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Tuesday, 02 August 2022 00:00

Ankle Arthritis

While the ankle joint is less likely to be affected by arthritis than other joints, when it is, it means that the tibiotalar joint – the joint between the shin bone and ankle bone – is worn out. The most common cause of this condition is a previous injury, such as an ankle fracture. In such cases, something called osteonecrosis can result from ankle injuries, where there is damage to the blood flow to a portion of the bone that can then lead to ankle arthritis. Other causes of ankle arthritis are rheumatoid arthritis (which can cause joint inflammation and damage to the cartilage), infections of a joint leading to damage of cartilage cells, being overweight, placing a larger burden of weight on the ankle joint, and possibly genetic factors. The most common symptom of ankle arthritis is joint pain. Other indicators of this condition include stiffness in the ankle, swelling in the joint, bone spurs on the joint, deformity of the joint, and a feeling of instability in the joint. One is less apt to feel tingling and numbness in the feet and toes from ankle arthritis due to irritation of the nerves, but it can happen. Changes in footwear, adding cushioned inserts in shoes, using a brace to help hold the ankle in position, and modification of activity can relieve discomfort associated with ankle arthritis. Sometimes, however, surgery is necessary. If your ankle hurts and you feel you might have ankle arthritis, it is suggested that you see a podiatrist for proper diagnosis and customized treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

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 Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Arthritic Foot

Children and young teenagers who have heel pain may have a foot condition that is known as Sever’s disease. It can affect people in this age group who frequently participate in running and jumping activities. It can happen as a result of bones that grow faster than the muscles and tendons in the heel, and this can cause the calf muscles to tighten. Common symptoms that are often experienced with Sever’s disease include swelling, tenderness when the heel is touched, and the patient may walk on their toes due to the pain. Relief and treatment can begin with stopping the activity that caused the condition, followed by performing specific stretches that may ease the pain. A calf stretch is generally successful in improving flexibility in the feet and calves. This is done by standing on a step and lowering the heels one at a time until a gentle stretch is felt. The pain typically stops when the growth spurt has been completed, and may return if another growth spurt takes place. If your child has heel pain, please consult a podiatrist who can determine if it is Sever’s disease, and offer correct treatment options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor 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 Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease
Tuesday, 19 July 2022 00:00

How Is Gout Diagnosed?

The pain from a severe gout attack can be debilitating. Many patients find it difficult to walk, and even the weight of a bed sheet can be disturbing. Gout is a type of arthritis that is brought on by an excess amount of uric acid in the blood. This converts to crystals, and can lodge in the joints of the big toe. Gout can develop from genetic reasons, leading a sedentary lifestyle, or from eating foods that are not healthy. These include an excess of red meat, shellfish or alcohol, or from having drinks that are made with large amounts of sugar. There may also be existing medical conditions that can lead to gout. Among these are obesity, high blood pressure, diabetes, or kidney damage. A proper diagnosis of gout involves having a blood sample drawn that can determine the uric acid level. In severe cases, there may be a needle inserted into the affected joint, and an analysis of the fluid. Relief may be found when the foot is elevated, and this may help to diminish a portion of the swelling that often accompanies gout. If you have gout attacks, it is strongly advised that you are under the care of a podiatrist who can properly diagnose and treat this condition.

Gout is a painful condition that can be treated. 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 form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Read more about Gout

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

The Achilles tendon is responsible for pointing and flexing the foot, which is necessary in walking and running. It is located at the back of the heel, and connects the calf muscles to the heel. An Achilles tendon injury can occur from increasing speed and distance too quickly while running, or not properly warming up and cooling down. A tear may occur, and if the rupture is partial, the tendon remains attached to the calf muscle. A complete tear, where there is no connection between the tendon and muscle, is known as a rupture, and it is very painful and difficult to walk. This can happen as a result of high levels of stress put on the Achilles tendon from participating in activities that can include tennis, basketball, and football. There may be existing medical conditions and medications that can weaken the Achilles tendon and contribute to enduring an injury, such as Cushing’s syndrome, prednisolone, and ciprofloxacin. Common symptoms that many patients experience can be the inability to stand on their tiptoes, and there may be a flat-footed walking style. An Achilles tendon injury can be treated in different ways, and it is suggested that you urgently consult the expertise of a podiatrist who can determine what is best for you.

