Tuesday, 12 September 2023 00:00

Why Does My Ankle Crack?

Ankle injuries, particularly sprains, can be debilitating, causing pain and making it difficult to move. After a sprain, some patients may notice a cracking or popping sensation. Ankle cracking often affects those who have experienced multiple ankle sprains because repeated injuries can lead to instability in the joint. Over time, the ligaments that support the ankle become worn down, stretched, and weakened. As a result, they can no longer hold the bones securely in place. When the bones move back into their natural positions, a cracking or popping sound results. Attempting to self-diagnose or treat the issue can lead to further and far more serious complications. Tests such as X-rays can offer a more detailed view of the condition, and the treatment for ankle cracking will depend on the severity of the injury. In many cases, nonsurgical approaches can effectively manage the condition. In extreme cases, surgery may be a necessity. If you experience ankle cracking after a sprain, it's suggested that you make an appointment with a podiatrist for a full exam, diagnosis, and treatment plan.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact the podiatrists from Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

Mild to moderate bruising
Limited mobility
Swelling
Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

Ankle Sprains

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

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Tuesday, 05 September 2023 00:00

Causes and Symptoms of Achilles Tendonitis

The Achilles tendon, the body's largest tendon, plays a pivotal role in walking, running, and jumping. When it becomes inflamed or irritated, the condition known as Achilles tendonitis arises. This ailment involves inflammation in two forms, noninsertional and insertional. Noninsertional Achilles tendonitis affects the middle area of the tendon and is more common among athletes and younger individuals. Insertional Achilles tendonitis targets the lower heel area and affects patients of all activity levels. Common factors that contribute to Achilles tendonitis include overuse due to sudden exercise intensity changes and inadequate footwear. Tight calf muscles and diminished ankle flexibility may also strain the tendon. Aging renders tendons less flexible, making middle-aged athletes more prone to Achilles tendonitis. Poor running form and other conditions, like bone spurs or inefficient foot anatomy, can make it worse. Symptoms of Achilles tendonitis include gradual heel pain that worsens over time. Stiffness, tenderness upon waking, and mild swelling around the heel are other symptoms. For help dealing with Achilles tendonitis, it is suggested that you make an appointment with a podiatrist for a diagnosis and the appropriate treatment option.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact the podiatrists of Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

Inflammation
Dull to severe pain
Increased blood flow to the tendon
Thickening of the tendon

Rupture Symptoms

Extreme pain and swelling in the foot
Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

Thorough stretching of the tendon before and after exercise
Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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 tools and technology to treat your foot and ankle needs.

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Tuesday, 05 September 2023 00:00

The Causes, Types, and Treatments of Achilles Tendon Injuries

Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking.

Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.

Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.

The two most common Achilles tendon injuries are tendonitis and ruptures. Tendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.

Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.

An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.

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Tuesday, 29 August 2023 00:00

Diabetic Foot Exams

A diabetic foot exam is vital for individuals with diabetes due to their increased risk of developing foot problems resulting from nerve and blood vessel damage because of high blood sugar levels. Diabetic neuropathy, caused by this damage, can lead to numbness or a loss of sensation in the feet, making it challenging to detect calluses, blisters, or cuts. If left untreated, these issues can progress to ulcers and infections, potentially necessitating amputation. A diabetic foot exam aims to identify these problems early to prevent severe complications. The process involves gathering information about medical history, diabetes management, medications, and any symptoms experienced. A thorough skin examination checks for dryness, cracking, calluses, blisters, ulcers, or other abnormalities and compares the temperature of the feet for symmetry. Nerve function and sensation in the feet, blood flow, and foot and ankle pulses are assessed, as well as musculoskeletal problems like bent or overlapping toes. To maintain healthy feet, individuals with diabetes should perform daily self-checks and practice proper foot hygiene. If you have diabetes, it is suggested that you make an appointment to see a podiatrist and include this specialist among your healthcare providers to see regularly.

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.

Diabetic Foot Care

Diabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients, neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.

Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that may be prescribed to help with any neuropathy experienced by the diabetic patient. It is also advisable to visit a podiatrist if one is experiencing any conditions involving the feet, such as ingrown toenails, which in more severe cases can cause infection.

Diabetic feet must be inspected daily. Diabetic foot care at home is possible if a patient is provided with instructions from their podiatrist. Patients can relieve dry heels with creams or ointments. Suspected wounds should warrant an immediate call to the podiatrist. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.

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Tuesday, 22 August 2023 00:00

Causes, Definition, and Embracing Life While Living With a Bunion

Bunions are a prevalent foot condition, bringing discomfort and challenges to daily life. These bony protrusions, medically known as hallux valgus, develop at the joint where the big toe meets the foot. They often occur from a combination of factors, including genetics, ill- fitting footwear, and structural anomalies in the foot. Defined by the outward deviation of the big toe and the subsequent misalignment of bones, bunions can cause pain, swelling, and difficulty in finding comfortable shoes. Living with bunions requires proactive measures. Choosing shoes that have ample toe space and arch support can help to reduce discomfort. Surgery may be needed for removal if the bunion is severe and affecting the other toes. If you have a bunion, it is strongly suggested that you are under the care of a podiatrist who can provide you with treatment options that are right for you.

If you are suffering from bunion pain, contact the podiatrists of Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

Genetics – some people inherit feet that are more prone to bunion development
Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

Redness and inflammation
Pain and tenderness
Callus or corns on the bump
Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

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Tuesday, 15 August 2023 00:00

Understanding Gout and Identifying Risks and Effective Treatments

Gout is a form of inflammatory arthritis caused by excess uric acid in the blood, leading to the formation of urate crystals in the joints. These sharp crystals trigger sudden, severe pain, redness, and swelling, commonly affecting the big toe. Anyone can develop gout, but certain factors can increase the risk. Men are more susceptible to getting gout than women, and individuals with a family history of gout have a higher likelihood of developing this condition. Lifestyle choices such as consuming a diet rich in purines, excessive alcohol intake, obesity, and certain medications can also contribute to gout. There are effective treatments that aim to alleviate pain during attacks and prevent future flare-ups. Nonsteroidal anti-inflammatory drugs, corticosteroids, and colchicine are commonly prescribed to manage gout symptoms. Long-term management involves lifestyle modifications, including dietary changes, weight loss, and limiting alcohol consumption. With proper management and awareness of risk factors, individuals with gout can lead healthier, more comfortable lives. If you have gout attacks, it is strongly suggested that you are under the care of a podiatrist who can help you to deal with this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact the podiatrists from Dr. Siegerman & Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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Tuesday, 15 August 2023 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

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