Archive for the ‘Foot conditions’ Category
When there is a lack of blood flow and circulation is impaired from the heart to the foot, a condition known as ischemic foot may arise. Arterial insufficiency may occur due to a blood clot, cholesterol build up in the main artery or injury to the artery.
Ischemic foot means that there is not enough blood flow reaching the foot and providing the area with oxygen and nutrients needed to operate and function properly. The result can be extremely painful and cause the affected individual a lot of problems. Mobility problems, skin integrity disorders and even tissue death may occur due to the lack of circulation and blood flow to the foot.
Diagnosis of Ischemic Foot
Early symptoms of ischemic foot may include discoloration of the skin, cramping of the foot and toe muscles when walking, and extremely cold feet that are difficult to warm up. Later symptoms, after the condition has progressed, may include ulceration and dying skin. Gangrene and severe infection may result from the decreased blood flow in the foot.
Your Phoenix foot doctor will use a series of tests to help diagnose ischemic foot. A physical examination, arterial Doppler testing, and x-rays may be needed to determine the severity of the problem.
Treatment for Ischemic Foot
The earlier the condition is diagnosed, the earlier it can be treated. When an ischemic foot problem is treated early, the patient has a better chance of improvement.
During the early stages of the condition, your podiatrist in Phoenix may recommend walking exercises to improve circulation. Protective shoes may be necessary to prevent friction and rubbing against the skin. When excessive rubbing occurs, ulcers and skin wounds may occur. Medications are also recommended for improved blood flow to the foot.
When the condition has advanced, more aggressive treatment may be required to eliminate the painful symptoms and improve blood flow to the feet. Your foot and ankle doctor may refer you to a vascular specialist who can work with your condition and design an effective treatment plan. If surgery is required to remove a blood clot, further evaluation may be required.
Your podiatrist will work wit you to improve circulation and prevent serious problems from occurring. Serious problems that can arise if treatment is not received include infected ulcerations on the skin and tissue death. In the event that tissue death is severe, amputation could be the end result. It is important to see a podiatrist concerning your ischemic foot problems and have the condition evaluated and treated.
Scottsdale Neuropathy Institute provides first rate treatment to those suffering from painful feet due to neuropathy and other conditions. For the best diabetic neuropathy and peripheral neuropathy treatment in the Southwest, call (480) 994-5977.
There are a variety of causes of nerve damage, also known as peripheral neuropathy. This condition causes a number of symptoms that are related to the root cause of the problem. Some patients report symptoms of numbness, tingling and even pain in their extremities, and the nerve damage can lead to serious problems if left untreated.
Peripheral neuropathy cannot be cured but does improve if precautions and preventative measures are taken. Understanding the cause for the problem can help find a treatment plan that is efficient and beneficial to the patient. Also of benefit is finding out the cause of the condition so that the symptoms can be adequately addressed.
Treatment may consist of medications and therapy, as well as adjustments to lifestyle activities. Your doctor can help you understand your symptoms and what to do for them in the event that you are diagnosed with peripheral neuropathy.
Causes of Peripheral Neuropathy – Not Always Easy to Define
It can be a challenge to determine the cause of peripheral neuropathy. Careful assessment and examination are often required. Some of the most common factors that contribute to peripheral neuropathy may include, but are not limited to the following:
- Alcoholism and excessive drinking – Poor diet choices and too much alcohol in the system can cause symptoms of peripheral neuropathy.
- Diabetes – One of the more common causes of peripheral neuropathy is diabetes. Statistics show that at least 50% of those with the disease experience symptoms associated with neuropathy – a number that is staggering and desperately needing to be addressed.
- Nerve pressure – Pressure on the nerves can result in peripheral neuropathy. This may be caused by an accident, as in a traumatic motor vehicle accident, that results in pressure on the nerve or a compression type injury. Also, injuries that require walking aids, such as crutches, may cause damage to the nerves.
- Other diseases or conditions – Other conditions such as diseases of the liver or kidney may also contribute to the cause of peripheral neuropathy.
