Items filtered by date: March 2015

Monday, 30 March 2015 00:00

Hammertoe

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics: the person’s particular gait or the manner in which they walk, or shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time, causing the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is pertinent. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted her or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half-inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses; trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Published in Featured

heighhealsHaving shoes that correspond with today’s fashion is almost a necessary part of life today; unfortunately when people suffer from hammertoes it feels as though any shoe is too painful to wear. Recently, a new procedure has been set in place where implants would be used to permanently straighten the joints in the foot. The implant, called TENFUSE, is said to be made out of cortical bone and will not have to be removed since the implant will eventually become a part of the bone. If the implant works as well as expected, this could be great news for the 10 to 20% of Americans suffering from the condition.

Hammertoes can be a painful condition to live with. If you are suffering from hammertoes, contact Dr. Carl Ginsberg of Pennsylvania. Our doctor will treat your foot and ankle needs.

Hammertoe
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

  • Genetics – people who are genetically predisposed to hammertoe are often more susceptible
  • Arthritis – because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
  • Trauma – direct trauma to the toes could potentially lead to hammertoe
  • Ill-fitting shoes – undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

  • Orthotics – custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
  • Medications – oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
  • Surgery – in more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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 and ankle needs.

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shoesAnyone who has gone shoe shopping is familiar with how difficult finding the right size can be. While at one store you’re a size 7, at another you may be a size 8. Online shoe shopping takes away the ability to try on shoes and makes purchasing a fitting pair even more difficult. The lack of standardization between shoe sizes is an industry-wide issue, however; brands develop their own personal fit for each size of shoe, making the odds of that fit being shared with another brand very slim. Sizing differences often begin at the factory production level and continue even into the design stage, as each brand relies on certain designs to ensure success. Christina Cheng, senior director of investor relations at DSW, said, “There are very small, idiosyncratic differences that differ not just brand to brand, but shoe to shoe.”

Finding the right shoe size is a necessary part of maintaining foot health. For more information, speak to podiatrist Dr. Carl Ginsberg of Pennsylvania. Our docotor will attend to all your foot and ankle needs.
Getting the Right Shoe Size
Sometimes it may be difficult finding the right shoe size especially because shoe sizes tend to vary depending on the brand and company you are looking for. A size 6 for one brand may be a size 7 in another. Although many people know their exact shoe size, it can range within 2 sizes depending on where they shop.

So it is important not to always go for a size 7 just because you think you might be a size 7 universally. It is best to try on the shoe and walk around for a bit to see how it fits and how it feels. Comfort is essential and the fitting has to be well otherwise it can lead to blisters, bruises at the back of the ankle and it can also hurt your toes if the shoe is too tight for example.

People walk a lot, so it is important for you to find what is comfortable when it is possible.

For more information about Getting the Right Shoe Size, 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 about Getting the Right Shoe Size

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shoesAnyone who has gone shoe shopping is familiar with how difficult finding the right size can be. While at one store you’re a size 7, at another you may be a size 8. Online shoe shopping takes away the ability to try on shoes and makes purchasing a fitting pair even more difficult. The lack of standardization between shoe sizes is an industry-wide issue, however; brands develop their own personal fit for each size of shoe, making the odds of that fit being shared with another brand very slim. Sizing differences often begin at the factory production level and continue even into the design stage, as each brand relies on certain designs to ensure success. Christina Cheng, senior director of investor relations at DSW, said, “There are very small, idiosyncratic differences that differ not just brand to brand, but shoe to shoe.”

Finding the right shoe size is a necessary part of maintaining foot health. For more information, speak to podiatrist Dr. Carl Ginsberg of Pennsylvania. Our docotor will attend to all your foot and ankle needs.
Getting the Right Shoe Size
Sometimes it may be difficult finding the right shoe size especially because shoe sizes tend to vary depending on the brand and company you are looking for. A size 6 for one brand may be a size 7 in another. Although many people know their exact shoe size, it can range within 2 sizes depending on where they shop.

So it is important not to always go for a size 7 just because you think you might be a size 7 universally. It is best to try on the shoe and walk around for a bit to see how it fits and how it feels. Comfort is essential and the fitting has to be well otherwise it can lead to blisters, bruises at the back of the ankle and it can also hurt your toes if the shoe is too tight for example.

People walk a lot, so it is important for you to find what is comfortable when it is possible.

For more information about Getting the Right Shoe Size, 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 about Getting the Right Shoe Size

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Are your shoes the right size? Many people are walking around with ill-fitting shoes. Picking the right shoe size is not rocket science, but there are a few things to remember when selecting your next pair.

Most shoe stores and department stores have rulers for measuring your feet, and these can give you an exact size. Be sure to measure with your shoe on. Measuring your foot will give you a different size than your shoe. If you do measure your foot size, you will need to add 1-2 inches to get the proper sizing.

