foot or the duct tape remedy you read about various places on the internet. Resorting to such methods may lead to infection. We have a few different methods available to treat the affected area. Contact our office for details.

Make Sure Wedded Bliss Doesn't Spell Agony for Your Feet

2011-06-22T15:02:00.000-05:00

Are you taking a walk down the aisle anytime soon? Invited to a wedding where you plan to dance all night? Make sure you say “I do” to wearing appropriate foot wear for the occasion – and your feet will thank you.

If you are the one making the trip down the aisle, don’t make your shoes your ‘something new’ for the day. Take some time to break in new shoes prior to your wedding day. Wear them around for the length of time you would be wearing them on that particular day to put them to the comfort test (and acclimate your feet to them). If they are not comfortable enough to wear for as long as you would want them to, you may want to consider getting two pairs – one fancier pair to make it through the ceremony and formal photos, and another more comfortable pair to kick up your heels in at your reception. Flip flops tend to be a popular reception shoe, but most do not provide much in terms of support. And if you are wearing a long gown, flip flops might prove a tripping hazard.

Also, if you are the bride, you may want to suggest that your bridesmaids change into more comfy shoes at the reception so you will have more company on the dance floor as you dance the night away.

If you are a guest to a friend or family member’s nuptials, do not overlook comfort when selecting your footwear – particularly if you plan to join the bride and groom on the dance floor for much of the evening. There are numerous styles of formal footwear that you could choose that would provide both the necessary support and the welcome comfort to ensure that your feet will be feelin’ fine.

The Importance of Consistent Diabetic Foot Care

2011-06-17T10:00:00.000-05:00

Diabetes runs in my family. Maybe that is why I have taken a particular interest in diabetic foot care, because for me it is personal.

If you are diabetic and reading this article in one of our offices, kudos to you for making regular visits to a podiatrist part of your diabetes management plan. But please keep reading - there is much you can do to help yourself and others with diabetic foot care.

Anyone with diabetes, regardless of whether they are experiencing any foot problems at the time, should receive an annual foot exam to help identify any potential changes in the condition of their foot. But they should be looking at their feet - or asking a caregiver or loved one to look at their feet - on a daily basis to be alerted to any injury or change in condition that would require a call or visit to the podiatrist. Remember that with diabetes comes a possible decrease in circulation in your feet and possible nerve damage, resulting in a loss of sensation in the feet. This sensation would normally serve as the body’s warning if an injury or ulcer were to develop.

If you know someone who is diabetic that has not had a foot exam in the last year, please encourage him or her to call our office and schedule an appointment. Share with them the knowledge that annual foot exams should be an integral part of their diabetes management plan, and that their podiatrist should be a valuable member of their health care team.

Thank you for trusting your foot and ankle care to Community Foot Specialists.

Dismissing Diabetes Diet Myths: #1 - Eating Too Much Sugar Causes Diabetes

2011-06-08T10:41:00.002-05:00

It is no secret that living with diabetes means you may have to change your eating habits and possibly cut back on certain foods to manage the condition. But there are a number of ‘diabetes diet’ myths out there that simply aren’t true. Let’s lay one to rest today.

#1: Eating Too Much Sugar Causes Diabetes – The amount of sugar you consume is unlikely to cause diabetes on its own. Diabetes occurs when your body’s ability to turn food into energy is disrupted. The body is supposed to break down the food you eat into glucose, which is a type of sugar needed to power the cells of the body. The pancreas makes a hormone called insulin, which helps cells utilize glucose for fuel. In Type 1 Diabetes, the pancreas does not make insulin. This usually occurs in children or young people, and is thought to occur as a result of something happening with the immune system. In Type 2 Diabetes, the pancreas either does not make enough insulin or the insulin does not work properly. In some instances it is both. Type 2 Diabetes can occur in people of any age, although being overweight increases risk. Gestational diabetes can occur during pregnancy for some women when hormone changes prevent insulin from working properly. While the condition may resolve after the birth of the child, those with gestational diabetes usually need to take insulin.

Essentially, it is important to note that it is not the amount of sugar that’s to blame – it is the body’s ability to metabolize that sugar properly and turn it into energy that is the problem. So while eating sugar won’t cause diabetes, when you are at risk for diabetes or when you have diabetes, it is important to limit your sugar intake somewhat.

2011-05-31T08:28:00.001-05:00

Dayton is home to Wright-Patterson Air Force Base (WBAFB) and each September, it is also home base for the Air Force Marathon. This year the marathon is scheduled for Saturday, September 17, and registration is open to all runners 18 and older. Many Dayton and Springfield area runners participate in the full marathon, half marathon, or 5k – and many will do so without properly preparing their feet for the race.

Whether you are training for a marathon or just starting a running program, it is important that you take good care of your feet and get them ready for the distance you are covering. Here are some tips to help you do just that:

Cover three-quarters of the distance you’d be running before the race. That doesn’t necessarily mean you should run it – you can definitely walk it instead of run – but your feet should know what that distance is going to feel like. That way you’ll get a sense of whether to expect blisters, chafing or another type of irritation prior to race day and can prepare accordingly.

No time for new shoes. The shoes you wear on race day shouldn’t be brand new, but they shouldn’t be old either. Shoes with right around 100 miles on them are ideal. Break them in about a month before the marathon with shorter distances and then wear them for your training walk.

Gear up. Wear what you will be wearing on race day for your long training days (including the walk) to ensure that everything will work well for you during the race. Race day is not the time to try out new gear – you want everything you use to be tried and true by race day!

These tips will help you get ready to run – no matter the distance you plan to cover! To keep a step ahead of the competition, you may also want to consider custom orthotics made especially for your feet. Call our office to schedule an appointment to be fitted for custom orthotics today!

Can a Foot Doctor Help With Back Pain?

2011-05-16T13:25:00.000-05:00

Those of us involved in podiatry on a day to day basis know that problems with your feet can often be indicative of conditions that one would not normally associate with the feet. Diabetes is a prime example of a condition that at first glance many people don’t realize heavily impacts the feet.

But did you know that certain types of back, hip or leg pain could also potentially be caused by an issue with your feet?

For example, if you have lower back pain, you may have what is known as Morton’s Toe/Morton’s Foot. Morton’s Toe/Morton’s Foot is defined by a long second metatarsal and it could potentially be responsible for what is causing you pain. This condition can not only cause pain in the lower back area, but it can also cause pain throughout the body.

There is an easy examination the doctor can do to determine whether you may have Morton’s Toe/Morton’s Foot. And the good news is that with Morton’s Toe/Morton’s Foot, you don’t have to live with the chronic pain. Treatment options for Morton’s Toe/Morton’s Foot include correcting the pronation of the feet by placing a thin pad under the ball of the foot in all shoes. You want to be sure you do not place it under the second metatarsal because even though it may seem like the logical thing to do in order to give local pain relief to that area, it may make Morton’s Foot worse where it exists or it could even create the symptoms of the condition when the foot is otherwise normal.

If you are experiencing inexplicable lower back pain from which you have not been able to find relief, you may want to schedule an appointment with one of our Dayton and Springfield area podiatrist to determine whether you may have Morton’s Toe/Morton’s Foot.

Custom Orthotics vs. Drugstore Orthotics

2011-05-12T14:48:00.000-05:00

Many people can benefit from utilizing orthotics – from those looking to get a jump on the competition by increasing their endurance or improving their athletic performance to those looking to simply restore balance, alleviate foot fatigue and prevent a range of foot problems from occurring in the future.

Orthotics are anatomically molded devices developed to better support the foot. Worn under the heel and arch of your foot, they can relieve not only foot pain, but leg and back pain as well by alleviating some of the causes of the problems. Orthotics are a great solution for many people. While there are orthotic inserts you can pick up at a drugstore near you, honestly they don’t work as well as custom orthotics because they aren’t developed specifically for your feet.

Custom orthotics are custom made devices created from an actual cast and mold of your foot taken by a foot doctor. They essentially realign the foot to control abnormal motion, which can help correct for any imbalances or incorrect alignment and allow the individual wearing them to walk or run more naturally. We recommend getting custom orthotics made for your feet to provide you with the most comfortable and suitable fit possible.

Here at Community Foot Specialists, our doctors can get you a great fitting custom orthotic for a very reasonable price. Custom orthotics can be ordered through our office for only $80. Schedule your appointment to get your custom orthotics with us today by calling 937-426-9500 or visiting www.daytonfeet.com. We look forward to serving you and all your foot care needs!

Friday Foot Fact #6

2011-05-06T23:37:00.001-05:00

The size of your foot is just about the same size as your forearm - from wrist to elbow.

Bonus fact: Your height is just about the same as your 'wingspan' - which is the distance from fingertip to fingertip if you were to raise your arms out to your sides at shoulder height to form a T.

(Of course that last one wasn't a foot fact, but pretty neat nonetheless!)

Put a Little Spring in Your Step

2011-05-02T09:41:00.000-05:00

We've had a wet April here in the Dayton and Springfield areas, so it appears that sandal season is starting a bit later this year than in others. If your feet aren't quite in top shape, here are some tips from the American Podiatric Medical Association to get you there.

1. Soak the feet with warm water for at least 10 minutes. Footnote: APMA recommends adding Epson salt, herbal soaks or oils for additional relaxation.

2. Remove thickened, dead skin build up (also known as calluses) around the presoaked heels, balls and sides of the feet with a pumice stone or foot file. Foot note: APMA advises not using a razor because it removes too much skin and can easily cause infection or permanent damage to the skin if used incorrectly.

3. Use an exfoliating scrub on the soles, sides and tops of the feet to eliminate dry, flaky winter skin. Footnote: Try Pedinol’s Hydrisalic Gel, which holds the APMA Seal of Approval.

4. Apply and massage a healthy amount of emollient‐enriched skin lotion all over your feet to hydrate the skin and increase circulation. Footnote: Remove any excess moisturizer from the toenails and in between toes as this can be a bastion for bacteria. Try AmLactin moisturizing cream, which holds the APMA Seal of Approval.

5. Clip toenails with a straight edge toenail clipper to just above the top of each toe to ensure nails do not become curved or rounded in the corners. Footnote: Try using Sole Savior’s SOS Safe Salon PedicureKit, which holds the APMA Seal of Acceptance.

6. Before bed, very lightly wrap cellophane around your entire foot. The cellophane will act as a makeshift sauna by locking in moisture.

7. Apply nail polish to the toenails only if the nail is healthy. Remove polish regularly to let the nail bed breathe.

8. Practice good foot hygiene, including daily washing of the feet with soap and water, drying feet carefully, particularly between the toes.

9. If any skin or nail conditions exist, see a podiatrist for a medical diagnosis.

10. Inspect your sandals or flip‐flops from the previous year. Discard any that appear too worn.

Friday Foot Fact #5

2011-04-29T13:16:00.000-05:00

Women are 4 times as likely to have foot problems than men. The likely culprit? High heels and other types of shoes that do not provide adequate support!

It is important to wear shoes with support built in. If you must wear high heels, go for those with a lower heel or change into high heels from more comfortable, supporive shoes when at work.

Foot Pain Getting in the Way of Exercise for Many Americans

2011-04-26T13:03:00.000-05:00

by Allen C. Guehl, DPM

A recent survey conducted by the American Podiatric Medicine Association, found that 72 percent of those surveyed indicated that they do not exercise because foot pain prevented them from doing so.