Prevention is the key to eliminating peripheral neuropathy in your life, especially if you have diabetes. While there is no cure for peripheral neuropathy, it is important to eliminate the symptoms through proper and effective treatment or prevent the condition from developing. Managing the underlying conditions is the best way to prevent the problem from occurring. Managing and controlling your blood sugar level is found to be the most effective way to keep neuropathy at bay.
Peripheral neuropathy treatment with an expert is available in Phoenix and Scottsdale. Dr. Richard Jacoby has been offering both nonoperative and operative treatment for over 20 years. He has performed over 2500 Dellon surgical decompressions and been able to avoid amputations as a result.
For the best treatment in Arizona for peripheral and diabetic neuropathy, call the Scottsdale Neuropathy Institute at (480) 994-5977
A corn is a thick deposit of skin that develops on the foot from excessive friction. Generally a corn is also recognized as a callus that is located somewhere along the foot. Corns develop, most commonly, due to poor fitting shoes and arise on the bottom of the feet or toes.
Proper care is needed to decrease pain and discomfort that may develop from corns. A person who suffers from corns may experience pain with every step they take, as added pressure from walking may cause tenderness and discomfort.
There are several steps that can be done to alleviate the pain from corns and help eliminate the sometimes-debilitating problem.
Step 1: Stop wearing poorly fitted shoes
Shoes that are too tight and cause excessive rubbing and friction can create corns on the feet and toes. Roomy shoes are a better choice because they do not cramp the toes or put pressure on the areas of the feet that are sensitive to corn development. Cushioned pads may also be worn over the affected area to protect against the rubbing of a shoe.
Step 2: See a podiatrist in Scottsdale
If the corn remains painful it may be necessary to seek the care of a Scottsdale podiatrist such as those at Valley Foot Surgeons who specialize in the care and treatment of this problem. Rather than removing any dead skin yourself, a podiatrist can cut away the excess and dead skin to alleviate the pain caused by the corn. It is important to avoid cutting away the skin at home because a deep cut may lead to infection.
Corn and Callus Prevention
The best way to prevent corns and calluses from developing on the foot or toes is to avoid putting pressure on the toes or ball of the foot. If you already have a localized foot deformity that frequently leads to corns you may require the assistance of a podiatrist to help treat the problem. A podiatrist can make recommendation for treatment regarding the foot deformity.
In some of the most severe cases, surgery may be required. If the corn is persistent and recurrent, surgery may also be required. While most podiatrists begin with conservative treatment to solve the problem, in severe cases surgery may be immediately recommended or following a failed conservative treatment plan.
If the right shoes are not changing the symptoms and pain continues, see a podiatrist right away to correct the underlying problems that may be causing your corns or calluses. An expert can help you regain a pain-free life.
Call Valley Foot Surgeons, the leading podiatrists in Scottsdale and Phoenix AZ. The podiatrists are experts in the care of corns, calluses, diabetic neuropathy and more. Call (480) 994-5977 Today.
Plantar warts do not often require treatment. In many instances they heal on their own after a few years. It is important to see a foot doctor in Scottsdale if they are causing pain, not going away or changing shape or color. These warts can also spread so it is important to seek treatment if they begin to multiply. It is much easier to treat a few plantar warts than several.
Plantar warts are typically resistant to treatment, which means you have to be consistent and patient in order to get the results you desire. Most plantar warts need multiple interventions. Individuals with diabetes or damaged feet will need to undergo treatment under the careful watch of a doctor.
Treatment Options for Plantar Warts
There are some home remedies that can help with plantar warts but they are typically not as effective as remedies provided by a health care provider. The treatment options offered by your doctor may include:
Cryotherapy – cryotherapy involves using liquid nitrogen to freeze the wart. The liquid nitrogen is applied via a spray can or cotton applicator. The liquid nitrogen causes the skin to die allowing the wart to be removed within 7-10 days of application. The treatment can be painful when applied.
