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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I need a ankle Doctor in Orland Park

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It happens all the time to people from all walks of life. You trip on a curb, step out of a car, or slip on the ice and suddenly you are in desperate need of an ankle doctor. Fortunately, there is a well-respected ankle doctor in Orland Park at the Foot & Ankle Clinics of America. With a board certification and privileges at some of Chicagoland’s most respected hospitals, you know you are getting the best care possible.

Now that you know that the Foot & Ankle Clinics of America is the place to go for treatment from a qualifiedankle doctor in Orland Park, you might be curious why ankle injuries are so varied in treatment. For instance, two people step off of a curb wrong in a similar way, but one person requires surgery while the other has only a minor sprain. Well, only an ankle doctor in Orland Park or elsewhere in the country could tell you the exact answer, but there are some simple explanations.

The Foot & Ankle Clinics of America‘s podiatrist will tell you that one of the main determinations for the seriousness of an injury is the flexibility of the joint prior to tripping on a curb or slipping on the ice. Individuals that are flexible tend to have less severe injuries. However, if an individual has experienced several sprains or strains in the past, then an ankle doctor in Orland Park may discover that the tendons, bones, muscles, and/or ligaments are damaged and loose. This makes the person more susceptible to injury.

When a person has a history of injuries to the ankle a podiatrist may determine that reconstruction of the joint is required to prevent further problems and damage. In this scenario, you want an ankle doctor in Orland Park that has experience with reconstruction. The Foot & Ankle Clinics of America has over 32 years dealing with all forms of reconstruction using the most modern techniques. Patients who undergo the procedure are often shocked the first time they experience a wrong step or twist of the ankle that would have caused a major problem in the past is of no consequence after surgery.

Of course, in some instances tripping on a curb or slipping on the ice can cause a severe problem without a prior history. It is easy for major injuries like a break to happen with any fall. An ankle doctor in Orland Parkor Chicagoland can treat the most severe traumas with a cast or surgery. The healing time can vary from a few weeks to a few months, but only a trained ankle doctor in Orland Park or Chicago, like the professionals at the Foot & Ankle Clinics of America can determine the right course of treatment.

Typically, when a person takes a tumble the result is a sore ego with a few bumps and bruises, but there are occasions that cause more than a minor sprain or strain. If an injury is severe or isn’t healing, it is critical that a qualified ankle doctor in Orland Park or Chicago is seen as soon as possible to prevent permanent damage. An appointment can be made at the Foot & Ankle Clinics of America website. We will help get you back on both feet in no time!

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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!

Tips for Protecting Feet from the Heat

One perk of a beach-bound vacation is knowing that instead of snow soaking through your Choos or having your feet feeling toasty in sweaty Uggs, you can lounge happily with your toes dangling in the warm weather, shoe-free with the sand at your feet. But alas, the dream does come with its own set of tootsie troubles. “Even if you are just lying still on your back soaking up the rays, your feet are still vulnerable,” says American Podiatric Medical Association member Dr. Jane Andersen. “You can seriously sunburn your feet and no matter how upscale your hotel, athlete’s foot can lurk in all public pool areas.”

Wouldn’t you rather spend time collecting sea shells than doctor’s bills? No worries. There are ways to prevent these future foot predicaments so you can go back to your sun-kissed dreams and enjoy a liberated foot experience.

  1. Limit walking barefoot as it exposes feet to sunburn, as well as plantar warts, athlete’s foot, ringworm, and other infections and also increases risk of injury to your feet.
  2. Wear shoes or flip-flops around the pool, to the beach, in the locker room and even on the carpeting or in the bathroom of your hotel room to prevent injuries and limit the likelihood of contracting any bacterial infections.
  3. Remember to apply sunscreen all over your feet, especially the tops and fronts of ankles, and don’t forget to reapply after you’ve been in the water.
  4. Stay hydrated by drinking plenty of water throughout the day. This will not only help with overall health, but will also minimize any foot swelling caused by the heat.
  5. Keep blood flowing with periodic ankle flexes, toe wiggles, and calf stretches.
  6. Some activities at the beach, lake or river may require different types of footwear to be worn so be sure to ask the contact at each activity if specific shoes are needed. To be safe, always pack an extra pair of sneakers or protective water shoes. If your shoes will be getting wet, they should be dried out completely before your next wearing to prevent bacteria or fungus from growing.
  7. If you injure your foot or ankle while on vacation, seek professional medical attention from a podiatric physician. Many often only contact a doctor when something is broken or sprained, but a podiatrist can begin treating your ailment immediately while you’re away from home. Use our Find a Podiatrist tool to get treatment wherever your travels take you!
  8. In case of minor foot problems, be prepared with the following on-the-go foot gear:
    • Flip flops – for the pool, spa, hotel room, and airport security check points
    • Sterile bandages – for covering minor cuts and scrapes
    • Antibiotic cream – to treat any skin injury
    • Emollient-enriched cream – to hydrate feet
    • Blister pads or moleskin – to protect against blisters
    • Motrin or Advil (anti-inflammatory) – to ease tired, swollen feet
    • Toenail clippers – to keep toenails trimmed
    • Emery board – to smooth rough edges or broken nails
    • Pumice stone – to soften callused skin
    • Sunscreen – to protect against the scorching sun
    • Aloe vera or Silvadene cream – to relieve sunburns

Peroneal Tendon Injuries by Foot Health Facts

What Are the Peroneal Tendons?

