Sore Feet Chicago – See a Podiatrists

PAINFUL FEET?

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The foot does not simply bear the weight of the whole body, but the weight springs off it many times a minute in walking, running or jumping and it helps to absorb the impact of landing. The bones, ligaments and muscles absorb an enormous amount of impact over a lifetime, especially in an athlete, but perhaps more so in the people that are overweight.

The foot is a dynamic piece of engineering. It has both a longitudinal and a transverse arch. The longitudinal arch is higher on the medial side. The foot may be inspected with the patient seated and the foot elevated to facilitate inspection, especially of the sole, but it is essential to examine the foot in a weight-bearing mode. This is when almost all the problems occur in this dynamic structure and failure to do so will result in missing the correct diagnosis in most cases. Problems of the ankles, knees, hips and back also merit examination of the feet.

  • Painful feet are a very common problem. One cross-sectional postal survey reported a 9.4% prevalence of disabling foot conditions.[1]
  • Risk factors for foot pain include advancing age, obesity, injudicious footwear, high-impact exercise (eg, jogging) and underlying medical conditions (see under ‘Aetiology’ section).

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There are many causes of painful feet:

  • Neuropathy – eg, sciatica, peripheral neuropathy.
  • Ischemia from peripheral arterial disease or embolism.
  • Skin lesions may be painful including blisters, corns, calluses, fungal skin and nail infections, and bacterial infections (skin and osteomyelitis).
  • Hallux valgus (bunions).
  • Plantar fasciitis.
  • Tarsal tunnel syndrome.
  • Freiberg’s disease.
  • Arthritis affecting the feet, especially rheumatoid arthritis or the painful first metatarsophalangeal (MTP) joint in acute gout.
  • Ingrowing toenails, especially if infected.
  • Abnormalities of the joints, ligaments and tendons of the foot.
  • Often there appears to be an inherent predisposition but other factors include poor footwear, obesity and hypermobility syndromes.

Foot rub

  • When did it start?
  • Is it getting worse?
  • Is the pain diffuse or at a point?
  • Establish aggravating and relieving factors.
  • Note occupation, sport, training routines, and any recent injury.
  • Is there pain elsewhere? Poor posture of the feet can cause pain in the ankles, knees and back.
  • Look at the shoes. What type of shoes does the patient choose to wear? Are they fashionable shoes that distort the foot? Trainers are unique in the history of footwear in being designed for feet but when did he or she last get a new pair? If training seriously, does he or she have several pairs? Just as cars need to have tyres and shock absorbers replaced periodically, so too trainers need replacing.
  • Is there abnormal or uneven wear of the shoes?
  • Note any obesity.
  • Does the shape of the foot look normal? Look at the sole. Is there abnormal callus? Weight should be taken over the first and fifth metatarsal heads. Callus over other metatarsal heads means fallen transverse arch.
  • Is there local tenderness?
  • Now examine the feet with the patient standing with both feet bare. Are the longitudinal arches normal? Can you get your finger under the medial arch? Look at the feet from behind. Fallen arches cause hyperpronation and upset the line of the Achilles tendon.
  • If there is a postural problem such as a fallen arch it is often possible to put something underneath it, like a small pile of leaflets, to correct the abnormality and to prove that posture can be corrected.

Children rarely complain of painful feet and if they do, think of a foreign body. Pressure from shoes on a prominent navicular bone, or sometimes an accessory bone, or a prominent posterosuperior os calcis may require surgical trimming.[2]Osteochondritis and similar conditions may affect the bones of the foot. Osteochondritis of the metatarsals is called Freiberg’s disease.[3] An X-ray will aid diagnosis. A podiatrist can help. Usually an insertion into the shoe is satisfactory but occasionally a plaster cast is required.

The first metatarsal shows angulation towards the midline. It usually affects teenagers and may run in families. If deformity is marked, a metatarsal or proximal wedge osteotomy may be beneficial.[4] The addition of a plantar shelf has been found to assist in bone healing.[5]

The first MTP joint has arthritis, pain and restricted movement. A dorsal ring of osteophytes may occur. In early cases manipulation and injection of the joint with steroid and local anaesthetic may offer relief but in more advanced cases, arthrodesis, Keller’s operation, distal oblique osteotomy or decompression osteotomy may be required.[6]

See the separate article on Nail Disorders and Abnormalities.

