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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Podiatric Care Services in Chicago by FACA

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Podiatric care services in Chicago are available at the Foot & Ankle Clinics of America. We have two convenient locations in Chicago, as well as podiatric care services in Orland Park. Podiatric care services in Chicago or Orland Park will include issues relating to the feet, ankles, and other lower extremities, such as the toes. We provide exceptional care for a variety of patients whether you are diabetic, an athlete, or salesperson on your feet all day.

When searching for the right podiatric care services in Chicago, it is important that you look for a clinic that specializes in the kind of expertise you need. For instance, the Foot & Ankle Clinics of America offer podiatric care services in Chicago that includes reconstructive surgery, advanced diagnostics, a full range of sports medicine solutions, physical therapy, diabetic foot care, toenail fungus, and prescription foot orthotics. This is important because it is not out of the ordinary for a patient to require treatment for multiple problems.

Patients will often start looking for podiatric care services in Chicago, when they discover their mobility has become limited. Our busy lives cause us to put off seeking treatment for foot problems or ankle injuries until they start to spiral out of control. For instance, a small break in the foot may cause the patient to change how they walk to compensate for the injury. Because podiatric care services in Chicago were not used, the original problem begins to trigger new issues. Patients may be more likely to twist an ankle or develop a bunion due to the new way of walking. Eventually, the compounded problems become unbearable or limit mobility and the patient will start to look for podiatric care services in Chicago.

Diabetics will often face this type of situation. A small ingrown toenail can quickly spiral into a serious infection that could require amputation of the toe, foot, or even leg. Foot problems in Chicago are so serious for diabetics that many physicians will recommend that regular podiatric care services in Chicago become part of the treatment plan for the diabetes. When diabetics do not take podiatric care services in Chicago seriously the results can be disastrous with the patient’s death a real possibility. It is for this reason that the Foot & Ankle Clinics of America encourage every diabetic to include podiatric care within their diabetes treatment plan.

For the rest of us, podiatric care services in Chicago are required when we least expect it. A patient may have avoided foot problems or ankle injuries their whole life until a hike or game of tennis changes everything. Suddenly, a perfectly healthy athlete is facing the need for a foot doctor in Chicago to repair a break or perhaps reconstruction is required for a devastating ankle injury. It is comforting to know that the Foot & Ankle Clinics of America is available to perform surgery and manage physical therapy following an unexpected injury.

Podiatric care services in Chicago are a critical part of diabetes maintenance, but they are also needed on a daily basis for patients who suddenly find that they are facing a foot or ankle injury after an accident. It can be a scary prospect for athletes or anyone with an injury that affects mobility. The right doctor could mean the difference between living a normal life or a daily fight of restrictions. The Foot & Ankle Clinics of Americaoffer exceptional podiatric care services in Chicago for a variety of conditions, so stop suffering and begin a journey of healing today by making an appointment at one of our convenient locations.

faca_website_2012-03-07_1823

Podiatric Care Services in Chicago

Chicago-Factoring

Podiatric care services in Chicago are available at the Foot & Ankle Clinics of America. We have two convenient locations in Chicago, as well as podiatric care services in Orland Park, and Indiana. Podiatric care services will include issues relating to the feet, ankles, and other lower extremities, such as your toes. We provide exceptional care for a variety of patients whether you are diabetic, an athlete, or salesperson on your feet all day.

When searching for the right podiatric care services in Chicago, it is important that you look for a clinic that specializes in the kind of expertise you need. For instance, the Foot & Ankle Clinics of America offer podiatric care services in Chicago that includes reconstructive surgery, advanced diagnostics, a full range of sports medicine solutions, physical therapy, diabetic foot care, toenail fungus, and prescription foot orthotics. This is important because it is not out of the ordinary for a patient to require treatment for multiple problems.

Patients will often start looking for podiatric care services in Chicago, when they discover their mobility has become limited. Our busy lives cause us to put off seeking treatment for foot problems or ankle injuries until they start to spiral out of control. For instance, a small break in the foot may cause the patient to change how they walk to compensate for the injury. Because podiatric care services in Chicago were not used, the original problem begins to trigger new issues. Patients may be more likely to twist an ankle or develop a bunion due to the new way of walking. Eventually, the compounded problems become unbearable or limit mobility and the patient will start to look for podiatric care services in Chicago.

Diabetics will often face this type of situation. A small ingrown toenail can quickly spiral into a serious infection that could require amputation of the toe, foot, or even leg. Foot problems in Chicago are so serious for diabetics that many physicians will recommend that regular podiatric care services in Chicago become part of the treatment plan for the diabetes. When diabetics do not take podiatric care services in Chicago seriously the results can be disastrous with the patient’s death a real possibility. It is for this reason that the Foot & Ankle Clinics of America encourage every diabetic to include podiatric care within their diabetes treatment plan.

For the rest of us, podiatric care services in Chicago are required when we least expect it. A patient may have avoided foot problems or ankle injuries their whole life until a hike or game of tennis changes everything. Suddenly, a perfectly healthy athlete is facing the need for a foot doctor in Chicago to repair a break or perhaps reconstruction is required for a devastating ankle injury. It is comforting to know that the Foot & Ankle Clinics of America is available to perform surgery and manage physical therapy following an unexpected injury.

Podiatric care services in Chicago are a critical part of diabetes maintenance, but they are also needed on a daily basis for patients who suddenly find that they are facing a foot or ankle injury after an accident. It can be a scary prospect for athletes or anyone with an injury that affects mobility. The right doctor could mean the difference between living a normal life or a daily fight of restrictions. The Foot & Ankle Clinics of Americaoffer exceptional podiatric care services in Chicago for a variety of conditions, so stop suffering and begin a journey of healing today by making an appointment at one of our convenient locations.

faca_website_2012-03-07_1823