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August 2022

Tuesday, 30 August 2022 00:00

Surgeries That May Help Hammertoe

There are several foot conditions that may require surgery for permanent relief. Hammertoe is an ailment that affects the toes causing the joints of the second and third toes to bend upward, which pushes the toes downward. This condition is a deformity and surgery may be needed for the toes to be permanently straightened. Patients who have conditions like rheumatoid arthritis may opt for a different type of surgery. A tendon transfer can be successful when the tendon is attached to the bone and across the affected joint. This can pull the toes into a straighter position and may improve the overall appearance of the foot. A type of surgery known as a fusion may improve hammertoe by removing parts of the joints so the bones can grow together. This is often effective in reducing existing pain. Amputation can be a last resort and may be done when no other type of treatment is effective. If you have hammertoe and are interested in learning about the different types of surgery to treat this condition, please consult with a podiatrist.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Steven Schwartz of Pennsylvania. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 30 August 2022 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Published in Featured

People who experience pain on the outside of the foot may have cuboid syndrome. This foot condition can follow an ankle sprain and may be difficult to diagnose. It can be common among ballet dancers and can result due to the style of dance they perform. The cuboid bone is one of seven tarsal bones and lies beneath the fourth and fifth toes. If this becomes moved from gradual overuse or an injury, it may become inflamed, referred to as cuboid syndrome. Additional causes of developing cuboid syndrome can include training on uneven surfaces, lack of adequate support from wearing the wrong shoes, or possibly excessive pronation. Some people have intermittent pain and there can be tenderness along the outside of the foot which may be similar to having an ankle injury. There are various treatment options for this condition and it is strongly advised that you are under the care of a podiatrist who can determine the best course of treatment for you.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Steven Schwartz from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

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Published in Blog
Tuesday, 23 August 2022 00:00

Cuboid Syndrome

Cuboid syndrome mostly affects athletes, although it can affect non-athletes too. It is also known as cuboid subluxation or cuboid fault syndrome.  This condition occurs when joints and ligaments near the cuboid bone of the foot are damaged, or when the cuboid bone itself is dislodged from its natural position. It is usually marked by pain on the outer side of the foot, which may be persistent or may come and go. Cuboid syndrome can be difficult to diagnose unless it becomes severe and more noticeable. Your doctor will likely ask questions about when the pain began and how long it has been present, and will put pressure on the cuboid bone to determine if that area is the origin of the pain.

Causes of Cuboid Syndrome

  • Any repetitive stresses placed on the foot due to athletic activities are a common cause of cuboid syndrome.
  • Although it develops over time, it is possible that this syndrome can occur all of sudden due to a single event or injury.
  • Over-pronation can exacerbate the condition if not corrected.

Disagreements Amongst Podiatrists Regarding Cuboid Syndrome

  • Some refer to it as the dislocation of the calcaneal-cuboid joint only.
  • Other podiatrists see it as an injury of the ligaments located nearby, which also involves the cuboid bone.

It is very important that when you experience any kind of pain on the side of your foot, you should seek medical care right away. If a subluxed cuboid is caught early, your feet may respond well to the treatment, and you can get back into sports or other activities again as soon as the pain subsides.

Published in Featured
Tuesday, 16 August 2022 00:00

Flat Feet

Flatfoot is a foot condition in which the arch of the foot has either partially or totally dropped or has never developed. While it is common in babies and small children, it can become a problem for them in adulthood if the arch never forms. For adults, the development of flat feet can be brought upon by injury, as a result of pregnancy due to increased elasticity, or obesity. Those who have health concerns such as rheumatoid arthritis or diabetes may also be at greater risk for developing the condition.

If you suspect that you have flat feet, it is best to consult your podiatrist. Your foot doctor will examine the suspected foot and observe how it looks while you sit and stand. He or she may take an X-ray to determine how serious the condition is. Some common signs of flatfoot include toe drift, in which the toes and front part of the foot point outward, a short Achilles tendon, and a heel that tilts outwardly while the ankle tilts inward.

Once flatfoot has been diagnosed, your podiatrist may suggest one of several treatment options. Flat feet can be rigid, in which the feet appear to have no arch even when the person is not standing; or flexible, in which the person appears to have an arch while not standing, but once standing the arch disappears. Those with flexible flatfoot may be told to reduce any activities that cause pain and to avoid extended periods of walking or standing. Another suggestion may be weight loss, as excessive weight may be placing pressure on the arches

In few cases, if the condition is severe and all other methods have been exhausted surgery may be required. This is normally avoided, however, due to a lengthy recovery time and high cost.

