PCC Admin

PCC Admin

Monday, 14 September 2015 00:00

Plantar Fasciitis Treatment Relieves Heel Pain

A new treatment option which combines ultrasound waves and steroid injections was found to be effective in patients suffering from plantar fasciitis, according to a groundbreaking study from the University of Genoa in Italy.

The plantar fascia is a connective tissue in the heel that stretches the bottom length of your foot. Plantar fasciitis is the inflammation of this connective band, causing heel pain and overall discomfort while walking or standing. Although the condition is completely treatable, traditional methods can take up to a year to start being effective.

These conventional treatments include arch support, night splints, certain exercises, and overall rest and staying off your feet. The previous effective method for curing plantar fasciitis was shockwave therapy, in which sound waves are directed to the area where the pain is being experienced, often the heel. Despite the success of shockwave therapy, it could be considered somewhat slow, requires several sessions before any results are noticed, and is comparably expensive. However, even shockwave therapy does not cure the pain caused by plantar fasciitis in every patient.

The study, conducted by Luca M. Sconfienza, M.D., examined the effects of a new technique that combined ultrasound-guided methods, similar to shockwave therapy, with a steroid injection directly the plantar fascia. Because of the added steroid injection, the method becomes a one-time outpatient procedure involving a small amount of local anesthesia, in which a needle punctures the affected area and causes a small amount of bleeding that aids in the heeling of the fascia. This technique is referred to as dry-needling.

Dr. Sconfienza determined that 42 of the 44 patients involved in the new procedure had their symptoms, including pain, disappear entirely within three weeks. “This therapy is quicker, easier, less painful, and less expensive than shockwave therapy,” Dr. Sconfienza stated. “In cases of mild plantar fasciitis, patients should first try non-invasive solutions before any other treatments. But when pain becomes annoying and affects the activities of daily living, dry-needling with steroid injection is a viable option.”

 

toenailfungasRheumatoid arthritis is a condition that tends to affect women more than it does men. Many people associate rheumatoid arthritis with its classic symptoms of joint pain and joint stiffness. Aside from these signs, however, there are another nine symptoms to be aware of: fatigue, slow healing, numbness, foot issues, eye trouble, joint ache, stiffness, locked joints, and nodules. Foot issues can include the development of pain in the heel, which is due to swelling tissue.

Rheumatoid Arthritis and joint pain can become very painful and debilitating if left untreated. For more information about Rheumatoid Arthritis and its symptoms, consult with Dr. Carl Ginsberg of Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

- Swelling & pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

For more information about rheumatoid arthritis please follow the link below.

If you have any questions, please contact our office located in Jenkintown, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more on Rheumatoid Arthritis

pregnancy6During pregnancy many women experience swelling of the feet, ankles, and other parts of the body; this swelling is known as edema or the buildup of the fluid inside of the tissues. Bold Sky has come up with a few ways to reduce swelling to make pregnancy a little bit easier. The consumption of salt is known to cause fluid retention in the body so drinking a lot of water and cutting down on salt intake will aid in the reduction of edema. When possible, rest your legs on an area that will make them higher than your waist when lying down. This will help stimulate the blood flow in the legs in feet. Try avoiding heat or adding a cold compress to the mix for added comfort and swelling reduction.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, speak to Dr. Carl Ginsberg of Pennsylvania. Our doctor will assist you with all of your foot and ankle concerns and answer any of your related questions.

What foot problems can arise during pregnancy?

One problem that can occur is over-pronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages.

How can I keep my feet healthy during pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions, please contact our office located in Jenkintown, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read the more about Pregnancy and Foot Health

orthotics5Auburn University senior Justin Garrett has suffered many injuries during his career, but may finally have a shot at a starting as Michael and Sam linebacker with the help of corrective orthotics. Garrett was fitted for custom orthotics after sustaining two different injuries on his feet that made him miss most of the 2013 season. “Right now Justin and Cass are probably playing better than at the two inside linebacker positions consistently through the first eight practices,” stated defensive coordinator Will Muschamp. Knowing his progression with past injuries Garrett states, “Now I feel comfortable I know this is the stationary position I’m going to be at and being able to go out there and work every day to get better.”

Orthotics can help provide support and prevent injury to your feet. If you have any questions contact Dr. Carl Ginsberg 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.

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 Jenkintown, PA. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read more about Orthotics.

