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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
Tuesday, 19 September 2023 00:00

Best Heel Heights for the Feet

When it comes to high heels, opinions vary widely. Some find them elegant and empowering, while others associate them with discomfort. If you belong to the latter group, it might be because you have not discovered the right heel height for your feet. Comfort varies from person to person, depending on foot shape, shoe type, and experience with heels. The average heel height is around 3 inches, falling into the mid-height range. Low heels are 1 to 2 inches, while high heels are 3 to 4 inches. Finding your ideal heel height may require some experimentation. It's a good idea to prioritize foot health and alternate between heels and flats. To measure heel height, place the shoe on a flat surface and measure from the bottom of the heel to where it connects to the shoe. If you would like to wear heels, it is suggested that you make an appointment with a podiatrist to get advice on wearing this type of shoe for your particular feet and prioritizing style and comfort.

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 Effect of High Heels on the Feet
Tuesday, 12 September 2023 00:00

The Benefits of Foot Baths

A foot bath offers a myriad of health benefits that can enhance your overall well being. This ancient practice of immersing your feet in warm water has gained popularity in modern times. Foot baths have direct benefits for your feet. They soften and exfoliate the skin, preventing development of thick calluses. They also discourage bacterial buildup under toenails, cuts, and blisters, reducing the risk of infection. This is why pedicures often include a foot bath. Foot baths also aid in detoxification in the body and are beneficial for various medical conditions. Incorporating Epsom salt into your foot baths can help to manage muscle cramps, boost blood circulation, and reduce inflammation. Additionally, foot baths can also help to treat fungal infections, remove splinters, and provide foot pain relief. Essential oil foot baths add aroma therapeutic benefits to your soak. This can be beneficial in smoothing and moisturizing your skin, easing tired muscles, and reducing stiff joints. Soaking your feet in apple cider vinegar offers various health benefits as well, including treating fungal infections, soothing sore feet, and healing dry skin. If you would like to learn more about the benefits of foot therapy, such as foot baths, it is suggested that you make an appointment with a podiatrist.

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, 05 September 2023 00:00

How to Break in Orthotics

Custom foot orthotics are designed to meet unique structural and biomechanical needs, but they often require a break-in period. This means getting used to them gradually. The adjustment period varies for each person as your body has adapted to moving a certain way over the years. When you first wear them, custom orthotics might feel unusual, like standing on a hard ball with pressure on your arches. Some may feel great right away, like walking on clouds. However, it is crucial to break them in properly. Some tips to get used to orthotics include starting off slowly and wearing them for a few hours at first and then increasing wear time by one or two hours daily over a week. Other tips include reducing wear time if you experience discomfort, wearing them in shoes with the appropriate width and depth, and waiting until they are entirely broken in before engaging in physical activity. Adjustments can possibly be made if discomfort persists. If you are interested in learning more about whether you are a good candidate for orthotics and how to adjust to them, it is suggested that you make an appointment with a podiatrist to discuss this option.

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 Ankle Foot Orthotics for Athletes
Friday, 01 September 2023 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 professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 29 August 2023 00:00

Effective Strategies for Managing Bunions

Bunions are bony protrusions at the base of the big toe that can not only be unsightly, but also painful. Managing bunions involves a combination of self care and professional guidance. Begin by wearing well-fitting shoes with ample room for your toes and avoiding high heels and pointy shoes that exacerbate pressure on the bunion. Taking over-the-counter pain relievers can provide temporary relief. Wearing custom orthotic inserts can alleviate discomfort by redistributing pressure. Regularly performing gentle toe stretches and exercises can improve flexibility and strength. In severe cases, surgical intervention may be considered. With a proactive approach, you can successfully manage bunions and maintain your foot health. If the bunion causes persistent pain or interferes with daily activities, it is suggested that you consult a podiatrist who can offer you additional relief and treatment methods. 

If you are suffering from bunion pain, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, 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 What Are Bunions?

Plantar fibroma, a perplexing foot condition, can create discomfort and disrupt daily activities. It involves the growth of benign fibrous tissue in the arch of the foot, leading to the development of a firm nodule. This condition is not linked to cancer and often occurs in the plantar fascia, the band of tissue connecting the heel bone to the toes. While the exact cause remains unclear, it's believed to result from trauma or genetic predisposition. Treatment options encompass a variety of approaches. Conservative measures include wearing orthotic inserts for support, and cushioned shoes to reduce pressure. In more severe cases, surgical removal may be considered. If you have developed a plantar fibroma, it is suggested that you confer with a podiatrist who can effectively diagnose and develop a tailored treatment plan for you.  

A plantar fibroma may disrupt your daily activities. 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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 Plantar Fibroma
Tuesday, 15 August 2023 00:00

Changes to the Feet During Pregnancy

Pregnancy is a much-anticipated journey for many women, often filled with numerous physical changes, and the feet are no exception. During this transformative time, many women experience various alterations in their feet, which can be from hormonal shifts and increased weight. One common change is the flattening of the arches, caused by the hormone relaxin. This is effective in loosening the ligaments and joints in preparation for childbirth. As a result, some women may experience pain and discomfort in the feet and ankles. Swelling, also known as edema, is another prevalent issue, as the body retains more fluids during pregnancy. This can lead to a feeling of heaviness and tightness in the feet. To alleviate these symptoms, pregnant women are advised to wear comfortable and supportive footwear, elevate their feet when possible, and perform foot stretches and exercises. It's essential to prioritize foot health during pregnancy to ensure a smoother and more enjoyable journey to motherhood. It is suggested for women who are pregnant include a podiatrist in their healthcare team who can treat any foot conditions that may arise.

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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