Friday, 23 June 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 20 June 2023 00:00

Causes and Remedies for Heel Spurs

Heel spurs, which are often associated with plantar fasciitis, can become painful. They occur when calcium builds up on the bottom of the heel bone. These outgrowths, or spurs, may be caused by foot muscle strains, stretching of the plantar fascia, and a tearing of the membrane that covers the heel bone. Heel spurs are common in athletes who perform sports that require a great deal of running and jumping. Other causes can include gait issues that put extra pressure on the heels, running on hard surfaces, and poorly fitting shoes with inadequate arch support. Excess weight and obesity may also contribute to the formation of heel spurs. In some cases, a person may not experience any symptoms from heel spurs. But others may feel intermittent or chronic pain, especially after running or long periods of exercise. Stretching exercises, pain medication, and shoe inserts are helpful treatment options. For more information on methods to deal with heel spurs, it is suggested that you make an appointment with a podiatrist. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Woodstock and Atlanta, GA . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs
Tuesday, 20 June 2023 00:00

Heel Spurs

Heel spurs are the result of calcium deposits that cause bony protrusions on the underside of the heel. Heel spurs are usually painless, but they have the potential to cause heel pain. Heel spurs tend to be associated with plantar fasciitis, which is a condition that causes inflammation of the band of connective tissue that runs along the bottom of the foot. They most often occur to athletes whose sports involve a lot of running and jumping.

Some risk factors for developing heel spurs include running and jogging on hard surfaces, being obese, wearing poorly fitting shoes, or having walking gait abnormalities.

It is possible to have a heel spur without showing signs of any symptoms. However, if inflammation develops at the point of the spur’s formation, you may have pain while walking or running. In terms of diagnosis, sometimes all a doctor needs to know is that the patient is experiencing a sharp pain localized to the heel to diagnose a heel spur. Other times, an x-ray may be needed to confirm the presence of a heel spur.

Heel spurs can be prevented by wearing well-fitting shoes that have shock-absorbent soles. You should also be sure that you are choosing the right shoe for the activity you want to partake in; for example, do not wear walking shoes when you want to go on a run. Additionally, maintaining a healthy weight can be beneficial toward preventing heel spurs, as it will prevent an excess amount of pressure being placed on the ligaments.

There are a variety of treatment options for people with heel spurs. Some of these include stretching exercises, physical therapy, shoe inserts, or taping and strapping to rest stressed muscles and tendons. If you have heel pain that lasts longer than a month, don’t hesitate to seek help from a podiatrist. Your doctor can help you determine which treatment option is best for you.

Tuesday, 30 May 2023 00:00

Reflexology Has Numerous Benefits

Reflexology is a popular form of foot therapy. This type of therapy focuses on pressing on specific reflex points on the foot, and many people find it to be relaxing. It is known to balance energy in the body, and patients may find this helps to maintain well-being. Organs and certain areas of the body are connected to these points and can invoke a healing response. Some of the benefits that are associated with reflexology can include boosting the immune system, increasing circulation, and cleansing the body of toxins. Additionally, some people have noticed existing headaches, sinus conditions, and stomach pains may be reduced when reflexology is practiced. Healing may occur to organs that need it, and the overall body may become stronger when the entire foot is massaged. If you are interested in learning more about foot reflexology, it is suggested that you confer with a podiatrist who can answer any questions you may have.

Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, consult with Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Most Common Injuries

People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track. 

What to Do When Injured

Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.

During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:

Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.

Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.

Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.

If you have any questions please feel free to contact our offices located in Woodstock and Atlanta, GA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Foot Therapy for Sports Injuries
Tuesday, 30 May 2023 00:00

Foot Therapy for Sports Injuries

Foot Therapy for Sports Injuries

Athletes are used to engaging in high-intensity workouts. Consequently, athletes are at an increased risk for enduring foot or ankle injuries. The most common way to treat these types of injuries is the RICE method (Rest, Ice, Compression, and Elevation). However, braces and casts may be required in some cases. If you are suffering from any of these injuries, it is best that you seek help from your podiatrist right away.

Achilles Tendinitis

Achilles tendinitis is a type of overuse injury of the Achilles tendon, which is the tendon connecting the calf muscles to the heel. This type of injury commonly occurs in runners who increase the intensity of their workouts. Symptoms for this condition start off as a mild ache in the back leg or above the heel. Some people experience tenderness around the area in the morning, however this feeling tends to improve over time.  If you suspect you have Achilles tendinitis, you doctor may order an x-ray to show whether your Achilles tendon has calcified. Common treatment options for this condition include rest, ice, exercise, and non-steroidal anti-inflammatory medication.