Monday, 24 August 2015 00:00

Ankle Foot Orthotics For Athletes

Ankle and foot orthotics, known as AFOs, are custom-made inserts, shaped and contoured to fit inside a shoe and used to correct an irregular walking gait or provide cushioning. Orthotics come in a variety of different models and sizes, including both over the counter and customizable variants. Customizable ones should be prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

AFOs are often used by athletes including track and field runners, cyclists, professional dancers, ice skaters, and even golfers. They benefit a lot from custom made AFOs by preventing injuries from occurring and provide cushioning to keep pain levels down to a minimum. Ankle foot orthotics allow for the correct positioning of the feet and also act as shock absorbers to help keep pressure and stress off the foot and ankle. They can also relieve back pain and hip pain while restoring balance and improving an athlete’s performance.

The way they help alleviate pain is by controlling the movement of both your feet and ankles. They are custom designed by a podiatrist or orthopedic specialist to help treat foot problems such as flat feet, spurs, arthritis of the ankle or foot, ankle sprains, weakness, and drop foot, a condition in which the patient cannot raise their foot at the ankle joint.

With custom orthotics, a patient will go through a complete examination of the foot and ankle, followed by the ankle and foot being cast and fitted for the proper orthotic. Depending upon the final result of the tests, a stretching treatment is created with specific shoe fitting in mind. After they have been fitted to the shoes, adjustments can be made in order to get the perfect fit and completely fill out the shoe. Evaluations are then usually set up to monitor the patient in the coming weeks to see how they are adjusting.

AFOs are also available over the counter and are more common than custom fit ones. Athletes that have generally low aches and pains in the foot, ankle, or lower back area can use an over the counter version of these orthotics. Weight is still distributed evenly throughout the bottom of the foot thanks to the arch support they give, but when an injury or ailment occurs, it is usually not enough to try and remedy it with an over the counter version. In either case, a podiatrist will be able to offer the best advice and treatment when it comes to foot and ankle orthotics and handle all your foot care needs.

fungal-toenail2 The Today Show recently presented a few tricks to reduce the woes of blisters on the feet when wearing a new pair of shoes. While the idea is to avoid shoes that are uncomfortable and rub the feet the wrong way, this is not always possible. Making sure your feet and ankles are moisturized can prevent the friction between the feet and shoes, avoiding blisters. Walking around for a couple of hours at home after buying a new pair of shoes will help adjust your feet to your shoes and reduce the chances of obtaining blisters before they are actually worn out. While blisters can be a huge inconvenience, many suggest that if blisters do arise due to your footwear they will most likely go away on their own.

Blisters on the feet are very painful and can become problematic if not treated properly. If you have any concerns about your foot and ankle needs contact Dr. Carl Ginsberg 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 attention from a doctor.

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

Read more about blisters on the feet.

stretching3According to the Consumer Product Safety Commission, nearly 25,000 people visited the emergency room last year due to flip-flop related injuries. Although flip-flops are convenient and comfortable, flip-flops are becoming an increasing problem. Many medical professionals have seen an increase in flip-flop related blisters, posture problems, overuse injuries, and tripping injuries. While you can still wear flip-flops for now, experts say it is best to warm the feet up to the impact the shoes may have on the feet and body.  

Flip-flops can cause many problems to the feet. If you have any concerns about your foot and ankle needs contact Dr. Carl Ginsberg of Jenkintown, PA. Our doctor will treat your foot and ankle needs.

Flip-Flops and Feet

Flip-flops are not only very popular, but very convenient, especially in the warmer weather. They allow your feet to breathe and let you move your toes freely. They also go with most attire and can be worn with many different clothing styles. Unfortunately, these type of shoes also have a disadvantage, as they can cause harm to your feet in more ways than you think. These symptoms include:

  • Ball and arch problems in the foot
  • Changes to the body’s natural gait
  • Blisters
  • Ankle Sprains
  • Higher risk of infection
  • Higher risk of scrapes and cuts to the feet
  • Issues in the lower back, legs and ankles

To avoid these symptoms (and minimize your risks), select a pair of flip-flops made of high quality materials that can offer protection. Purchase flip-flops from a reliable manufacturer and be sure to replace them every three to four months. Be sure the soles are firm and not ‘floppy’, or that they don’t bend or wiggle a lot when lifted from the floor.

You can still wear your favorite pair of flip-flops if you so choose, just don’t wear them for extended periods of time, and especially not every day. However, it would be far wiser to purchase a more expensive pair of flip-flops or to refrain from wearing the shoe at all for the sake of your foot health. While these shoes are comfortable, the risks included with wearing them are not.

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

Read more about flip-flops and feet.

