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Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 10 May 2022 00:00

How Lupus Can Affect the Feet

A person with lupus might experience swelling in the feet and ankles because the inflammation of lupus attacks the kidneys, which can lead to fluid build-up or edema of the lower extremities. Swelling can make movement uncomfortable, lead to pain, and become more serious if left untreated. Reducing sodium in the diet and controlling high blood pressure can help with swelling.  It is also wise to discuss medicines that can ease pain with a podiatrist. A podiatrist can provide valuable education on how Lupus affects the feet and assist in devising a customized treatment plan to control symptoms.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Read more about Systemic Diseases of the Foot
Tuesday, 03 May 2022 00:00

Complications of Peripheral Neuropathy

When the nerves in the extremities (feet and hands) are damaged, a condition known as peripheral neuropathy can develop. Diabetes is thought to be a major contributor to peripheral neuropathy. Symptoms can include numbness, shooting pain, tingling, and swelling. Among the most serious complications of this condition are developing foot ulcers, gangrene, and cardiovascular problems. A diabetic foot ulcer is simply a wound (usually on the foot) that takes a long time to heal. Because the foot is numb, it is often difficult to know when you have been injured or developed blisters. These sores can easily become infected, and if left untreated can then develop into gangrene. In extreme cases, gangrene can lead to amputation or even death. If you have a sore that won’t heal, have diabetes, or feel numbness in your feet and toes, it is extremely important to see a podiatrist as soon as possible for an exam, diagnosis and treatment options.   

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. Kevin H. Lapoff from Lake Worth Podiatry. 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 Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 26 April 2022 00:00

Gout Is Arthritis

A common form of inflammatory arthritis is known as gout. It can be extremely uncomfortable and can cause severe pain. It frequently affects the joints in the big toe, and may make walking difficult. Gout develops as a result of a buildup of uric acid, which may come from specific foods, including red meat and shellfish, as well as drinking alcoholic beverages. In addition to pain in the big toe, common symptoms can consist of swelling, redness, and lumps that are painless under the skin. Prevention methods include losing excess weight, avoiding foods that can trigger gout attacks, and eating foods high in vitamin C. Additionally, implementing a gentle exercise routine may help to manage gout. If you have this type of pain in your big toe, please speak with a podiatrist who can discuss prevention techniques and offer treatment solutions. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

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

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

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

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

Read more about Everything You Need to Know About Gout
Thursday, 21 April 2022 00:00

What Are Orthotics Used For?

Orthotics are designed to be inserted into shoes to help realign the feet or relieve pressure caused by other foot-related problems. They can also help with non-foot issues, such as knee pain or lower back pain. Orthotics can be made to take stress off certain parts of the feet, or to keep the feet aligned. Orthotics are also often used as a method to delay surgery (e.g., when a child needs to wait for their growth plates to close or for their bones to grow more) or to help alleviate pain after surgery. There are multiple ways to make orthotics as well. These methods include laser scanning the foot, using a foam box, or using a plaster cast. If you believe that orthotics are right for you, consulting with a podiatrist is suggested.  

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. 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 Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes
Saturday, 16 April 2022 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.

Tuesday, 12 April 2022 00:00

The 5 Types of Running Shoes

Finding the right running shoe to accommodate your foot structure and prevent injury can be a daunting task, particularly if you are a beginner. Here is a brief introduction of the 5 types of running shoes. 1) Racing Flats are lightweight shoes built for long distance and speed with far less cushioning than those made for more general training. They are not appropriate if you are just starting out. 2) Trail Runners are protective and stable running shoes made to accommodate the changing terrain you would encounter in nature (mud, road, grass, hard packed surfaces). 3) Stability Sneakers, made for people with normal arches, support the arch and ankle during the gait cycle and help prevent the foot from overpronation (extreme inward rolling). 4) Motion Control Shoes have a more rigid construction which can help avoid overpronation in people with low arches or with pronation problems. Heavier runners may benefit also from their extra stability and durability. 5) Cushioned Shoes, or neutral padded shoes, can help runners that do not pronate sufficiently during the gait cycle, which may help those with high arches. This footwear offers extra shock absorption in the midsole and outsole. For more individualized advice on the specific features that would be most beneficial for your individual feet and fitness goals, consult with a podiatrist.

If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

Read more about Choosing the Right Running Shoe for Your Foot Type

The Achilles tendon is located in the back of the heel and connects the calf muscles to the heel.  It is used for walking, running, and pointing and flexing the foot. A sudden accident to the foot can result in an Achilles tendon injury, and this can often cause severe pain and discomfort. Some patients experience an Achilles tendon partial rupture which indicates the tendon is still attached to the calf muscles. A complete tear can occur when there is no connection between the tendon and the calf muscles. Common symptoms of this type of injury can include walking flat-footed, bruising, swelling, and the inability to stand on your tiptoes. If you have injured your Achilles tendon, it is strongly suggested that you consult with a podiatrist who can guide you toward correct treatment options, which may include surgery.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Lake Worth, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries
Tuesday, 29 March 2022 00:00

What Is Tarsal Tunnel Syndrome?

If you feel numbness, pins and needles, or pain in the bottom of your foot, you may have a condition known as tarsal tunnel syndrome. These symptoms may also extend to the toes and heel. The cause is likely to be an obstruction under the band of tissue that attaches the inner ankle to the heel and forms the tarsal tunnel. A number of blood vessels and tendons, along with the tibial nerve, pass through the tunnel. Pressure on the posterior tibial nerve may be caused by excess fluid following an ankle injury, fallen arches, footwear that is too tight, obesity, cysts, or bone spurs. A podiatrist can help determine the exact cause of the pain and offer treatment options such as steroid injections, orthotics, and/or braces. In some cases, surgery is necessary. It is a good idea to consult a podiatrist for an examination and diagnosis.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Tarsal Tunnel Syndrome

Plantar fasciitis will affect 1 in 10 people, mostly between the ages of 40-60, or younger if they are runners, athletes or dancers. The plantar fascia is the web-like fibrous tissue connecting the heel bone with the toes on the sole of the feet. Stress, micro-tears or other damage to the plantar fascia can cause it to become inflamed, which results in plantar fasciitis. This inflammation, in turn, causes the plantar fascia to tighten during periods of rest or inactivity and typically produces a sharp, stabbing pain towards the middle of heel, where the plantar fascia attaches to it. Initially, once activity is resumed (after waking in the morning, for example), and the plantar fascia begins to stretch, the pain may subside, but will reoccur later in the day. Contributing factors to plantar fasciitis include obesity, foot structure disorders such as flat feet or high arches, having to stand for prolonged periods, and participating in sporting activities with repetitive stress on the plantar fascia (i.e., running and jogging). If you have heel pain, it is a good idea to make an appointment with a podiatrist who can determine if plantar fasciitis is the cause and create a treatment plan to reduce your pain and help repair the plantar fascia.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kevin H. Lapoff  from Lake Worth Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
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