Cantharidin – this is a substance that is extracted from a blister beetle. Your doctor will typically apply a mixture of Cantharidin and salicylic acid to the warts then cover them with a bandage. The application is typically painless followed by a painful blister that forms within a few days.
Immunotherapy – this type of therapy utilizes your body’s immune system to naturally remove the warts. Doctors facilitate this process through one of two ways: injecting the wart with interferon, which boosts the immune system to reject the warts or injecting an antigen that stimulates the immune system.
Aldara – this is a prescription cream that causes the body to release cytokines to attack the warts. This treatment can cause severe tissue damage and flu like symptoms. Should these side effects occur, the treatment is dropped.
In the event that symptoms persist or the plantar warts continue, surgery may be required. Below is the most common procedure associated with plantar warts:
Same day surgery – surgery to remove the plantar wart(s) involves cutting the wart away using an electric needle. Your Phoenix foot doctor will apply anesthesia to the skin before the procedure takes place in order to mitigate pain. Scarring is an issue so this treatment is often a last resort.
If you are suffering with plantar warts and desire treatment with the best foot and ankle specialists in Phoenix and Scottsdale, call Valley Foot Surgeons today at (480) 994-5977.
High Arch – The Cavus Foot
Cavus foot is a condition in which the foot has an extremely high arch and because of this arch, an excessive amount of weight is placed on the ball and heel portions of the foot when standing or bearing weight. Cavus foot can lead to a variety of symptoms, including pain and instability. The condition can develop at any age, and can occur in one or both feet.
Diagnosis of the cavus foot includes a complete review of the patient’s medical history and family history. An accurate diagnosis of this problem is critical to treatment and knowing the underlying cause is important in determining its future course. If the high arch is due to neurological disorders or another medical condition, it most likely will worsen over time.
Once the doctor has completed a thorough patient history, the foot and ankle are examined. Since the condition may lead to other problems, such as hammertoes, claw toes, or calluses, these issues are looked for. The foot is then tested for muscle strength and the patient’s walking pattern is assessed. The Scottsdale podiatrist may also examine the pattern of wear along the patient’s shoes.
During the initial examination, x-rays may be ordered to further assess the condition. In some cases where neurological conditions are suspected, a doctor may order a complete neurological evaluation be done on the patient.
Depending on the nature and severity of the condition, surgery procedures may be recommended. If non-surgical treatment fails to inadequately relive the pain and symptoms of instability, surgery may be needed to decrease the issues associated with the high arch. Surgery may also be considered for cases that are likely to get worse over time, even if there is not currently pain or instability. In many of these cases, the goal of surgery is to help relieve symptoms or reduce the severity of future problems.
Some people with cavus foot may experience foot drop, which is a weakness of the muscles in the foot and ankle that results in a dragging of the foot when a step is taken. Foot drop is generally a sign that there is an underlying neurological condition and surgery is almost always required to correct the problem.
Cavus foot is often caused by a neurological disorder or medical condition, such as cerebral palsy or even stroke. In other cases involving cavus foot, the high arch may represent an inherited structural deformity or abnormality. The condition can be diagnosed accurately and corrected to prevent future problems from occurring.
To get the best evaluation possible, visit the Scottsdale Neuropathy Institute today, which is also home of Valley Foot Surgeons and the most respected foot and ankle doctors in Phoenix and Scottsdale. Call (480) 994-5977 today.
Most Common Foot Fracture Injuries
Foot fractures can be one of the most disabling injuries, causing pain and significant loss of mobility. The foot is comprised of several bones and when fractured or broken can cause the person affected to experience a number of symptoms.
There are several types of heel bone fractures. The severity of the break is contingent upon how much force of impact caused the fracture. Stable foot fractures, displaced fractures, open and closed fractures, and comminuted fractures are among the most common types of heel bone breaks.