Wiggle room is the most important factor when selecting shoes. Make sure that your toes are not cramped and that you can wiggle them. A rule of thumb is that there should be one inch between your toes and the tip of your shoe. If your shoes are not properly sized, you can experience foot pain, knee pain, blisters and swelling.

Don’t assume that you will always wear the same size in a shoe. Often manufacturers size shoes differently. The size you wear with one company may not be the same as the size you wear with another. Make sure that the company you buy from has a return policy. No one needs a closet full of shoes which they cannot wear.

It is advisable not to buy your shoes in the morning, but rather late in the day. Your feet actually swell as the day goes on and you need plenty of room to walk comfortably. Buying shoes in the morning that are snug is sure to cause problems once the day is done. Also, make sure that you are buying the right sizes for both feet. It is not uncommon for one foot to be larger than the other, and some people have to buy two separate sizes to accommodate different sized feet.

The biggest concern in buying shoes is comfort. Oftentimes people will buy shoes that are not the most comfortable in the store. People think that the shoes simply need to be “broken in”. If a shoe does not fit in the store, it will not fit at home either. Comfort should be the ultimate goal when purchasing a pair of shoes; your feet will thank you.

Let’s face it; we all walk a lot, some of us more than others. Selecting the best shoes for your particular lifestyle is essential. By properly sizing your shoes and buying the proper comfort level, your feet will be dancing all day long.

Published in Featured

shoes22-year-old Carl Griffiths of Britain is unable to play for his rugby club because he is unable to find a pair of boots that fit his size 21 feet. For the past 3 years, Griffiths played for Trimsaran rugby club with size 18 boots. His toes would curl up at the ends his shoes, which have finally fallen apart after being held together with black sticky tape. Griffiths has yet to find a sports club that makes size 21 boots, causing the player to seek out outside help to find boots in his size. “Not being able to play because of not having shoes is just aggravating,” Griffiths stated.  “At least when you have an injury, you know you just can’t play for a while. But when I’m out just because of not having shoes that fit, it’s just really frustrating.”

Wearing the right shoe size is the first step one should take to ensure optimum foot health. Consult with Dr. Karin Johansson of New York. Our doctor will provide you with quality foot and ankle treatment.

Getting the Right Shoe Size
Sometimes it may be difficult finding the right shoe size especially because shoe sizes tend to vary depending on the brand and company you are looking for. A size 6 for one brand may be a size 7 in another. Although many people know their exact shoe size, it can range within 2 sizes depending on where they shop.

So it is important not to always go for a size 7 just because you think you might be a size 7 universally. It is best to try on the shoe and walk around for a bit to see how it fits and how it feels. Comfort is essential and the fitting has to be well otherwise it can lead to blisters, bruises at the back of the ankle and it can also hurt your toes if the shoe is too tight for example. 


People walk a lot, so it is important for you to find what is comfortable when it is possible.

For more information about Getting the Right Shoe Size, follow the link below.

If you have any questions, please contact our office in New York, NY. We offer all the newest in diagnostic and treatment technologies for all your foot and ankle conditions.

Read more about Getting the Right Shoe Size

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A broken foot is when one of the bones located in the foot fractures, or breaks. About 10% of broken bones occur in the foot.

Bones typically break when an object crushes, bends, or stretches the bone. In the foot, the location of the broken bone is usually indicative of how the break occurred. Toes usually break when something hard and solid is kicked with great force. Broken Heels are usually a result of falling from a great height and landing on the feet. Other broken bones in the feet can occur because of a twisted or sprained ankle. Most of the time, a broken foot results from a sudden accident or injury. Sometimes small cracks can form over time in the bones of the feet from repeated stress. These cracks are called stress fractures and usually only occur in athletes that put a lot of pressure on their feet, like runners, dancers, and gymnasts.

Symptoms of a broken foot typically include pain, swelling, bruising, and redness. Occasionally the pain of a broken foot may be so severe that walking is not an option. However, this depends on the location of the broken bone within the foot. Broken toes are usually less painful than broken heels or other bones within the foot. A foot that is blue, numb, cold, misshapen, cut or deformed can occur in more serious cases of broken feet. Those who are experiencing any of these symptoms, or suspect that they have a broken foot, should seek medical attention in a center where x-rays can be performed. 

Prior to seeking the attention of a doctor, several steps can be taken at home in order to reduce pain and swelling. Stabilization and elevation of the broken foot should be the number one priority. It is important not to move the foot, so any type of homemade splint will work well. However, any splint that causes the foot to become more painful, or cut off blood circulation should be removed. Ice can also decrease swelling and alleviate some of the pain that a broken foot can cause.

In a medical center, treatment for a broken bone will differ depending on which bone in the foot is fractured and depending on what caused the break. Some broken feet will require the patient to use crutches, while others will require splits or casts. More severe cases may require surgery on the foot to repair the broken bone or bones.