The survey also found that respondents viewed their feet as the least important part of the body in terms of health and well-being, but the number one body part to experience pain.

For those of us who practice podiatric medicine, this information is disheartening. We know we can provide relief for many of those people complaining of foot pain. We know the critical importance of the feet to overall health and well being. We know that foot pain is not normal and may be an early indication of a number of health problems including diabetes, arthritis, and nerve and circulatory disorders.

With obesity rates across the U.S. on the rise, and foot pain – especially heel pain which is very common in the Dayton area – identified as a deterrent to exercise for many Americans, it seems the key to better overall health may be found in the feet. You can take the first steps for your foot health by scheduling an appointment at one of our offices today. You can also help others who may not realize that relief for their foot pain is possible. Please talk to those you love if they are living a sedentary lifestyle to find out if foot pain is what is standing in their way. If foot pain is holding them back, encourage your loved ones to schedule an appointment with a qualified podiatrist. If they live here in the Dayton or Springfield areas, we’d love to help them get moving toward a healthier lifestyle.

Friday Foot Fact #4

2011-04-22T07:30:00.002-05:00

The average person takes about 18,000 steps a day! Just think of how many steps that would mean a person would take in a year – not to mention a lifetime! In a year, the average person would take 6.5 million steps. That’s a lot of work for your feet!

Pediatric Foot Pain: NOT Growing Pains!

2011-04-20T10:06:00.003-05:00

If your child complains of foot or ankle pain, don’t dismiss it as just growing pains. Children do have foot pain that is attributable to many different causes. Some conditions are easily treatable and apparent – like ingrown toenails and plantar warts. Some are less apparent, such as those relating to the mechanics of the foot. Those conditions do not manifest themselves in any visible ways, so you may not realize there is a problem.

If your child complains of foot pain, and starts shying away from physical activity, becoming more sedentary and possibly gaining weight, please schedule them for an appointment to have a foot exam. They could have a problem that could be relatively easily corrected by an orthotic by anti-inflammatory medication. In the vast majority of pediatric podiatry cases, and particularly with the conservative treatment philosophy of our foot doctors, surgery is NOT always needed.

Friday Foot Fact #3

2011-04-15T07:30:00.004-05:00

What are shoe sizes based on? Well, they were originally devised in England by King Edward II who declared in 1324 that the diameter of one barleycorn - which is 1/3 of an inch - would represent one full shoe size. In England, that is still true. In the U.S. and Canada, shoe sizes have changed a bit from their English roots. Below is a web graphic showing different size conversions across the world:

What is a Chiropodist?

2011-04-13T10:02:00.003-05:00

A chiropodist is basically another name for podiatrist. The term chiropodist is most commonly heard in the United Kingdom and podiatrist is mainly used in the United States. In the U.S., a podiatrist must be licensed as a Doctor of Podiatry Medicine, which also requires a four year undergraduate degree.

Chiropodists and podiatrists both treat conditions affecting the foot and ankle such as heel pain, arthritis, ingrown toenails, corns, calluses, athlete’s foot, weak ankles, foot fatigue, and swollen painful feet.

The term podiatrist was actually coined here in America in the 18^th Century by David Low.

Friday Foot Fact #2

2011-04-08T07:30:00.001-05:00

Your feet contain 25% of the bones in the entire human body. That’s a lot of little bones, so it is no wonder that they are subject to stress fractures especially considering the weight they carry on a daily basis.

So You Think You Can Dance? Dancing Feet Subject to Injury

2011-04-06T08:43:00.001-05:00

Typically, a dancer’s foot injury is lumped under a general sports medicine heading even though many of the injuries are atypical of those traditional athletes may suffer. That, combined with the fact that with the competitive nature of dance as a career, many professional dancers tend to want to cover up their injuries in an attempt to protect their careers, means that many dance injuries aren’t treated promptly, which can cause further complications.

Overuse or trauma are the two most prevalent injury categories, and dance injuries can fall into either category. However, the most common category is overuse. A number of different factors can contribute to overuse injuries experienced by dancers including age, nutrition, strength and flexibility, biomechanical imbalances, schedule, non-healed injuries, shoes, and flooring.

Common overuse injuries suffered by dancers include stress fractures, a dancer’s fracture (typically associated with a ballet dancer coming off of pointe, tendonitis, shin splints, metatarsalgia, and neuroma. Dancers also suffer from more than their share of warts, corns and calluses, toenail bruising, and blisters.

The key with any injury – whether it be dancing-related or otherwise – is to seek treatment swiftly. Particularly with dancing, early intervention when an injury first occurs may help cut down on rehabilitation time.

Friday Foot Fact #1

2011-04-01T07:30:00.002-05:00

Ever wonder why your feet sweat so much? Well, they have around 250,000 sweat glands for starters! Your feet can excrete as much as half a pint of moisture each day. The moisture and darkness provide the perfect breeding ground for fungus, which is why it is important to change your socks often and keep your feet as warm and dry as possible.

Possible Cause of Heel Pain in Children: Sever's Disease

2011-03-29T08:30:00.000-05:00

If your child complains of heel pain, you should definitely take their complaints seriously. Children – particularly those who are athletic/physically active in the early part of puberty, which for girls typically happens between 8 – 10 years of age and for boys between 10 – 12 years of age – may have what is called Sever’s Disease. This condition occurs in children during their growth stages when the growth plate in the heel is injured. What typically happens is that in early puberty, bones grow faster than muscles and tendons. Muscles and tendons become tight as a result and the heel is less flexible. When the child stands or bears any weight on his or her heel, the tight heel tendons may put too much pressure on the back of the heel, injuring the heel and causing Sever’s disease.

Signs that your child may be suffering from Sever’s disease include pain in one or both heels that usually occurs with activity (usually around the time your child would begin a new sport or season), a tendency to tiptoe, walking with a limp, increased intensity of pain when running or jumping. Another sign is if your child’s heel hurts when you squeeze both sides toward the very back of the heel.

The good news about Sever’s disease is that it is highly treatable with non-invasive methods. The first thing to do is to stop or limit any activity that causes the child pain. Treat the injured heel with ice for 20 minutes at a time, 3 times a day. If you notice that your child has a high arch, flat feet, or bowed legs, you may want to bring your child in to one of our six clinic locations for orthotics, arch supports, or heel cups. For a child with severe heel pain, your doctor may recommend acetaminophen or ibuprofen for pain relief.

Stretching exercises can help lessen the pain of Sever’s disease; particularly those that stretch the hamstring and calf muscles and tendons on the back of the leg. These stretches should be performed 2 or 3 times a day and held for about 20 seconds in both legs, even if only one heel is experiencing pain.

Sever’s disease does not typically cause any long term problems, but you should call your doctor if the pain doesn’t get better after treatment, the pain gets worse, or if you notice swelling or changes to the skin color. Typically after treatment, children feel better anywhere between 2 weeks and 2 months. The doctor will let you and your child know when it is safe to resume normal physical activity.

March 22, 2011: American Diabetes Association Alert Day - Know Your Risk

2011-03-22T08:32:00.000-05:00

26 million Americans are impacted by diabetes. A quarter of those individuals are not even aware that they have the disease and can live for years without knowing it until more serious complications arise.

Today marks the 23^rd Annual American Diabetes Association Alert Day, which is a one day “wake-up” call to Americans to determine if they are at risk for developing type 2 diabetes, or if they may already be affected and not realize it. The ADA is looking to rally one million people to take the Diabetes Risk Test over the course of the next month as part of their “Join the Million Challenge”.

In addition to the 26 million diabetic Americans, approximately 79 million have prediabetes which means their blood sugar is higher than normal but not yet to diabetic levels. That is one in three American adults currently at high risk for developing type 2 diabetes. The good news is that there are ways to help prevent or delay type 2 diabetes among those at risk. Losing just 7% of body weight through regular physical activity (30 minutes a day, 5 days a week) coupled with healthy eating can reduce your risk.

The Diabetes Risk Test is provided by the American Diabetes Association to help individuals determine their risk. All people have to do is answer simple questions about their weight, age, family history and other potential risk factors. You can get the test by visiting www.stopdiabetes.com, calling 1-800-DIABETES, or texting JOIN to 69866. While the Alert Day is today, the Diabetes Risk Test is available year-round.

What Causes an Ingrown Toenail?

2011-03-18T11:18:00.001-05:00

Ingrown toenails can affect anyone, but they typically afflict males more than females and adults more than children. An ingrown toenail is a toenail that has grown into the skin instead of overtop of it.

A number of things could cause an ingrown toenail. Cutting the toenail too short or rounding the edge could cause it to grow into the skin. Shoes or socks that don’t fit well can also be the culprit – they may press the nail into the toe, encouraging it to grow into the skin rather than over it. If you play soccer or dance, stub your toe, or do an activity that can injure the nail, you may also come to have an ingrown toenail.

The good news is that ingrown nails are treatable. We can take care of your nail here at Community Foot Specialists if you are in the Dayton, Springfield, Beavercreek, Centerville, or Vandalia, OH areas.

Stay In the Game: Avoiding Baseball Related Foot and Ankle Injury

2011-03-16T10:44:00.002-05:00

From Little Leagues through the Major Leagues – baseball and softball players put a lot of strain on their feet and ankles. Ankle sprains are a common baseball injury that can occur when players run the bases and step on or slide into the base. Should a sprain occur, the RICE principle (listed below) should be followed.

Rest- Rest your ankle. Don’t walk on it.

Ice- Ice should be immediately applied. It can keep the swelling down and should be kept on the area for 20 to 30 minutes, three or four times a day.

Compression- Wrap and immobilize the ankle to help keep swelling down.

Elevate- Elevate the ankle above heart level as much as possible for up to two days.

Follow up with a podiatrist to help fully evaluate the extent of your injury. You could have possible injuries to tendons that will not properly heal unless a treatment plan is followed, which could lead to chronic instability and recurrent sprains.

The ankle is not the only area of concern for baseball injuries. Overexertion and excessive training can cause Achilles tendonitis or heel pain in a player. Gentle, regular stretching of the calf muscles before, during, and after a game can help minimize aggravation in the Achilles tendon and overall pain and tightness in the calf. The often abrupt starting and stopping in baseball is usually the culprit.

One of the main things to remember is to wear proper footwear for the sport you are playing. In baseball and softball, that means wearing cleats, spikes, or sneakers.

Cleats should only be worn on the field, and should be introduced gradually to baseball and softball players so that they can get a feel for them and how they differ from other athletic footwear when practicing or playing the game. Cleats certainly will help improve traction; however they can leave ankles more susceptible to twists and turns.

Spikes are made to be a lighter, more flexible alternative to cleats. They engage with the ground in a different way than cleats do, and should also be introduced gradually.

Sneakers are appropriate footwear for many who only play recreationally or those children under 10 years who aren’t yet ready for cleats.

Irritation, redness, or blisters experienced after wearing cleats could be a warning sign of a biomechanical problem in the player’s legs or feet. No matter the footwear selection, if pain is experienced during play it should be addressed immediately. Call Community Foot Specialists to schedule an appointment.

