Items filtered by date: December 2020

Tuesday, 07 November 2023 00:00

Everything You Need to Know About Gout

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

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

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

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

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

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

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

Tuesday, 31 October 2023 00:00

Managing Sesamoiditis

Sesamoiditis is a chronic condition caused by frequent pressure and resulting in irritation and painful inflammation of the sesamoid bones and surrounding tissues. Sesamoid bones are small bones in the feet that are embedded within tendons and play a vital role in foot biomechanics. Sesamoid bones are under the metatarsophalangeal, or MTP, joint of the big toe. These tiny bones act as a fulcrum of sorts, providing stability to the foot and offering protection and shock absorption for the nearby joints and tendons. Sesamoiditis can be caused by various factors, including damage to the sesamoid bones themselves, joint deformities, such as bunions, as well as conditions like gout, osteoarthritis, and osteoporosis. Certain lifestyle factors, consisting of wearing frequently high heels or engaging in high impact sports, can aggravate the sesamoid bones and result in pain. Differences in arches, body weight, and the size of sesamoids can add to the risk of inflammation. Symptoms typically start mildly and can worsen with continued strain, with pain often concentrated in the ball of the foot. If you believe you are suffering from sesamoiditis, it is suggested that you make an appointment with a podiatrist for an evaluation and options  for treating this condition effectively.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Tanisha Richmond, DPM of Richmond Foot & Ankle, LLC. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Tuesday, 31 October 2023 00:00

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.

Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.

To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.

Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.

If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.

Monday, 30 October 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 24 October 2023 00:00

Can Orthotics Help With Bunions?

A bunion, known medically as hallux valgus, is a bony deformity affecting the joint at the base of the big toe. This condition is characterized by the big toe angling outward towards the other smaller toes on the same foot. This deviation from the toe's natural alignment can lead to discomfort and pain, especially as it progresses. Bunions can manifest with various symptoms and associated issues. These may include pain, swelling, numbness, a burning sensation, or tingling around the bunion area. Footwear can exacerbate these symptoms, leading to discomfort. Additionally, hard, calloused, red, or painful skin may develop over the top of the bunion. Mobility can be restricted, with the big toe being particularly painful to move up and down. Bunions can also contribute to the development of hammertoes, corns, and calluses on the ball of the foot. These conditions can affect one's gait, causing instability while walking. Finding appropriate and comfortable shoes can become challenging due to the deformity and pain associated with bunions, further impacting daily activities and comfort. Orthotics cannot correct a bunion, but they can help with reducing pain in the big toe joint and slow its progression. Conditions such as flat feet can put more pressure on your bunion and wearing orthotics can redistribute that pressure. If you are experiencing pain from your bunion when walking or exercising, it is suggested that you make an appointment with a podiatrist to discuss the use of custom-made orthotics for increased comfort and function.

If you are suffering from bunion pain, contact Tanisha Richmond, DPM of Richmond Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

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Tuesday, 24 October 2023 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

In recent years, an increasing number of people have chosen to pursue the field of podiatry, and this trend continues to grow. One of the driving factors behind this career choice is the rising awareness of the importance of foot health. As people become more health conscious, they recognize the critical role feet play in their overall well-being. Podiatrists are uniquely positioned to address a wide range of foot and ankle issues, from chronic conditions such as diabetes-related foot problems to sports injuries and biomechanical concerns. Additionally, the field of podiatry offers diverse career opportunities. Graduates can specialize in various areas, including sports medicine, surgery, wound care, and pediatrics, catering to a wide spectrum of patient needs. Furthermore, the demand for podiatrists is on the rise as the aging population seeks expert care for foot-related issues. The job outlook for podiatrists remains favorable, offering stability and potential for career growth. Ultimately, the combination of increasing awareness of foot health, career diversity, and strong demand for specialized care has made podiatry an attractive and rewarding field. If you are interested in pursuing podiatry as a career choice, it is suggested that you have a conversation with this type of doctor who can speak informatively about the field.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Tanisha Richmond, DPM from Richmond Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

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Tuesday, 17 October 2023 00:00

What is a Podiatrist?

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.

Monday, 16 October 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 10 October 2023 00:00

Essential Foot Stretches for Runners

Running can be a fantastic way to stay fit and energized, but it is essential to take care of your feet to prevent injuries and discomfort. Incorporating foot stretches into your routine can help keep your feet in top shape for your runs. One effective stretch is the toe stretch. This is done by sitting with your legs extended and then using your hands to pull your toes back gently, stretching the underside of your foot. After holding for approximately 15 seconds, this can be repeated several times. The calf stretch is also beneficial. Stand facing a wall, with one foot forward and the other extended behind you. Lean into the wall while keeping your back heel on the ground, feeling the stretch in your calf muscle. It is helpful to hold this stretch for 15 seconds on each leg. Lastly, the plantar fascia stretch can relieve tension in the arch of your foot. Sit with one leg crossed over the other, and gently pull your toes back towards you, while holding for 15 seconds on each foot. Regularly incorporating these stretches into your running routine can help improve flexibility and reduce the risk of injuries. A podiatrist can provide you with additional foot stretches that are tailored for runners, and it is suggested that you contact this type of doctor for useful tips.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Tanisha Richmond, DPM from Richmond Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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

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