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Tuesday, 16 August 2022 00:00

Edema During Pregnancy

The main issue of pregnancy affecting a woman’s feet and ankles is swelling or edema. Unfortunately, this is common and results due to hormonal changes, the production of extra blood during pregnancy, fluid retention, and circulation problems. The degree of swelling one will experience depends on various factors, such as the season of pregnancy, length of time spent on one’s feet, tightness of clothing or shoes, and time of day. Increases in progesterone slow down digestion which can lead to more fluid being absorbed in the large intestine and fluid retention. This hormone also slows down circulation and relaxes blood vessels making it easier for fluid to build up in the feet. Edema in pregnancy usually happens during the 3rd trimester, however, it can start earlier depending on the other factors discussed above. Often the swelling will continue until after birth and goes away within a few days or weeks after delivery. There is generally nothing to worry about with this type of swelling but sometimes it can signal more serious complications, like preeclampsia or deep vein thrombosis. If you have any questions as to what is normal with edema in the lower extremities during pregnancy, consult with a podiatrist who can diagnose any abnormal conditions or set your mind at ease.

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, consult with Dr. Richard DiMario from Maine. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, 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 feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health
Tuesday, 09 August 2022 00:00

Am I a Candidate for Foot Surgery?

Many people undergo foot surgeries when all other options for have failed. There are several types of foot surgery, which can be successful for permanent relief. An Achilles tendon rupture may require surgery, and this is accomplished by having a 3-inch incision cut at the back of the ankle where the tendon has ruptured. The tendon is sewn together with sutures. After closing the wound, the foot is typically placed in a protective boot as the healing process occurs. Bunion surgery is another common form of foot surgery. A bunion is a bony protrusion of the big toe that can develop from genetic factors or wearing shoes that are too tight. If the bunion becomes painful and completing daily activities becomes difficult, joint fusion may be a viable option. It is done by fusing the joint of the big toe. Another alternative may be to have a joint replacement performed. If you are considering any type of foot surgery, it is strongly advised that you are under the care of a podiatrist who can determine if you are a candidate.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard DiMario of Maine. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot and Ankle Surgery
Saturday, 06 August 2022 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 02 August 2022 00:00

Massages and Reflexology

A popular form of foot therapy is a foot massage. Many people who have foot pain reap the benefits of getting a foot massage. These can include improved circulation, and relief of stress and pain, in addition to releasing muscle tension. Reflexology started in traditional Chinese medicine, and it is an effective form of foot therapy. It is commonly used to help cancer patients. This is done by touching the feet at specific pressure points and this can create an overall feeling of well-being. This can also stimulate the nervous system and positively affect energy flow. People who have regular reflexology and massage sessions may experience better sleeping patterns, lower blood pressure, and possibly diminished psychological and physical pain. Many people enjoy additional forms of foot therapy, including having a Swedish massage, shiatsu, or Thai massage performed. Massages and reflexology sessions begin by removing the shoes and socks and asking the patient if there are specific areas of pain. If you would like to know more about the benefits of foot massages and reflexology, please consult with a podiatrist who can answer any questions you may have.

Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, consult with Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Most Common Injuries

People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track. 

What to Do When Injured

Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.

During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:

Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.

Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.

Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.

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

Read more about Foot Therapy for Sports Injuries
Tuesday, 26 July 2022 00:00

Compression Socks and a Cold Foot Soak

There are many people who have jobs that require standing and working on their feet. Foot pain is a common ailment among people who are in this category and it can be reduced or diminished when the proper footwear is worn. It is beneficial to wear a shoe with a small heel and weakness and soreness can be reduced when work shoes have proper arch support. It is important that shoes fit correctly as this may prevent poor circulation and blisters from developing. Some people choose to wear compression socks, which can be helpful in reducing blood flow to the feet, and redirecting it toward the heart. When the workday is finished, the feet will feel better when they are soaked in cold water followed by massaging them. This is beneficial in reducing inflammation and swelling that can happen during the work day. If you would like additional information about how your feet can feel better at the end of the day, please speak with a podiatrist who can offer you effective foot care tips.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Read more about Working on Your Feet

About 6.5 million people in the United States over the age of 40 have peripheral artery disease (PAD). It is a blockage in the arteries that supply blood to the extremities, but the condition is more common in the feet and lower limbs. Risk factors for peripheral artery disease include smoking, high blood pressure, diabetes, atherosclerosis, and high cholesterol. People over 60 are at further risk. The most common symptom of PAD is pain in the legs while active, but that subsides after resting. Sores in the legs or feet that don’t heal and cold or numb toes are other symptoms as well. If you believe you may have PAD, please consult a podiatrist for an examination and testing.  

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Tuesday, 12 July 2022 00:00

Several Effective Foot Stretches

The feet carry the weight of the body so it is important to take proper care of them. One of the best things you can do for your feet is stretch them frequently. This helps maintain flexibility and range of motion. A stretch that can help the plantar fascia is performed by practicing a foot roll. This is done by placing your foot on top of a golf ball and rolling it back and forth. People who stand for the majority of the day also find this to be an effective foot stretch. The toes can become stronger when toe stretches are done, and this can positively affect the overall foot. Additionally, a towel lift is good for the toes and middle of the foot. This is done by placing a towel on the floor while sitting in a chair and lifting the towel with the toes. The heels can benefit from standing on a step and lowering the heels one at a time until a gentle stretch is felt. If you would like more information about the benefits of stretching the feet and additional stretches to practice, please consult with a podiatrist. 

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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

Read more about How to Stretch Your Feet

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Wearing shoes that fit your feet and are comfortable can avoid many problems. Hammertoes are one such problem that can develop from wearing shoes that have pointy toes, are too tight, or that otherwise put pressure on your toes. The second and third toes are the most likely toes to be affected. Hammertoes get their name because the middle joint of the toe gets stuck in an upward bent position, creating a deformity resembling a hammer. This deformity is the result of an imbalance in the muscles and ligaments around the toe joint caused by either improper footwear or other factors such as genetics, overly high arches, bunions, injuries, and certain medical conditions. Shoes with uppers that are soft and flexible, as well as those that provide arch support and ample room in the toe box, can help prevent hammertoes. It is important to treat hammertoes early, before they become rigid. A podiatrist can treat your hammertoe and may also help you select footwear that will help prevent hammertoes from occurring in the future.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Richard DiMario from Maine. Our doctor will answer any of your foot- and ankle-related questions.

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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?
Tuesday, 28 June 2022 00:00

The Timeframe for Toenail Fungus to Heal

Toenail fungus is a noticeable foot condition. A toenail that is dark and thick can be caused by a fungus that is known as dermatophytes. The nail can change shape, and the color may differ as a result of the area which is affected underneath the nail. Many times, the nail on the big toe is the first to start developing toenail fungus, and in severe cases, it may travel to other nails. There may be existing medical conditions that can lead to toenail fungus. These can include diabetes, problems with circulation, or a weakened immune system. If this condition is not treated promptly, the nails may begin to crumble, and the fungus may grow under the nail, and possibly ooze. Effective treatment may take months to completely heal the fungus, and it is important to stay consistent with applying creams, and taking medication. A podiatrist can properly diagnose and treat this condition, and it is suggested that you schedule an appointment as soon as possible so the proper treatment can begin.

For more information about treatment, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

Read more about Treating Toenail Fungus
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