Unexplained colorful Toes

2011-03-07T10:30:00.000-06:00

Raynaud’s disease is an elusive, relatively misunderstood condition that can go on for years prior to a person taking action to address their colorful toes. The smaller blood vessels in your body become susceptible to minor contractions that can cause your toes to become multicolored. Raynaud’s most commonly occurs in cold weather areas and in smokers. The blood vessels in the feet and toes vasospasm, or over react, causing the toes to transition between three colors. Initially, they turn white, then blue and finally may appear bright red before returning to their natural color.
Though not entirely well understood, there are some factors that contribute to, or point to, the diagnosis of Raynaud’s in the toes or the feet:
- Most commonly in cold weather

- Smokers are at a greater risk

- Women between the age of 25-40 are most commonly inflicted

- Toes may feel cool to the touch and go numb

- Can be triggered by stress
If you fear that you may have Raynaud’s disease, or Raynaud’s phenomenon, you should see your podiatrist. Steps should be taken to reduce the severity of attacks. Keeping the areas most susceptible warm, if you smoke, stop, and in some cases medications that can widen the blood vessels can be prescribed.

Do It Yourself Foot Care: When to See a Podiatrist Rather than the Drugstore

2011-03-04T08:00:00.001-06:00

You would think after walking the aisles of your local drugstore that many of your foot ailments could be solved by picking up product off the shelves without having to set – well, foot – in a podiatrist’s office. In reality, while some of these products may work to solve your problem, others may cause other issues for you. Here’s a run down of what to try and what to toss in terms of drugstore foot care remedies for the following ailments:

Blisters. These ailments can often be handled at home without the help of a podiatrist. Make sure that if the blister pops, you cover it with a sterile dressing or Band-Aid and monitor it to make sure it is healing properly.

Ingrown Nails. Drugstore remedies can often do more harm than good with ingrown nails. Doing it yourself may put you at risk for infection. Schedule an appointment with one of our podiatrists to avoid the possibility of infection and have the nail removed. Letting a professional handle this problem may help you get rid of the problem for good.

Wart Removal. The medications you get from the drugstore are relatively mild and may be useful for some people in remedying this condition without visiting a podiatrist, however if left on the foot too long, it can cause ulcerations. Our podiatrists could utilize more effective medications or perform simple procedures to make your warts disappear. If you have neuropathy, you should NEVER use over the counter wart removers without the supervision of a podiatric physician.

Toenail Fungus. There are all sorts of sites on the internet that claim success in eliminating toenail fungus by using a variety of household products (bleach, duct tape, white vinegar to name a few), but there’s no science-based evidence to support these claims. We recommend scheduling a visit for the podiatrist to evaluate your foot and determine the best course of treatment for you.

Sprains and Strains. Initial treatment for these injuries can be done at home, using the RICE principle. RICE stands for rest, ice, compression, and elevation. However, if swelling is persistent after applying this principle, you should schedule a visit with the podiatrist’s office in order to determine the extent of the injury.

Did the insoles claiming relief from high heel pain pass the test?

2011-02-21T06:10:00.000-06:00

Many companies who specialize in products for the feet are trying to cash in on the trend towards those fashionable, and occasionally painful, high heel shoes. If you wear high heels, which according to the American Podiatric Medical Association are about 90% of women, and have experienced some foot pain, you may have spent some time in the foot care aisle at your local grocery or pharmacy. They are marketing insoles made specifically for high heel wearers that claim, “guaranteed relief of foot aches and pains” or “all day comfort.”
So, did those claims stand up to the test? Consumer Reports says no. In a report just published this month, consumer reports noted that of the 14 women who tried these insoles made specifically for high heels, none of the wearers reported a relief in their foot pain. A couple wearers said that the shoes were a little more comfortable, but the insoles were not worth the money.
Local podiatrist, Dr. Allen Guehl, says that much of the foot pain that he sees can be attributed to ill fitting shoes. The size of feet changes over time, and you should measure your feet each time you are considering purchasing a new pair of shoes. The other recommendation that he has is a pair of insoles that are made custom for your feet by your podiatrist. He says that they can be a little more expensive, but they will provide more support and last for many years. He agrees with Consumer Reports, saying that these insoles act more as a cushion than actual foot support.

Neuroma Removed from Foot of Hollywood Star Jennifer Grey

2011-02-15T09:46:00.000-06:00

Jennifer Grey, recent winner of Dancing With the Stars and star of 80s classic Dirty Dancing, tweeted yesterday that she had a neuroma removed from her foot.

"I had a neuroma the size of a small city removed. I think I went down a shoe size on one foot. After Dancing With The Stars it just got worse and worse, so do whatcha gotta do," she tweeted.

Neuromas are non-cancerous, or benign, growths that arise in nerve cells that can occur in various places of the body. One of the most common types of neuromas is found on the foot. Called Morton's Neuroma, it is the thickening of the tissue around a nerve at the base of the toes. It is usually found between the third and fourth toes of the foot, and symptoms of the condition include pain and a burning sensation in the afflicted area, numbness, and cramping. A lump can develop at the base of the toes due to swelling and abnormal cell growth and may be accompanied by a burning pain in the ball of the foot. The condition can be brought about from wearing high-heeled or too-tight shoes, high-impact exercise, or an injury.

Grey's tweets revealed that the neuroma got worse after she finished Dancing With the Stars so she felt she had no choice but to have it removed.

Here at Community Foot Specialists , we tend to have a conservative approach to neuromas and will exhaust all other treatment options prior to scheduling surgery to remove it. If you live in the Dayton or Springfield, OH areas and suspect you may have a neuroma or any other foot condition that causes you pain or discomfort, please visit our website http://www.daytonfeet.com/ to schedule an appointment with one of our knowledgeable podiatrists at one of our six locations around Dayton and Springfield, OH.

The Ugly Truth About Uggs

2011-01-31T08:50:00.000-06:00

Buyers beware – the trendy Ugg brand sheepskin boots and their generic counterparts may be hurting your feet! While they may look soft and cuddly, studies have shown that the slipping and sliding going on inside the boots combined with the limited arch support they provide is putting unnecessary strain on muscles, tendons, ligaments, and bones.

The makers of Ugg boots maintain that their boots provide more support than the knockoff variety, but many experts see no real difference between the two.

If you want to continue to wear the popular boot, Dr. Allen Guehl, a Dayton-area podiatrist recommends that you do so sparingly and when you aren’t going to be doing a lot of activity. They aren’t the type of boots you want to be wearing if you are walking or standing all day. You may also want to add supportive insoles to help cushion your feet and provide more support, which can be custom made orthotics fitted for you in our office, or over-the-counter drugstore insoles.

Cold Feet Could Indicate Bigger Problems

2010-12-13T20:42:00.000-06:00

You don't have to be standing at the alter to have cold feet. Cold feet come in many shapes and sizes, and their causes may be as benign as not having a pair of socks on to as serious as vascular disease. So, if your feet are constantly cold, it is never a bad idea to take a longer look to make sure that you do not have symptoms of other conditions.

Some of the initial conditions that we would be concerned about with cold feet are:

• Anemia

• Diabetes

• Neuropathy

• Raynaud's Disease

• Peripheral Arterial Disease

Typically, cold feet mean nothing more than just that - cold feet. Cold weather causes the blood vessels in the extremities to constrict so that more blood can be routed to the core, essential organs of the body. This constriction of vessels is what causes your feet to be the first cold body part. In the absense of cold weather, we must consider if there are internal factors leading to our cold feet.

Anemia is a broad term describing over 400 different conditions that are all related to low red blood cell counts or hemoglobin counts. Anemia can cause cold feet due to a decrease in oxygen delivery to the tissues in the parts of the body farthest from the heart in the smaller vessels.

Diabetes can cause cold feet in multiple ways. It could be due to the circulation being decreased by hardening of the arteries, or it could be due to changes in the nerves of the extremities and decreased sensation.

Neuropathy, though most commonly associated with diabetes, can occur on its own in the absence of diabetes. If neuropathy is believed to be the cause of your cold feet, sometimes nutritional supplements or medications can help.
Raynaud's Disease is associated with other rheumatic conditions. It most commonly affects women and smokers. It can be precipitated by cold weather or stress and its most characteristic feature is a series of discolorations of the fingers or toes. The skin can be very white, very blue or very flushed when the blood vessels open back up.
Periperhal Arterial Disease, or PAD, poses the most serious immediate risk that cold feet can incur. PAD can be described by a sudden onset causing one of the vessels to become clogged, or can happen over time by hardening of the arteries.
The 6 P's of PAD

1. Pulselessness- a lack of pulse in one or multiple vessels of the foot

2. Pain

3. Pallor- entire foot may be pale white

4. Parasthesia- loss of feeling in the foot

5. Paralysis- loss of movement in the foot

6. Perishing cold

PAD can be an emergent condition, and you should consult your physician if you believe that is the cause of your cold feet. However, PAD is the exception to the rule. In most cases, cold feet are just cold feet.

Pregnancy and Feet

2010-06-09T09:40:00.000-05:00

During pregnancy, the body produces approximately 50% more blood and body fluids to meet the needs of the developing baby. Swelling is a normal part of pregnancy that is caused by this additional blood and fluid. Normal swelling, which is also called edema, is experienced in the hands, face, legs, ankles, and especially feet.

This extra retention of fluid is needed to soften the body, which enables it to expand as the baby develops. Extra fluid also helps prepare the pelvic joints and tissues to open to allow the baby to be born. The extra fluids account for approximately 25% of the weight women gain during pregnancy.

Swelling may be experienced at any point during pregnancy, but it tends to be noticed around the fifth month and can increase while you are in the third trimester. The following factors may also affect swelling:

-Summertime heat

-Standing for long periods of time

-"Long" days of activity

-Diet low in potassium

-High level of caffeine consumption

-High level of sodium intake

Swelling may be reduced by eating foods that are high in potassium, such as bananas, and by avoiding caffeine. Here are some other helpful hints to manage swelling during your pregnancy:

-Avoid standing for long periods

-Minimize outdoor time when it is hot

-Rest with your feet elevated

-Wear comfortable shoes, avoiding high heels if possible

-Wear supportive tights or stockings

-Avoid clothes that are tight around your wrists or ankles

-Rest or swim in a pool

-Use cold compresses on swollen areas

-Drink water, which helps flush the body and reduce water retention

-Minimize sodium (salt) intake and avoid adding additional salt to meals

If you are not pregnant and experiencing edema in your lower legs, ankles, and/or feet, or if you are pregnant and these remedies are not helping, please contact Community Foot Care to schedule an appointment with our podiatric specialists.

Knee Pain? Our Physical Therapy isn’t only for your feet!

2010-06-03T13:04:00.001-05:00

It’s time to get active again now that the weather is getting warmer! However, sometimes being active can be difficult if you suffer from knee pain. There are many types of knee pain ranging from acute, or recent, to chronic, or long lasting.

Acute knee pain is usually caused by trauma, like a fall or accident. The injury is usually a sprain or strain of knee muscles or ligaments. If not properly taken care of, these injuries can persist over time and become chronic.

Chronic knee pain continues over time and can be caused by conditions such as arthritis. The pain tends to worsen when a person is more active.

