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Tuesday, 14 November 2023 00:00

HPV Strains and Plantar Warts

Human Papilloma Virus, or HPV, is a large family of viruses, with over 150 types, and it is common for individuals to contract at least one type during their lifetime. Symptoms vary depending on the HPV strain, and while approximately 75 percent of HPV types cause common warts, others lead to more serious conditions. Often, HPV shows no symptoms, making some of its effects silent. For instance, plantar warts are a lesser known manifestation of HPV. They develop under the pressure points of the feet, such as the heels or the balls of the feet, and can be identified by their hard, grainy texture. Although they can be painful due to their location, some individuals may not notice them if they are not causing discomfort. It is advisable to examine your feet regularly, checking for any new growths or changes, including warts, as they could indicate an HPV infection. If you find you have a wart on your foot, it is suggested that you make an appointment with a podiatrist to have it examined and treated as necessary.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Richard DiMario from Maine. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 Plantar Warts
Tuesday, 07 November 2023 00:00

Symptoms of Plantar Fasciitis

Plantar fasciitis is a common foot condition that results from inflammation and irritation of the plantar fascia, a thick band of tissue connecting the heel bone to the toes. The hallmark symptom of plantar fasciitis is sharp, stabbing heel pain, which can sometimes radiate along the arch or sole of the foot. Some individuals may experience periodic, temporary flares of intense heel pain, while others may have persistent, chronic discomfort in their feet. This pain is often most intense in the morning or after extended rest, and it typically eases within 10 minutes of walking or stretching. However, it can worsen toward the end of the day due to prolonged standing or activities, like climbing stairs and intense exercise, which can stress the plantar fascia. Inflammation of the plantar fascia can lead to visible swelling and redness around the heel and arch of the foot. Even when not visually swollen, the affected area can feel tender and puffy when touched. Additionally, the condition can affect the Achilles tendon, leading to pain. Tightness in the plantar fascia also can cause the foot to roll inward while walking, increasing stress and tension on the Achilles tendon. If you believe you may have plantar fasciitis, it is suggested that you make an appointment with a podiatrist, a medically trained foot doctor, who is able to help you manage this painful condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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 Plantar Fasciitis
Wednesday, 01 November 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Peripheral vascular disease, also known as PVD, is a prevalent issue, especially among diabetics. It affects over five million people each year and contributes to complications such as lower extremity wounds and amputations. Given its widespread incidence, obtaining an accurate diagnosis is critical for effective management and prevention of severe outcomes. There are non-invasive screening methods that podiatrists can incorporate into their initial patient evaluations, and they are deemed highly effective for identifying peripheral arterial diseases, particularly in at-risk populations. If you have PVD or lower extremity issues, it is strongly suggested that you make an appointment with a podiatrist for a comprehensive vascular assessment and treatment.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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 Vascular Testing in Podiatry
Tuesday, 24 October 2023 00:00

Understanding Foot Changes During Pregnancy

Pregnancy is a transformative journey for a woman's body, which extends to her feet as well. As the body adapts to support the growing baby, several changes in the feet can occur. One common alteration is swelling, also known as edema, which is caused by increased blood and fluid volume. This can lead to a noticeable increase in foot size. Hormonal changes, specifically the hormone relaxin, can also affect the ligaments in the feet, potentially causing them to stretch and result in a broader foot shape. Weight gain during pregnancy adds extra pressure to the feet, often leading to fallen arches. These changes can be uncomfortable, but the good news is that they are usually temporary. Once the pregnancy is over, your feet will gradually return to their pre-pregnancy state. In the meantime, wearing comfortable, well-fitting shoes and having regular foot massages can help alleviate some of the discomfort and provide much-needed relief. If you are interested in learning more about how your feet can become affected by pregnancy, it is suggested that you confer with a podiatrist who can offer you useful information.