Published in Featured

brokenfootJustin Bieber broke his foot while playing soccer with staff and guests at the Parrot Cay private island and resort in Turks and Caicos. Many game viewers took to social media to show fans how well he was playing when the unfortunate occurred. Bieber also posted his own photos to Instagram and Twitter to show the bruised side of his left foot where the injury was sustained. Bieber was quickly sidelined where he was treated by a professional at the resort. Although injured and on crutches, the 20 year-old artists was still dedicated enough to stop and take photos with a few excited fans.

A broken foot requires immediate attention and treatment. If you suspect you have a broken foot, see Dr. Carl Ginsberg of Pennsylvania. Our doctor will examine your injury and provide you with quality treatment.

Identifying and Dealing with a Broken Foot

When bones in the foot are bent, stretched, or crushed in an unnatural way, they can sometimes break or fracture. Doctors can often determine how the break occurred based on its severity and location.

There are many common symptoms of a broken foot to look out for. Those who experience significant trauma to the feet should check for:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue (foot)
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

If one or more of these symptoms persist, one should have x-rays taken by a medical professional. Cold or numb feet, blueness of the skin, cuts, and deformities can be indications of a foot that is very badly broken. It’s advised to see a doctor right away if these conditions are observed.

Care for a broken foot depends on the type and severity of the injury. Often times aids likes crutches, casts, and splints will be administered. Surgery is also a possibility, although this is reserved for very bad cases. One can also apply ice and keep the foot elevated to reduce swelling. Rest is important during the recovery stage so that the break doesn’t become any more aggravated.

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

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Friday, 06 March 2015 00:00

Playing Sports With Foot Injuries

There are many types of foot injuries common among athletes such as plantar fasciitis, overpronation, strains, turf toe, heel spurs, and stress fractures of the foot. Plantar fasciitis is when the thick ligament in the base of the foot becomes swollen, and causes pain. Overpronation is excessive movement of the foot during gait. Pronation would be normal movement of the gait, but when movements become excessive, it leads to a variety of areas becoming painful due to the overpronation. The most common complaint is a burning sensation or inflammation under the arch of the foot, often called strain or arch pain. Heel spurs are growths of the bone in the heel where soft tissues and tendons connect. Turf toe comes from upward bending of the big toe outside of the normal range of motion. It most commonly occurs in athletes that play on artificial surfaces because a shoe grips the surface and forces and athletes weight forward causing the upward bending of the large toe. This causes damage by stretching the ligaments under the toe. Stress fractures could be caused by overuse due to muscle fatigue in the foot, preventing the muscles and ligaments from absorbing the shock and trauma.




Many athletes continue to play with mild foot injuries. You should remember to properly stretch  before any activities, focusing on their calves to prevent injuries and reduce reoccurring pain. It is also common to wear braces to protect the areas that commonly become overstretched and use shoe inserts such as heel pads. It is important to remember to wear proper footwear and replace shoes when needed.
There are many kinds of treatments required to keep the injury from becoming serious. Most commonly an athlete should immediately ice the injury to take down swelling and inflammation. Applying a compression bandage and resting will also reduce pain and stress on the foot. Rest could include using crutches to keep weight off of the injury to allow proper healing for instance. For plantar fasciitis, make sure calves are properly stretched and refrain from hills or speed work. One should try wearing an arch strap to add support. Those with heel spurs should also try arch straps to reduce strain and ice often. The best remedy would be heel pads. Aside from that, one would need a podiatrist or orthopedic specialist. It may require surgery. Those who are suffering from overpronation or turf toe should invest in a quality shoe to reduce motion. There are special insert and braces for the big toe, as well as shoes with firm soles to prevent bending. Stress fractures usually require rest, so an athlete may participate in lower impact activities to allow rest and healing. Most importantly, one should seek medical advice if pain does not go away or recurs frequently.

 

Published in Featured


Sports related injuryArsenal’s Jack Wilshere suffered ligament damage to his left ankle due to a tackle from a Manchester United player during a recent game. The twenty-two year has to undergo surgery to repair the ligaments in his ankle and will be off the playing ground for nearly three months. Recently Wilshere has suffered a series of similar injuries throughout the season totaling around nearly thirteen injuries. The tremendous amount of injuries has caused some questioning in the strength of his ankles to which the midfielder replied on social media, “Luckily I have ‘loose joints’, not brittle, only damaged ligaments.” As Wilshere recovers from his treatment he will miss many important Premier League games against Liverpool, Manchester City, and Tottenham as well as the last rounds in the Champions League and FA Cup.

No athlete wants to get hurt while playing their sport and suffer any foot or ankle injuries. For assistance with any kind of sports related foot or ankle injury, consult with Dr. Carl Ginsberg of Pennsylvania. Dr. Ginsberg can present you with an ample amount of treatment options and will do everything he can to help you heal.

Sports Related Foot and Ankle Injuries 

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis

  • Plantar Fasciosis

  • Achilles Tendinitis

  • Achilles Tendon Rupture

  • Ankle Sprains


Sports-related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.



If you have any questions feel free to contact our office located in Jenkintown, PA. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Sports Related Foot and Ankle Injuries
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