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December 2023

Tuesday, 26 December 2023 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Published in Featured
Tuesday, 26 December 2023 00:00

Bunion Complications

A bunion, medically termed hallux valgus, is a prominent, bony protrusion at the base of the big toe. Often, the only indicator of a mild bunion is its physical manifestation. However, it can also result in discomfort, swelling, and alterations in the foot's structure. In extreme instances, surgical intervention might be necessary due to related issues. Key visual indicators of a bunion are the big toe deviating toward the other toes, forming an outward bulge on the first foot bone. Additionally, there may be a raised bony bump on the foot's exterior, tough skin under the big toe, and calluses on the adjacent toe. Over time, the foot's form may drastically change, impacting both the big toe and other foot regions, making shoe selection challenging. Resulting structural modifications can cause pain, swelling, and bursitis, which is an inflammation of the toe joint's cushioning sac. Some people may face mobility issues with their big toe, affecting their walking. While many individuals do not encounter severe problems from bunions, if left untreated, complications such as arthritis in the big toe or deformities in the adjacent toe can arise. If you have a painful bunion, it is suggested that you make an appointment with a podiatrist who can intervene and help prevent severe complications.

If you are suffering from bunion pain, contact Dr. George Yarnell of Pennsylvania. 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 Lansdowne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 19 December 2023 00:00

Arthritic Foot Care

During your lifetime, you will probably walk about 75,000 miles, which is quite a lot of stress to put on your feet. As you get older, the 26 bones and 30 joints in each of your feet will lose flexibility and elasticity. Your foot’s natural shock absorbers will wear down as well. Having arthritis added to this mix only makes matters worse. Your joints will become distorted and inflamed, which is why arthritic foot care needs to be something to think about every day.

When dealing with arthritis, having additional foot complications, such as bunions, hammertoes, or neuroma, can be a serious detriment. To avoid these, buy well-fitting shoes with a lower heel and good support. Arthritis causes you to lose your arch, so having shoes with good arch support is also highly recommended.

Aside from getting good arch support, the shoes need to fit comfortably and properly as well. A good place to start is by leaving a finger width between the back of the shoe and your foot to gauge proper size. It is also helpful to have a square or rounded toe box in the front to provide even more comfort. Another thing to look for is a rubber sole that can provide a cushion and absorb shock as you walk. This adds flexibility to the ball of your foot when you push off your heel to walk.

Exercise is another key aspect of arthritic foot care. Exercise not only strengthens and stretches your muscles and joints, but helps to prevent further injury and pain as well. Stretching the Achilles tendon, the tendon located in the back of your heel, will give you added mobility and reduce pain due to stress. Another thing you can do is massage your feet, kneading the ball of your foot as well as your toes from top to bottom.

Stretching the Achilles tendon is a simple exercise that you can do at home anytime. Lean against the wall with your palms flat against the surface while placing one foot forward, towards the wall, and one foot behind you. Bend your forward knee towards the wall while keeping your back knee locked straight, and make sure both your heels are completely touching the ground at all times. This will stretch your Achilles tendon and calf muscles as well. You will feel the stretch almost immediately. You can also stretch your toes in a couple ways. One involves taking a rubber band and wrapping it around both your big toes while your heels remain together. Then, pull them apart to stretch your big toe. You can also place a rubber band around all the toes of one of your feet. Then, try to separate each individual toe, stretching them all.

A final step you can take to help your arthritis is taking non-steroid, non-inflammatory drugs or topical medicines with capsaicin. Unfortunately, there is no complete way to remove all of your arthritic pain. However, following some of this advice can go a long way in staying as pain-free as possible.

Published in Featured

Psoriasis is a visible autoimmune disease characterized by red patches of skin with silvery scales. It results from an overactive immune system, attacking healthy tissue and causing excess skin cell production. However, this immune response can also trigger inflammation in joints. Approximately one-third of psoriasis patients develop psoriatic arthritis, or PsA, a chronic inflammatory joint disease. Often, psoriasis precedes PsA, but joint issues can emerge before skin symptoms, or may be so mild that patients do not connect them with psoriasis. Psoriatic arthritis can affect any joint, including the ankles and tendons around them. Symptoms include pain, tenderness, swelling, and warmth in the joints. Foot-related problems from PsA can include swelling of entire toes, heel pain from Achilles' tendon inflammation, and sole pain due to plantar fascia inflammation. Additionally, it can cause nail changes such as lifting, pitting, discoloration, or thickening. Managing PsA involves symptom control and joint protection. If you have psoriatic arthritis and it is impacting the comfort of your feet or ankles, it is suggested that you schedule an appointment with a podiatrist for a correct diagnosis and treatment options.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. George Yarnell from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact our office located in Lansdowne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 12 December 2023 00:00

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.

Published in Featured
Tuesday, 12 December 2023 00:00

How Podiatrists Can Help You

In our daily lives, there are habits that can harm our foot health, and podiatrists can provide advice to help us break them. Examples of that are provided here. Attempting DIY ingrown toenail removal with non-sterile tools can lead to infections. Believing our shoe size remains constant is a misconception. Periodic foot measurements and trying different brands can help find the best fit. Wearing flats as daily footwear may lack cushioning for shock absorption, causing heel pain or metatarsalgia. Walking barefoot on surfaces like hardwood floors can lead to issues. Worn-out shoes affect body alignment and should be replaced when they show wear. Protect your feet in locker rooms with flip-flops. Running without socks increases the risk of blisters and infections. Using running shoes for different sports can cause injury, and appropriate gear for specific sports should be invested in. Most importantly, if you have foot injuries, infections, or seek appropriate footwear recommendations tailored to your specific foot shape and function, it is suggested that you schedule an appointment with a podiatrist who can help with all foot and ankle-related issues.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Dr. George Yarnell from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

If you have any questions please feel free to contact our office located in Lansdowne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

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Published in Blog
Sunday, 10 December 2023 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!

Published in Blog
Tuesday, 05 December 2023 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Published in Featured
Tuesday, 05 December 2023 00:00

Causes of Metatarsal Joint Pain

Metatarsal joint pain, or pain in the ball of the foot, commonly results from misalignment of the joint surfaces. This puts pressure on the joint lining and destroys cartilage in the joints. Metatarsophalangeal, or MTP, joint misalignment can be caused by rheumatoid arthritis, a disorder that inflames the joints. In rheumatoid arthritis, hammer toes can develop, which can worsen joint pain and misalignment. Fat tissue, which helps cushion the joints when bearing weight, can be pushed forward under the toes, resulting in a loss of cushioning in the ball of the foot. A lack of cushioning normally occurs as many people age. It can make people more susceptible to pain when the ball of the foot is stressed or injured repeatedly, by running or walking excessively. A loss of cushioning also may cause damage to the nerves of the foot and lead to the development of calluses. MTP joint pain can also result from osteoarthritis or stiffening of the joints of the ball of the foot, often at the big toe joint. Many people with these disorders have an abnormal motion of the foot while bearing weight and walking. Walking is painful for people with metatarsal joint pain. The skin over the joint may feel mildly warm to the touch, and swelling may be present. Over time, pain and stiffening can be disabling. If you are experiencing extreme pain in the ball of the foot, it is suggested that you schedule an appointment with a podiatrist. This specialized foot doctor can examine the foot and suggest appropriate treatment options. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. George Yarnell from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Lansdowne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Published in Blog
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