If you suffer from knee pain of acute or chronic nature, physical therapy can be helpful in reducing the pain and helping you get back to your normal activities and an active lifestyle. The physical therapist will complete a thorough evaluation and develop a treatment plan to address your specific deficits. The treatment regimen usually consists of modalities for pain control, an exercise program to address strength, range of motion and flexibility deficits, balance and proprioception training and education in a home program. If you think you may benefit from physical therapy services, please do not hesitate to contact us to schedule an evaluation appointment.

Springfield: 937-322-7607 Vandalia: 937-426-9500

What is Crossover Toe?

2010-06-02T08:10:00.001-05:00

Crossover toe is a condition in which the second toe drifts toward the big toe and eventually crosses over and lies on top of the big toe. Crossover toe is a common condition that can occur at any age, although it is most often seen in adults.

Some people confuse crossover toe with a hammertoe, probably because both conditions involve a toe that does not lie in the normal position. However, crossover toe is entirely different from a hammertoe-and much more complex.

Although the crossing over of the toe usually occurs over a period of time, it can appear more quickly if caused by injury or overuse.

Symptoms may include:

• Pain - particularly on the ball of the foot. It can feel like there's a marble in the shoe or a sock is bunched up.

• Swelling in the area of pain, including the base of the toe

• Difficulty wearing shoes

Crossover toe is a progressive disorder. In the very early stages is the best time to treat crossover toe. Without treatment, the condition usually worsens to dislocation of the joint, so it is very beneficial to have a foot and ankle surgeon evaluate the foot soon after pain first occurs.

It is generally believed that crossover toe is a result of abnormal foot mechanics, where the ball of the foot beneath the second toe joint takes an excessive amount of weight-bearing pressure. This pressure eventually leads to weakening of the supportive ligaments and a failure of the joint to stabilize the toe, resulting in the toe crossing over.

Certain conditions or characteristics can make a person prone to experiencing excessive pressure on the ball of the foot. These most commonly include a severe bunion deformity, a second toe longer than the big toe, an arch that is structurally unstable, and a tight calf muscle.

If you believe you may be suffering from crossover toe, please call today to consult with a podiatrist at Community Foot Care.

Springfield 937-322-7607 Dayton: 937-426-9500

Podiatry & Gout

2010-05-28T09:24:00.000-05:00

Gout is a disease caused by the buildup of uric acid in the joints. It results from an elevated blood level of uric acid (hyperuricemia), which occurs when the liver produces more uric acid than the body can excrete in the urine, or when a diet high in rich foods produces more uric acid than the kidneys can filter from the blood.

Over time, uric acid in the blood crystallizes and settles in the joint spaces, causing swelling, inflammation, stiffness, and pain. Gout usually affects the first metatarsal phalangeal joint of the big toe (hallux) or the ankle joints.

According to the National Institutes of Health (NIH), gout affects approximately 2.1 million people in the United States. The disease is more common in men between the ages of 40 and 50, and in women, incidence increases after menopause. The condition is rare in children and young adults.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, approximately 18% of people who develop gout have a family history of the condition. Diseases and conditions that increase the risk include diabetes, obesity, kidney disease, and sickle cell anemia.

Regularly drinking alcohol interferes with the removal of uric acid from the body and can increase the risk for developing gout.

Other risk factors include the following:
-Exposure to lead in the environment
-High dietary intake of rich foods that contain purine (e.g., cream sauces, red meat, sardines, liver, scallops)
-Medications that may interfere with the body's ability to remove uric acid (e.g., aspirin, diuretics, levodopa [used to treat Parkinson’s Disease])

Gout usually develops in the joint of the first toe (i.e., the big toe, or hallux). It also can affect the ankle or knee.

Common symptoms of gout include the following:
-Inflammation
-Pain
-Redness
-Stiffness
-Swelling

Touching or moving the toe may be intensely painful and patients often say that having as much as a bed sheet over the toe increases the pain. Symptoms of gout develop quickly (sometimes in 1 day) and typically occur in only one joint at a time. Rarely, symptoms develop in two or three joints simultaneously. If widespread symptoms occur, the condition is probably not gout. If left untreated, gout can damage joints and cause disability.

Prevention is the best defense against gout. Medication (e.g., small doses of NSAIDs, colchicine, allopurinol [Zyloprim®], probenecid) may prevent continued accumulation of uric acid in the joints and further attacks. Avoiding alcohol and rich foods that are high in purine (e.g., scallops, sardines, red meat, sweetbreads, gravy, cream sauces) also may help to prevent the condition.

Other preventative measures include the following:
-Drink plenty of fluids (especially water)
-Exercise regularly
-Maintain a healthy diet and healthy body weight
-See a physician regularly

Call to make an appointment with one of our podiatrists today if you believe you may be suffering from any of these symptoms.

Community Foot Care: 937-322-7607 or 937-426-9500

EX-PAIN! Exercises

2010-05-27T15:27:00.000-05:00

Calf and Foot Strengthening Exercises
Strengthening your calf muscles and foot muscles will prevent plantar fasciitis and other types of heel pain. By strengthening your muscles, your stride when walking will improve and pronation can be corrected.

Stand on a stair with one hand on a wall or railing for support, keeping the toes on the stair and let the heels hang. Gain balance in this position, then slowly lift up onto your toes, then slowly return back to the neutral position. The exercise should be felt in the calf muscles and along the back of the ankle. Slowly lift up onto the toes, then lower the heels back to the original starting position. This exercise should be repeated 10 times up and down for 3 sets, a total of 30 lifts.

Another great trick is to stand on your tip toes and slowly walk forward and backwards taking slow small steps. Stand very tall and keep your hands at your side. Roll your weight onto your tip-toes and lift your heels. Gain balance and see how many 10-12 inch steps you can take forward, resting after about 10 steps (5 on each foot). Then, try and repeat the same exercise but walking backwards.

Plantar Stretch
A great stretch to lengthen the plantar fascia ligament and prevent morning pain is plantar stretch. This stretch is designed to treat and prevent heel pain and plantar fasciitis and when done in the morning alleviates morning pain.

Start with both feet in front of you and bend one leg at the knee. Grab the ball of the foot with one hand over the toes and pull towards your chest. By pulling the ball of the foot and not the just the toes this will create a good stretch along the arch of the foot.

Stretching the plantar fascia ligament will aid in the treatment of plantar fasciitis by developing length in the ligament. Stretch the arch of the foot by taking one hand and pulling the toes back toward the shin for a count of 10. Stretching will alleviate tension along the plantar fascia ligament and prevent the soft tissues of the foot from tightening up.

Hold this stretch on each foot for 15-20 seconds and repeating on both sides 3 times, once a day.

As always, consult with your podiatric physician before attempting these exercises!
Community Foot Care : 937-322-7607 or 937-426-9500

Bare Necessities!

2010-05-26T10:40:00.000-05:00

For years, going barefoot has seemed alluring. Individuals long to be barefoot on the beach. Additionally, there are runners that prefer to exercise barefoot. Even little children are constantly kicking their shoes off. While going barefoot may be appealing, it also has its risks. Walking or standing without shoes will allow your feet to become more susceptible to heel pain.

No Support

When you are barefoot, your feet have limited support. The fat pad along the sole of your foot becomes the only protection available. This padding guards your plantar fascia. After you walk barefoot on a hard surface for a substantial amount of time, the fat pad might not be effective at protecting the fascia. This could result in inflammation of the fascia, which often leads to heel pain.

Walking On Your Toes

Also, typically when you walk barefoot for an extended period of time, you stop walking normally. The average person initially steps on the ball of their foot. However, after too much time without shoes, you might begin to walk abnormally. In fact, many people begin to walk on their toes. This actually places added stress on the plantar fascia causing more heel pain.

Wear Your Shoes

Because heel pain is so prevalent among individuals that walk barefoot, wearing shoes is important. You need the support that your shoes provide. While there may be times where you will be required to take off your shoes, try to support your feet as much as possible. And make sure that you are wearing shoes that have proper support - not ones that are worn out and old.

The fact of the matter is, whether you suffer from heel pain or not, going barefoot is not recommended, particularly outside. In addition to leaving your feet with a severe lack of support, going barefoot outside exposes your entire foot; it is easy to cause a surface wound (or worse) to your skin. These minor injuries can cause major problems, particularly for diabetic patients who have a more difficult time healing.

Summer Ready Toes!

2010-05-24T11:25:00.000-05:00

With summer swiftly approaching, most of us are readily disregarding our bulky boots for convenient and trendy open- toed shoes. The presence of discolored toenails, however, can put a damper on your sunny plans.

If you notice yellow, discolored, brittle, or thickened toenails, you may be suffering from fungal nails. The medical terms for this type of fungal infection are onychomycosis or tinea unguium. Fungal infections of the nail affect up to 3% of the population, mainly in developed countries.

A fungal nail is an unsightly infection caused by many varying microscopic organisms. Fungi can attack your nails through small cuts in the skin around your nail or through the opening between your nail and nail bed. These organisms thrive in warm, dark, moist environments; the perfect environment provided by your socks and shoes. Although this infection is usually not serious, it can lead to more serious illnesses and issues, particularly if you suffer from a compromised immune system or diabetes. It is also important to note that not every thickened, discolored nail is a fungal infection; therefore, it is important that infections are properly diagnosed and treated by consulting your podiatrist.

Risk Factors for Fungal Nail Infections
-Tight footwear keeps the toes warm and moist; a perfect environment for fungi to grow.
-Communal showers can expose the feet to fungi.
-Diseases that influence the immune system like AIDS and diabetes can make it easier for a fungal infection to start and thrive.

Community Foot Care realizes that with summer here, it's sometimes important to have healthy and pretty toes! We recommend Dr.’s Remedy Enriched Nail Polish.

Dr.'s Remedy Enriched Nail Polishes appeal to health-conscious women because it removes the potentially harmful additives found in most commercial nail polishes. The product is created, tested, and prescribed by doctors. This polish lasts as long as polishes containing harmful ingredients but provides numerous advantages. There’s no icky yellow formaldehyde tint left behind, plus it contains anti-fungal ingredients that help protect nails from fungal diseases; making it not only curative, but preventative in the fight against nail infections. With Dr.’s Remedy you can have beautiful and healthy nails! Dr.’s Remedy Enriched Nail Polish comes in 16 beautiful and healthy shades! Please visit www.CommunityFootCare.com to view this product. Once you are at our site, simply click on the Our Doctor Store icon to select products specific to the problem you may have. This product is listed under ‘Fungal Nail Polishes’.

Bummed about Your Bunions?

2010-05-21T12:38:00.000-05:00

Even though bunions are a common foot deformity, there are misconceptions about them and many people may unnecessarily suffer the pain of bunions for years before seeking treatment.

A bunion (also referred to as hallux valgus or hallux abducto valgus) is often described as a bump on the side of the big toe, but a bunion is more than that; the visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straight ahead. This throws the bones out of alignment – producing the bunion’s “bump.”

Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people never have symptoms.

Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types that make a person prone to developing a bunion.

Although wearing shoes that crowd the toes won’t actually cause bunions, it sometimes makes the deformity get progressively worse. Symptoms may therefore appear sooner.

Symptoms, which occur at the site of the bunion, may include:
Pain or soreness
Inflammation and redness
A burning sensation
Possible numbness

Symptoms occur most often when wearing shoes that crowd the toes, such as shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men. In addition, spending long periods of time on your feet can aggravate the symptoms of bunions.

