Podiatry

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 ...

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 the...

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...

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 sensatio...

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 c...

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.

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!

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:

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.

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.

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.

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.

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 ba...

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...