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Tuesday, 15 June 2021 00:00

An Overview of Morton's Neuroma

Morton's neuroma is a swollen, inflamed nerve in the foot. It usually occurs on the nerves between the toes. Symptoms of this condition include sharp, burning pains on the bottom of the foot, and numbness that can radiate to nearby toes. The pain of a Morton’s neuroma usually increases with activity and decreases at rest or when massaging the foot. Conservative treatments such as resting and icing the foot, taking anti-inflammatory medications, and modifying activities and footwear can alleviate symptoms. Surgery may be an option in severe or chronic cases. If you are experiencing the symptoms of Morton’s neuroma, please seek the care of a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 is Morton's Neuroma?

Tarsal tunnel syndrome may not be a commonly known ailment, but have you heard of carpal tunnel syndrome? Carpal tunnel affects the hands while tarsal tunnel syndrome occurs in the feet and can cause pain and discomfort. Research has indicated that people who have arthritis may be prone to developing this condition, in addition to frequently enduring high-stress activities. Some of the symptoms that are associated with this ailment often include tired feet and ankles, and the overall foot may be numb or have tingling sensations. Some patients have pain in the Achilles tendon area, and the ankles may appear swollen. There are several symptoms that can be associated with tarsal tunnel syndrome so it is strongly suggested that you consult with a podiatrist when they first develop. This type of doctor can properly diagnose and effectively treat this condition.

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 Tarsal Tunnel Syndrome

A woman’s body can produce much more fluid and blood during pregnancy, which can lead to swelling and pain in the feet, ankles, and other parts of the body. Although this swelling, or edema, will affect most pregnant women, there are a few things they can do which may help alleviate symptoms and keep their feet more comfortable. Pregnant women should keep themselves hydrated throughout the day, and also limit salt intake. Elevating the feet for at least one hour is an easy way to improve blood circulation, while relieving pressure on the veins and reducing swelling. Shoes should be both supportive and wide enough to accommodate feet that have swollen during pregnancy. Soaking the feet for 15 minutes in the tub or a basin filled with warm water and Epsom salt can do wonders to relieve swollen, achy feet, and provide some much-needed self care. A podiatrist can provide additional information on proper footwear, and offer treatments to relieve swelling and keep feet safe and healthy throughout pregnancy.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Pregnancy and Foot Health

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

Finding the right walking shoe for your foot is important for everyone—and especially so for those with wider feet. Wide feet may be genetic, or caused by age, flat feet, weight gain, or pregnancy. Trying to squeeze a wider foot into a medium or narrow width shoe can lead to bunions, hammertoe, ingrown toenails, blisters, calluses, and more. However, many people are not even aware that they need a wide shoe, so it is important to check your foot’s correct length and width every time you purchase new shoes. Stand on a piece of paper at the end of the day (after a full day of use), and trace the outline of both feet. Record the length (from the big toe to the heel) as well as the width at the widest part of the ball of the foot. Check these measurements against an online shoe-sizing chart to help determine if you need a wide fit walking shoe. Wide size feet also need walking shoes with ample room in the toe box, good arch support, a wide insole, and a well-constructed outsole with plenty of shock absorption and traction. If you need help determining the accurate length and width of your feet, or have foot issues that make it difficult to find shoes that are comfortable, consult with a podiatrist.

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 Richard P. Jacoby, DPM from Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Get a Proper Shoe Fit
Monday, 17 May 2021 00:00

Types of Painful Toe Conditions

There are a variety of painful conditions that can impact the feet, and many of those can cause pain in the toes. Pain and swelling around the toenails where the nail has curled into the skin is a common sign of ingrown toenails. Bunions are formed near the big toe as painful bony lumps that form due to poorly fitting shoes. If any toes are broken, the toes will become painful and swollen, and walking could be difficult. If there is pain and stiffness around the joints, and they feel hot and swollen, that may be a sign of gout, which is affected by the level of uric acid in the blood. If the pain in the toes is severe, gets worse, results in a loss of sensation, or you are diabetic, consulting with a podiatrist is suggested. A podiatrist will be able to diagnose and provide treatment options for pain that is in the toes and feet.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Monday, 01 March 2021 00:00

What Is a High Ankle Sprain?

A high ankle sprain, also known as a syndesmosis injury, can occur when the ankle is forcefully twisted upwards and away from your body during physical activity. This can happen while playing contact sports. For example, if somebody falls onto the outside of your ankle, it may force the ankle to move beyond its normal range, resulting in a high ankle sprain. A high ankle sprain differs from the more common lateral ankle sprain by its symptoms. While a lateral ankle sprain is painful, the pain from a high ankle sprain is usually more severe. It may be extremely difficult to bear weight on the ankle. However, high ankle sprains generally don’t bruise or swell as much as lateral ankle sprains. If you sustain any type of ankle sprain, it is suggested that you see a podiatrist for treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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 Ankle Sprains

Orthotics are inserts for your shoes that provide additional support, cushioning and structure for your feet. There are over-the-counter varieties as well as custom-made orthotics. Custom orthotics from a podiatrist are specifically sized and manufactured for your individual foot structure and specific foot malady. They may help correct any misalignment issues or alleviate certain foot disorders such as plantar fasciitis—when the connective tissue on the bottom of feet (from heel-to-toe) becomes painful and inflamed. Since every person’s feet are different, a custom orthotic can offer better, more targeted structure and support than a one-size-fits-all OTC insole. If you have any pain in your heel or feet, make an appointment with a podiatrist for a thorough exam and diagnosis, and to see if custom orthotics can provide the relief you need.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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 Foot Orthotics
Monday, 05 April 2021 00:00

Can Children Get Plantar Warts?

The papillomavirus is responsible for warts in both adults and children. Although pediatric warts are said to be more common, anyone can become affected. Warts are usually not painful unless they occur on the soles of the feet, as is the case with plantar warts. These flat, thick, callus-like warts can grow singularly or even in a cluster, causing a “mosaic” on the bottom of the feet. Sometimes small black dots, which are clotted blood vessels, may be visible within the wart. While warts usually go away after some time, they can be quite tender and stubborn. If your child has developed plantar warts that are painful or persistent, it is suggested that you make an appointment with a podiatrist. A podiatrist can use a variety of medicines and treatments depending on the severity of the warts, your child’s age, medical history, and tolerance for medical procedures.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 What Are Plantar Warts?
Monday, 03 May 2021 00:00

Why Is My Toenail Ingrown?

Ingrown toenails occur when a nail grows into the surrounding skin, rather than over it. This can cause symptoms such as pain, tenderness, redness, and swelling of the skin surrounding the ingrown toenail. While most ingrown toenails are not serious and often heal with home treatment, sometimes the area can become infected and require medical treatment. But what causes toenails to become ingrown anyway? Trauma to the toenail from stubbing the toe can lead to ingrown nails, as can wearing shoes that are too tight and push the nail into the skin, and trimming the toenails improperly. If you are prone to ingrown toenails, it is suggested that you see a podiatrist, who can assess your feet and advise you on how to prevent and treat ingrown toenails. 

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
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