November 2014

A recent study conducted at the University of Nottingham found that trimming nails too often may actually lead to certain nail problems including ingrown toenails. After examining how the nails stick to the nail bed and grow forward, researchers found that cutting the nails daily puts a certain force on the nail that can make nails grow too slow or too fast as well as causing additional problems.

Lead study author, Cynthia Rauch, also used the research to find ways to avoid ingrown nail problems. She states, “Looking at our results, we suggest that nail beauty fanatics who trim their nails on a daily basis opt for straight or parabolic edges, as otherwise they may amplify the imbalance of stresses which could lead to a number of serious conditions.”

Ingrown toenails are terribly uncomfortable, and in the worst cases surgery might be required to get rid of them. If you think you have an ingrown toenail, consult with Dr. Kevin Lapoff of Lake Worth Podiatry. Dr. Lapoff will confirm your diagnosis and do everything she can to treat your problem.

Ingrown Toenails Causes
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

There are a number of risk factors for ingrown toenails. Some include cutting your nails too short, participating in strenuous sports, diabetes, obesity, and fungal infection. Some are genetically predisposed to ingrown nails, although wearing ill-fitting or damp shoes can exacerbate the problem.

Treatment
There are a number of steps you can take to treat ingrown nails:

-Let your toenails grow out
-Soak the toes in hot water with antibiotic soap or Epsom salts
-Placing a piece of cotton under the affected nail may allow the toe to grow up instead of into the nail bed
-Rest with your feet up

If however, your pain is severe, or you see red streaks running up your leg, you should see a podiatrist. Your podiatrist may make a small incision and remove part of the toe nail to relieve the pressure. A local anesthetic may be used to lessen the discomfort of the operation.  Topical medication may also be prescribed to prevent the regrowth of the problem nail.

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

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 In 2002, Roger Gallup was one of the 1 in 3 Americans with pre-diabetes, a condition where you have diabetes-like symptoms, but you do not have all of the ailments that go with condition. Pre-diabetes is reversible with exercise and a proper diet, but Gallup was overweight and found that most shoes were hurting his feet; the pain was keeping him from changing his lifestyle. Gallup decided to have his feet measured by a professional and then used a machine to find where his feet place most of their pressure in order to find the perfect fitting shoe. Since his diagnosis and proper shoe fitting, Gallup has lost 125 pounds and reversed his pre-diabetes. “I think the proper footwear is very important in the exercises you do,” stated Gallup.
Proper fitting shoes are essential to one’s overall health. Speak to Dr. Kevin Lapoff of Lake Worth Podiatry to learn more about the detrimental effects of shoes that fit incorrectly. Our doctors can assist you with all of your foot and ankle needs. 

Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in properly fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improperly fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

For more information about Proper Shoe Fitting, follow the link below.

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

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Proper shoe fitting is one of the most common concerns people have when it comes to the health of their feet. To some this may not seem like a major issue, but the reality is that improperly fitted shoes account for a tremendous amount of injuries to the foot. Because our feet, our posture, and our gait directly affect the bio-mechanics and the overall structure of our entire body, pains and discomforts felt elsewhere within the body can frequently be attributed to improperly fitted footwear. Here are a few factors to consider, which will help you select the proper footwear when shopping.

Do not purchase shoes with the expectation that they will stretch to accommodate the size of your feet. You are looking for shoes that fit correctly right away. If the shoes you purchase are too large and are slipping in the area of the heel while you walk, do not purchase them. Do not look favorably upon shoes that slip with the intention of wearing thicker socks to compensate for the slippage. Make certain that in the widest portion of the shoes, the ball of your foot, fits comfortably in the shoe.

It may be difficult to focus on these things with all the distractions of shopping, or tempting to ignore them because you badly want an uncomfortable shoe. However, if you cannot wear shoes because they hurt too much to use, your money and time will be wasted. When you get your new shoes home, put them on and walk around on a carpeted surface to see ensure your shoe's fit comfortably with normal activity.

With 33 joints, 26 bones, and over 100 ligaments, the potential for damage to the sensitive components within the foot are greater than many people realize. Finding a properly fitting shoe is the single most important factor you can do to help prevent injury and maintain optimal foot health. Adults tend to forget the fact that our feet continue to change as we grow older. So, even though they may no longer experience growth spurts associated with youth, their feet still change shape as they mature.

