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Monday, 18 January 2021 00:00

Flat Feet and Plantar Fasciitis

The plantar fascia is the fibrous tissue that runs along the bottom of the foot and connects to the heel bone. When the plantar fascia becomes inflamed due to overstretching, plantar fasciitis occurs and usually results in heel pain, heel spurs, or arch pain. Pain is often felt on the inside of the foot where the heel and arch meet, and it is at its worst in the mornings or after a long rest. Flat feet is the leading cause of plantar fasciitis because the plantar fascia gets stretched away from the heel when bearing weight. When flat feet are the cause of plantar fasciitis, orthotics that support the arch will likely be needed for treatment. Since plantar fasciitis has other causes, patients who believe that they have it should consult with a podiatrist to find the cause and a proper treatment method.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Richard P. Jacoby, DPM  from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
Tuesday, 17 August 2021 00:00

What is PAD (Peripheral Artery Disease)?

Millions of people in the United States suffer from peripheral artery disease (PAD), which is a narrowing of the arteries in the extremities and other areas of the body (excluding the heart and brain). PAD is most typically caused by an accumulation of fatty material in the arteries (atherosclerosis). PAD can restrict blood flow to the legs and feet where symptoms are often present, including: cold feet, a loss of hair on the legs and feet, skin that has a shiny appearance, toenails that are brittle or grow slowly, sores on the feet or legs that don’t heal, weakness in the legs, difficulty finding a pulse in the foot or leg, and more. It is important to be properly diagnosed and treated early to avoid more dangerous conditions from developing and to reduce the risk of stroke and heart attack. If you are exhibiting any of the symptoms described, it is suggested that you make an appointment with a podiatrist as soon as possible.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Tuesday, 10 August 2021 00:00

Prepping Your Feet for a Healthy Hike

Preparing your feet for a hike can help you to prevent an injury and make your excursion more relaxing and enjoyable. Start with a pair of comfortable hiking boots or shoes that provide plenty of room in the toe box and ensure that the feet don’t slip out of the shoes at the heel or arch area. It is also important to gradually break the boots in before going on a long hike. Choose moisture-wicking socks, or even toe-socks that separate the toes—preventing them from rubbing together and possibly even helping to distribute your weight more evenly. Bring an extra pair of socks to switch out if your feet get too sweaty or wet during the hike. Before you hit the trail, do some gentle stretching in your bare feet such as rolling your arches on a tennis ball, stretching out your toes, circling your ankles slowly, and stretching your calves. If you have spots on your feet that are prone to blistering, apply some tape, moleskin, or a bandage to the area, and pack extra supplies to apply to any hotspots you start feeling on the trail. For advice on choosing shoes or getting custom orthotics that are best for your specific feet on or off the trail, please consult with a podiatrist today.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

Read more about Exercise for Your Feet
Monday, 01 February 2021 00:00

Understanding Sesamoiditis

Pain in the sesamoid bones, which are located beneath the metatarsal bone under the big toe, is known as sesamoiditis. Sesamoiditis usually comes on gradually and is indicated by a mild ache that increases to an intense throbbing. Increasing activity that puts pressure on the ball of the foot often leads to this condition. Having a bony foot or high arches can put more pressure on the sesamoid bones, which can lead to inflammation. Treatment options for sesamoiditis are noninvasive. Mild cases usually require rest and possibly a shoe pad that reduces pressure on the bones. More severe cases may require the big toe to be immobilized in order to allow for healing. Ice and anti-inflammatories may be helpful in decreasing inflammation. If you are struggling with pain in your sesamoid bones, it is important to consult with a podiatrist for a proper diagnosis and treatment plan.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis

Tarsal tunnel syndrome occurs when there is a compression or squeezing of the posterior tibial nerve as it travels through the tarsal tunnel. The tarsal tunnel is a narrow space that lies on the inside of the ankle and it contains arteries, veins, tendons and nerves, including the tibial nerve. There can be a variety of causes for this compression such as an abnormal structure in the area, a cyst or bone spur, an injury that causes inflammation like an ankle sprain, and diseases like arthritis and diabetes. Those who have flat feet are also at a higher risk for tarsal tunnel syndrome because the heel tilts and can strain or stress to the nerve. Symptoms individuals experience consist of pain or numbness to the affected area, or a burning or tingling sensation which is often described similar to “pins and needles." Common treatment options for tarsal tunnel syndrome include orthotics, braces, rest, physical therapy, and in severe cases, surgery. If you are suffering from any symptom of tarsal tunnel syndrome it is important to visit a podiatrist for a proper diagnosis.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
Monday, 31 August 2020 00:00

What Causes Ingrown Toenails?

