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What is a Podiatrist?
The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.
To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.
When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.
Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.
Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.
Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.
Two Groups of Muscles in the Feet
The feet are responsible for providing balance, mobility, and a steady base for the body. They also serve as shock absorbers while walking and running, and provide cushioning for the body. Each foot has 26 bones, several tendons, ligaments, and muscles that are naturally coordinated to function together. The muscles and tendons are categorized into two groups, labeled intrinsic and extrinsic. The muscles that start in the lower leg and wrap around the ankles before they attach to the foot are called the extrinsic muscles. The other group of muscles that are known as the intrinsic muscles begin and end in the foot. These muscles are layered along the bottom of the foot to form the arch. These groups of muscles work in harmony while walking and running and are not given much thought as it happens naturally. There are abnormal foot structures that can alter the natural alignment of the bones. People who have flat feet, babies that are born with clubfoot, or people who stand for long periods may develop chronic foot conditions. If you would like more information about how the feet are constructed, it is suggested that you speak with a podiatrist.
If you have any concerns about your feet, 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.
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 Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Common Causes of Toenails
The big toe is generally affected when an ingrown toenail develops. An ingrown toenail happens when the nail grows into the side of the skin instead of over it. Common reasons for it to develop can consist of wearing shoes that are too tight, or it may happen if it is prevalent in family history. It may also occur from improperly trimming the toenails or if a foot injury has happened. The symptoms that are associated with an ingrown toenail can include redness and swelling, and it may become infected if medical attention is not sought. People who have diabetes have a higher risk of developing an infection from an ingrown toenail. If you would like additional methods of effectively preventing ingrown toenails, it is suggested that you contact a podiatrist who can provide you with useful information.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
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.
A Lack of Vitamins May Cause Cracked Heels
Many people have the foot condition that is known as cracked heels. Various reasons, including vitamin deficiency, can cause this ailment. A lack of vitamin E can affect the skin and cause it to dry. Good sources of this vital nutrient can include sunflower seeds, salmon, avocado, and various oils. Additionally, patients who do not have adequate amounts of vitamin B-3 may develop a condition called pellagra. This can cause the skin to become dry and scaly, affecting the heels. Sources of this vitamin can consist of brown rice, lentils, poultry, and seafood. Existing medical conditions may also lead to developing cracked heels, such as eczema and athlete’s foot. Cracked heels can be prominent among people who frequently walk barefoot and may be prevented when sandals or shoes are worn. If you have cracked heels, it is suggested that you schedule an appointment with a podiatrist who can guide you toward the treatment routine that is correct for you.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
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.
Solutions for Cracked Heels
Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.
There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.
There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.
If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.
Rheumatoid Arthritis in the Feet
Rheumatoid Arthritis is a chronic progressive disease that attacks several joints throughout the body. It is an autoimmune disease in which the body’s immune system mistakenly attacks the joints. As a result, the tissue inside the joints, called synovium, starts to thicken and causes pain around the joints. The synovium is responsible for creating a fluid that lubricates the joints to help them move. Approximately 1.5 million people in the United States have Rheumatoid Arthritis. Women are almost three times as likely to have RA compared to men, and it’s disease usually begins between the ages of 30 and 60. People who have a genetic history of RA are more likely to develop the disease.
Symptoms of RA may include the following sensations in the joints: pain, tenderness, swelling, redness, warmth, stiffness, and loss of range. Swollen joints are a very common symptom for those with the disease. At times, it may be minimal, but it may also be very apparent. Another typical symptom is joint stiffness. Doctors will often use the direction of morning stiffness to measure the severity of a patient’s joint inflammation. Other RA symptoms include limping, anemia, fever, and fatigue.
To diagnose RA, your podiatrist will typically request x-rays to see how much damage there is in the joints. Blood tests may also be performed to show if there are any signs of anemia, or antibodies such as the rheumatoid factor. If you have previously been diagnosed with RA, you should know the disease may spread to your feet and ankles.
