July 2024

Peripheral artery disease, or PAD, affects blood circulation, often manifesting through symptoms related to the feet. Common signs include cramping, pain, or numbness in the feet during physical activity, which subsides with rest. Coldness or discoloration of the feet or toes, particularly in comparison to the unaffected leg, may also occur due to reduced blood flow. Slow-healing wounds or sores on the feet are another indicator, as PAD limits the delivery of oxygen and nutrients essential for tissue repair. PAD, caused by narrowed arteries due to plaque buildup, increases the risk of complications, such as infections and tissue death in severe cases. Regular foot exams from a podiatrist are essential for managing PAD. If you have symptoms of PAD, it is suggested that you are under the care of this type of doctor who can help you to manage this condition.

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 the podiatrists  from Dr. Siegerman & Associates. Our doctors 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 Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The human foot is a complex structure of bones, joints, muscles, tendons, and ligaments. It carries the body’s weight and enables upright walking, providing stability and flexibility. However, foot deformities can arise from various factors such as external pressures, certain foot postures, or underlying medical conditions. While some deformities are present at birth, others develop over time and can lead to significant discomfort and mobility issues. Splayfoot occurs when the metatarsal bones spread out, which causes the front of the foot to widen and can lead to pain and calluses. Fallen arches, or flat feet, result in the entire sole touching the ground due to weak foot muscles or wearing unsuitable footwear and causing long-term discomfort. Pronated feet, where the heel leans inward, often develop in overweight individuals or those with knock-knees. This may also lead to pain in the knees, hips, and back. High-arched feet place excessive pressure on the ball of the foot, increasing the risk of ankle injuries. If you are experiencing pain resulting from a foot deformity, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

If you have any concerns about your feet, contact the podiatrists from Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Foot ulcers are open wounds that develop on the feet, often affecting individuals with diabetes or impaired circulation. They typically occur due to a combination of factors, including neuropathy, which is nerve damage, poor blood flow, and pressure from footwear. Foot ulcers can vary in severity, from shallow sores to deep craters, and if left untreated, they can lead to serious complications such as infection and possibly amputation. The primary cause of foot ulcers is prolonged pressure or friction on the skin, which can result from wearing ill-fitting shoes, walking barefoot, or excessive rubbing. In diabetic individuals, high blood sugar levels can further exacerbate the risk by damaging nerves and blood vessels, impairing the body's ability to heal. Other contributing factors may include poor hygiene, smoking, obesity, and a history of foot problems. Recognizing the signs of a foot ulcer, such as redness, swelling, or drainage, is vital for prompt treatment and prevention of complications. If you have a foot wound, it is strongly suggested that you consult a podiatrist who can diagnose its severity, and offer treatment options that are right for you.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with the podiatrists from Dr. Siegerman & Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Heel pain, often linked to conditions such as plantar fasciitis, is a prevalent complaint that affects the bottom or back of the heel. This pain typically results from inflammation, overuse, or injury to the plantar fascia, a thick band of tissue that supports the arch of the foot. Factors contributing to heel pain include excessive walking or standing, wearing improper footwear, obesity, and age-related changes. The pain is usually sharp and most intense during the first steps in the morning or after long periods of rest. It can significantly interfere with daily activities, making walking, exercising, and even standing difficult. Diagnosis involves a physical examination, patient history, and sometimes imaging tests like X-rays or MRI scans to rule out fractures or other issues. Treatment typically includes rest, anti-inflammatory medications, and stretching exercises. Custom orthotics and targeted stretching exercises may also be recommended. If you have persistent or severe heel pain, it is suggested that you schedule an appointment with a podiatrist for specialized care and treatment.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Dr. Siegerman & Associates. Our doctors 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 Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle pain while cycling is often due to poor form, overtraining, or using a bike that is the wrong size. Improper cycling form, such as incorrect foot positioning on the pedals, can strain the ankle joints and muscles. Starting with intense or prolonged rides too quickly without allowing your body to adapt can also lead to overuse injuries, including ankle pain. Additionally, riding a bike that does not fit your body properly can force your ankles into awkward positions, causing discomfort and potential injury. To prevent ankle pain, focus on maintaining correct form by keeping your feet properly aligned on the pedals. Gradually increase the intensity and duration of your rides to build strength and endurance. Additionally, ensuring your bike is properly fitted to your body can also help maintain proper alignment and reduce the risk of ankle pain. If your ankle begins to hurt during or after a bike ride, it is suggested that you consult a podiatrist who can properly treat it, and guide you on additional ankle injury prevention techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact the podiatrists of Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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