Tuesday, 16 August 2022 00:00

The Ankle: A Complex Structure

The ankle is a complex structure composed of three bones known as the tibia, fibula, and talus along with ligaments, tendons, muscles, nerves, and blood vessels. Ankle stability is very important, as this joint needs to be able to withstand 1.5 times the body’s weight when walking and 8 times the body’s weight when running. Because the ankle is so critical in movement and bearing weight it can be prone to certain painful injuries such as ankle sprains, fractures, nerve compression, and tendonitis. Ankle pain can also be caused by certain diseases that attack joints such as arthritis, gout (a form of arthritis), and diabetes. Ankle pain and discomfort can vary depending upon the source ranging from stiffness, warmth, redness, and inflammation, to varying degrees of pain and/or immobility. If you have any kind of ankle pain, have a podiatrist examine you and diagnose your condition. Proper treatment is critical to relieve pain and help your ankle to heal properly.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with the podiatrists from Dr. Siegerman & Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

Types of arthritis (rheumatoid, osteoarthritis, and gout)
Ankle sprains
Broken ankles
Achilles tendonitis
Achilles tendon rupture
Stress fractures
Bursitis
Tarsal tunnel syndrome
Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Ankle Pain

Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.

Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.

Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections.

Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.

Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.

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Tuesday, 09 August 2022 00:00

Dealing With Arthritis in the Ankles

The ankle joints are used every day to walk, run, jump, or play sports. After a while, the connective tissues that form the joint like cartilage, ligaments, and tendons can simply wear out and arthritis takes over. You may notice pain, redness, heat, swelling, and less range of motion. At first, some lifestyle changes can help reduce the effects of ankle arthritis. Among them are losing weight, ceasing repetitive and strenuous activities, and taking certain medications. If none of this helps, it may be time to see a podiatrist who can offer more complex solutions. Among them is arthroscopic debridement to clean out any loose cartilage that may be causing the inflammation. Another option is arthrodesis, which is a fusion of bones in the ankle using plates, rods, pins, or screws. This may affect the range of motion and gait but offer pain relief. A final option is ankle joint replacement which comes with a long list of risks and benefits. Ask your podiatrist for more detailed information on dealing with ankle arthritis.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact the podiatrists from Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care

Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

Swelling
Pain
Stiffness
Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
Obesity – Excess weight can contribute to osteoarthritis development
Infection – Microbial agents can infect the joints and trigger arthritis
Joint Injuries – Damage to joints may lead to osteoarthritis
Age – Risk increases with age
Gender –Most types are more common in women
Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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Tuesday, 09 August 2022 00:00

How to Care for Your Arthritic Foot

Arthritis is an inflammation of the joints and it can occur at any joint in the body, especially in the foot. It generally effects those who are older, however, it can occur at any age. Although there are many different forms of arthritis, there are three main types that occur in the foot. The three types are osteoarthritis, rheumatoid arthritis, and gout.

The primary cause of osteoarthritis is aging. As you age, cartilage degenerates around the joints which causes friction and pain. Obesity can cause osteoarthritis through mechanical stress. Injuries that damage joints can increase the probability as well. Finally, a family history of osteoarthritis can also increase chances of having it.

Rheumatoid arthritis occurs when the immune system attacks the joint linings and weakens them over a long time. While there is no known cause of rheumatoid arthritis, obesity and smoking can increase your chances of getting it. Women are also more likely to get it than men.

Gout is a form of arthritis that occurs when there is too much uric acid in your blood and painful crystals form in your joints. Men are more likely to have gout than women. People who are obese or drink alcohol often are also more likely to develop gout. Furthermore, having diabetes, heart disease, high blood pressure, high cholesterol, gastric bypass surgery or a family history of gout may increase your likelihood of developing the condition.

Symptoms of arthritis include pain, stiffness, swelling in the joints. These symptoms can make it harder and more painful to walk. Physical activity can increase pain and discomfort. Furthermore, joint pain can worsen throughout the day for osteoarthritis. Gout attacks generally last several days with the first few being the worst.

Diagnosis of gout includes either a joint fluid test or a blood test. X-ray imaging can detect osteoarthritis but not gout. On the other hand, there is no blood test for osteoarthritis. Rheumatoid arthritis is difficult to diagnosis. Doctors utilize family and personal medical history, a physical examination, and antibody blood tests to determine if you have rheumatoid arthritis.

Treatment varies for the different kinds of arthritis. Anti-inflammatory medication or steroids can help reduce pain from inflammation of the joints. Changing shoe types can help with some symptoms. Wider shoes can help with discomfort from gout and osteoarthritis. High heels should be avoided. Shoes with proper arch support and that take pressure off the ball of the foot can help with rheumatoid arthritis. Drinking lots of water can also help rid uric acid from the blood. Losing weight, improving your diet, and limiting alcohol and smoking can also help prevent or lessen the symptoms of arthritis.

If you are having trouble walking or pain in your feet, see a podiatrist to check if you have arthritis.

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Tuesday, 02 August 2022 00:00

Sever’s Disease and Sports

Sever’s disease is an affliction of the foot that can threaten your child’s health, so it is important to be fully aware of what this condition is. Primarily affecting children, Sever’s disease occurs when excessive strain is placed on the growth plate of a child’s heel. The condition can produce pain in the heel. A child is most susceptible to developing Sever’s disease during the onset of a growth spurt. Sever’s disease in children has an interesting link to sports and physical activities that parents should be aware of. Playing high-impact sports puts children at an increased risk of developing Sever’s disease because it can place extra strain on the growth plate of the heel. Specifically, soccer, basketball, track, and gymnastics are all common sports that can put children at an increased risk. Additionally, physical activities and other sports that include children engaging in a lot of running or jumping can make the development of Sever’s disease more likely. It is therefore no surprise that cases of Sever’s disease are usually seen prominently at the beginning of sports seasons. If your child is engaged in a sport or some kind of comparable physical activity, then consider contacting a podiatrist who can help you learn how to prevent or treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see the podiatrists from Dr. Siegerman & Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

Sever's Disease

Sever’s disease, also known as calcaneal apophysitis is a common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.

Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.

Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.

Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.

If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.

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Tuesday, 26 July 2022 00:00

Checklist for Diabetics to Protect the Feet

Anyone with diabetes is subject to foot and lower leg problems, including ulcers, gangrene, and possible amputation. These conditions may be the result of long-term high blood sugar levels, which can cause neuropathy and peripheral artery problems. For that reason, as a diabetic, constant and vigilant care of your feet is essential. If you are unable to check your feet, please ask someone to help you. Some people use a mirror to check the bottom of their feet. Look for changes in skin color; red indicates a problem with your footwear, but blue or black could mean bruising or blood flow problems. Look for blisters or any break in the skin that could become infected. Keep these areas clean and dry, and apply sterile coverings. Check for moisture between the toes, which is a good place for bacterial or fungal infections, such as athlete’s foot, to develop. Notice any numbness, tingling, or inability to detect temperature, hot or cold. Look for sores that do not heal properly, because they may become ulcerated. As a diabetic, it is a good idea to have regularly scheduled visits with a podiatrist who can help to monitor changes to your feet and treat them quickly.

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

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Tuesday, 26 July 2022 00:00

Diabetic Foot Conditions

Diabetes is the condition in which the body does not properly process food for use as energy. People with Type 1 diabetes cannot produce insulin, which is required for glucose to feed your body’s cells. It is typically caused by the immune system mistaking healthy cells for foreign invaders and destroying the insulin-producing cells in the pancreas. On the other hand, people with Type 2 diabetes cannot respond to insulin properly, and eventually cannot produce enough. The Centers for Disease Control and Prevention reports that over 30 million people in the United States have diabetes, with 1 in 4 having no idea they have it. Surprisingly, diabetes is the seventh leading cause of death in the US. The symptoms of diabetes include frequent urination, fatigue, hunger, and even blurry vision.

Diabetes can also affect the feet as well. Over time, diabetes can cause nerve damage to your feet, which could then lead to symptoms such as tingling, pain and numbness in the feet. Neuropathy can be very dangerous to a person with diabetes, since it prevents them from feeling injuries such as cuts or blisters in the feet, and if not detected early enough, may lead to infection. Neuropathy can also lead changes in the shape of your feet and toes. The best way for people with diabetes to prevent or delay neuropathy is keeping their blood glucose levels in their target range. This consists of eating right, having the correct amount of exercise, and taking medications.

Diabetes can also create calluses and foot ulcers as well. Calluses build up faster and occur more frequently with those affected by diabetes. If there are too many calluses, therapeutic shoes and inserts may be required. It is important to have calluses trimmed by a health professional, as doing it yourself may lead to infections. If these calluses continue to develop and thicken, they can lead to foot ulcers. Foot ulcers are open sores, that appear on the ball of the foot or on the bottom of the big toe. These ulcers can lead to future infections if not treated and may possibly result in losing a limb. It is important to report any ulcers to your podiatrist right away. Your doctor may take x-rays to examine the foot and clean out any dead and infected tissue.

Lastly, diabetes can also lead to poor circulation and peripheral arterial disease (PAD). The poor circulation in the feet and leg area is a result of diabetes narrowing and hardening, eventually slowing down the blood flow in that area. The best way to prevent this is to keep away from smoking and follow your doctor’s advice for maintaining blood pressure and cholesterol. PAD is similar to this complication. PAD is when blood vessels narrow or are blocked by fatty deposits. PAD also increases your risk of heart attacks and strokes and is a common condition to those affected by diabetes. The combination of both PAD and neuropathy may lead to infections and can result in amputation of certain limbs. PAD can be prevented with wearing the proper foot wear and regularly taking care of your feet.

If you want to take care of your feet, you should wash and dry them carefully and perform daily inspections to check for cuts, blisters, or swelling. Any physical activity you partake in should be approved by your health care provider. You should also be sure to wear special shoes if advised to do so by your doctor.

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Tuesday, 19 July 2022 00:00

Falling Down a Flight of Stairs and Breaking an Ankle

Falling down a flight of stairs can cause many injuries, some quite serious. It is not uncommon for a person to take such a fall and sustain a foot or ankle fracture. Since other injuries, like dangerous and life-threatening head injuries, can occur from falling, it is imperative that falls be carefully evaluated and treated promptly. An ankle sprain is when the ligaments that stabilize the ankle joint stretch or tear. Foot and ankle fractures are breaks in bones. With either of these, pain will be intense, and walking will be difficult, if not impossible. The foot or ankle will likely become swollen, and bruising may appear. Practice safety tips when climbing up or down steps. Use a handrail with at least one hand. If the stairs are in your home, try covering them with a non- slippery surface, such as carpet. Make sure the stairs are well lit and free of objects that could pose as falling hazards. If you should fall on stairs and injure your feet, contact a podiatrist who can examine your ankle, determine whether it is a sprain or fracture, and provide appropriate treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, contact the podiatrists from Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

Excessive pain when the area is touched or when any pressure is placed on the ankle
Swelling around the area
Bruising of the area
Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

All About Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint: the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in the ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ankle ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate X-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activity. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the foot above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankle to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

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