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Tuesday, 25 March 2025 00:00

Making Sure Your Shoes Fit Properly

Wearing properly fitting shoes is essential for maintaining foot health and preventing discomfort. Feet should be measured while standing, as weight-bearing can affect their shape and size. It is important to measure both feet and choose shoes based on the larger foot if there is a difference. Since foot size can change over time due to aging and ligament flexibility, relying on old measurements may result in wearing ill-fitting footwear. Shoe sizes vary by brand, so focusing on overall fit is recommended. Shoes should be tried on later in the day to account for natural swelling and be worn with the socks typically used with that type of footwear. There should be about half an inch of space in the toe box to prevent crowding and an eighth of an inch at the heel to avoid irritation. A podiatrist can evaluate your foot shape, recommend appropriate footwear, and address pain or conditions caused by poor shoe choices. If your shoes are causing foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Getting the Right Shoe Size
Tuesday, 18 March 2025 00:00

Understanding Skin Fissures on the Heels

Skin fissures on the heels are caused by dry, cracked skin. These painful cracks can develop deep enough to bleed and are often accompanied by rough, flaky skin. Symptoms include a feeling of tightness, discomfort while walking, and visible cracks, especially in the winter months when the air is drier. The main causes of heel fissures are prolonged dryness, standing for long periods, wearing ill-fitting shoes, or not moisturizing enough. People with conditions like diabetes or obesity are also more prone to heel fissures due to added pressure on the feet. If you experience heel fissures, a podiatrist can help by assessing the severity of the cracks and offering treatment options. Included are prescription creams, padding to relieve pressure, or debridement, which is the removal of dead skin. This type of doctor may also provide advice on proper footwear and foot care routines to prevent further damage. If you have severely cracked heels, it is suggested that you schedule an appointment with a podiatrist.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Solutions for Cracked Heels
Tuesday, 11 March 2025 00:00

Preventing Ingrown Toenails on the Trail

  • When preparing for a long hike, paying extra attention to your toenails is essential to prevent painful ingrown nails. Regular trimming is vital. Clip nails straight across to avoid curvature that pushes skin. Keeping nails short reduces friction inside boots and prevents nail edges from embedding into surrounding tissue. Moisturize cuticles daily and use a gentle file to smooth rough edges, ensuring proper alignment and comfort. After trimming, allow nails to dry thoroughly and inspect them for signs of irritation. Proper care and proactive maintenance enable you to enjoy hiking adventures free from discomfort and setbacks, ensuring your feet remain healthy and resilient along every challenging trail. For persistent issues, unusual nail shapes, or ingrown toenails, it is suggested that you consult a podiatrist to receive expert advice tailored to your needs.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ingrown Toenail Care
Tuesday, 04 March 2025 00:00

Causes of Swollen Ankles and Feet

Swollen ankles can result from a variety of conditions affecting the feet, toes, and ankles, ranging from minor injuries to serious medical issues. The most common causes of swollen ankles include trauma such as sprains, fractures, or torn tendons, which often result in localized swelling. Overuse injuries like tendonitis or bursitis may also cause gradual swelling. Infections, including those stemming from ingrown toenails or severe athlete's foot, can lead to swelling accompanied by redness and pain. Systemic conditions, such as arthritis, gout, or autoimmune diseases, may contribute to foot or ankle swelling, while also causing stiffness or inflammation. Venous insufficiency or blood clots in the legs can impair blood flow and lead to fluid buildup in the feet and ankles. Lymphedema, caused by blocked lymphatic flow, is another potential factor. A podiatrist can diagnose the underlying cause of foot or ankle swelling through a detailed examination, recommend appropriate treatment options, and help prevent further complications. If you have a swollen ankle, it is suggested that you schedule an appointment with a podiatrist. 

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

Read more about Swelling of the Feet
Sunday, 02 March 2025 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, 25 February 2025 00:00

Pain in the Ball of the Foot

Pain in the ball of the foot, known as metatarsalgia, occurs when excessive pressure or structural changes affect the metatarsal bones. These five long bones located just behind the toes help support the body's weight and movement. Factors such as high-impact activities, wearing tight or high-heeled shoes, stress fractures, arthritis, and foot deformities can cause pain in the ball of the foot. Symptoms include a sharp or aching pain that worsens with standing or walking, a sensation of walking on pebbles, numbness, or tingling in the toes. A podiatrist can evaluate your foot through a physical exam and imaging tests to determine the source of the pain. Treatment may involve taking pressure off of the metatarsal area, prescribing custom orthotics, suggesting footwear modifications,  or immobilizing the foot in the case of fractures. If conservative treatments do not relieve symptoms, surgery may be needed to address bone misalignment, nerve irritation, or joint damage. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 11 February 2025 00:00

Causes and Symptoms of Toe Cysts

A toe cyst, medically referred to as a myxoid cyst, is a fluid-filled sac that forms near the joints of the toes. They are typically located at the end of the toe or on the nail fold and may appear as small, soft, translucent bumps. These cysts are filled with a jelly-like substance that gives them a characteristic appearance. The primary symptom of a toe cyst is swelling and discomfort in the affected area. In some cases, it can lead to pain, especially when pressure is applied to the cyst. As the cyst grows, it can cause nail deformities and interfere with walking. The exact cause of a myxoid cyst is not entirely understood, but it is often associated with joint degeneration, trauma, or wear and tear on the toe. While the condition is typically benign, a myxoid cyst rarely shrinks on its own. For that reason, it is suggested that you consult a podiatrist who can monitor this condition and provide the necessary treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 18 February 2025 00:00

Foot Fractures May Signal Osteoporosis

Osteoporosis weakens bones, making them more prone to fractures, including those in the feet, toes, and ankles. A stress fracture in the foot, especially one that occurs with minimal impact or no clear cause, may be an early warning sign of this condition. Since osteoporosis, more common among women, reduces bone density, routine activities like walking or standing for long periods can lead to small, repetitive injuries that result in foot fractures. Women with this condition are particularly vulnerable to stress fractures in the metatarsals, which are the long bones in the foot that bear weight. Symptoms include pain, swelling, and difficulty walking. A podiatrist can assess the extent of the injury and recommend appropriate treatment options, which may include immobilization, supportive footwear, or surgery in severe cases. Identifying osteoporosis-related fractures early can help prevent further complications and support long-term foot health. If you have incurred a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions please feel free to contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Causes, Symptoms, and Treatment for a Broken Foot
Tuesday, 04 February 2025 00:00

Sesamoiditis Facts

Sesamoiditis is named after the sesamoid bones, which are small, pea-shaped bones embedded in tendons beneath the big toe joint. These bones act like pulleys, aiding movement and bearing weight. Sesamoiditis occurs when these bones or surrounding tendons become inflamed, often due to repetitive stress or overuse. It is common among athletes, dancers, and individuals who engage in activities requiring frequent toe pressure, such as running or jumping. People with high arches or those who wear high heels are also at a higher risk. Symptoms include pain beneath the big toe, swelling, and difficulty bearing weight. Left untreated, it may lead to chronic discomfort or restricted mobility. If you have this type of foot pain, it is suggested that you schedule an appointment with a podiatrist who can provide an accurate diagnosis and offer treatments like orthotics, activity modification, or in severe cases, surgery. Early care helps alleviate pain and prevent further damage.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Howard Waxman, DPM of Pleasant Valley Podiatry. 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 one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis
Friday, 31 January 2025 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!

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