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Wednesday, 05 October 2022 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 04 October 2022 00:00

Toe Stretches May Help Hammertoe

The foot condition known as hammertoe is noticeable because the joints in the second or third toe bend downward at the middle joint. This can make the affected toes appear like a hammer. Hammertoe may develop from wearing shoes that do not fit correctly. This condition is a deformity and there are specific toe stretches that may help with the discomfort. When the toes are stretched, it may help the joint that is bent in addition to helping the bones align normally. Many people who are afflicted with hammertoe pick up marbles with their toes as this may provide strength to the deformed toes. Additionally, the toes may become more flexible therefore reducing the risk of injury. Hammertoe should be treated by a podiatrist so it is strongly urged that you contact one who can properly diagnose and treat this form of arthritis.

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

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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 Hammertoe
Tuesday, 27 September 2022 00:00

Severe Pain Can Accompany Gout

The pain from the foot condition known as gout is often worse during the night. Patients are often awakened by swollen joints in the big toe that can become red and inflamed. This extremely painful ailment, a type of arthritis, can cause an inability to walk, and crawling up the steps is not uncommon in severe cases. Gout can happen as a result of genetic reasons, or from eating foods that have high levels of purines. Foods in this category include shellfish, red meat, and drinks that are made with large amounts of sugar. These types of foods produce excess uric acid, which forms into crystals that can lodge in the joints of the big toe. There are methods that can be implemented that may help to diminish some of the pain of gout. Among them are drinking plenty of water, frequently elevating the affected foot, and eliminating the foods that can cause this condition. Gout can be recurring, so it is strongly suggested that you are under the care of a podiatrist who can help you to manage this ailment and provide you with proper relief tactics.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Everything You Need to Know About Gout
Tuesday, 20 September 2022 00:00

Why Do Corns Develop?

A corn is defined as a small, hardened area of skin that can form on different areas of the foot. A common place a corn can be found is on the outside of the pinky toe. Even though corns are small they can cause the gait or walking style to change. Corns may develop as a result of excess friction that is caused by wearing shoes that do not fit correctly. Some people may experience corns between the toes, and these are referred to as soft corns. When a corn forms on the bottom of the foot it is known as a seed corn. Seed corns may form from clogged sweat ducts, and it may be beneficial to wear socks that are made of breathable materials. If you have a corn on your foot, it is strongly suggested that you speak with a podiatrist who can remove it and offer you effective prevention methods.

If you have any concerns regarding your feet and ankles, contact Dr. Richard DiMario of Maine. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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 Everything You Need to Know About Corns

The amount of lower limb amputations is at an increased rate, and this is especially true of diabetic patients. High blood levels and poor glucose management can significantly contribute to the onset of diabetes which can lead to the amputation of a toe or a leg. An unnoticed cut on the bottom of the foot may lead to an infection that grows into a diabetic foot ulcer. This can be from the inability to heal properly, in addition to not keeping the weight off of the foot. There are methods that can be implemented which can help to eliminate the need for amputation. These can include controlling the body’s sugar levels, and having regular foot assessments performed by a podiatrist. Research has indicated this may help to reduce the risk of developing a foot ulcer by approximately 50%, which can lead to possible prevention of amputation. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist, who can help you to properly manage this condition, and guide you toward methods in controlling your blood sugar.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and 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 Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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 Diabetic Limb Salvage
Wednesday, 07 September 2022 00:00

The Heel, Arch, and Plantar Fasciitis

Plantar fasciitis is a foot condition that can produce severe pain and discomfort. It occurs as a result of an inflamed plantar fascia, which is the band of tissue that is found on the bottom of the foot. The function of the plantar fascia is to connect the toes to the heels, in addition to absorbing shock that comes from standing, walking, and running. There are several reasons why it can become damaged or inflamed. These can include wearing shoes that do not have adequate support for the overall foot, or possibly from standing on hard surfaces for most of the day. The pain is felt in the heel and arch area, and wearing custom-made orthotics may possibly help the severity of the pain. Some mild relief methods may include wearing shoes that are comfortable and fit correctly, and frequently performing foot stretches and low-impact exercises. Additionally, it is beneficial to replace shoes once they show significant wear and tear. If you have heel pain, it is suggested that you consult with a podiatrist who can effectively diagnose plantar fasciitis, and offer correct treatment options to you. 

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
Monday, 05 September 2022 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 30 August 2022 00:00

How to Find the Right Shoes

The shoes you wear play an important role in the health of your feet. Improperly fitting shoes can contribute to the development of corns, calluses, bunions, and hammertoes. Besides reducing the pain from a foot deformity or gait problem, well-fitted shoes can also help prevent these conditions from becoming worse. Following are a few ways to increase the chances of finding the right shoe for your feet. Try on shoes at the end of the day, when your feet will be the largest. Bring with you any orthotics you may need, as well as the socks or foot coverings you are likely to wear with that shoe. Have your feet measured, and if one foot is larger, choose that size. Stand in the shoes, and walk around a bit to see how they feel. If the shoe is too tight or too loose in the store, try a different size or a different style. Look for shoes with ample room in the toe box, and avoid high heels. Also look for shoes with mesh uppers that allow the feet to breathe and those that provide cushioning to the heel and ball of the foot. If you have preexisting conditions of the feet, it is a good idea to seek the guidance of a podiatrist before purchasing your footwear. 

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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 Proper Shoe Fitting
Tuesday, 23 August 2022 00:00

Managing Swollen Ankles and Feet

Swelling around the ankles is nothing to ignore. When one’s ankles become swollen, one can feel tight and restricted, making it significantly difficult to walk and wear shoes that would otherwise fit comfortably. Swelling can occur for any number of reasons. Commonly, pregnancy can make one’s feet swell because of the extra blood and fluids that a pregnant woman produces to support the growing baby. Additionally, your feet and ankles may swell in response to some kind of injury to your feet, ankles, or lower legs. Whatever the cause of your swollen ankles, there are a variety of steps that you might consider taking to mitigate the effects of your swollen ankles. Perhaps you might benefit from wearing compression socks or stockings. These stockings are made to put pressure on your feet, which has the effect of facilitating blood circulation and discouraging fluid from gathering in the feet. Besides wearing compression socks, you might also consider washing your feet and ankles in Epsom salts. This is done to increase magnesium levels, which can have the effect of minimizing inflammation. Lastly, a very common technique that is used to mitigate swollen feet and ankles is to elevate the feet to promote circulation. If you are concerned about your swollen feet, consider reaching out to a podiatrist.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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 Swelling of the Feet
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
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