Surgical interventions are more effective than non-surgical interventions in preventing the recurrence of an ingrowing toenail. The addition of phenol is probably more effective in preventing recurrence and regrowth of the ingrowing toenail.[7]

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  • This is pain across the metatarsal heads. It is often due to collapse of the transverse arch. A range of abnormalities including plantar plate tears may be visible on ultrasound.[8]
  • A metatarsal pad will often reform the arch and give relief. If there are difficulties, ask a podiatrist to help.
  • Surgical treatment for severe painful rheumatoid forefoot deformities has usually involved resection of the metatarsal heads with realignment of the lesser toe deformities and first MTP joint arthrodesis.
  • Correction of severe rheumatoid forefoot deformities by arthrodesis of all five MTP joints has been suggested as an alternative surgical approach.[9]

There is pain from pressure on an interdigital neuroma between the metatarsals. Fashionable shoes often contribute. Pain usually radiates to the lateral side of one toe, and the medial side of its neighbour. Pressure on the affected web space reproduces the pain. Ultrasound and MRI are the best modalities to diagnose the condition. Excision of the neuroma may be needed.[10] Ultrasound-guided steroid injection may be another option.[11]

VISIT CHICAGO”S TOP PODIATRIST @ http://www.FootExperts.com

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Foot care as you age

Older people need to take care of their Feet too

You are most to prone to foot problems like corns, blisters, foot infections, and heel pain in later life as your skin becomes thinner and less elastic.  Painful or sore feet are not suppose to be a natural part of aging, and can be treated.

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Foot problems in older people

  • bunions
  • corns and calluses
  • heel pain or arch pain
  • cracked skin
  • ingrown toenails
  • fungal infections (athlete’s foot)

If you’re having trouble looking after your feet, you’re not alone. Age UK reports that nearly one in three older people can’t cut their own toenails.

Foot care problems tend to happen if you’re less mobile than you used to be, particularly if you have difficulty bending down. Poor eyesight, can also make it harder for you to look after your feet.

How to look after your feet

Your feet will remain in better condition, if you have a regular foot routine. This includes:

  • cutting and filing toenails and keeping them at a comfortable length
  • smoothing and moisturizing dry and rough skin
  • checking for cracks and breaks in the skin and inflammation such as blisters
  • looking for signs of infection like nail fungus or other obvious early problems, and seeking professional advice
  • choosing suitable socks and footwear
  • keeping your feet clean, dry, mobile, comfortable and warm. Bedsocks are a good idea

If it’s difficult for you to follow this routine yourself, see a professional podiatrist for help.

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Be good to your feet: Foot Tips by Chicago’s Top Podiatrist

Happy feet is a Happy Life

Never ignore your foot pain. It can result in many other health issues such as disease, and back issues.

Here’s our foot tip of the week:

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The Hated Cracked heels

Not moisturizing your feet can lead to heels that become dry and cracked.

Always wash your feet daily by using water, and a mild soap, but most of all dry your feet completely.

Now exfoliate your dead skin with the following:

  • Pumice Stone: Granulated stone is the ideal beauty tool for dry feet. They are available in a variety of shapes, and sizes for easy use.
  • Scrubs: Are specially formulated to work on your feet, foot scrubs typically contain ingredients that stimulate circulation, and condition the skin while cleaning away dead skin cells.
  • Creams: These are similar to common moisturizers, which provide a little something extra for your tired feet. They penetrate the skin with intense moisture, and provide long relief over time.

To make the most of your daily foot care, apply a foot cream nightly. Invigorate your feet with Tea Tree Oil, and moisturizer them with Shea Butter to ensure your feet stay soft like a newborns bottom.

 

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Dr. OZ show talks about Diabetic Foot Care: Cotton Ball Test

Diabetes Cotton Ball Test by Dr. Archer on the Dr. OZ show:

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Recently, I was watching the Dr.OZ Show and Dr. Archer was on explaining a simple test for people at risk of Diabetes that they could do at home.

 

  1. First, Clean your feet with a mild soap, and water. Dry them completely.
  2. Wait about 5 minutes. Now take a cotton ball, and rub it on the top of your hand to see what the cotton ball feels like.
  3. Now do the same thing on the bottom of your foot. The feeling should be very similar, but if you can not feel it, it could be a sign of Diabetes.