Community Foot Care would like you to know that, although surgery is an option available to most, there are many alternatives to bunion treatment depending upon the patient. Please consult your podiatric physician for proper diagnosis and treatment.

Facts about Flatfoot

2010-05-20T13:59:00.000-05:00

Community Foot Care is dedicated to providing not only quality care to our patients, but also quality education. Many of our patients question the causes and symptoms of flat feet. We are happy to provide some facts on the subject.

You have flatfeet when the arches on the inside of your feet are flattened, allowing your entire foot to touch the floor when you stand up. A flat foot is normal in infants and toddlers, because the foot's arch hasn't yet developed. Most people's arches develop throughout childhood, but some people never develop arches. This is a normal variation in foot type, and people without arches may or may not have problems.

Arches can also fall over time. Years of wear and tear can weaken the posterior tibial tendon, which runs along the inside of your ankle, from above your ankle to your arch.

Factors that can increase your risk of flatfeet include obesity, traumatic injury to your foot or ankle, rheumatoid arthritis and aging.

Flatfeet can sometimes cause problems in your ankles and knees because the condition can force your ankles to turn inward and this throws off the alignment of your legs. If you aren't experiencing any pain, no treatment is usually necessary. However, some people do experience these common symptoms: foot pain (particularly in the heel or arch area), difficulty standing on tiptoe, and/or swelling along the inside of the ankle.

Orthotics are commonly used to treat flatfoot. Orthotics are devices placed in the shoes that are customly fit to your foot. Community Foot Care is happy to supply affordable, efficient, and successful orthotics to our patients. We supply orthotics at all of our locations in the Springfield and Dayton area.

It is important to note that flatfoot is unique to each patient and has many different causes and treatments. Call Community Foot Care, today, for a consultation with our podiatrists in order to receive proper diagnosis and treatment of your podiatric issues.

Springfield: 937-322-7607 Dayton: 937-426-9500

Basic Diabetic Foot Care

2010-05-19T09:32:00.000-05:00

According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Community Foot Care understands how even minor foot problems are a big risk in diabetics.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day.

Here is Community Foot Care’s advice for taking care of your feet:

• Always keep your feet warm.
• Don't get your feet wet in snow or rain.
• Don't put your feet on radiators or in front of the fireplace.
• Don't smoke or sit cross-legged. Both decrease blood supply to your feet.
• Don't soak your feet.
• Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
• Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.
• Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.
• Wash your feet every day with mild soap and warm water.
• Wear loose socks to bed.
• Wear warm socks and shoes in winter.
• When drying your feet, pat each foot with a towel and be careful between your toes.
• Buy shoes that are comfortable without a "breaking in" period.

As a diabetic, it is pertinent you have regular check-ups with your podiatric physician. Please call to schedule your diabetic consultation today with Community Foot Care.

Community Foot Care
Springfield: 937-322-7607
Dayton: 937-426-9500

Stuggling to be Light on Your Feet?

2010-05-18T11:44:00.000-05:00

At Community Foot Care, we’ve noticed patients from all of our Springfield and Dayton area locations have been calling inquiring about the safety of new lower body toning footwear such as Reebok’s EasyTone sneaker. So, we decided to take a look at the research on these tennis shoes ourselves.

Can you give your muscles a better workout simply by changing your shoes? Reebok claims you can... The new EasyTone walking shoe is a provocative new marketing campaign which allegedly leaves leg and buttock muscles better toned than regular walking shoes; and consumers, including patients of Community Foot Care, are buying it… literally! Officials from Reebok say the EasyTone is the company’s most successful new product in at least five years.

While most athletic shoes offer support and cushioning, the new muscle-activating shoes are engineered to create a sense of instability. Design elements, like curved soles and Reebok’s “balance pods”, are said to force the wearer to engage stabilizing muscles further, supposedly resulting in additional toning for calf and hamstring muscles.

In an era where thin is in, many are trying to find the newest way to lose weight, but the fact of the matter is, unless you have a medical condition – there is no secret. Community Foot Care would like to remind you that an increase your activity and a decrease your caloric intake is the only way. So spend that shoe money on a gym membership, and focus on being healthy and happy! Furthermore, it is important to consult with your podiatrist before wearing these shoes if you have any foot or ankle problems. As each patient is different, some may benefit from this shoe, and some may encumber their podiatric treatment by wearing these shoes.

Call our office today and make an appointment to discuss orthotics, diabetic footwear, or even Rx crocs with your podiatrist!

Community Foot Care

Dr. Thomas, DPM; Dr. Guehl, DPM; Dr. Dotter, DPM

Springfield location:
937-322-7607
Centerville, Beavercreek, Vandalia, Dayton’s Linden Ave., or Dayton’s N. Main St. Location:

937-426-9500

Mourning Memorial Day Diets?

2010-05-17T10:11:00.000-05:00

Being diabetic can be frustrating because, let’s face it, the food that is bad for you is usually the food that is most enjoyable. Community Foot Care understands the challenges our diabetic patients face. The physicians and staff at our six locations in Beavercreek, Vandalia, Centerville, Springfield, and N. Main St. and Linden Ave., Dayton locations understand the pressures you face each day… especially during the holiday gatherings. We would like to remind our patients that your diabetic foot care starts with maintaining healthy glucose levels. Here is a Community Foot Care approved yummy recipe for your Memorial Day enjoyment!

STRAWBERRY SHORTCAKE!

1 cup( (150 g) low fat biscuit and baking mix (70% less fat than regular mix)
1/2 cup (120 ml) low fat buttermilk or skim milk
2 tablespoons (30 g) Spoon One Sugar Replacement
1/2 teaspoon (2.5 ml) vanilla extract
butter-flavored cooking spray
12 strawberries, cleaned and sliced thin
at free whipped topping

1. Preheat oven to 400° F (200°C), gas mark 6.
2. Place the biscuit mix, milk, sugar substitute and vanilla extract in a bowl. Mix until just combined.
3. Roll out the dough on a flowered board and cut with a 2 3/4-inch (6.7 cm) biscuit cutter into 4 biscuits.
4. Place onto a nonstick cookie sheet which you have coated with cooking spray. Bake about 12 minutes, until nicely browned.
5. To serve, cut each warm biscuit in half and top lower half with three sliced strawberries, saving one slice for garnish. Cover with the top of the biscuit. Place a dollop of whipped topping on top and garnish with reserved strawberry.

Per serving: 146 calories (13% calories from fat), 4 g protein, 2 g total fat (0.6 g saturated fat), 29 g carbohydrates, 1 g dietary fiber, 1 mg cholesterol, 381 mg sodium

Call us for any and all of your diabetic foot care needs!

Springfield: 937-322-7607
Dayton: 937-426-9500

Death by Pedicure?!

2010-05-13T09:59:00.001-05:00

With so many lawsuits connected to deaths, chronic infections and disfigurement from pedicures; you would think the public would be clamoring for reform… Just the opposite, most consumers completely blow off the risks and have the "it won't happen to me" attitude. Spring Day Spa is taking action to ensure our customers are safe at our Beavercreek, Centerville, and Springfield salon locations.

Approximately $6 Billion dollars are spent on spa related nail care every year, making it a huge industry. A pretty pedicure can be accompanied by a take-home surprise: hepatitis, cutaneous herpes, warts, HIV, bacterial and fungal infections. These can be deadly, especially if the client is diabetic or has a compromised immune system.

A 43-year-old San Jose, California woman had a small cut on her toe that led to her death from a skin infection in 2004. A 46-year-old Ft Worth, Texas mother left the pedicure salon with a small abrasion on her heel from a pumice stone in July 2005 and died of a staph related illness. Her family is still embroiled in a wrongful death lawsuit...

The fact of the matter is that, without proper care, this can happen to anyone. It is important you have nail work done at a salon that is educated and serious about the safety of their clients. Our Beavercreek, Springfield, and Centerville salons are medical grade, using autoclaves to sterilize instruments between each client. Spring Day Spa's Nail Technician is licensed and experienced, as well as trained and supervised by our physicians. Take your nail care seriously, as it very well can turn into a life or death situation!

For an appointment or more information, please contact us! Your SAFETY and happiness is our main priority!

Spring Day Spa
Springfield: 937-688-4381
Beavercreek or Centerville: 937-242-7001

Change

2010-03-18T10:27:00.002-05:00

Losing weight is hard! Everyone has their own way of losing the winter bulge; there are a few things to remember in your personal regimen. Attitude is everything! If you tell yourself you are only working out until you lose the weight, it will never stay off. To keep the weight off, remember to stick with it and be consistent. Eating habits must change too. Substitute your burger for a nice salad, and limit the dressing. Spend time planning meals and research the nutritional value of those meals. Put yourself on a daily routine, the weight will not come off over night, but give it time. Stick with it! Once it is off, it will stay off!

Get something for your Referrals!!!

2010-03-09T09:25:00.000-06:00

Community Foot Care values our patients; we also value your referrals. To show our patients how much we value your referrals, we are giving away Lottery Tickets.
When you refer a patient be sure to have them tell us that you referred them. Patients should be sure that their information is current, because you will receive a Lottery Ticket in the mail. We will send you a lottery ticket for every patient referred. For every 5th patient referred, we will send a gift card.
• All patients must be seen in the office to be considered a referral.
• All patients must mention the name of the person who referred them (if you have a popular name, e.g. John Smith, be sure your friends know what street you live on or your middle initial) when they call.

Remember to refer all your friends and family and we will send you free gifts just for your word of mouth!

Valentine’s Day Special Diabetic Recipe

2010-01-29T07:46:00.000-06:00

Things you will need:
Vegetable Cooking Spray
¾ cup unbleached all-purpose four
½ cup natural cocoa powder
1 teaspoon Baking Powder
½ teaspoon baking soda
1 Banana, (3 ½ ounces after peeling)
6 tablespoons light brown sugar
6 tablespoons brown sugar substitute
½ cup unsweetened apple juice
1 teaspoon pure vanilla extract
½ teaspoon chocolate extract
4 large egg whites, at room temperature
½ teaspoon salt
¼ cup chocolate chips
1 heart shaped cookie cutter

Instructions for cooking:
1. Preheat oven to 350°F (180°C). Lightly coat a 8-inch (20 cm) square baking pan with cooking spray. In a bowl, combine the flour, cocoa, baking powder, and baking soda.
2. In a blender or food processor, combine the banana, brown sugar, apple juice, and vanilla and chocolate extracts; process until smooth. Using a rubber spatula, fold into the dry ingredients.
3. In the bowl of an electric mixer set on medium-high speed, beat the egg whites and salt until foamy. Increase the speed to high and beat until soft peaks form. Fold half of the egg whites into the batter. When incorporated, fold in remaining whites just until incorporated. (There may be a few specks of white still showing.)
4. Scrape into the pan and spread evenly. Bake in center of oven for 30 to 35 minutes, until brownie springs back when gently pressed in the center. Cool in the pan on a rack.
5. Use heart shaped cookie cutter, cut into 12 hearts. Heat chocolate chips in a 2-cup 480 ml) glass measuring cup in the microwave for about 30 seconds. Stir until chocolate is melted. Drizzle a little of the chocolate over each brownie. If desired, finish with red sprinkles.

ICE!?! Be safe on the ice..