There are many non-surgical options that can be used to treat this ailment. Some of these options include physical therapy, foot massages, orthotics, bracing, supportive shoes, and steroid injections. Physical therapy is useful because it will help stretch and strengthen the joints in both the foot and ankle to improve joint function. Massages can help improve blood circulation which will be good for the feet. Choosing proper footwear will allow you to walk with comfortability if you are a sufferer from RA. Lastly, bracing will help stabilize the foot joints, limit deformities and decrease pain.
In severe cases, surgery may be a treatment option that should be considered. For those who cannot walk without experiencing pain and those whose deformities can not be managed with braces, surgery should be considered. Your podiatrist will recommend surgery if he or she believes it will improve your foot biomechanics.
Exercises Can Reduce Arthritic Toe Pain
A number of exercises are known to reduce the discomfort of arthritis in the big toe by increasing both ranges of motion and strength. Toe exercises can also help to reduce stiffness. Experts suggest taking it slowly at first, and increasing the number, intensity, and length of exercise periods as the range of motion also increases. It is suggested to do motion exercises for two sets of 10 repetitions. Stretching exercises should be held for 20 to 30 seconds and performed four to five times weekly. Strength exercises call for eight to 10 repetitions, up to five times a week. For older adults, repetitions can increase to 15 with reduced resistance. Toe curls and big toe extensions are common stretching exercises. Towel curls, toe splay, and marble pickup are for strengthening. Resisted toe flexion is helpful for increasing mobility. For directions on how to best use these and other toe exercises, it is suggested that you make an appointment with a podiatrist.
Toe pain can disrupt your daily activities. If you have any concerns, 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.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our office located in Wheat Ridge, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Plantar Fasciitis From Wearing Flip-Flops
Flip-flops are foot coverings most appropriate for wearing in gym locker room areas, the beach, and around the swimming pool. While easy to put on and take off, these thin-soled sandals lack proper support, especially at the arch area, and can cause plantar fasciitis. Plantar fasciitis is a painful foot ailment that happens when the plantar fascia, the band of connective tissue that runs from the heels to the toes, becomes irritated or inflamed. The pain from plantar fasciitis is particularly bad when taking one’s first steps in the morning, walking, or standing for a prolonged time. This condition, left untreated, can also cause a heel spur or a calcium deposit to develop. Rest, stretching, and strength training exercises can help relieve pain from plantar fasciitis. However, if the pain does not decrease, it is suggested that you see a podiatrist to diagnose the condition and obtain treatment options properly.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer. However, these shoes can cause harm to the feet.
How Can Flip-Flops Affect Me Long-Term?
- Ankle problems
- Hip problems
- Lower back problems
- Pain in the balls of the feet
- Problems with foot arches
- Changes in the way you walk
Are There Injuries Associated with Flip-Flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:
- Sprained ankles
- Blisters
- Infections
- Cuts and Scrapes
I like Wearing Flip-Flops. Are There Safe Alternatives?
When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet. These flip-flops will cost more but will also last longer as a result.
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.
Flip Flops and Your Feet
When the weather heats up, you may want to start wearing flip-flops. However, it has been proven that these are not the ideal shoes in terms of preserving the health of your feet.
Flip flops are known to expose your feet to different types of bacteria and fungal infections. When you wear your flip flops in public, you are exposing them to staphylococcus which is a skin-irritating bacterium. Athlete’s foot is also highly contagious and can be spread when you walk around nearly-barefoot.
Another harmful effect of wearing flip-flops is that they develop blisters on the feet. This is because the thin strap rubs against the skin with each step taken. Unfortunately, when blisters pop, they cause you to be more vulnerable to pathogens you pick up by having your feet exposed.
These shoes may also cause “shooting pains”. If you have flat feet, you need arch support to keep your knees, hips, and back in alignment. If you wear flat shoes, your joints are forced to compensate which can cause injuries throughout the body.
If you constantly wear flip-flops, you should avoid doing so as they can lead to many problems for your feet. If you are experiencing any of these foot issues, you should seek help from a podiatrist right away.
