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Geriatrics and Podiatry
Bone density loss, dry skin, poor circulation, and rough and brittle nails are some of the common problems that can occur as people age. The effect that these problems has on foot health should be of particular concern in comprehensive geriatric care.
Feet that are diseased or injured have a negative effect on overall health and safety. Painful feet limit a person’s willingness and ability to stay active. Poor foot health can also cause gait change, which can lead to falls and accidents. Even though recovery time from health problems naturally slows as we age, many foot problems can be avoided altogether with regular prophylactic care.
Feet should be thoroughly washed in warm water daily. Care must be taken to dry the feet well, making sure to dry between and under the toes. Any left-over moisture can cause problems like foot fungus. After cleaning feet carefully check for problems such as cracked skin, bruises, swelling, cuts, corns, or other irregularities.
Examine toenails for ingrown, jagged, or split nails. Long toenails should be cut straight across. Never cut toenails at an angle or down the side as this may lead to ingrown nails.
Cracked and dry feet should be treated once or twice a day with a non-greasy moisturizer. Rub the moisturizer into the skin and allow it to dry before putting on socks and shoes. Sweaty feet can be dusted with a small amount of talcum powder. Avoid putting talcum directly into shoes as this may make feet slip within the shoe and cause a serious fall.
Wear clean dry socks each day. Not only do clean socks feel better on the feet, but socks worn for longer periods may harbor disease and odor-causing bacteria. Socks should not be tight around the top as they can leave marks on the leg. Socks that are too small can bring about bruising caused by pressure against the toes.
Wear comfortable and well-fitting shoes. If possible, consult a professional footwear specialist when purchasing shoes. Do not walk around barefoot as this exposes the feet to possible injury and bacteria.
Good foot health allows a more active lifestyle, which improves blood flow. Good circulation aids in recovery from injury or illness. It is also important for maintaining overall health.
Serious health problems can manifest themselves as symptoms in the feet. The elderly should seek professional help from a podiatrist if experiencing foot problems like tingling, numbness, pain, infection, or a sore that does not heal. Taking care of these problems right away can prevent the development of severe cases.
Dealing With Plantar Warts

If you notice a flat hardened callus on the bottom of your foot with tiny black spots showing beneath the skin, you may have a plantar wart. The area might be tender, but try not to touch it. This growth may be caused by the human papillomavirus (HPV), which is highly contagious and can enter your body through cuts or sores. The most common places to come into contact with HPV are swimming pools, locker rooms, and bathroom floors, all areas in which you are more likely to walk barefooted. Generally speaking, plantar warts are not dangerous, but they do spread rapidly. The most effective preventative method is to wear foot coverings in places where the virus thrives. If plantar warts become a common occurrence, refuse to go away on their own, or inhibit your ability to walk, it is a good idea to visit a podiatrist for guidance and a range of treatment options.
Plantar warts can be very uncomfortable. If you need your feet checked, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors 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 Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
All About Plantar Warts
Plantar warts are warts that are only found on the feet, hence the term “plantar”, which means “relating to the foot.” They are caused by the human papillomavirus, or HPV, and occur when this virus gets into open wounds on the feet. The warts themselves are hard bumps on the foot. They are easily recognizable, mostly found on the heels or ball of the foot. Plantar warts are non-malignant, but they can cause some pain, discomfort, and are often unsightly. Removing them is a common step toward treating them.
Plantar warts can cause some pain while standing, sometimes felt as tenderness on the sole of your foot. Unless the wart has grown into the foot behind a callus, you will be able to see the fleshy wart. A podiatrist should only be consulted if there is an excessive amount of pain. Plantar warts are not cancerous or dangerous, but they can affect your walking and continually reappear. Anyone who suffers from diabetes or a compromised immune system disease should seek out care immediately.
Podiatrists are easily able to diagnose plantar warts. They usually scrape off a tiny bit of the rough skin to make tiny blood clots visible and examine the inside of warts. However, a biopsy can be done if the doctor is not able to diagnose them from simply looking at them. Although plantar warts usually do not require an excessive amount of treatment, there are ways to go about removing them. A common method is to freeze them off using liquid nitrogen, removing them using an electrical tool, or burning them off via laser treatment. For a less invasive treatment option, topical creams can be used through a doctor’s prescription. This treatment method takes more time, however. Keep the wart covered for protection in between daily treatments.
The best way to avoid developing plantar warts is to avoid walking barefoot in public places. Avoid this especially if you have open sores or cuts on your feet. It is also important to avoid direct contact with warts in general, as they are highly contagious.
Different Forms of Heel Pain

Heel pain can be caused by a variety of factors, including biomechanical issues, injuries, arthritis, and more. By far, the most common form of heel pain is plantar fasciitis, a painful inflammation of the plantar fascia tissue on the bottom of the foot that connects the heel bone with the toes. Heel spurs, which often occur concurrently with plantar fasciitis, are actually bone growths that build up on the heel bone where the plantar fascia attaches to it as a result of long-term stress. Sever’s disease occurs in growing children. It is an inflammation in the growth plate of their heel that occurs from repetitive stress to the area from physical activity or overuse. Haglund’s deformity, also known as a pump bump, occurs when the bony section at the back of the heel rubs against shoes and causes the soft tissue to become irritated and form a bump where the heel attaches to the Achilles tendon. Nerve compression can also cause heel pain, numbness, and tingling. It is sometimes associated with an ankle sprain and is known as heel neuritis. There is a fluid-filled bursa sac at the back of the heel which can become irritated and swollen from improperly fitted footwear. This condition is known as bursitis. A podiatrist can diagnose your particular heel pain after reviewing your medical history, examining you, and running diagnostic tests. Call a podiatrist today to begin to get relief from your heel pain today.
Many people suffer from bouts of heel pain. For more information, contact the foot specialists of Table Mountain Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Cuboid Bone Is One of Seven Tarsal Bones

