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Monday, 05 November 2018 00:00

Symptoms Of Tarsal Tunnel Syndrome

The medical condition that is referred to as tarsal tunnel syndrome typically affects the ligaments that stretch across the foot. These are known to provide flexibility and stability to the foot, and may become irritated and inflamed if they are compressed. This may occur as a result from an injury or trauma the foot endures, possibly due to performing repetitive motions. There are several symptoms that are associated with this condition. Many patients will notice a burning or tingling sensation in their foot and may also be accompanied by a shooting pain in the ankle. If you have injured your foot or have pain in the ankle that develops gradually, it’s suggested to speak with a podiatrist so a proper diagnosis can be performed, and the correct treatment can begin.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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 Treating Tarsal Tunnel Syndrome

There are many women who enjoy wearing high heels despite knowing foot pain may develop from wearing these specific type of shoes. Research has shown that when the heel is high, the arch in the foot may become inflamed and this may typically cause pain and discomfort. If high heels are worn on a frequent basis, the toes may undergo stress, and this may possibly cause corns and calluses to develop. The likelihood of incurring a fall may increase as a result of the line of gravity being altered by the height of the heel. There are several ways to enjoy wearing high heels while keeping your feet as comfortable as possible. These may include slipping off your shoes at an appropriate time and performing gentle stretching exercises, including pointing, flexing and rolling your ankles. Additionally, circulation in the feet may be increased by wiggling the toes. Your feet may benefit by wearing shoes that are more comfortable the following day, which may allow the foot muscles to rest. Please speak to a podiatrist if you would like additional information concerning the dangers of wearing high heels.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Why High Heels Are Not Ideal for Healthy Feet

If we should incur an injury to the foot or ankle, it may affect the quality of completing daily activities efficiently. As a result, having physical therapy performed may be an effective channel that promotes healing in addition to bringing gradual and moderate relief. There are several foot conditions that may benefit from physical therapy, including stress fractures that involve the foot or ankle, the painful ailment known as plantar fasciitis, or turf toe, which is a sprain the big toe endures. Research has shown the multitude of benefits that physical therapy may provide including renewed and increased muscle strength, the ability to walk easier as the pain diminishes, or the added range of motion to the affected joints. If you have endured a severe injury to your foot or ankle, it’s suggested to speak with a podiatrist about whether physical therapy is correct for you.

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
Monday, 15 October 2018 00:00

Possible Causes of Poor Circulation

For people who have poor circulation, experiencing “pins and needles” and tingling are common sensations. It is not considered to be a disease, and research has shown it may be indicative of serious illnesses including heart conditions, or PAD, which is known as peripheral artery disease. When the blood circulates properly throughout the body, oxygen and essential nutrients flow easily to the organs. Poor circulation hinders the ability for this to occur. There are several symptoms that are associated with this condition, including cold feet, cramps in the muscles, lack of energy, or throbbing. History has shown that poor health habits may contribute to the onset of this ailment. These may include smoking, eating poorly, or being sedentary for long periods at a time. If you feel you have poor circulation, it’s suggested to speak with a podiatrist for possible treatment options. These may include wearing compression socks, taking prescription medicine, or surgery.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Richard DiMario of Maine. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
Saturday, 13 October 2018 00:00

Why Live with Pain and Numbness in 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.

Monday, 08 October 2018 00:00

Lifestyle Changes and Gout

The medical condition referred to as gout is the result of elevated uric acid levels in the blood. The symptoms of this uncomfortable ailment may include severe pain surrounding the big toe, swelling, and redness. Research has shown there may be triggers that may cause gout including ingesting certain medications, a sudden illness, or an injury to the joint in the toe. Additionally, many gout patients may benefit from a healthy lifestyle change, such as eliminating specific foods and drinks from their daily intake. People who consume an excess of alcohol, or eat an abundance of red meat and shellfish may be more likely to develop gout and this may be a cause of inflated uric acid levels. A podiatrist can perform a proper diagnosis, which may include having an X-ray or CAT scan taken. This will enable the soft tissue and bone to be examined. Once this condition is confirmed, the correct treatment can begin.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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 Gout

Research has shown that if the feet are enduring structural problems, it may lead to improper foot function, which may affect the body. Some of these misalignments of the feet may include low arches, feet that have a tendency to roll inward, also referred to as overpronation, or supinated feet, which is the term for feet that roll outward. If these conditions are present, some of the symptoms that may be experienced may include ankle pain, discomfort in or around the arch of the foot, and pain involving the Achilles tendon. If you are experiencing ailments that may include shin splints, heel pain or uneasiness during walking or running, it is suggested to consult with a podiatrist so a proper analysis can be performed. Additionally, a discussion about correct treatment options may be advised. This may include performing exercises, which may strengthen weak muscles and wearing orthotics that are specifically fitted to your foot.

If you have any concerns about your feet, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

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 in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 The Importance of Biomechanics in Podiatry

There are several ways seniors can practice proper foot care. These may include wearing shoes that fit correctly and are comfortable to wear during daily activities. It’s important the toes have adequate room to move around inside, and this may possibly avoid a pre-existing case of bunions from becoming worse. It may also prevent corns from developing. Additionally, performing a gentle exercise program frequently, may aid in keeping the blood flowing. These may include walking and stretching, which may help to maintain proper circulation. Washing the feet and drying thoroughly between the toes may be beneficial in preventing athlete’s foot from developing. When a moisturizing lotion is used, a painful condition referred to as cracked heels may be avoided. When the toenails are trimmed properly, occurrences of ingrown toenails may decrease. If you are a senior, it’s suggested to consult with a podiatrist on a frequent basis to discuss any foot conditions that may be present.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly Foot Care
Monday, 17 September 2018 00:00

What are the Symptoms of a Broken Toe?

There are several ways to incur a broken toe. Repetitive motions can cause a hairline fracture in the toe, in addition to dropping a heavy object on it. Some people may experience stubbing a toe, which is the result of hitting it against a hard surface. This may produce severe discomfort and pain, and a broken toe may be an unfortunate result. There are noticeable symptoms associated with a broken toe, including swelling, bruising and difficulty in walking. The toe may appear deformed, and this may depend upon the severity of the fracture. It’s important to have a proper diagnose performed, and this is often accomplished by having an X-Ray taken. Treatment of a broken toe may include taping it to the toe next to it, which is often referred to as buddy taping. It’s important to speak with a podiatrist as quickly as possible to learn about additional treatment options concerning a broken toe.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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 What to Know About a Broken Toe
Thursday, 13 September 2018 00:00

Before you start dancing...

 

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