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According to the Center for Disease Control and Prevention, every twenty seconds someone loses a limb because of diabetes.  Hoping to change this number, scientists from the Southern Arizona Limb Salvage Alliance developed what they call a ‘Smart Sock’ that utilizes sensors and fiber optics to detect areas where ulcers may form.

Dr. Armstrong claims this invention was inspired by virtual reality video games. Although this technology is impressive, it is not expected to be available to the public until at least 2019. Until then, many people with diabetes and other systemic diseases are prone to amputation if their condition is left untreated.

If left untreated, systemic diseases can create permanent debilitations in your daily life. If you are contending with foot or ankle difficulty, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can treat your foot and ankle needs.

Systemic Diseases of the Foot

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. Some 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 to 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. When the body doesn’t produce enough insulin this 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 leads to amputation. 

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

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Published in Blog
Tuesday, 10 June 2014 18:07

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid, crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

 

Published in Featured
Monday, 26 May 2014 00:00

Foot Rehabilitation for Athletes

There is no sport that completely prevents the foot or ankle from becoming injured. In fact, even simple activities such as darts and pool might cause injuries to the foot. When an athlete does suffer from a foot injury, he needs to find a way to get back on his feet right away. Immediate results may be desired, but they are not always possible.

All foot and ankle injuries deserve immediate attention. When the foot or the ankle gets injured, muscles surrounding the bones can weaken or atrophy through disuse. While the bones heal on their own, it takes a more concentrated effort for an athlete to regain full use of his feet and ankles. A doctor may recommend that a person go through a course of physical therapy. The course of physical therapy treatment uses simple, repetitive isometric exercises. The use of the exercises will cause the body to rebuild the muscles and tendons in the area over time and restore the full range of movement.

When selecting ankle and foot rehabilitation services, an athlete needs to find a licensed sports therapist (other physical therapists work with more generalized conditions, and while these kinds of physical therapists are dedicated to their job, they do not necessarily understand the special demands of the athlete). A good sports therapist will take their time with a patient, and make sure that he or she understands the problem and the options available for treatment. As long as the doctor expects a person to return to the sport which he enjoys, the sports physical therapist will recommend the exact exercises a person needs to get back in the game.

Although the professional athlete needs a trained sports therapist, an amateur athlete or the weekend player can benefit from foot rehabilitation services for athletes as well. An ankle or foot injury does not have to cause a person go give up the game he loves entirely, so long as he or she seeks out a sports therapist.

Physical therapy may not always heal certain injuries perfectly, but it will more quickly and effectively help the afflicted person get better.  Less severe injuries may only take a person out of his favorite sport just for a little while, if he or she sees a sports therapist. If a full recovery is possible, it is definitely worth it to check out ankle and foot rehabilitation services. 

Published in Featured
Tuesday, 27 May 2014 20:18

Foot Rehabilitation for Athletes

Women’s tennis superstar Victoria Azarenka will miss the 2014 French Open, as she continues to nurse a foot injury that has kept her on the sidelines since March.  She will also have to miss this season’s second Grand Slam event. 

“Hi Guys - Unfortunately I will not be able to compete in Roland Garros this year. Working hard on my recovery & getting back on the court” tweeted Azarenka.

Azarenka was last seen on the court at the Indian Wells, where she lost in the second round to Lauren Davis.  Before that, the only two tournaments she competed in this season were the Brisbane International and Australian Open.  Azarenka is hoping to be back to full strength by the U.S. Open in late August.

Physical rehabilitation is sometimes necessary to treat athletic injuries.  If you are suffering from a sports related injury, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff will care for all of your foot and ankle needs.

Foot Rehabilitation for Athletes

Injured athletes are always looking for better, faster ways to aid their recovery and get back to the sport they love. To do this, podiatrists and physical therapists are often consulted so the injured athlete can get back onto the field as soon as possible. But rehabbing an injury is just as serious as the injury itself, and going through the motions of physical therapy or rehabilitation is a necessary process to keeping that injury at bay.

Sports Therapist or Physical Therapist?

If an athlete gets a foot injury, it is essential to receive foot rehabilitation to ensure proper healing. Sports therapists are more focused on athletic-related injuries than general physical therapists. It is important for an athlete to become healed properly because if they attempt to get back into their game before they are physically well, they could re-aggravate the original injury or even suffer a new one due to their weakened state.

Physical Therapy Gives Hope

Physical therapy helps to keep athletes as active as they are physically capable, which will get them ready to return to the field once their feet become healed.

For more information about Foot Rehabilitation for Athletes, follow the link below.

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

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Published in Blog

MMA fighter Luke Rockhold picked up the win against middleweight Tim Boetsch at UFC 172. However, the 29 year old’s victory wasn’t without a physical toll, or even a price. Rockhold revealed at the UFC 172 post night press conference that he suffered a broken toe, presumably during the bout itself.

Rockhold took to showing off his x-rayed injury on Instagram. The photo revealed that it was the middle toe in his right foot that was broken. According to the UFC rankings Rockhold is number 5 in the world rankings, making a title bout a possibility in the near future.  

