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Tuesday, 30 April 2024 00:00

Diagnosis of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which involves the compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle, can be tricky to diagnose. Diagnosis typically begins with a physical examination where a podiatrist, or foot doctor, evaluates the foot for signs of nerve compression. The podiatrist may use specific tests that could provoke symptoms. To confirm the diagnosis and eliminate other potential conditions, magnetic resonance Imaging, or an MRI scan is commonly used. An MRI can provide clear images of the soft tissues surrounding the ankle, helping to identify any abnormalities like tumors, varicose veins, or structural deformities compressing the nerve. The treatment strategy may vary depending on MRI findings. For example, if the MRI reveals a structural anomaly compressing the nerve, surgical intervention may be required to alleviate the pressure. However, if inflammation is mild and no significant anatomical issues are detected, more conservative treatments like corticosteroid injections or custom orthotics might be effective. For proper diagnosis of tarsal tunnel syndrome and the most effective treatment plan, it is suggested that you consult a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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 Treating Tarsal Tunnel Syndrome
Tuesday, 16 April 2024 00:00

Risk Factors for Falling

As people age, the risk of a fall increases, but it should not be seen as inevitable. Falls can be caused by various factors, including weak muscles, poor balance, and dizziness. Foot problems like pain or deformities, and cognitive issues such as memory loss, and vision and hearing impairments, can also contribute to the risk of falls in seniors. Medications that induce drowsiness, excessive alcohol consumption, and certain bladder or bowel conditions can increase the likelihood of falling. Falls often result from an interaction of these factors, with a higher number of risk factors further elevating the potential for falls. In addition, falls can sometimes signal underlying health issues like constipation, infections, dehydration, or sudden confusion. A podiatrist can provide expert advice and interventions to address foot-related problems, improve balance, and reduce the risk of future falls. If instability causes you to lose your balance or fall frequently, it is suggested that you schedule an appointment with a podiatrist for a thorough exam and options for treatment. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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 Falls Prevention
Tuesday, 23 April 2024 00:00

Infected Ingrown Toenails

Ingrown toenails are among the most common and painful foot issues people face. An ingrown toenail occurs when the edge or corner of the toenail grows into the surrounding skin, causing irritation, redness, swelling, and pain. If left untreated, ingrown toenails can become infected, leading to more severe discomfort and potentially serious complications. Podiatrists, or foot doctors, specialize in treating ingrown toenails and offer effective solutions to alleviate the pain associated with this condition. When you visit a podiatrist for an infected ingrown toenail, they will first assess the severity of the problem. Targeted treatment typically involves gently trimming or removing the ingrown portion of the nail, along with providing relief for any associated infection. Podiatrists can also offer guidance on proper nail care techniques to help prevent future occurrences. If you're dealing with the discomfort of an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 Ingrown Toenail Care
Wednesday, 03 April 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 02 April 2024 00:00

The Prevalence of Bunions

Bunions, characterized by a bony bump that forms at the base of the big toe, affect a significant portion of the population. This deformity arises when the big toe begins to lean toward the second toe, causing the structure of the foot to change and result in a bump at the big toe joint. Factors contributing to bunion development include genetic predisposition, footwear choices, and certain foot structures. More women than men have bunions, due to wearing narrow, tight-fitting shoes and high heels that place undue pressure on the forefoot. However, anyone can develop bunions, and they are increasingly observed across all age groups, from teenagers to the elderly. The widespread nature of this condition shows the importance of recognizing early symptoms and seeking appropriate treatment. A podiatrist, or foot doctor, has the specialized knowledge of the foot to properly treat and prevent bunions. It is suggested you schedule an appointment with a podiatrist if you have a bunion to prevent its progression.

If you are suffering from bunions, 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 Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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 Bunions

Common diagnostic tests for foot and ankle pain encompass a variety of methods aimed at identifying the underlying cause of discomfort and informing appropriate treatment strategies. X-rays are often the initial imaging choice, providing detailed views of bones to detect fractures, arthritis, or bone abnormalities. Magnetic Resonance Imaging, or MRI, offers more comprehensive images, particularly useful for soft tissue injuries, such as ligament tears or tendon damage. Ultrasound scans provide real-time imaging and are effective for assessing soft tissue structures like tendons and ligaments. CT scans may be used to visualize complex fractures or detailed bone structures. Additionally, diagnostic procedures like electromyography, EMG, and nerve conduction studies, NCS, help assess nerve function, aiding in the diagnosis of conditions like peripheral neuropathy or nerve compression syndromes. Physical examination techniques, including range of motion tests and palpation, complement these diagnostic tests, providing valuable insights into the source of foot and ankle pain. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist who can examine you and conduct tests necessary to properly diagnose and treat you.

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, 19 March 2024 00:00

Healing of Foot Fractures

Broken feet encompass various fractures, including metatarsal, calcaneus, and toe fractures, each requiring specific treatments and healing approaches. They can be complete or partial fractures. Without proper treatment, complications like chronic pain, deformity, and impaired mobility may arise. Initial treatment often involves immobilization through casting, bracing, or splinting to facilitate proper bone alignment and healing. Depending on the severity, surgical intervention may be necessary to realign bones and stabilize fractures. Bone healing progresses through stages, beginning with inflammation, followed by the formation of soft callus and eventual remodeling into mature bone tissue. Podiatrists play a significant role in managing a broken foot by providing accurate diagnosis, customized treatment plans, and ongoing monitoring throughout the healing process. If you have sustained a foot fracture, it is suggested that you schedule an appointment with a podiatrist for proper intervention, and to minimize complications.

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, 12 March 2024 00:00

Preventing Diabetic Foot Ulcers

Diabetes requires ongoing medical care beyond controlling blood sugar. Foot ulcers, a common complication, pose serious health risks. 19% to 34% of people with diabetes are likely to develop a foot ulcer at least once in their lifetime. There is a 2% yearly incidence of diabetic patients developing foot ulcers, with high recurrence rates after healing. Poor foot care raises the risk of a diabetic patient developing ulcers, infections, and amputations. Studies show varied foot care practices globally can contribute to injury risk. These include infrequent foot and shoe checks, inadequate foot hygiene, and walking barefoot. To reduce diabetic foot complications, patients need education on proper foot care, regular check-ups, and to avoid risky behaviors, like walking barefoot or wearing improper footwear. If you are a diabetic, it is strongly suggested that you make regular visits with a podiatrist for routine examinations and care.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 How to Care for Diabetic Foot
Tuesday, 05 March 2024 00:00

Treatment for Ingrown Toenails

An ingrown toenail happens when the nail's edges grow into the adjacent skin, causing pain and possible infection. Typically affecting the big toe, an ingrown toenail presents with swelling, redness, and potential infection. Home treatment is possible, but severe pain or spreading requires professional attention to avoid complications. Consultation with a podiatrist is vital, especially for those individuals with conditions such as diabetes or poor circulation. Over-the-counter remedies only mask pain, they do not solve the issue. Surgery may be necessary if symptoms persist, with options including partial or total nail avulsion under local anesthesia. After surgery, proper care is essential to prevent infection, and antibiotics may be prescribed if infection occurs. If you have an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist to get treatment underway immediately.

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 Toenails
Sunday, 03 March 2024 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!

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