Ingrown toenails occur when the nail grows into the skin surrounding it. While they generally occur on the big toe, they can affect any toe. One common cause of ingrown toenails is the shape of the nail. This can be hereditary. Nails that become more broad at the top of the toes or nails that are naturally curly have a tendency to push into the skin. Trauma to the toenail or wearing shoes that are too tight can also lead to ingrown toenails. Signs of an ingrown toenail include redness around the side of the toe near the nail, swelling of the toe, and liquid seeping from the side of the nail. Because ingrown toenails are prone to infection, it is important to visit a podiatrist especially if an ingrown toenail persists.   

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ingrown Toenails
Tuesday, 03 August 2021 00:00

What Causes Heel Pain?

Heel pain can have a variety of causes that range from bone damage like a bone bruise or stress fracture, to structural issues like plantar fasciitis or Achilles tendonitis. Plantar fasciitis is the most common cause of heel pain, and this occurs when the plantar fascia, which connects the heel to the toes along the bottom of the foot, becomes inflamed or torn. Children who are experiencing heel pain may be suffering from Sever’s disease. Sever’s disease occurs in active teenagers when the growth plate in the heel becomes inflamed. Patients who are struggling with heel pain should consult with a podiatrist for diagnosis. Upon diagnosis, a proper treatment method will be provided by your podiatrist.

Many people suffer from bouts of heel pain. For more information, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Monday, 30 March 2020 00:00

Possible Causes of Bunions

A common sign that you may have developed a bunion is by a bump that gradually forms on the side of the big toe. Additionally, it may appear red, swollen, and can cause severe pain and discomfort. The reasons that a bunion may form can consist of wearing shoes that do not have ample room for the toes to move freely in, or from medical conditions such as arthritis, nerve damage, or due to flat feet. Additionally, genetics may also play a significant role in the development of a bunion, and research has indicated the chances may increase as the aging process occurs. Many patients that have bunions wear custom made orthotics, as this may help relieve a portion of the pressure while wearing shoes. In severe cases, if it becomes difficult to walk, surgery may be a necessary option that can permanently remove the bunion. If you feel you have developed a bunion, it is suggested that you schedule a consultation with a podiatrist who can help choose the best treatment option that is correct for you.

If you are suffering from bunions, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Bunions?
Tuesday, 27 July 2021 00:00

Common Causes of Plantar Fasciitis

The connective tissue running along the bottom of the foot between the heel and toes is called the plantar fascia. When this tissue becomes overly stressed, torn, or otherwise damaged, it can become inflamed, irritated, and painful. This is called plantar fasciitis. Some causes of plantar fasciitis include high-intensity sports or physical activities, wearing tight shoes, going barefoot, being obese, working on your feet all day, having either high arches or flat feet, and aging. Because this condition is so common, podiatrists have a variety of therapies and methods of treatment to help heal and ease the pain of plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Richard P. Jacoby, DPM  from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
Monday, 30 December 2019 00:00

Protecting the Feet During the Work Day

There are many people who have jobs that include standing for the majority of the day. This can cause pain and discomfort in the feet, and it is not uncommon to feel muscle weakness at the end of the day. Research has indicated that there are methods that can be implemented which may help to reduce soreness in the feet. These can include wearing shoes that fit correctly, and practicing strength training exercises. It is helpful to choose shoes that have maximum support, and many patients find it beneficial to wear insoles that can provide additional cushioning. Stretching before and after the work day may help to reduce the feeling of tired feet. When the feet are pointed and flexed, the arch may become stronger. If you would like more information about how to protect your feet during the work day, it is suggested that you consult with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Read more about Working on Your Feet
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