2010-01-19T10:21:00.000-06:00

It's a winter wonderland outside and although it is beautiful, it can be dangerous when ice is present. Many times, people fall on the ice and did not even know it was there. Falling can result in sprain, strains and more seriously broken bones. Here are a few tips to avoid injury from falling this winter:
*Wear comfortable shoes with a rubber or non-skid sole.
Although "fancy" shoes look nice, it is important to wear a shoe that gives you traction and keeps you steady on your feet.
*Pay attention to your surroundings.
When walking outside this winter, pay attention to uneven ground and obstacles that may get in your way.
*Keep areas outside of your house well lit.
Use outdoor lights to improve your vision while getting and out of your car or home, especially if steps are present.
*Slow down!
Take your time when walking in winter weather. If you are rushing, you may fail to see patches of ice. Also, walking at faster speeds may increase the likelihood of falling.
*Stay strong and flexible
It is important to perform regular physical activity to maintain the strength and flexibility you need to avoid injuries. If you currently exercise, keep it up. If you do not currently perform regular physical activity and are interested in obtaining instruction in an individualized exercise program, please call for an appointment with one of our physical therapists.
If you are experiencing unsteadiness or have fallen in the past, you should with a physical therapist to improve balance, strength, flexibility and coordination. Don't wait until you fall and get injured! Call for an appointment today!!

Safety in the Snow

2010-01-13T09:24:00.000-06:00

Winter has arrived and it is now time to find our boots and hats as well as our snow shovels in order to deal with that cold, white stuff! This time of year can be especially hard on our back and neck due to snow removal activities. Here are a few tips to keep in mind to minimize stress on your back and neck when dealing with the snow:

Take rest breaks
Shoveling or using a snow blower can be a tiring activity so if you give your body a short 2 minute break about every 15 minutes, it will go a long way. When resting, stand up straight or walk around to give your back a break.

Wait until the afternoon to shovel if possible
By waiting until the afternoon, it allows time for the fluid pressure inside the discs in your spine to increase which will lower your risk of injury.

Try not to bend over
Think as though there is a pole starting at your head and extending to your pelvis that doesn’t allow your back to curl forward. If you have to bend forward, bend at your waist and knees and keep your back straight. Everytime you allow your back to bend, it increases the stress by 10 times. So, if you are lifting 5 pounds of snow and you allow your back to curl forward, your back feels like it’s lifting 50 pounds!
Keep your loads as light as possible
This will decrease the work load on your body and allow you to work longer. Remember to bend your knees and lift with your legs rather than your back.

Avoid twisting your back
When you repetitively twist your spine, it puts you at risk for a serious back injury. Try to step in the direction in which you are throwing the snow in order to avoid twisting your trunk.

Ask for help
This may not always be an option, but if it is, do not be afraid to ask. You could be saving yourself a lot of pain and suffering by simply asking for help.

If you do encounter low back or neck pain, or any other aches and pains from the winter weather, our physical therapists can help you feel better. Please call to make your appointment so we can help you with your pain as soon as possible.

Community Physical Therapy Specialists

2010-01-06T14:16:00.000-06:00

Community Physical Therapy Specialists is now open for physical therapy. Physical therapy will be in the Centerville, Beavercreek and Springfield offices. Community Physical Therapy Specialists includes all physical therapy regimens, as well as podiatric services.
Treatment prescriptions include: Gait training, joint mobilization, Progressive desensitization, activities of daily living, orthopedic appliance, prophylactic strapping, TMJ rehabilitation, and work hardening/ strengthening.
Exercise programs include: progressive resistance strengthening, back flexion exercises, knee rehabilitation, shoulder rehabilitation, patella-femoral rehab, and scapular stabilization.
Podiatry services are similar to the general physical therapy, they are more specifically geared to the foot and ankle.
Community Foot Care will be referring patients and overseeing their progress personally, all podiatrists are welcome to refer patients, we will be reporting to referring physicians, just as we do in regular clinic.
Community Physical Therapy Associates has two physical therapists on staff, Tarah Barrios and Scott Pritt. For information call 937-426-9500 or 937-322-7607. Visit www.CommunityFootCare.com

THANK YOU!!

2009-12-31T10:45:00.000-06:00

We would like to give a special Thanks to all the people who donated to Toys for Tots and Food Pantry. At Community Foot Care we are always looking for ways to show our appreciation to the community. Thank you for helping us in our effort to help those around us.
We were able to collect several barrels of food and several boxes of toys! This is a great deal of food and toys for the community.
In these times we have to do all we can to help the community. Thank you for your continued support!

Community Foot Care Associates

Cantharone Wart Treatment

2009-12-22T12:10:00.000-06:00

Cantharone is a wart treatment that we are currently using at Community Foot Care to treat plantar warts.
Warts are skin growths caused by viruses. Warts can grow on any part of the body and their appearance depends primarily on their location.
Foot Warts are usually on the soles of the feet and are called plantar warts. Most plantar warts do not stick out above the surface like common warts because the pressure of walking flattens them and pushes them back into the skin. Plantar warts usually appear as thick spot of skin.
The normal actions of these medications is to form a blister underneath the wart. This occurs within 24 hours of application. The blister formation kills the wart by cutting off its blood supply. Occasionally, there may be some blood in the blister fluid, this should not be alarming. The blister may also itch.
Once this Cantharone treatment is applied you should expect:
After 4 hours: mild discomfort may occur. Blister should occur after 24 hours.
After 4 days: Crusted blisters should fall off leaving a spot that may be tender and itchy. Medication may be needed to control itching.
After 7 days: May experience loss of pigment, but all symptoms should be gone.
Contact your Podiatrist if you have any questions about Cantharone Wart Treatment, or any other foot care needs.

Diabetic Recipe

2009-12-10T10:55:00.001-06:00

Sugar Free Christmas Cookies
These cookies are as good as regular cookies but much better for you, because they are sugar free, low in calories and carbohydrates. You can make them into pattern cookies or any color variety you like. We love how easy they are too!
Ingredients:
½ cup shortening
3 tablespoons Equal (sugar substitute)
1 egg
Several Drops of food coloring (color optional and color of choice)
2 ½ cups flour
½ teaspoon salt
2 teaspoons baking powder
½ cup skim milk
2 teaspoons water
1 teaspoon vanilla extract
Directions:
1. Cream Shortening, add sweetener, egg and food coloring (if desired); beat very well.
2. In a separate bowl combine dry ingredients, add the milk, vanilla, and water. Add flour mixture and stir well.
3. Chill dough 2 to 4 hours
4. Preheat oven to 325°F.
5. Roll out 1/8 inch thick and cut the cookies into desired shapes. Bake for 8 to 10 minutes.
6. Cool.
7. Enjoy
8. Keep them fresh by storing in an air tight container.
Cookies can be frozen to stay fresh, keep them in an air tight container and place them in the freezer. Remember to lay them out the night before you plan to use them. ENJOY!

Winter Boot Blues

2009-12-01T09:46:00.000-06:00

Get your feet ready for winter, by purchasing boots to suite not only your style, but your foot comfort. Boots need to be comfortable; although many women admit they would rather be fashionable than comfortable. This can be settled by finding stylish boots that are not dangerous to your feet.
 Don’t go for pointy stilettos, they may be the “fashion” but they are proven to cause bunions, hammertoes and ingrown toenails.
 Look for a boot that is not flat, but are less than 2 inches tall.
 Take your socks with you, and try on boots at the end of the day (to allow your feet to swell fully) and wear the socks or hosiery you plan to wear with the boots while you try them on.
 Try a boot with a wider heel to give your ankles more support.
 Select a boot with a rubber sole to provide protection.
 Remember most fashion boots are not made for snow.
 Buy leather boots. Leather over a synthetic material absorbs the best. Feet tend to sweat when they are closed in a boot, leather is absorbent, yet can stay cooler longer than most other materials.

Laser Fungal Treatment.. Is it a good thing?

2009-11-23T07:45:00.000-06:00

Laser fungal treatment is a new treatment on the market, it has not been approved by the FDA. This procedure is considered experimental at this point and is not being covered by insurance companies.
We found several sources that say there are no guarantees that this treatment will work; however, there are no guarantees on other fungal treatments either. Laser fungal treatment takes about 10 minutes a toe and is most effective on healthy skin and nail beds. People who do not have healthy skin and nail beds are not advised to try the treatment.
There is a very high charge for laser treatment, this one is no exception. Charges amount to $200 - $ 500 for the laser. This price does not include many additional charges including a standard $50 treatment fee.
Unlike with pill treatments this procedure has a higher rate of failure and is often paid for and performed several times.
Talk to a podiatrist to see which treatment is right for you. Fungus is curable in most cases, so talk to your podiatrist.

Helping 'Feet'

2009-11-23T07:40:00.000-06:00

At Community Foot Care we believe in giving back. To help the community we are having a Toys for Tots drive and several Canned Food drives. These events will take place during the whole month of November in ALL of our offices.

The Toys for Tots bins are in all the offices; however Toys for Tots only accepts new toys that are still in the package or have the tags still on them. As we have no other use for the toys we ask that all parties interested adhere to the Marine Toys for Tots regulations.

Food Pantry bins will also be placed in all locations to ensure all our patients are able to participate. Local food pantries are in need of canned foods and all other non-perishable food products, such as macaroni & cheese, cereal, peanut butter, and bottled juices.

At Community Foot Care we believe that helping the community is a way to give back for all the support we have received through out the years. Please help us in our efforts to help in any way possible. For more information please call our office at 937-426-9500 or 937-322-7607.

2009-10-12T15:24:00.000-05:00

Halloween and the Affects for Diabetics

Halloween is especially hard on people with diabetes, and border line diabetes. For some border line diabetics Halloween and the holidays are prime time for full diabetes to strike. This is because weight gain is very hard on the body, diabetics already have sugar problems, and Halloween candy makes sugar levels elevate frequently.
Over 20 million Americans suffer from diabetes so we have some tips to get through Halloween safely:

1. Put extra effort into dressing up, then candy is the least of your worries!
2. Take dressing up even farther and have a party!
3. Go haunted housing, on a hay ride, or have a bonfire; all these will keep you moving!
4. Trade the candy for healthy treats, if a child is diabetic let them go Trick or Treating, but trade the candy for other gifts or even money!
5. Diabetics can have sweets, just keep sugar checking supplies handy, and check your sugar often.
6. Get extra exercise to account for sugar and carb intake.
7. Separate all candy into groups, freeze what you can and use it to treat low blood sugar throughout the year.
• Remember: Chocolate is not effective in treating low blood sugar, so stick to hard candy or sugar powder treats for a quick sugar boost.

Halloween and the holidays are supposed to be “the most wonderful time of the year”, why ruin them with frequent sugar highs and lows, keep the diet even through the holidays, and keep exercising!

