Tuesday, 28 May 2024 00:00

Complications of Peripheral Neuropathy

Peripheral neuropathy results from damage to the peripheral nerves, which are responsible for sending information from the brain and spinal cord to the rest of the body. This condition often results in tingling, numbness, and pain in the affected areas, typically the hands and feet. Due to high blood sugar levels common in diabetes, people with this disease are more prone to peripheral neuropathy and the associated lack of sensation in the feet. This loss of feeling means that injuries, pressure sores, or other foot problems may go unnoticed. Without prompt and proper care, such untreated injuries can develop into diabetic foot ulcers, serious wounds that heal very slowly due to impaired circulation. If these ulcers become infected and treatment is not working, the ulcer can progress to gangrene, which involves the death of body tissue. This sometimes necessitates amputation to prevent further health complications. Regular check-ups with a podiatrist, or foot doctor, can help manage peripheral neuropathy and prevent severe complications. If you have peripheral neuropathy, it is suggested that you add a podiatrist to your regular care team. 

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 Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner 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 Lafayette, CO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 28 May 2024 00:00

Neuropathy

Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.

The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.

Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.

Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.

If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.

Tuesday, 21 May 2024 00:00

Exploring Achilles Tendonitis

Achilles tendonitis is an ailment affecting the long tendon that connects the leg bones to the heel. This condition is particularly common among those engaged in high-impact activities, like running and jumping. The Achilles tendon's susceptibility to inflammation due to repetitive stress often leads to microtears and thickening. This results in Achilles tendonitis, which is characterized by posterior ankle pain and stiffness. However, the more severe consequence, an Achilles tendon rupture, typically occurs during forceful movements which result in sudden, intense pain and the inability to bear weight. Approximately 80 percent of Achilles tendon ruptures result in complete loss of function in the calf muscle. If you are experiencing pain in the Achilles tendon, it is suggested that you cease the activity causing the pain and make an appointment with a podiatrist as soon as possible. This foot doctor can conduct a thorough exam and determine the appropriate treatment. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Deann Hofer Ogilvie, DPM of Ascend Foot & Ankle Center. Our practitioner 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 Lafayette, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 21 May 2024 00:00

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

Tuesday, 14 May 2024 00:00

How Smoking Can Affect the Feet

Beyond the well-known effects on your lungs and heart, smoking can also severely affect your feet, particularly through a condition known as Buerger’s disease. This disease targets the blood vessels in the arms and legs, causing swelling and reduced blood flow, which leads to the formation of clots. Consequently, individuals may experience pain, open sores or ulcers, and gangrene, which if not properly treated by a podiatrist may lead to limb loss. While the precise cause of Buerger’s disease remains uncertain, one undeniable link is tobacco use. Chemicals in tobacco irritate blood vessel linings, which then triggers inflammation and constriction. Nearly all diagnosed cases of Buerger’s disease are associated with tobacco use, whether through cigarettes, cigars, or chewing tobacco. Prevention is key, and that begins with quitting smoking and avoiding all forms of tobacco. But prioritizing your foot health is also essential, and by seeking guidance from a podiatrist you can manage symptoms and receive the needed wound care. If you're experiencing any symptoms, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

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 Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner 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 Lafayette, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 14 May 2024 00:00

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, among others.

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.

Wednesday, 08 May 2024 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 07 May 2024 00:00

Measuring Shoe Size for the Best Fit

Ensuring the right shoe size is essential for comfort and foot health, especially when shopping online. Fortunately, measuring your shoe size at home is a simple process. Begin by gathering a ruler, a piece of paper, and a pen. Place the paper flat on the ground against a wall. Stand on the paper with your heel touching the wall. Using the pen, mark the longest part of your foot at the tip of your longest toe. Measure the distance from the edge of the paper to the mark in centimeters or inches. Repeat this process for the other foot as foot sizes may differ slightly. Finally, compare the measurements to a shoe size chart provided by shoe manufacturers or online retailers. Remember that shoe sizes may vary between brands, so it is essential to refer to specific sizing guides for accurate measurements. If you are experiencing any type of foot pain associated with the shoes you wear, it is suggested that you speak with a podiatrist who can treat foot conditions and offer additional guidance on how to find the right shoe size.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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

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Tuesday, 07 May 2024 00:00

Getting the Right Shoe Size

If you want to ensure the long-term health of your feet, you should choose the right pair of shoes to wear on an everyday basis. Poorly fitting shoes will not only be uncomfortable, but they may also cause foot pain and unwanted foot conditions. When looking for a new pair of shoes, there are certain factors you should look for.

One of the most crucial tips you can follow is to always try shoes on in the afternoon. It is normal for feet to swell throughout the day, which means your shoe size may be different in the morning compared to what it is at night. To be safe, you should go with the slightly bigger size to ensure that your feet have enough room within your shoes.

Another rule is to never buy shoes that are too tight (Many people buy shoes that are too tight for their feet and expect the shoes to stretch out). If you are looking for a pair of running sneakers, you can go to a specialty running shoe store to have your feet properly sized. When you purchase shoes in-store, walk around in them to make sure the shoes you are going to buy fit you properly. Take some time to make sure the shoes are comfortable for your feet

The upper section of your shoe should be made from a softer, more flexible material. The material that makes up the shoe should not be slippery. Arch support should be a key factor in the decision-making process for shoes. Arch support is crucial because it will prevent the arches in your feet from collapsing. If your arches collapse, the plantar fascia may begin to stretch out which could lead to plantar fasciitis.

Many problematic foot conditions may be prevented by wearing properly fitting shoes. Some of these unwanted conditions are bunions, corns, calluses, pain, stress fractures, and plantar fasciitis. If you are suffering from any of these ailments you may want to speak with your podiatrist.

Tuesday, 30 April 2024 00:00

Toe Stretches for Foot Health

Toe stretches are an often overlooked yet important component of maintaining healthy feet. These simple exercises can help improve flexibility, mobility, and strength in the toes, ultimately enhancing overall foot function and reducing the risk of discomfort and injury. One beneficial toe stretch is the toe spread, where you gently separate your toes and hold for a few seconds, promoting better alignment and circulation. Another effective stretch is the toe curl, which is done by alternately flexing and extending each toe, thereby improving dexterity and range of motion. Additionally, toe scrunches, where you grip a small object with your toes and release, can help strengthen the muscles of the foot and improve balance. Regularly incorporating these toe stretches into your daily routine can help to alleviate tension, relieve foot pain, and prevent common issues, such as bunions, plantar fasciitis, and toe cramps. If you have toe pain and seek additional information about the benefits of stretching the toes, it is suggested that you consult a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Deann Hofer Ogilvie, DPM from Ascend Foot & Ankle Center. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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

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