Foot Fracture – Causes and Symptoms
Primary causes of a heel bone fracture may include a fall, motor vehicle accident or twisting injury that affects the ankle, foot and heel bone. A twisting injury typically results in a cracking of the heel bone, while a motor vehicle collision may result in significant force that shatters the bones. A comminuted fracture typically results from severe force involved in an automobile accident.
The most common symptoms of a heel bone fracture are pain, swelling and bruising along the site of the break. If the fracture is minor, you may still be able to walk on the foot with only slight discomfort and a limp. However, if the break is severe, mobility may be a significant problem.
A heel deformity may arise if the bone is shattered due to intense force. A severe break may result in an inability to walk or bear any amount of weight on the foot.
Heel Bone Fracture
Treatment options for a heel bone fracture depend on how severe the injury is and the nature of the cause. Non-surgical and surgical treatment plans are available; however, your orthopedic surgeon will work with you to determine which is best for you. Express all of the symptoms you are experiencing in order to better identify the problem.
If the bone pieces are not displaced, you may not require surgery. A comfortable cast or immobilizer may help stabilize the bones and keep them in a proper position in order to heal. While you may not be able to bear weight for several weeks, the success rate for recovery is promising.
If the broken bones have shifted out of place and require realignment, surgical procedures may be recommended. Open reduction surgery that requires internal fixation is one option, while screw fixation is another.
If you experience an injury to your foot or heel, it is necessary to have the condition examined by a doctor. Careful assessment and x-rays can help identify the problem and relieve your symptoms.
What is a Bone Spur of the Heel?
A bone spur on the heel is referred to as a heel spur and sometimes mistakenly recognized as plantar fasciitis. While a heel spur and plantar fasciitis are similar, they are not the same condition.
Plantar fasciitis is the inflammation of the plantar fascia, the tissue that forms the arch of the foot. A bone spur or heel spur is a hook of bone that forms in the heel bone or calcaneus and is sometimes associated with plantar fasciitis. When a person suffers from plantar fasciitis for prolonged periods of time without treatment, a heel spur may develop. So that needs to be understood is that the heel spur does not cause plantar fasciitis, it is a result of it.
Who Can Develop a Heel Spur?
Nearly anyone can develop a heel spur but most are common in patients who have a history of foot pain that has been caused by plantar fasciitis. It is primarily middle-aged men or women, who are often overweight or avid runners that develop this type of condition.
It is not the heel spur that is believed to be the primary cause of pain, but the inflammation and irritation of the plantar fascia that is thought to be the primary issue. This area can become irritated if you spend a lot of time on your feet or undergo routine physical activity that is foot-strenuous, such as running.
Treatment for Heel Spurs
The treatment of a heel spur with a Scottsdale podiatrist is similar to that of plantar fasciitis because the problems are often related. Short-term rest and inflammation control are among the most common forms of treatment. The most common forms of treatment also include:
- Application of ice packs
- Exercises and stretches
- Anti-inflammatory medications
- Shoe inserts
- Cortisone injection
In the event that the bone spurs do not heal and pain is not resolved after following the above treatment options for a prescribed amount of time, surgery may be discussed with your Phoenix podiatrist. Only a small number of cases result in surgery because nearly 95 percent of all patients with this condition experience relief from the recommended treatment options.
However, in the event that surgery is needed an operation designed to loosen the plantar fascia may be suggested. This surgical procedure is known as the plantar fascia release and is designed to relieve tension and loosen the plantar fascia. Antibiotics and anti-inflammatories may also be prescribed after the procedure to ensure there is no pain and infection.
The surgery is approximately 80-85 percent successful in relieving pain in patients who suffer from the condition and have not been able to enjoy any sort of relief from pain with conservative treatments. Your doctor will be able to assist you in determining what treatment plan is best suited for you.
The doctors at Valley Foot Surgeons are experts in the management of plantar fasciitis. Dr. Jacoby has been a Top Doc numerous times, and is a leader in the treatment of diabetic neuropathy along with peripheral neuropathy of other types as well.
For more information and scheduling, call 480 994-5977.