2009-09-28T11:29:00.000-05:00

October is Breast Cancer Awareness Month
There are many things going on all over America for breast cancer awareness month! We looked at some interesting events right here in the Miami Valley. In downtown Dayton the fountain will be dyed pink and pink Flags will be raised all over Dayton. Round the US: October 2nd is Lee’s National Denim Day, all money raised goes to the Breast Cancer Research Fund. October 16th is National Mammography Day, everyone is encouraged to join in and get checked, because in early stages most women have no idea they have breast cancer.
More events that are taking place in American that everyone can join in: Avon walk for Breast Cancer, happens on different dates all over the world. Komen Race for the Cure, also happens all over America on different dates. Making Strides against Breast Cancer, presented by the American Cancer Society on different dates all over America.
There are events happening all over the world, The Canadian Cancer Society presents Taking Steps Against breast cancer. The UK presents Wear it Pink and Australia sponsors Pink Ribbon Breakfasts all over the country through the month of October!
Routine checks like mammograms and self exams are essential to being a survivor. Genes and family history are also important to know, since these are the main causes. Even healthy people can develop breast cancer; however a healthy diet and healthy lifestyle should be essential for every woman.

The Time is Coming For Shoes Again but Shoes Means STINKY Feet!

2009-09-11T10:52:00.000-05:00

The number one reason for stinky feet is perspiration. Your foot has many sweat glands on the bottom of the foot. Some people have more than others. It is just like the rest of your body. Some people just sweat more than others. It is estimated that there is over a quarter of a million sweat glands in your feet. So when your body heats up it releases heat via sweat from sweat glands.
Warm wet areas are a haven for bacteria. The bacteria live, reproduce and feed off of the foot, shoes and socks. The bacteria produce chemicals that cause an odor. Thus stinky feet are actually caused by bacteria!
To treat stinky feet we have to tackle the root of the problem, the sweat. The first line of defense is to wash your feet at least twice a day. Changing your socks to a dry pair in the middle of the day will also cut down on the bacteria because they need a warm, moist place to grow. It is also recommended to wear sandals often in the warmer months to allow your feet to breath. When choosing what shoes to wear, try to stay away from black shoes. Chose shoes that are lighter colors and that has a lot of mesh compared to all leather. It is also strongly recommended to never wear the same pair of shoes two days in a row. This allows the shoes to dry and eliminate some of the stinky bacteria. Sometimes, these precautions are not enough or are impossible because of work or lifestyle restrictions. So then what?
There are products that can help dry the foot and decrease the sweat. These products must be recommended and monitored by a podiatric physician. There are different products for adults and children and thus you should never use products you receive for your husband on your children. Other products that a doctor can provide you with is anti-fungal and/or anti-bacteria powders. It is common for people with sweaty feet to acquire athlete's foot and toenail fungus. What starts out as stinky feet can quickly turn into ugly feet!

September is National Yoga Month

2009-09-01T07:55:00.000-05:00

Yoga is the “union” of mind, body and soul, also known as purification. The National Yoga Celebration takes place in many cities, complete with music and food. The Celebration is for beginners and experienced yoga students.
Yoga promotes overall wellness of mind, body and soul. However there are risks to this convention. Going barefoot leaves your feet vulnerable to many bacteria, fungus and even viruses. Going barefoot in a crowd is also dangerous because it raises the risk for bruises, cuts and unsanitary conditions. This is especially dangerous to individuals with diabetes. Any cut or scrap needs immediate attention because it has a high risk of infection. Even a small puncture hole can lead to serious infection. Germs and viruses can imbed themselves under the skin, allowing them to grow. Symptoms may not present themselves for an extended period of time.
Tetanus and fungus are common among people who do not wear proper shoes; flip flops do not offer much protection against these infections either.

What's the Difference?

2009-07-28T07:42:00.000-05:00

What's the difference between a sprain and a strain? Most people use strain and sprain interchangebly, however, they are very different conditions. A sprain is an injury to a ligament: the tough fibrous band of tissue that connects bone to bone. A sprain is caused when a ligament is stretched too far and torn. Where a strain is a painful stretching of a muscle or tendon.
Symptoms for both conditions may vary, most will result in pain, swelling, or bruising. Aching pain in the heel or ball of the foot could mean you have a strain. Strains are often caused by spending a lot of time on the feet, in shoes that offer poor suppport, people who are over-weight or wear high heels are also at risk for strains. Ankle sprains occur very quickly, during sports or in motion, most commonly seen when the foot twist in an awkward manner.
For both conditions you should see a podiatrist to make sure the pain is not a sign of what could be a serious condition. More than 50% of people who do not heal properly have a reoccurence, this is why it is important to see a podiatrist to ensure you are healing properly.

How to Prevent Ankle Injury:
*Warm up and stretch calf muscles prior to participating in sports activities or exercise program.
*Do not run on uneven surfaces.
*Avoid participating in sports activities or exercise program when you feel pain in ankle or tired.
*Apply protective equipment during sports.
*Wear properly fitting shoes.
*Exercise regularly. Those remaining inactive often suffer a sprain than.
*Take healthy and balanced diet to keep your muscles strong.

At the first sign of ankle pain, the best thing to do is contact a physician.

Big News at Community Foot Care

2009-07-23T12:56:00.000-05:00

During the month of August Community Foot Care will be expanding, with TWO new Doctors. Dr Adam Thomas will be taking patients during the whole month of August, and Dr. Ericka Penn will join August 17th for patient care.
Dr. Thomas has finished his residency with Ohio State University and will bring current, cutting edge treatment options to the greater Dayton area. He is from Zanesville area and is looking forward to working in the Springfield area where his wife Jennifer Trinidad, also a podiatrist, was raised.
Dr. Penn is a graduate of Ohio College of Podiatric Medicine in Cleveland, she is joining from private practice in Cincinnati. Dr. Penn is an experienced podiatrist and surgeon who is eager to join the team and build relationships with her new patients.

Back to school and your feet

2009-07-23T12:51:00.000-05:00

As the summer gets hotter and school is back in session, our feet are relied on for many things: walking, running, most importantly sports! That's right, it is the beginning of sports season, baseball is in full swing, football is beginning, and track will soon be here and gone. As sports begin so dones school, all the book bags, and back aches will soon return. During these hectic times there is a great solution to save your poor, painful feet. JM Orthotics have come out with an exclusive product to help with different foot problems. JM Orthotics offers a full line of custom molded orthotics to save your feet during these hectic times.
Benefits of these orthotics: Reduces heel and arch pain. Reduces back and all over pain. Increases stamina and relieves pressure of feet.
JM Orthotics are heat molded to fit your feet right in the office. There is no wait like with other brands. JM Orthotics are lighter yet more durable than other more expensive brands. JM Orthotics offers many products to better serve the comfort of the patient, with many different lengths and sizes to fit every foot.
JM Orthotics are sold at any of our Community Foot Care locations, we will mold them the day of your visit to relieve your pain instantly.

New Sandals Developed For Toning While You Walk

2009-06-18T08:36:00.000-05:00

Trendy FitFlops, which have already been given the “thumbs up” by Oprah Winfrey – are promoted to tone your butt and legs as you handle your daily activities. Developed by a personal trainer with input from a biomechanical engineer, FitFlops have a thick midsole, which encourages wearers to use feet and leg muscles more efficiently while walking. Research conducted by the manufacturer has shown that this thick midsole works the gluteals, hamstrings, thighs, and calf muscles more.

One thing is clear: FitFlops, which come in a host of colors and are available at many retailers such as Macy’s and Lady Footlocker, are flying off store shelves.
FitFlops give people an opportunity to add exercise to your already hectic schedule. The testimonials provided by the company based in London also include relief from back pain, heel spurs/pain and arthritis. They are not cheap though, ranging from $35-$50 per pair.

While FitFlops have certainly attracted consumers, are they worth the exorbitant price? They have a thick shock absorbing heel that tends to prevent overpronating, which in theory is a good thing. In people who overpronate, the foot continues to roll in when it should be pushing off, twisting the foot, shin, and knee -- and causing pain. However, FitFlops are a temporary solution and what will happen when you take them off? I prefer to train someone who is overpronating how to position their foot correctly while walking or recommend orthotics which are molded by an expert who has a degree.

The bottom line is FitFlops are a comfortable shoe to stand or walk in, so go ahead and use them. If you feel that when you stand in the shoe, the glutes and calf muscles are firing more, wear the shoe but don't overuse them.

Although, FitFlops have there place in certain people’s shoe collections, they are not intended for everybody. For example, the person with flat feet may experience an increase in calf pain as the sandal will push up on their arch. To determine if you can tolerate the sandal, I recommend wearing them at home for a couple hours each day prior to making your final decision whether to keep them.

In my opinion there are no magic bullets. You will tone if you walk and don’t just stand around. If I were to recommend FitFlops, they will only show positive results when combined with a healthy diet and a more active life style.

Ped Egg-Friend or Foe

2009-05-18T10:49:00.000-05:00

The Ped Egg is a foot care product that has recently made the transition from infomercial to stores such as Target, Wal-mart and the like. As this handheld foot product becomes more well-known, it frequently becomes a topic of conversation with my patients in the treatment rooms. My stance on patient’s use of the Egg varies on a case by case basis.

The name comes from a combination of its unique oval shape, intended to fit in the palm of your hand, and its intended use on your feet. The top of the product is smooth and the bottom looks like a small cheese grater. When not in use there is a cover that can be placed on it. The price runs about $10.00, and you must replace the blades as they become dull.

The Ped Egg is gently rubbed against dry skin on your feet to shave the top layer of dead skin away. The Ped Egg is a foot file that gently shaves down calluses, corns and dry peeling skin. It is intended to be used on completely dry feet or feet that have been softened from the bath or shower. Gently file the areas of your feet that have rough or hardened spots. These areas include the heels, pads of the feet, and on your toes around the nails. The dry skin will come off and be stored inside the Ped Egg leaving no mess behind (great for the person who wants to whip out their Ped Egg at work for some emergency callus care). The instructions advise you to: Glide the Egg over your heels in a back and forth motion (not side to side), should you see any bleeding, stop filing, and if you are diabetic use only the advisement of your doctor.

The most common complaint I have heard is patients filing too vigorously and drawing blood. There are of course certain patients who I would not recommend using the Ped Egg for.

1. Patients with fissures may remove some perfectly good skin to get rid of the cracks and therefore exacerbate the problem.

2. Patients with vascular or neurological issues may have problems if they take too much skin off

3. Diabetic patients-Any diabetic should always check with their podiatrist prior to using any foot care product that has blades on it.

In these cases, calluses can be well treated with a variety of creams, callus pumice stones and files, and pads. You can find a variety of these products on our website under the Our Doctor Store link.

There are many patients who I do suggest to use the Egg. It is great addition to your foot care repertoire when used in moderation and under the right conditions. You must follow the directions on the package and always follow the advise of your foot doctor because with certain conditions this product can cause more harm than good.

Sports Related Stress Fractures

2009-04-23T08:36:00.000-05:00

Okay, so it is May, and you are considering how much exercise you will have to do in the next 30 days to make up for the first four months of inactivity in order to still achieve your New Year’s resolutions. As you begin your exercise routine, you must consider the extra stress that your body is going to be subjected to and that any injury can easily place you on the couch planning next year’s resolutions. Common injuries I see this time of year are stress fractures in the feet, which already take a pounding everyday just from normal activity. Unlike typical fractures, there is not a single traumatic event causing them and many times a patient has no clue that any serious injury has occurred.

I see stress fractures as a source of pain and discomfort quite regularly. A stress fracture begins with the overuse or the over training of a muscle. This overuse causes the muscle to tire and transfers stress on to nearby bones, causing tiny fractures. Sports injuries related to stress fractures are most common. Studies have shown that the repeated pounding of the foot on hard surfaces involved in tennis, basketball, volleyball, and long distance running, make these sports the leading causes of stress fractures. I do not want to discourage the use of these activities, but there are steps you can take to increase strength and at the same time minimize injury.

