PCC Admin

PCC Admin

Monday, 19 October 2015 00:00

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid, crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

runners20With the return of fall weather, it is important to get the feet prepared for blister prevention during the boot weather months. When purchasing shoes it always best to make sure you are getting the correct size and fit of the shoe. A shoe that is too tight will definitely cause blisters on the feet. Rubbing a blister block or silicone based hair serum on blister prone parts of the feet can help reduce friction if you already have shoes that are too tight. On the chance that you are unable to take the proper measures to prevent a blister and get one anyways, make sure to keep durable band aids on you to allow it to heal properly.

Blisters are prone to making everyday activities extremely uncomfortable. If you have any concerns with blisters on your feet contact Dr. Edwin S. Hart III, DPM of Pennsylvania. Our doctor will treat your foot and ankle needs.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a doctor.

If you have any questions please feel free to contact our office located in Bethlehem, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about blisters on the feet.

Monday, 12 October 2015 00:00

Blisters on the Feet

Blisters are a common ailment of people who wear shoes that are either too tight or rubbed up against their feet in the wrong way while wearing them. In order to better understand how they are formed and what treatment should be used for them, you have to start with the basics of what a blister actually is.

A blister on the foot, or any other part of the body for that matter, is a small pocket that is filled with fluid. It usually forms on the upper layer of the skin because these layers are loose enough to allow a blister to form. The most common fluid in a blister is just a clear, watery like fluid that should not cause any concern. However, blisters can fill up with blood if they are deep enough and even pus if they have become infected with bacteria.

Blisters almost always form on the feet due to shoes rubbing up against the foot, where the friction causes blisters. These can occur after you have walked for a long period of time for example, or when your shoes simply do not fit you properly. They also form faster and easier if your feet are moist, so keeping them dry and clean is a preventative step you can take to avoid getting blisters.

Preventing infection should be the number one concern when treating blisters, as well as alleviating the pain they can cause. Using a band aid to cover up the blister will help it heal and prevent bacteria from entering it. New skin will form under the blister and eventually cause it to pop, or you can take a pin and try to pop it yourself.

If the blister is filled with pus or blood, seeking treatment from a doctor is ideal. Antibiotics might need to be taken in order to completely eliminate the bacteria inside the blister, and that needs to be prescribed by a doctor.

However, one of the best ways to treat blisters is to prevent them all together. Keeping your feet dry and making sure that your shoes fit properly are just two of the steps you can take to prevent blisters. Shoes that are too tight or shoes that are too loose and allow your feet to slide in them will cause blisters. Applying a band aid to an area you think might get a blister before one pops up is another way you can prevent them.

Monday, 05 October 2015 00:00

Tips to Avoid Running Injuries this Fall

foot-exercise4As the cooler Fall weather begins to take over, more people will head outdoors for a run. Here are a few tips to help prevent common foot injuries this season. Achilles tendonitis can usually occur when the tendon between the heel and calf muscle becomes over stressed. Rehabbing the area with ice and anti-inflammatories can help prevent the injury from becoming any more severe. Plantar fasciitis mostly occurs in the heel of the foot and can result in pain all over the body if not properly treated. Stretching and applying ice to the area. Additionally strengthening and stretching the foot, calves, and Achilles tendon can reduce the pain. While injuries typically occur when workouts are intensified, make sure to take it easy and give your feet the proper care they need.

Runners can still be prone to running injuries even with proper precautions. If you are suffering from a running injury see Dr. Edwin S. Hart III from Pennsylvania. Our doctor will provide you with quality treatment and assist you with all of your foot and ankle concerns.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber, this will help you gain better flexibility.

If you have any questions, please feel free to contact our office located in Bethlehem, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Prevent Running Injuries

Monday, 28 September 2015 00:00

Reggie Bush Suffers Injury to Achilles Tendon

broken-foot4Early this NFL season we have seen many sidelining injuries, including Reggie Bush with a ruptured Achilles tendon. While commentators were not initially ready to commit to an injury report, the injury did occur during a game against the Vikings. Bush did appear to be in visible pain as he limped away with his head down and was helped back into the locker room. Although Bush could be out for the entire season, with an injury report he could come back to the field sooner if the injury is not deemed to be serious.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns about your feet or ankles, contact Dr. Edwin S. Hart of Pennsylvania. Our doctor will treat your foot and ankle needs.