If you already have problems with your feet, wearing improperly fitted shoes can potentially exacerbate those problems. Fortunately, it does not require a tremendous amount of effort to find shoes that fit correctly. When shopping for shoes, keep in mind that improperly fitted shoes can not only cause a whole host of disorders and problems to occur within the feet themselves—they can affect the entire bio-mechanical structure of the body. Your posture and your stride are based on your feet, so your footwear can have a tremendous impact on the legs, back, and rest of your body. Finding the proper shoe fitting is essential to keep your feet and body healthly.

Students at Boston University School of Medicine conducted research experiment that shows a correlation between high temperatures and the reoccurrence of gout attacks. The head scientist, Tuhina Neogi, MD, PhD, and other faculty members started by gathering data from over 600 patients with suffering from gout using a questionnaire. The ages of the patients ranged from 21 – 88.

According to the data, it was discovered that temperatures of 70°-79° F were associated with a 43% increase of a potential gout attack occurring. When the temperature reached over 80° F the risk changed to 40%. Following their findings, researchers stated, “Patients with gout may be advised that under conditions of hot and/or dry weather, appropriate measures, such as increased water intake, should be considered to minimize the risk of recurrent gout attacks.”

The severity of gout attacks can vary, but they should always be granted proper medical care. For assistance with a foot condition like gout, contact podiatrist Dr. Kevin Lapoff of Lake Worth Podiatry. Dr. Lapoff can figure out why you keep getting flare-ups and work with you to treat the root of the problem.

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.

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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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.

Indiana Pacers’ best remaining player, David West, was escorted off the court after a sprained ankle occurred near the basket during a preseason game against the Dallas Mavericks. It appeared as though the forward’s foot rolled during an attempted layup to the point that his foot came out of his shoe, keeping him on the ground until his benched teammates came out to aid him. West was seen being carried to the locker room with the help of two of his team mates. Although it is only the preseason, many of the Pacers’ top players are already out on injury. If West is unable to play again for the season, things will not look so good for the rest of the team.

Some sprained ankles can be extremely worse than others, in any case it is always best to make sure your ankle is fully healed before engaging in strenuous activity. If your ankle is sprained, consult with Dr. Kevin Lapoff of Lake Worth Podiatry. Dr. Lapoff will attend to all of your foot and ankle needs and answer all of your related questions.

How Does an Ankle Sprain Happen?

This type of injury takes place when the ligaments are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured; however, even the simple act of walking may cause a sprain. If footing is lost or you are walking on uneven terrain, ankle damage may occur.

What are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin, depending on severity

Is there a Way to Care for my Ankle at Home?

Self-care for ankle sprains includes propping the ankle up and keeping it elevated, applying ice packs as needed, and remaining off your feet. Some may also find that wrapping the ankle with an ACE bandage and taking over-the-counter pain relievers are helpful. One of the most important things is to avoid further stress to the affected area.

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits can aid in prevention

  Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast, which will allow you to walk while stabilizing 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 care needs.

Read more about Ankle Sprains

Ankle sprains can be quite the painful experience. Often times the injured person will experience limited mobility, swelling, and, depending on the severity, discoloration of the skin. This type of injury takes place when the ligaments are torn or stretched beyond their limits. Although this can occur in various areas of the body, the ankle is the most common site for a sprain.

There are multiple ways that the ankle can become injured like this. However, the simple act of walking may cause a sprain. If footing is lost or the person is walking on uneven terrain, local damage may occur. This may be especially so for athletes that continually push their limits, or for the person who has suffered from a previous accident involving the lower extremities.

In the majority of cases, medical attention is not required for a sprained ankle. Remedies for self-care at home include propping the ankle up, applying ice packs as needed, and remaining off your feet. Some may also find that wrapping with an ACE bandage and taking over-the-counter pain relievers are helpful. One of the most important things is to avoid further stress to the affected area.

Although rare, complications may arise and obtaining medical treatment may become necessary. A severe sprain can actually tear the ligament and even damage the muscle. When this occurs, the person may have to be off their feet for a prolonged period of time. Depending on the severity and nature of the damage, surgery and physical therapy may be required. Seeking out a podiatrist will help in making these decisions.

Sprained ankles are painful in nature, but those with severe unrelenting pain may have sustained a worse injury than previously though. If walking becomes too painful for the person to take more than a few steps, swelling becomes too severe, or if numbness or tingling is present, immediate medical attention should be sought. Mild to moderate bruising is common with a sprain but redness of the skin or worsening of the discoloration should not persist either.

One of the best treatments for an ankle sprain is to prevent it in the first place. Wearing appropriate shoes for the occasion, stretching before exercises and sports, and knowing your limits can aid in prevention. Those that have suffered from a previous sprain may want to consider additional support, such as a brace and regular exercises to strengthen the ankle.