Monday, 15 July 2019 00:00

Rare Hair Splinter in the Foot

A type of foot and heel pain may stem from the very rare “hair splinter.” This happens when a hair shaft gets under the skin and creeps deeper into the body. The scientific name for the condition is “cutaneous pili migrans.” It may be confused with a parasite, as it typically has a worm-like shape. The hair splinter has only been recorded in the medical community a few times. In the past 60 years, there have been 26 known cases of cutaneous pili migrans. Once the hair is removed from the body, it appears that the pain stops. Although a severe hair splinter is rare, foot and heel pain is not. If you are experiencing any type of discomfort in the foot area, you should consult with a podiatrist who can diagnose and treat a variety of ailments.

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.

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.

One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

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Tuesday, 09 July 2019 00:00

Running Shoes VS Walking Shoes

Running shoes and walking shoes have very different characteristics. Runners shouldn’t run in walking shoes, as the majority of them are too stiff and do not flex the way that runners need them to. A fitness walker on the other hand can be suited for either a running or walking shoe. For them, it all comes down to analyzing both types of shoes and then determining which brand works best. Runners require extra cushioning in their shoes as they impact the ground with three times their body weight with each step. Walkers don’t require much cushioning, which is why walking shoes have less cushion than running shoes. Another difference is that running shoes have built-up heels to give the runner more spacing, whereas walking shoes have a lower heel due to the foot strike not being as significant when you walk. One final difference is the amount of flexibility each shoe offers. While runners and walkers both need shoes that have flexibility, running shoes will offer some more flexibility than walking shoes. Many shoes that are marketed as walking shoes do not flex at all. Not a lot of flexibility is given to walking shoes as it gives the user more motion control. Obtain an opinion from a podiatrist on which kind of shoe may be best for you.

For more information about walking shoes versus running shoes, consult with the podiatrists from Dr. Siegerman & Associates. Our doctors can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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.

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Tuesday, 09 July 2019 00:00

Differences between Walking and Running Shoes

Both running and walking are great exercises, but should a person wear the same shoes for both activities? The answer is no, because there is a difference between the way a person’s feet hit the ground when they are walking and when they are running. Therefore, the shoes for each activity are designed differently. Before you begin any exercise program it is always recommended that you speak with your doctor or podiatrist.

Walking is a low impact exercise that is often recommended by doctors to their patients. While walking is a simple activity, it still requires some degree of preparation. If you think about walking and how your feet strike the ground as you move, you will notice that your heel hits the ground first before your foot continues to roll forward and your next step begins. Because of this rolling motion, walking shoes are designed to be more flexible than running shoes. This flexibility helps the walker push off with each step taken.

Because the heel hits the ground first when you walk, walking shoes are designed to absorb most of the shock. Walking shoes should therefore have a beveled or angled heel. The angle of the heel helps absorb the shock and reduces pressure from the ankles. This is especially important for speed walkers, as their feet will hit the ground twice as often as the normal walker.

When people decide to run as a hobby or for their health, they must first realize that running is a high impact exercise. If not done with the proper equipment, running may cause damage to the feet and legs. Running shoes are designed to be more lightweight and to have thicker soles. The thicker soles act as shock absorbers for the rest of the body. Walking shoes often do not have the proper arch support that running shoes do.

A proper fitting shoe can make or break a runner or a walker. If the shoes are too big, their feet will slide back and forth inside the shoe and cause blisters. Whether you will be running or walking, the right equipment can make all of the difference in the world.

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Monday, 24 June 2019 00:00

How to Perform a Thorough Vascular Exam

Vascular diseases are complications that take place in lower extremity wounds such as in the foot and ankle. They are also leading factors in the occasional amputation of these lower extremities. Vascular screenings have shown to be an efficient option in identifying any potential lower limb vascular diseases. When giving a vascular exam, there are a couple of things to look for. First, a visual inspection is done of the wound to note the presence or absence of any tissue loss, as well as the color of the foot and any sign of soft tissue atrophy. Comparing any present color changes in the extremities is a key indicator to the severity of the lesion. It is also vital to check skin temperature for the blood flow rate, as this is another reliable marker to the severity of the wound. This is assessed by lightly palpating the skin with the back of the hand and comparing sites from one extremity to another. There are a couple of different vascular exams that a podiatrist can perform to determine the severity of these ailments. These include blood pressure testing, recording the volume of the pulse and non-invasive testing to determine pressure in the limbs and toes. If you feel that you exhibit any signs of vascular disease in your feet or ankles, it is vital that you see a podiatrist as soon as possible.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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 Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

The most common tests include:

Ankle-Brachial Index (ABI) examination
Doppler examination
Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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Monday, 24 June 2019 00:00

Vascular Testing in Podiatry

In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.

Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.

Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.

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Monday, 17 June 2019 00:00

Have I Broken My Toe?

Many patients will experience a broken toe after a heavy object has fallen on it, or if it bangs into a piece of furniture. Consistent movements over an extended period of time can also weaken the bones in the toe, and this may result in a hairline fracture. Some of the symptoms that are associated with a broken toe often include pain, swelling, and bruising. Toes that are severely broken often bleed, and can point in the wrong direction. Many patients find comfort when the toe is elevated, as this may help to control any existing swelling. Additionally, the healing process can begin when the affected toe is taped to the toe next to it, which is referred to as buddy taping. If you feel you have broken your toe, it is suggested that you consult with a podiatrist who can perform an X-ray which confirms this condition, followed by beginning the correct treatment for you.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact the podiatrists from Dr. Siegerman & Associates. Our doctors will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

Swelling
Pain (with/without wearing shoes)
Stiffness
Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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Monday, 17 June 2019 00:00

What to Know About a Broken Toe

The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.

Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.

Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.

If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.

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Monday, 10 June 2019 00:00

Shockwave Therapy: Solution for Chronic Pain

Shockwave therapy is a non-surgical therapy that treats intense pain, speeds up recovery time and avoids the stigma that a surgical procedure would present. It is a heavily utilized tool in the fields of physiotherapy, urology, and sports and veterinary medicine. A shockwave is an acoustic wave that brings high energy to painful spots and tissues in the body that exhibit subacute, subchronic and chronic conditions. This energy induces regenerative and reparative processes onto these ailing soft tissues, tendons and bones. The shockwave in this therapy repairs tissue and initiates cell growth at an accelerated rate. Shockwave therapy is a three step process. First, the afflicted area is located by using palpation. Then, gel is applied to the area in order to ensure that the waves are efficiently transferred to that spot. Lastly, once the applicator that administers the shockwave is lightly pushed against the injury, the start button is pressed and the procedure begins. If you are experiencing any intense foot and ankle pain and would be interested in additional information regarding shockwave therapy, it is advised that you make an appointment to talk to your podiatrist.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with the podiatrists from Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

Shockwave Therapy

Extracorporeal Shockwave Therapy (ESWT) is an alternative treatment method that is used for bone and soft tissue disorders in the foot and ankle. EWST is a noninvasive option for pain relief and it was originally created to help dissolve kidney stones. This therapy works by focusing impulses to target the area in pain. This method has been proven to show a reduction in the amount of nerve fibers that transmit painful impulses, which leads to a reduction in pain. Shockwave therapy can also expedite the tissue which would, in turn, increase the amount of new blood vessels that are formed.

Conditions that can be treated with shockwave therapy include Achilles pain and heel pain. People with plantar fasciitis may opt for this therapy and the results are usually great after 18 months. Additionally, this method can also be used to treat fractures that have failed to heal correctly. Anesthesia is not required to perform this treatment. It usually is not painful, but it can be uncomfortable.

The duration of treatment sessions usually lasts 5-15 minutes each. This procedure is safe since there is no risk of infection from wound complications, if you are looking to try shockwave therapy to heal plantar fasciitis, it may take 3-4 sessions to start working. After treatment, patients typically notice a dull pain in the area which was treated. However, this pain rarely lasts more than 24 hours.

Nevertheless, there are pros and cons that come along with Shockwave Therapy. The most obvious pro is that this treatment is noninvasive, meaning surgery will not be required. Another upside is that there have been very little complications that have been found with this procedure. On the other hand, those who opt for surgery are at risk for continued pain, wound problems, and infections. The biggest con for ESWT is that it is very expensive; it typically costs around $1,000 before insurance. Another con is that the effectiveness of the treatment is questionable. Usually, if this treatment is helpful, the difference is small.

If you are curious about Shockwave Therapy, you should talk to your podiatrist to see if this treatment method is right for you. At times, patients will find that there are other treatment options that are more efficient for their individual cases.

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