Broken toes can hurt a lot. If you sustained a toe injury, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can attend to your foot and ankle injuries.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture). Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Symptoms of a Broken Toe

  • throbbing pain
  • swelling
  • bruising on the skin and toenail
  • inability to move the toe with ease.
  • crooked or disfigured appearance
  •  tingling or numbness in the toe
  • fever or chills throughout their body

It is best to stay off of the injured toe with the affected foot elevated on pillows. Alleviate swelling by placing an ice pack on the broken toe for 15 minutes every two hours then taping the two toes together with medical tape. 

For more information on broken toe please follow link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

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Published in Blog
Tuesday, 20 May 2014 15:48

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture). Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, when the injured person experiences fever or chills throughout their body, and when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications, but it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe with the affected foot elevated on pillows. Swelling can be alleviated by placing an ice pack on the broken toe for 15 minutes every two hours during the first two days after the fracture. The broken toe should be immobilized by placing a small cotton ball between the injured toe and the toe beside it, then taping the two toes together with medical tape. 

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery; especially when the big toe has been broken. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications, and prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. 

Published in Featured

U.S. Army lieutenants held a study that attempted to correlate the frequency of injuries while running and the amount of force used when the foot hits the ground. The reason for this study is to try and lower the rate of running injuries among soldiers in the military.  

To hold this test, 1027 Army men and women were monitored as the researchers examined their record of injuries and running techniques. The study would ultimately come to the conclusion was that the amount of force used while running had no relationship to any injuries sustained by the runners.

Running injuries can happen to even the most cautious person. If your foot or ankle was injured while running, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can treat your foot and ankle injuries.  

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscles and sports orthotic. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned. Physical therapy can help you learn the best exercises to heal runner’s knee.

What Are Some Causes of Running Injuries?


- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries


- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Preventing Running Injuries

Published in Blog
Tuesday, 13 May 2014 14:31

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility. 

Published in Featured

In order to physically prepare himself to star in the upcoming film Chapter 27, actor Jared Leto gained seventy pounds. Leto’s increased weight did more than just make him look bad.. Leto’s cholesterol went upward which resulted in Leto contracting the painful condition gout.  "Really, it's a stupid thing to do (gaining weight),” Leto said

“I got gout, and my cholesterol went up so fast in such a short time that my doctors wanted to put me on Lipitor, which is for much, much older people." Fortunately Leto toured with band 30 Seconds to Mars after the filming, which expedited the process of getting Leto down to a much healthier weight.

Gout can affect day to day living. If you are experiencing pain in your foot or ankle, see podiatrist Dr. Kevin H. Lapoff, DPM of Lake Worth Podiatry. Dr. Lapoff can assist you with your foot and ankle needs.

 

 

What is gout?

Diseases of the feet can affect the whole body, and symptoms usually arise within the feet. A condition like gout can make a patient’s ability to walk unbearable.  The pain caused by this disease is often so agonizing that it requires elevation of the feet and some time off for them to fully recover.

Known in the past as “the disease of kings”, Gout is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. This buildup of acid is typically seen on the big toe of the foot and can cause inflammation, redness and swelling. Although these are common symptoms of the diseases others include joint pain, extreme fatigue and a high fever. 

Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

For more information about gout, please follow the link below.

If you have any questions feel free to contact our office in Lake Worth, FL. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Gout

Published in Blog
Tuesday, 06 May 2014 19:22

What is Gout?

Gout is a form of arthritis that is unusually painful. A slight touch can send shooting pain. The most common area for gout to occur is in the metatarsal phalangeal joint of the big toe. Other areas of the body frequently affected by gout are the knees, elbows, fingers, ankles and wrists.
Gout occurs when there are elevated levels of uric acid in the blood. This condition is called hyperuricemia. Hyperuricemia is a genetically pre-disposed condition about 90% of the time and occurs because the kidneys do not produce the correct amount of uric acid. Children of parents who have had gout will have a 20% chance of developing it themselves. The excess uric acid in the blood forms crystals that deposit in between joints causing friction with movement.

Symptoms of gout caused by this friction include pain, redness, swelling, and inflammation. Fever and fatigue may occur as well, although these symptoms are rare. The pain can be worse during the night when the body’s temperature lowers.

Gout can be diagnosed clinically by a doctor’s observation of the redness, swelling, and pain. More definitive tests can be performed by the doctor as well. Blood tests check for elevated uric acid levels in the blood. The synovial fluid in the joint can also be withdrawn through a needle to be checked for uric acid crystals. Chronic gout can be diagnosed by X-ray.

Treatment given for acute gout diminishes the symptoms. Non-steroid anti-inflammatory drugs such as Colchicine and other corticosteroid drugs will stop the swelling, redness, and inflammation in cases of acute gout. If gout becomes chronic, there are multiple ways to combat it. Lifestyle changes and changes in diet may be necessary, as well as preventative drugs.

Gout can be aggravated by a sedentary lifestyle. Exercise will reduce probability of future cases of gout. Certain foods cause or increase the risk of gout and their consumption should be avoided or kept at a minimum. These foods include red meat, alcohol, sea foods, and drinks sweetened with fructose.

Lifestyle changes and diet that help prevent gout include exercise and certain foods that help decrease the chance of gout recurring. Gout preventative foods include Vitamin C, coffee and some dairy products. New drugs have been discovered that inhibit the body’s production of certain enzymes. These are the enzymes that produce uric acid. Lowering your levels of uric acid will greatly reduce the chances of developing further cases of gout.

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