Monday, 10 August 2015 00:00

Flip-flops and Feet

Flip-flops are often a popular choice of footwear for their ability to allow your feet to take in open air. As well as, for the freedom of movement they allow your toes. They are easy to slip on and can be worn with virtually any style of clothing. Flip-flops, however, despite their many benefits, can be detrimental for your foot health.

Despite their comfortableness, the frequent wearing of flip-flops can create problems in the lower body over time. Issues mainly stem from the fact that people walk differently in flip-flops compared to other footwear, such as sneakers. This is due to a change in one’s natural gait, which therefore creates stress in different parts of the body while simultaneously throwing off the body entirely. Problems can also arise in the arches and balls of the feet, as flip-flops provide little to no support to these areas.

Aside from long-term problems, flip-fops can also create short-term issues as well, such as ankle sprains and blisters. Weak materials that are flexible and bendable are generally used to manufacture flip-fops; these materials make a wearer prone to both trip and injure their ankles. Flip-flops can create blisters as the material rubs against the foot. People are much more at risk for infection while wearing flip-flops due to their openness; this also makes it easier to scrape and cut the foot since there is a lack of protection. If these cuts are left untreated and uncovered, the risk then becomes greater.

To prevent the aforementioned occurrences, purchase a pair of flip-flops that offer significant protection. The soles of the flip-flops should not be floppy, but sturdy and firm, and should not significantly bend or wiggle when lifted from the floor. Flip-flops made of high-quality materials will not be affected by this problem. While higher quality flip-flops may be more expensive, they will last longer and provide better protection compared to a cheaper pair. Brand name flip-flops sold from a quality manufacturer are a dependable option.

There is no problem in wearing your favorite pair of flip-flops so as long as you do not wear them daily or for extended periods of time. Flip-flops should be replaced every 3-4 months to ensure that they provide your feet with the best protection.

fungal-toenail2Footwear News shares with readers several tips to keep in mind while shopping for properly fitting shoes this summer. Knowing your size, not always relying on cushioning, arch support, ensuring room for the toes, and not always relying on bounce are all ways to ensure that consumers get the best fitting shoes for their feet. Consumers should always get their feet measured each time they shop and always ensure that the position of their arch aligns with the one built into the shoe. Cushioning is often a factor many people consider, but it is important to remember that even the best material can compact over time, and that some people need firmness to keep the foot comfortable.

Proper foot wear is important for biomechanics, which incorporates the moving parts that manage the movement of your feet. To learn more about biomechanics, see Dr. Carl Ginsberg from Pennsylvania. Our doctor can provide you with the foot and ankle information you seek.  

A History of Biomechanics

- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974 biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination to the area.

Modern technology improvements are based on past theories and therapeutic processes providing a better understanding of podiatry concepts for biomechanics. Computers provide accurate determinations about the forces, moments and patterns of the foot and lower legs with the most important information captured.

Advances in materials and more awareness of biomechanics have developed enhanced corrective methods, offering further options for foot-related injuries. Understanding foot biomechanics can help improve and eliminate pain, stopping further stress to the foot. 

If you have any questions, please contact our office located in Jenkintown, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Biomechanics of Podiatry

Monday, 03 August 2015 00:00

Biomechanics in Podiatry

Biomechanics and its related study deal with forces that act against the body and effect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot itself, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet and limit the mobility everyone takes for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area, all effecting the way you move around on a daily basis.

The history of studying biomechanics dates back to ancient Egypt at around 3000 B.C., where evidence of professional foot care has been recorded. Throughout the centuries, advances in technology, science, and an understanding of the human body led to more accurate diagnosis of conditions such as corns for example. In 1974, biomechanics garnered a large audience when Merton Root claimed that changing or controlling the forces between the ankle and the foot, corrections of certain conditions could be implemented to gain strength and coordination in the area. Due to his research, we still use his basic principle of thermoplastic foot orthotics to this day.

As technology has improved, so have the therapeutic processes that allow us to correct deficiencies in our natural biomechanics. Computers can now provide accurate readings of the forces, movements, and patterns of the foot and lower leg. Critical treatment options can be provided to patients now who suffer from problems that cause their biomechanics to not function naturally. The best results are now possible thanks to 3D modeling and computing technologies that can not only take readings, but also map out what treatment will do to the affected areas.

These advanced corrective methods were able to come to light thanks to an increase in both the technologies surrounding biomechanics and also the knowledge of how they work naturally. For example, shoe orthotics is able to treat walking inabilities by realigning the posture deviations in patients caused by hip or back problems. Understanding foot biomechanics can help improve movement and eliminate pain, stopping further stress to the foot, so speaking with your podiatrist if you have any of these problems is highly recommended.

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