PeronealA tendon is a band of tissue that connects a muscle to a bone. The two peroneal tendons in the foot run side-by-side behind the outer ankle bone. One peroneal tendon attaches to the outer part of the midfoot, while the other tendon runs under the foot and attaches near the inside of the arch. The main function of the peroneal tendons is to stabilize the foot and ankle and protect them from sprains.

Causes and Symptoms of Peroneal Tendon Injuries
Peroneal tendon injuries may be acute (occurring suddenly) or chronic (developing over a period of time). They most commonly occur in individuals who participate in sports that involve repetitive ankle motion. In addition, people with higher arches are at risk for developing peroneal tendon injuries. Basic types of peroneal tendon injuries are tendonitis, tears, and subluxation.

Tendonitis is an inflammation of one or both tendons. The inflammation is caused by activities involving repetitive use of the tendon, overuse of the tendon, or trauma (such as an ankle sprain). Symptoms of tendonitis include:

  • Pain
  • Swelling
  • Warmth to the touch

Acute tears are caused by repetitive activity or trauma. Immediate symptoms of acute tears include:

  • Pain
  • Swelling
  • Weakness or instability of the foot and ankle

As time goes on, these tears may lead to a change in the shape of the foot, in which the arch may become higher.

Degenerative tears (tendonosis) are usually due to overuse and occur over long periods of time – often years. In degenerative tears, the tendon is like taffy that has been overstretched until it becomes thin and eventually frays. Having high arches also puts you at risk for developing a degenerative tear. The symptoms of degenerative tears may include:

  • Sporadic pain (occurring from time to time) on the outside of the ankle
  • Weakness or instability in the ankle
  • An increase in the height of the arch

Subluxation – one or both tendons have slipped out of their normal position. In some cases, subluxation is due to a condition in which a person is born with a variation in the shape of the bone or muscle. In other cases, subluxation occurs following trauma, such as an ankle sprain. Damage or injury to the tissues that stabilize the tendons (retinaculum) can lead to chronic tendon subluxation. The symptoms of subluxation may include:

  • A snapping feeling of the tendon around the ankle bone
  • Sporadic pain behind the outside ankle bone
  • Ankle instability or weakness

Early treatment of a subluxation is critical, since a tendon that continues to sublux (move out of position) is more likely to tear or rupture. Therefore, if you feel the characteristic snapping, see a foot and ankle surgeon immediately.

Diagnosis
Because peroneal tendon injuries are sometimes misdiagnosed and may worsen without proper treatment, prompt evaluation by a foot and ankle surgeon is advised. To diagnose a peroneal tendon injury, the surgeon will examine the foot and look for pain, instability, swelling, warmth, and weakness on the outer side of the ankle. In addition, an x-ray or other advanced imaging studies may be needed to fully evaluate the injury. The foot and ankle surgeon will also look for signs of an ankle sprain and other related injuries that sometimes accompany a peroneal tendon injury. Proper diagnosis is important because prolonged discomfort after a simple sprain may be a sign of additional problems.

Non-Surgical Treatment
Treatment depends on the type of peroneal tendon injury. Options include:

  • Immobilization. A cast or splint may be used to keep the foot and ankle from moving and allow the injury to heal.
  • Medications. Oral or injected anti-inflammatory drugs may help relieve the pain and inflammation.
  • Physical therapy. Ice, heat, or ultrasound therapy may be used to reduce swelling and pain. As symptoms improve, exercises can be added to strengthen the muscles and improve range of motion and balance.
  • Bracing. The surgeon may provide a brace to use for a short while or during activities requiring repetitive ankle motion. Bracing may also be an option when a patient is not a candidate for surgery.

When is Surgery Needed?
In some cases, surgery may be needed to repair the tendon or tendons and perhaps the supporting structures of the foot. The foot and ankle surgeon will determine the most appropriate procedure for the patient’s condition and lifestyle. After surgery, physical therapy is an important part of rehabilitation.

For all Appointments and Inquiries, please call: (773) 752 2111

Email: info@footexperts.com
Website: www.footexperts.com

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