The first step in preventing sports related stress fractures is to take it slow when you are first ramping up your routine. You want to make sure you gradually increase intensity and time of activities. A good way to do this is to plan out an entire routine before beginning. .Along with this you want to make sure you use the proper shoes for each activity. (Your basketball shoes should not serve as your running shoes).

You cannot build a house without a solid foundation. Similarly, your feet, and the support you give them, are the solid foundation you need for your exercise routine. Along with the shoes, the arch supports you add to them add to the foundation. There are different degrees of arch support. The simplest and cheapest are the ones you can purchase from the pharmacy or shoe store. Next, are Powersteps that offer more support, but generally only last 6-12 months. For the most support, you must see a trained podiatrist for a custom orthotic that will last for years.

If all you need is a little extra padding, I recommend pads that can be applied to the insole of the shoe or directly to the foot. They provide extra cushion by offloading the areas of your foot that receive the most pressure. Typically, it is best to build up the area adjacent to the callusing, not directly on top of it. You can always move it around to see what feels best.

If ankle pain is an issue you may need to look into some bracing devices, such as the Swedo Ankle Lok Brace. This brace is great for support while participating in sports. There are a variety of braces, so you want to find one that is right for your sport and activity level. Lastly, to combat the muscle soreness and the aches and pains that come with waking your muscles from hibernation, I recommend Biofreeze. It is a liniment, like Icy-hot or Ben-gay, but my patients rave about this product and its effectiveness.

When beginning your routine, it is always recommended to consult a physician. For the most effective prevention and treatment of foot and ankle injuries it is best to schedule an appointment with your podiatrist.

Homer Simpson’s kind of Marathon

2009-04-09T10:16:00.000-05:00

Typically, when someone tells me they are about to run in a race, I am impressed by the person’s discipline and dedication to improvement. However, this marathon takes the cake (or the doughnut as it may be). The race is called the Krispy Kreme Challenge, and it has become a yearly staple in North Carolina.

Started by NC State college students, the participation has grown from 12 college kids in 2004 to over 5000 in 2009. With participants ranging from the seasoned marathoner to the college student who has been training hard with late night beer and pizza, this race attracts all kinds of runners. The proceeds are donated to a children’s hospital in North Carolina.

The race begins at 9 AM normal enough with a 2 mile jog to the Krispy Kreme store. This is where the race takes a turn for the worse. At this point, runners must indulge themselves with a dozen doughnuts. So with doughnuts engulfed, the final leg of the race is an agonizing 2 mile sprint back to the finish line (and maybe more importantly the port-a-john). Sound bad enough yet, well to make it worse you must finish in less than an hour. That is 2 miles of highway I would not want to be responsible for cleaning

If you're trying to slim down, do not attempt this race. A dozen Krispy Kremes packs on 2400 calories, while running for an hour will only burn between 580 and 740. Not to mention the months or maybe years of training that would be required in order to be able to eat 12 doughnuts at one time in just a few minutes. I would think you would have to train like a competitive eater just to figure out how to ingest this much. Do you dip them in water? Do you smoosh them together? That sounds like competition enough, but to still have to run 2 miles afterwards is not my idea of endurance training.

Should I believe the Orthotic Commercials?

2009-03-26T13:00:00.000-05:00

Watching tv early Sunday morning, I saw an infomercial for the orthotics with the interchangeable heel piece so each person can adjust their insert to their foot. Later on, I saw a similar ad for a hi-tech computer force plate that you simply stand on in a pharmacy, and a computer will tell you what number insert you should buy for your feet from their store. The bottom line is, “what will make my feet feel better?”

For the person seeking relief from foot pain for the first time, I do not discourage trying one of these alternatives to traditional orthotics from your podiatrist. It is human nature to try the easy route before finally breaking down, months after the onset of pain when it becomes unbearable to work even for a few hours, and schedule an appointment to see a foot doctor. Sometimes, the problem is simple and can be relieved for a while by a plastic insert that you can buy from a pharmacy shelf. Other times, the right decision is to schedule an appointment with a trained specialist.

The Breakdown on inserts can become complex with so many varieties out there:

1) The insoles you will find in a pharmacy are little more than replacement sock-liners for your tennis shoes. They are flexible and offer little support. The gel insoles offer no support, but do offer cushioning for those whose natural fat padding has worn away.
2) The next level is an insole that you'll find in an athletic shoe store. These often have a plastic, graphite, or rubber shell that, while flexible, does offer support. Who are these right for? Anyone having minor to moderate pain in the heel, Achilles tendon, shin splints, or elsewhere in the foot should notice some improvement. If the pain is not significantly better in two to four weeks, a podiatrist should be consulted. A word of warning: These are generic arch supports that are appropriate for those with "flat feet." If you have a high arch, these insoles may make your pain worse.
3) And then there are the mall kiosks and shoe stores with their "experts" who have you stand on a hi-tech computer force plate to measure the pressures beneath the foot. Don't waste your money! First of all, a static footprint tells very little about how the foot functions when walking. Second, before you drop lots of money on something custom, be sure that the person has a degree and not just bought into a franchise.

For general foot pain, the product that I have found that works best for patients is the Powerstep brand orthotics. These orthotics were designed by a podiatrist and offer the extra support that you cannot receive from the pharmacy brands. You can find these products on the web at Amazon or at our website (www.CommunityFootCare.com). They should last 6-12 months depending on use. Custom orthotics are not simply arch supports; they are devices formulated to balance your feet, and entire lower extremity to allow them to function most optimally. Therefore, finding the right one can make all the difference to a person with painful feet and legs. If the pain persists or the condition worsens, you should call your local foot doctor, who will be able to assess your condition and fit you for the most appropriate shoe inserts.

If you have trouble seeing when you drive, you wouldn't solve it by buying a pair of one dollar reading glasses in the pharmacy, right? Why wouldn't you give the same consideration to your foot pain?

2009-03-09T14:16:00.000-05:00

When to Replace Shoes?

From the mother of the 10 year old engaging constantly in active play, to the 80 year old diabetic patient who is largely inactive to the runner who runs 70 miles each week, everyone wants to know when they should purchase a new pair of shoes.

We all know that shoes do not last forever. Most people, however, continue to wear them well after their useful life has ended. Most commonly in my office I'll have people tell me that their shoes are three years old BUT (insert excuse here...). Some of my favorites, it fits my feet perfectly (meaning it's broken down), the heel is worn out just how I like it (meaning it has a hole inside the shoe), new shoes just bother me (meaning that I've worn these for so long, the support is too different at this point), and my favorite: They still look new.

Yes, they still look new. When all you do is run on the treadmill, use the elliptical, and some stationary bike, and your shoes never see the light of day, of course they look new. What's problematic is the part you don't see.

The support and function of a running shoe has little or nothing to do with the overall appearance of the upper part of the shoe or even the sole. It's the midsole, the portion of the sole that is largely invisible from the outside, which has the most function and limits the useful lifetime of a shoe. With every stride, the midsole compresses and, with time, loses the majority of its support. For runners, I estimate the useful lifetime of a running shoe at approximately 350-550 miles. For those who really don't run regularly, or participate in other sports and activities that can't be measured by mileage, your shoes should be replaced every 4-6 months, depending on the frequency and level of the activity.

So start keeping track of the life of your shoes. Dedicate a pair of shoes (or more) exclusively for exercise to get the most out of its useful life. Keep a tally of the mileage in your running journal, or even on the side of the shoe in pen. Write the date of the shoe on the tongue or the outsole of the shoe so you really know how old it is. You can check for signs of wear on the sole by placing your old shoes on a table and looking at them from behind. If the soles are worn and leaning to one side, the midsole cushioning is probably worn as well.

Other signs to look for in your aging shoes include:
• Look for creasing of the midsole material in areas of high load (under the heel or the ball of the foot). A worn out midsole will have wrinkles and creases there.
• Try to twist the shoe. A worn out midsole will allow the shoe to twist more easily than a new shoe.
• Try on a new pair of the model that you are currently wearing. Compare this to your current shoes. If the cushioning in your shoes feels dead in comparison, it probably is.

Just like the tread on your tires, you must constantly be looking for wear on your shoes. In your car worn tires may cause an accident, but we often overlook that injuries are much more likely in worn out shoes as well. Like tires, you can help prevent the normal wear and tear. By rotating your shoes daily between 2-3 pair, taking them off properly by unlacing them and removing them by hand and lastly having shoes dedicated to certain activities for example if you run, you would want to have a pair of shoes you use only for running, you can significantly lengthen the shelf-life of your shoes.

Healthy Feet for springtime activities

2009-02-28T10:54:00.000-06:00

Spring, and the warm sunny weather that comes with it, is almost here, so it is time to dig through the closet and dust off your running and golf shoes. Unfortunately, for many the spring fun will be put on hold because of nagging foot pain. Heel pain is often debilitating, causing people to alter their work schedule, exercise schedule, and their lives in general. As a podiatrist, I encounter heel pain many times every day. The extent to which the pain improves with treatment often depends on the behaviors of the person suffering. At the end of the article, I will offer you suggestions to try at home before and during treatment in order to improve your results.

Plantar fasciitis (say "PLAN-ter fash-ee-EYE-tus") is the most common cause of heel pain. The plantar fascia is the flat band of tissue(ligament) that connects your heel bone to your toes. It supports the arch of your foot. If you strain your plantar fascia, it gets weak, swollen, and irritated (inflamed). Then your heel or the bottom of your foot hurts when you stand or walk.

Plantar fasciitis is common in middle-aged people. It also occurs in younger people who are on their feet a lot, like athletes or soldiers. It can happen in one foot or both feet.

Plantar fasciitis is caused by straining the ligament that supports your arch. Repeated strain can cause tiny tears in the ligament. These can lead to pain and swelling. This is more likely to happen if:

Your feet roll inward too much when you walk (excessive pronation
You have high arches or flat feet.
You walk, stand, or run for long periods of time, especially on hard surfaces.
You are overweight.
You wear shoes that don't fit well or are worn out.
You have tight calf muscles

Most people with plantar fasciitis have pain when they take their first steps after they get out of bed or sit for a long time. You may have less stiffness and pain after you take a few steps, but your foot may hurt more as the day goes on. It may hurt the most when you climb stairs or after you stand for a long time.

No single treatment works best for everyone with plantar fasciitis. But there are many things you can try to help your foot get better:

Give your feet a rest. Cut back on activities that make your foot hurt. Try not to walk or run on hard surfaces.
To reduce pain and swelling, try putting ice on your heel. Or take an over-the-counter pain reliever like ibuprofen (such as Advil or Motrin), naproxen (such as Aleve), or aspirin.
Do calf stretches and towel stretches several times a day, especially when you first get up in the morning.
Get a new pair of shoes. Pick shoes with good arch support and a cushioned sole. Or try heel cups or shoe inserts (orthotics). Use them in both shoes, even if only one foot hurts.

This is all the first line of treatment, if the condition persists or returns it is best to see a podiatrist. Hopefully, these tips will help end your suffering and improve your overall health and well-being by allowing you to participate in exercise activities and having fun in the sun with the family.