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 Foot Care for Pregnant Women
Tuesday, 17 October 2023 00:00

Accessory Navicular Syndrome

Accessory navicular syndrome is a foot condition where an extra piece of bone, called an accessory navicular, forms near the navicular bone in the foot. This extra bone can cause pain and discomfort, especially when it rubs against shoes or gets irritated due to physical activity. This condition is believed to be related to genetic factors. Treatment for this condition typically begins with conservative measures, such as rest, immobilization, use of orthotics, exercise, and taking anti-inflammatory medication. If conservative treatments do not provide relief, or if the condition is severe, surgical intervention may be considered. Surgery typically involves removing the accessory navicular bone and repairing the nearby tendon. If you think you may have this syndrome, it is suggested that you make an appointment with a podiatrist for a proper diagnosis, evaluation of the severity of your problem, and treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 Rare Foot Conditions
Tuesday, 10 October 2023 00:00

Definition and Causes of Flat Feet

Flat feet, known as pes planus, is a common condition that affects the arches of the feet. Flat feet are characterized by a lack of arch in the foot's inner sole, causing the entire sole to make contact with the ground. While some individuals have flat feet from childhood, others may develop them later in life. One primary cause of flat feet is genetics. If your parents or grandparents had flat feet, there's a higher likelihood of inheriting the condition. Additionally, injuries or stress to the feet's tendons and ligaments can lead to flat feet. Wearing ill-fitting shoes that don't provide proper arch support can contribute to developing flat feet. Conditions like arthritis, obesity, and diabetes can also be factors. Aging is another common contributor, as conditions like osteoporosis can also lead to flat feet. Weakened bones may not provide the necessary support for the arches. Certain neurological conditions, like multiple sclerosis, may play a role in the development of flat feet. These disorders can affect the nerves that control foot muscles. Also, injuries or other foot-related issues can alter the foot's structure and result in flat feet. If you suspect you have flat feet and are experiencing discomfort, it's suggested that you consult a podiatrist for an exam and treatment options. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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 Flatfoot
Tuesday, 03 October 2023 00:00

Aesthetic Concerns of Cracked Heels

Dry, cracked heels are a common issue that can cause discomfort. These fissures in the skin often result from dryness, pressure, or various lifestyle and medical factors. While not usually a severe health concern, untreated cracked heels can become painful. This condition typically starts with dry skin. Daily activities such as standing, walking, or running exert pressure on the feet, causing the heel pads to expand. When combined with dryness, the skin can crack, creating openings for bacteria and viruses. Other potential causes of cracked heels include lifestyle choices that can include walking barefoot, taking hot showers, or using harsh soaps. Wearing ill-fitting shoes with poor support can also contribute to cracked heels. On a medical front, factors like diabetes, vitamin deficiencies, fungal infections, and hypothyroidism may also lead to developing cracked heels. Preventing cracked heels involves addressing dry skin and its underlying causes. Moisturizing is key, and products such as custom shoe inserts, padded socks, and heel relief sleeves can help protect and hydrate the skin. To treat existing dry, cracked heels, it is helpful to focus on hydration and protection. If this problem persists or causes pain, it is strongly suggested that you make an appointment with a podiatrist for a more advanced treatment plan.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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 Solutions for Cracked Heels
Sunday, 01 October 2023 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Diabetic peripheral neuropathy is a common complication of type 1 and 2 diabetes. It occurs when high blood sugar levels damage the nerves extending from the brain and spinal cord to various body parts, including the feet. This condition primarily affects the peripheral nerves, which control sensations and movements in the arms, legs, hands, and feet. Characteristics of diabetic peripheral neuropathy are numbing and tingling sensations, loss of feeling in affected areas, and burning or shooting pain. Additional symptoms include muscle weakness, coordination problems, or foot and leg complications. Treatment options may consist of medications to manage pain, exercise to improve strength and coordination, and lifestyle modifications to prevent complications. Studies suggest that low-level laser therapy for peripheral neuropathy may improve pain and other symptoms, such as sensory function. Laser therapy has also been shown to increase foot temperature, suggesting improved microcirculation. If you suffer from diabetic neuropathy, make an appointment with a podiatrist to discuss which treatment is best for you.

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
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