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 cause severe 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 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 our office located in Bethlehem, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles tendon injuries.

fungal-toenail2 Cracked heels are a common foot ailment year round that can be caused by many different activities some of which most people may not even be aware of. While walking barefoot where your feet are exposed to dust and hard floors can cause heel cracking and those with conditions such as diabetes and arthritis are more susceptible to it. From the chemicals in the detergent to wash your clothes with to improper foot care or posture, there are many factors in cracked heels. Talking to a podiatrist is the best bet in healing your feet properly if you are suffering from the foot ailment.

Cracked heels can become painful if left untreated. To learn more, consult with Dr. Edwin S. Hart III of Pennsylvania. Our doctor will attend to all of your foot and ankle needs.  

The Truth about Cracked Heels

Cracked Heels

Cracked heels are unappealing, and make it harder for you walk around in sandals. Not only may they look bad, but they can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How do you get them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief, or who suffer from chronic dry feet.

Wear Socks – wearing socks with medicated creams, helps lock in moisture so it can stay on longer.

Moisturizers – applying it both day and night will help alleviate dryness which causes cracking.

Pumice Stones – these remove dead skin, and then you can massage cream onto your foot. This way the cream will be absorbed. The skin needs to be exfoliated; therefore the outer layer dead skin needs removal.

If you have any questions, please feel free to contact our office located in Bethlehem, PA. We offer the newest diagnostic tools and technologies for your foot and ankle needs.

Read more about Cracked Heels

stretching2According to a study reported at the American Pain Society Annual Scientific Meeting chemotherapy induced neuropathy has been found to hurt more in the feet than in the hands making every day routine difficult. The study included 184 patients from the San Francisco Bay area completing taxane or platinum based chemotherapy where chemo-induced neuropathy was in their hands and feet. With the help of questionnaires such as the pain interference scale and brief pain inventory, chemotherapy induced neuropathy was found to cause treatment delay, decreased functioning of the feet, and poorer quality of life since the pain reduced everyday activities.

When dealing with systemic disease of the feet, is extremely important to check the affected areas routinely so that any additional problems are caught quickly. For professional help, see Dr. Edwin S. Hart of Pennsylvania. Our doctor will ensure that your feet receive the care that they need.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.

If you have any questions feel free to contact our office located in Bethlehem, PA. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Systemic Diseases of the Feet

Monday, 14 September 2015 00:00

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid, crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

toenail-fungus7 Although keeping nails well-kept by having them adorned with colorful polish can be fun, many doctors recommend giving your nails at least a week of polish free nails to avoid problem such as nail fungus. Certain nail polishes have dyes in them that can dry out the nail bed and cause bacteria, mold, and nail fungus. One of the best ways to keep the nails healthy is to expose them to air every now and then. However, some salons do offer special polishes that specialize in preventing toenail fungus and other problems.

While toenail fungus is troublesome to eradicate, it is not impossible. For more information about treatment, consult with Dr. Edwin S. Hart of Pennsylvania. Our doctor will attend to all of your podiatric needs.

Toenail Fungus Treatment

Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments

Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body. Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free.

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

Alternative Treatments

There are always surgical procedures that are available for toenail fungus. Some people would like immediate quick removal of toenail fungus. Surgeons will be able to cut through and remove the growth using laser surgery. It is important not to try and remove it yourself. Once removed, your old shoes will need to be replaced to avoid reinfection.  

If you have any questions please feel free to contact our office located in Bethlehem, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus

orthotics5The foot has 26 bones, 33 joints, and over 100 muscles, tendons and ligaments; with that being said, it is not uncommon for injuries to occur in the foot. When the average person takes about 10,000 steps a day, it is important to provide adequate support on the feet such as orthotics to prevent injury. Dr. Alan Jacobsen has created a new orthotic insole made out of lightweight materials that is set to become the newest in world class, high quality foot support. The insoles are built up of layers of long reinforcement fibers, and the technology uses light-curing resin instead of bonding with expensive tools. These new orthotics are lighter, less bulky, and are not made out of foam.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Edwin S. Hart of Pennsylvania. Our doctor will treat your foot and ankle needs.

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 over arched 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 issue, 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 more severe 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 on 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 feel free to contact our office located in Bethlehem, PA. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read more about Orthotics

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