Podiatry

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 th...

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...

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...

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...

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 i...

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...

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 ...