There are over 100 muscles, 30 joints, and 28 bones found in each foot. The foot is a complex structure, and the condition that is known as cuboid syndrome may be difficult to diagnose. There are seven tarsal bones in the foot, and the cuboid bone is one of these. Cuboid syndrome occurs when the cuboid bone moves out of alignment, which can happen from a sudden injury or from repetitive use. Pain from this condition is generally felt on the side of the pinky toe and can radiate to the middle of the foot. Additional symptoms include swelling, limited range of motion, and difficulty walking. Patients who frequently participate in such sporting activities as tennis and racquetball may be more prone to developing Cuboid syndrome. Relief may be found by elevating the affected foot, and taping the foot may help to provide additional stability. If you have pain in this part of your foot, please speak to a podiatrist who can provide you with a proper diagnosis, and determine what the best course of treatment is for you.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with the foot specialists from Table Mountain Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Standing for Long Periods of Time May Cause a Heel Spur

Research has shown that for every mile walked, there are sixty tons of stress that goes through the foot. Heel pain can indicate a heel spur may have developed and can become worse without proper treatment. It is defined as a bony growth that forms at the base of the heel and can cause severe pain and discomfort. This condition can come from standing on your feet for most of the day, or from wearing shoes that do not fit correctly. Some patients find it helpful to practice specific stretching exercises, and this may help them to find mild relief. Additionally, when proper stretches are performed, it may give the foot the ability to have increased range of motion and flexibility. Obese patients may find it beneficial to lose extra pounds and wearing heel pads may provide temporary relief from the heel spur. If you have developed this ailment, it is suggested that you are under the care of a podiatrist who can properly treat heel spurs.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Wheat Ridge, CO . We offer the latest in diagnostic and treatment technology to meet your needs.
Where Heel Pain Occurs May Provide Clues to Its Cause

Heel pain can be caused by a variety of conditions, with the most common being plantar fasciitis: an inflammation of the plantar fasciitis tissue on the bottom of the foot. Identifying where the pain is specifically located in the heel can sometimes help your podiatrist diagnose your condition. For instance, plantar fasciitis usually causes pain in the bottom/middle of the heel which is at its worst when you first wake up in the morning. Other conditions, such as heel stress fractures, nerve issues, or heel pad atrophy can also cause pain on the bottom of the heel. Pain in the back of the heel may be caused by problems with your Achilles tendon, which connects the heel bone to the calf muscles. These conditions include Achilles tendinopathy/tendinitis, which is usually an overuse injury to the tendon, Haglund’s deformity, which produces a bump at the back of the heel due to shoes exerting pressure on the tendon, and Sever’s disease, which is due to stress on the heel’s growth plate in growing children. Pain in the middle of the heel can sometimes be caused by an entrapped nerve in the ankle (tarsal tunnel syndrome). Sinus tarsi syndrome, typically due to flat feet or following an ankle sprain, can cause pain in the middle/side portion of the heel. Any type of heel pain should be examined by a podiatrist to receive proper diagnosis and treatment.
Many people suffer from bouts of heel pain. For more information, contact the foot specialists of Table Mountain Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Taking Care of Elderly Feet
Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.
Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.
Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.
Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.
Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.
Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.
Are Orthotics Right for You?
Orthotics are shoe or heel inserts that can be custom made by a podiatrist if you are having foot, leg, or back pain. Orthotics are generally used to help correct foot abnormalities, ease pain in feet and ankles, and reduce the risk of injury. Continued heel and foot pain are customary complaints that are diagnosed and can lead to a trial use of orthotics. A podiatrist will usually examine your feet, ask you to walk and perform movements to look at how your feet and ankles are positioned and how the feet strike the ground, and possibly order further imaging, such as an X-ray or MRI to help them identify problem areas. Arthritis, lack of cushioning, bunions, bursitis, flat feet, and hammertoes are all examples of conditions that orthotics might help. Though you can buy over-the-counter foot pads, do home exercises, and/or try nonsteroidal anti-inflammatory drugs (NSAIDS) to try and help with pain and associated problems, you might be prescribed orthotics if these do not help. It is suggested that you visit a podiatrist for any issues that cause discomfort that might be related to your feet for proper diagnosis and treatment.
If you are having discomfort in your feet and would like to try orthotics, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors 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 Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Who Is Prone to Developing Sever’s Disease?
A condition that affects the heel in growing children and young adults is commonly referred to as Sever’s disease. It can cause extreme pain and discomfort, and generally affects children that participate in sporting activities. It happens when the growth plate in the heel undergoes stress, and this can cause inflammation in the heel. A growth spurt can cause the bones to grow faster than the tendons, resulting in tension in the heel. The symptoms that patients can experience often include severe heel pain, limping, or walking on tiptoes, and the pain may be worse upon arising. Relief may be found when the affected foot is elevated or by wearing shoes that have adequate cushioning. Additionally, performing stretches that help to loosen the Achilles tendon can be beneficial in providing relief. If your child is experiencing any of the symptoms mentioned, it is strongly urged that you consult with a podiatrist who can properly diagnose and offer various treatment options for Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see the foot specialists from Table Mountain Foot and Ankle. Our doctors 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 Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.