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 What are Achilles Tendon Injuries

Running is a cherished pastime across the country and an excellent way to stay in shape. However, if you are running with ill-fitting running shoes, you could be putting the health of your feet in jeopardy. Running with shoes that do not match the shape of your foot can lead to afflictions including bunions and naked toes. To avoid these unpleasant conditions, you should be mindful of what you might look for in a potential pair of running shoes. Of course, selecting the ideal pair of shoes is a highly individual process that will be specific to each runner. Yet, there are rules that runners might follow to guide them along this process. First and foremost, runners should prioritize finding shoes that fit the shape of their feet instead of shoes that look most fashionable or visually appealing. Additionally, a good pair of running shoes will have an insole that mirrors the natural shape of the runner's arch. Ideally, the ankle collar of the running shoe will fit comfortably and securely, but not tightly enough to cause rubbing and chafing. Good running shoes will also have toe boxes that give each toe enough space to comfortably rest in the shoe. When it comes to running, selecting the right running shoe is no joke, but these guidelines and a podiatrist might help you in your search.

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

Pes planus is the medical term for the foot condition known as flat feet. It is easy to notice while standing as the entire foot lies flat on the floor. Most babies are born with flat feet and the arch gradually develops during the early teenage years. Flat feet typically correct as soft tissues stiffen and the muscles strengthen. Some adults have flat feet and this can happen for genetic reasons. It can cause pain and many adults may have a limited range of motion. The Achilles tendon can be affected and walking may be painful. There may also be existing medical conditions that lead to flat feet. These can include cerebral palsy, juvenile arthritis, or disorders that affect the nervous system. This can be a common condition among overweight patients as a result of the excess weight the body carries. Relief may be found when the correct footwear is worn and orthotics may be necessary to alleviate any pain. If you have flat feet, it is suggested that you confer with a podiatrist who can offer you proper treatment techniques.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Kevin H. Lapoff from Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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 What is Flexible Flat Foot?
Tuesday, 21 June 2022 00:00

Bunion Surgery May Be Necessary

Bunions may be prevented from developing. A bunion is defined as a bony protrusion on the side of the big toe and can gradually occur from wearing shoes that do not fit correctly. In severe cases, the bunion can cause the other toes to overlap, and this may cause difficulty in walking and completing daily activities. Some of the suggested ways to prevent bunions from developing can include wearing shoes that have adequate room for the toes to move freely as well as avoiding high heels. It can be beneficial to frequently rest the feet as this can provide the opportunity to stretch the toes. If the bunion is painful, it may feel better to wear a protective pad on top of it which may aid in reducing the pressure against the shoe. When a bunion is severe, surgery may be a necessary option for permanent relief. If you notice the beginning stages of a developing bunion, it is suggested that you contact a podiatrist who can offer the correct treatment options. 

If you are suffering from bunion pain, 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 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 Lake Worth, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Wednesday, 15 June 2022 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 14 June 2022 00:00

Foot Pain in Kids

Beyond how active kids are, there are many reasons why children might complain of sore feet.  A child may injure the foot resulting in a sprain or fracture. They may have athlete’s foot and find the skin in between their toes or the soles of their feet to be itchy, dry, and scaly. Kids experiencing growth spurts or who play sports involving running and jumping may complain of sore heels and this could be indicative of a condition called Sever’s disease. Children who are flat-footed may have foot pain that extends up to their ankles and calf muscles. Tight or ill-fitting shoes can cause blisters or corns. Kids can even develop bunions due to genetics or if the arch of their foot is overcompensated. Sometimes, if the toenails are clipped improperly, a toenail can dig into the surrounding skin and cause pain. Because children’s feet are so important to their overall functioning and each condition mentioned causes foot pain, it is suggested that a podiatrist be included as part of your child’s routine health care. A podiatrist can diagnose problems that arise and help direct the proper foot care of your child.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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 What to Do to Keep Your Child’s Feet Healthy
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