Please alert your physician, and have your blood tested soon if you can not feel the cotton ball on your feet.

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Summer Foot Health by Foot and Ankle Clinics of America

Take Care of your Feet this Summer

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The average person walks approximately 4 miles per day, which means your feet will endure the force of several hundred tons, and with 25% of our bodies bones in our feet they will bear the brunt of much of the abuse whether you know it or not.

This Summer is a wake up call to take care of your feet.

To keep your feet in good shape this year, we recommend that you soak (and than dry), exfoliate, moisturize and massage them as often as possible. If you find life is too busy for all of these steps, at the very least take off your shoes and socks and put your feet up. Changing socks throughout the day is always a great way to take care of your feet and never wear the same shoes two days in a row. Let them air out too.

How we can help you with your feet

Foot & Ankle Clinics of America treat ailments such as Sport Injuries, Bunions, Heel Pain, Ingrown Toenails, Warts, Arthritic / Joint Pain, Diabetic Ulcers, Bone Spurs, Hammertoes, Neuromas and Toenail Fungus.

Foot Experts of America Invite you to explore why our podiatric surgeons in the chicago area are the smart choice. Please check out our list o podiatry services, and surgical sections. At FACA our doctors and staff want to make sure your treatment is comfortable and pleasant. Contact us if you have any questions, or to make an appointment, and we look forward to helping you.

We are happy to serve your foot and ankle needs. Call us to make an appointment and let us help you! (773) 752 2111

http://www.FootExperts.com

Diabetic Foot Care, Why do you need Diabetic Shoes?

 

A common side effect of diabetes is “peripheral neuropathy,” which causes loss of sensation in the extremities. Ill-fitting shoes that rub or pinch the feet excessively can lead to ulceration and foot injury, simply because the diabetic does not feel the injury until it is too late.

The Foot and Ankle Clinics of America supports the research which states properly fitted diabetic shoes are very important in preventing such injuries. By partnering with Dr. Comfort, Foot and Ankle Clinics of America can provide footwear and specialty insoles for diabetics to help alleviate and/or prevent foot pain and injury.

Diabetic shoes are often wider and deeper than regular shoes, to make room for special diabetic insoles. To ensure proper fit, minimize rubbing and uneven weight distribution, pedorthic insoles for diabetics are generally custom made for the patient’s feet, thus preventing injury. It is also important for a diabetic to have shoes with good air circulation; therefore many diabetic footwear features fabric or sandal-style uppers.

If you have any questions about diabetic shoes and their benefits, please contact one of our offices today to speak with one of our podiatrists about your specific needs.

That Pain in Your Back Could be Linked to Your Feet

Back pain and feet by Foot Health Facts

If your lower back has been hurting, and you don’t remember doing anything to injure it, the source of your pain could be your feet! Foot pain is something that many people try to ignore. After all, doesn’t everyone’s feet hurt now and then? But if foot pain is something that has been with you for quite awhile, it could be causing problems in your ankles, knees, hips and even your back.

That old song, “The leg bone’s connected to the thigh bone…The thigh bone’s connected to the hip bone…,” tells the whole story. Our bodies are like a chain, with one link–or bone–connecting at the joint to another link. Think about what would happen if the first link in the chain was out of position. The point at which it meets the next link would eventually overstress that link and adversely affect the entire chain.

That’s what happens when we have foot pain. If the normal way of walking is painful, we instinctively change our walking pattern. Say you have arthritis, and your big toe joint hurts, so you change our gait to avoid bending the joint when you walk. Changing your gait changes the mechanics of your ankle joint, eventually causing ankle pain. This change in your walking pattern can also affect the whole chain of your lower body… from the ankle, to the knee, to the hip, and then to the lower back.

When foot pain or a foot deformity causes you to change the way you walk, it changes the way the bones of all those other joints move with each other. Cartilage in the joints can wear down, ligaments and tendons can be stressed beyond their normal range, and arthritis can set in.

If your feet or ankles aren’t working right, don’t ignore them! Contact a foot and ankle surgeon for an evaluation. Your back (and knees and hips) will thank you!