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Tuesday, 11 April 2023 00:00

Diabetes and Neuropathy

Neuropathy is nerve damage. It is a common condition among diabetic patients, which can happen as a result of elevated glucose levels in the blood. Recent studies have shown that about 60 percent of neuropathy cases in the United States are linked to diabetes. The feet are often affected, and the inability to feel existing cuts and scrapes may lead to developing a foot ulcer. The symptoms that often accompany this condition can include a numbing or tingling sensation, and the muscles can feel weak. Developing neuropathy may also be connected to chronic alcoholism, HIV, or AIDS, and there are cancer patients that may have this condition. A deficiency of vitamins B12 or A may cause neuropathy to occur, in addition to eating foods that have toxins. A diagnosis is generally needed to confirm this condition, which consists of having a blood test taken or possibly a skin biopsy performed. If you have numbness in your feet, it is suggested that you contact a podiatrist as quickly as possible who can properly diagnose and treat neuropathy.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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 Neuropathy
Tuesday, 04 April 2023 00:00

Ways to Prevent Injuries When Running

Running is a popular way to exercise, but if care is not taken, it can cause several injuries to the feet and ankles. Most common among them are plantar fasciitis, ankle sprains, stress fractures, and Achilles tendon tears. Experts recommend these procedures to help prevent injuries from running. First, warm up before you start by walking or light jogging and then performing stretches, such as lunges and knee raises. Next, be certain you have the proper footwear, both for your feet and for the type of running you are doing. A properly fitting shoe, with ample cushioning and arch support, is essential to warding off injury. Be sure to increase the time, distance, and intensity of your runs gradually. A rule of thumb is not to increase distance or intensity by more than 10 percent per week. If you begin to feel pain when running, it is wise to pay attention to it. Running through the pain can make the injury worse. Finally, stretch and give your feet and ankles a chance to rest after running. If you sustain a running injury that persists or worsens, it is suggested that you make an appointment with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Richard DiMario of Maine. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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 How to Prevent Running Injuries

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 28 March 2023 00:00

Advice on Choosing the Right Running Shoe

Various components make for a good pair of running shoes. Some key components are the upper, or all parts, of the shoe above the sole. This should fit the shape of the foot without binding or chafing. The outsole is the sole of the shoe, and it is made of materials that provide durability and traction without being stiff or adding weight to the shoe. The toebox should be roomy enough to keep the toes from hitting the end of the shoe and allow the foot to spread and flex naturally. There are many other important parts of running shoes that should be tended to for the best running comfort and performance. To learn more about the components of running shoes and how to pick the best shoes for your personal needs, it is suggested that you see a podiatrist who can evaluate your feet and make suitable recommendations.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

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

Read more about Choosing the Right Running Shoe for Your Foot Type
Tuesday, 21 March 2023 00:00

Tendon Injuries Can Cause Foot Pain

The foot is made up of a collection of tendons, ligaments, and muscles that connect its 26 bones and keep its many joints working. An injury to one of the tendons in the foot can cause pain and inflammation to that part of the foot that also may spread to other parts of it. Foot tendon injuries may be caused simply from wearing improperly fitting shoes, especially high heels. Other possible causes of a tendon injury include repetitive sports activity or some type of trauma to the foot. Sometimes, it’s just a matter of aging, as the tendons experience wear and tear over the years. Being overweight is thought to be a further cause of such injuries, due to the increased amount of pressure on the feet. Overstretched tendons can cause significantly painful injury from degenerative tears in the tissue, and athletes whose sport involves sudden stops and starts are more at risk for tendon injury. If you believe your foot pain may be the result of a tendon injury, it is suggested that you consult a podiatrist who can perform diagnostic tests to determine the cause and suggest treatment options for you.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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 Foot Pain
Tuesday, 14 March 2023 00:00

No Running With a Stress Fracture

When a stress fracture is incurred, it can be a runner’s worst nightmare. A stress fracture is a hairline fracture that happens from increased pressure on the feet while participating in running and jumping activities. Some patients have a predisposition to stress fractures, which may include having weak and narrow bones. The minimum recovery time for a complete recovery is six weeks and it is imperative to the healing process that running is stopped during this time. When the foot has healed, it is beneficial to begin running gradually and increase speed and distance slowly. Additionally, it can help to perform basic foot stretches to give the foot a chance to become stronger. If you have foot pain and are unable to run, it is suggested that you contact a podiatrist who can determine if a stress fracture has occurred, and offer you the correct treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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 Stress Fractures of the Foot and Ankle
Tuesday, 07 March 2023 00:00

Treating Sever’s Disease

Sever’s disease is a relatively common affliction of the foot that primarily targets children. Children with this condition of the foot might experience any number of symptoms, including heel pain, swelling at the heel, and even redness at the heel. If your child is currently suffering from Sever’s disease, there are several things that a medical professional like a podiatrist might recommend to ultimately treat the condition. For example, some potential treatments for Sever’s disease include performing certain stretching exercises. To treat Sever’s disease, a medical professional might also recommend wearing certain devices, such as heel cups, to protect the heel from impact. Also, if the case of Sever’s disease is particularly painful, the podiatrist might even recommend wearing something such as a short leg cast. If your child has Sever’s disease, it is strongly suggested that you consult a podiatrist for treatment. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Richard DiMario from Maine. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.

Read more about Sever's Disease
Saturday, 04 March 2023 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 28 February 2023 00:00

Foot Health for Cashiers

Due to the nature of their employment, some individuals may be more at risk of developing various foot conditions. Cashiers are an example of one such employee. Since cashiers spend most of the workday standing on their feet, they are at an increased risk of developing some kind of foot condition. There are many ways that cashiers might be able to mitigate this risk. First, and most importantly, cashiers can see a podiatrist for individualized, high-quality care for their foot and ankle needs. Second, cashiers should distribute their weight evenly throughout their feet. This means not putting more weight on one foot or leg than another. Third, the cashier might consider breaking up the day by alternating between sitting, walking, and standing whenever possible. If you are a cashier and are concerned about maintaining the health of the feet, it is suggested that you contact a podiatrist today. 

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 How to Handle a Long Work Day on Your Feet
Tuesday, 21 February 2023 00:00

Orthotics May Help Specific Foot Conditions

Another name for orthotics is insoles. The difference between the two can be that orthotics can be custom-made to fit an individual's foot, which can help to normalize abnormal foot structure. Patients who have flat feet may benefit from wearing orthotics which may help to reduce existing pain. They can gradually realign the foot and improve overall foot mechanics. The type of orthotics that are suggested often depends on the reason they are needed, which may come from having endured an injury or from an ongoing foot condition. The orthotics are sized by taking an impression of the foot, which is commonly done by having a plastic mold developed or by having a 3-D laser scan performed. Some of the foot conditions that can possibly be improved by wearing orthotics include bunions, flat feet, high arches, or rheumatoid arthritis. If you have foot pain, it is suggested that you consult with a podiatrist who can create custom orthotics if this is the correct choice for you.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

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 overarched 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 concern, 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 severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about 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 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 Orthotics
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