Plantar Fasciitis

Plantar Fasciitis is a condition that is commonly found in women. It is a painful condition that occurs when the bands of tissue that connect the heel to the toes become inflamed. Symptoms for plantar fasciitis are heel pain that worsens in the morning and improves throughout the day with activity. Your podiatrist will diagnose plantar fasciitis by checking for tender areas on your foot. In rare cases, an x-ray may be required for a more thorough examination. There are various treatment options that may be used to help someone with this ailment. Depending on the specific case, some of these options include: physical therapy, shockwave therapy, and in rare cases, surgery.

Stress Fractures

Stress fractures are tiny cracks in the bone that occur due to repetitive force. These fractures are typically the result of overuse injuries such as repeatedly running and jumping. Symptoms of a stress fracture include pain when exercising, tenderness, and mild swelling. To diagnose a stress fracture, your doctor will likely ask you a series of questions about your overall health and the activities you are involved in. Next, an x-ray will likely be performed to check for the fracture. In some cases, fractures don’t appear on x-rays until weeks afterward. In these cases, an MRI or a bone scan may be required. Typical stress fractures may be treated by resting the area and taking a break from highly intense activities.  

Ankle Sprain

Ankle sprains occur when the ligaments that support the ankle are stretched far beyond their limits. These injuries occur when you roll, twist, or turn your ankle in an awkward way. Ligaments are essential in helping us move around because they are responsible for stabilizing the joints. Usually, sprained ankles occur due to ligaments on the outer part of the ankle becoming stretched. Symptoms of ankle sprains are swelling, bruising, instability of the ankle, and restricted range of motion. Normally, when people sprain their ankle, they will hear a popping sound during the injury. Depending on the severity, ankle sprains are graded based on how much damage has occurred to the ligaments. Grade 1 is mild, grade 2 is moderate, and grade 3 is severe.

Wednesday, 24 May 2023 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Tuesday, 23 May 2023 00:00

Elderly and their Feet

While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain foot conditions. The elderly should therefore be well informed about any problems that may arise and about what they can do to properly avoid or treat them.

Some of the most common foot problems seniors are susceptible to include foot ulcers, ingrown toenails, fallen arches, and fungal nails. A foot ulcer is an open sore on the foot and can be a result of diabetes and decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal nails is a condition that results in deformed and discolored toenails.

In order to avoid these conditions it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consult a podiatrist for diagnosis and information on treatment options.

Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems.  If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.

As people age, the fat present on your feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground. This also aids in giving the skin on the feet a certain amount of elasticity. This is one factor that causes elderly people to develop some serious foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this. However, water-based moisturizers do not work as well for elderly people as they do for the young. Instead, it is more effective to use an emollient instead. An emollient is effective because it binds the water in the foot, keeping it from becoming absorbed too readily which will result in dry skin. Emollients also have a special property called occlusion, which provides a layer of oil on the skin. This layer prevents the foot from drying up and can be very effective in treating dry skin disorders.  If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.

Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.

Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.

Tuesday, 16 May 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, 09 May 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.

Tuesday, 02 May 2023 00:00

Methods to Prevent Blisters

Anyone who has walked a long distance in brand new shoes has probably encountered a blister or two. Blisters on the feet often form when shoes are too tight, socks are too thin, and feet are too moist. The main cause of a blister is friction. The skin on the feet can be irritated by rubbing against the inside of a shoe. This causes a reaction from the body to protect itself. The top layer of skin separates from the rest and allows serum to collect underneath, forming a cushion between the layers. Pain from a blister can be prevented by implementing a few easy measures. Changing the shoes to a wider toe box will allow the toes to move freely. If you plan to take a long walk or to exercise, try wearing socks with a double layer that helps provide ample cushioning. Antiperspirant foot sprays can help to keep excessive moisture from building up inside the shoes. Runners who are prone to developing blisters may wish to try using low friction insoles in their shoes. Finally, choose footwear which is made of more flexible materials to reduce friction. If you have developed a blister that will not heal, or if a blister has become infected, it is suggested that you make an appointment with a podiatrist for an evaluation and treatment options. 

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Nrup Tolat, DPM of Atlanta Total Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

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