Published in Featured

The medical name for flat feet is called pes planus. Flat feet are noticeable while standing on the floor, as the entire foot lies flat. There are some patients who have a small arch, and this is considered to be in the flat foot family. Babies are born with flat feet, and the arch generally develops between ages three and six. This happens as a result of the baby’s foot outgrowing the fat pad, and balance is often improved. If the arch fails to develop, it may be because of tight calf muscles, flexible foot and ankle ligaments, and generally poor foot stability. Many patients have little pain with flat feet, and specific stretches may help to improve flexibility. If there is pain and discomfort from this condition and completing daily activities becomes difficult to accomplish, it is suggested that you confer with a podiatrist who can prescribe custom-made orthotics, and help you with correct exercises and stretches that may provide relief.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Steven Schwartz from Pennsylvania. 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 offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Sunday, 14 August 2022 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Published in Blog
Tuesday, 09 August 2022 00:00

Causes of Cracked Heels

When we are born, our feet are soft, supple, and beautiful. As we age, the softness decreases and the skin on our feet can become thick, hard, and our heels can crack. It is when the thick, dry skin on our feet and heels become cracked that problems can arise. A heel crack is also known as a heel fissure. The skin cannot bear the pressure of our body if it is too dry, thick, and flaky, which creates cracks. It is an unpleasant and unsightly condition and sometimes severe cracks can bleed and become infected. Initially, the skin on the heels will look yellow or dark brown. Then thread-like cracks will appear. Skin on the feet and heels can become cracked from internal and external causes. Internal causes include lack of moisture, dehydration, poor nutrition, aging, obesity, genetics, some skin diseases (such as psoriasis, corns, eczema), and other health disorders, like diabetes. External factors causing cracked heels include prolonged standing, weight put on the feet (from lifting something heavy), poorly fitting shoes or shoes with open backs or hard soles, poor foot hygiene, excess contact with water (even bathing too frequently), exposure to winter weather, using harsh, drying soaps, or scrubbing too much. If you have cracked feet or heels and they are creating discomfort that is not mitigated by tending to the factors that created them, consult with a podiatrist who can treat the condition and teach you ways to prevent this from happening again.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Steven Schwartz from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

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Published in Blog
Tuesday, 09 August 2022 00:00

Solutions for Cracked Heels

Cracked heels can make life very frustrating and embarrassing when displaying the bare feet. Aside from being unpleasing to the eye, they can also tear stockings and socks and wear out shoes at a faster rate. When severe, cracked heels may cause pain or infection.

Cracked heels are a problem for those who are athletic, those who may walk a lot, and those who have especially dry skin. Those who use medication that dry the skin, those who swim often, wearing certain types of shoes, and those who are diabetic may have trouble with cracked heels. Seniors whose skin produces less oil may also have trouble with cracked feet. There is no one way to develop cracked feet, and there is no cure.

Today, the market consists of numerous products that have a variety of ingredients to promote healing. Some of these are over-the-counter. Others are prescribed by a doctor, especially for those who have chronic dry feet and heels.

Some doctors recommend wearing socks at night for those with rough skin. This helps further healing, and helps creams stay on longer and better absorb into the skin.

One way to alleviate dryness that causes cracked heels is by using moisturizers both day and night. Another way is to make sure the skin is clean and dry at all times. Using a pumice stone to buff away dead skin before putting on moisturizer can also help. Cracked heels will not respond to the cream unless the outer layer of skin is first removed through exfoliation. After exfoliation, lotion or ointment will be absorbed by the skin more easily.

Foods that produce healing and balance can also help the skin from within. Everything that is put into the body can either help it or hurt it. Taking supplements of omega-3 fatty acids and zinc can also be very beneficial.

Nevertheless, not all products are guaranteed to help treat cracked feet. Seeing a professional is best if other treatments options were unsuccessful. A podiatrist should be able to give the best advice to help with this problem.

Published in Featured
Tuesday, 02 August 2022 00:00

Pain in the Pinky Toe

Pain in the fifth toe, commonly referred to as the pinky toe, can be quite problematic. Although the pinky is the smallest of all the toes on the feet, pinky toe pain can be uncomfortable nonetheless. Since this toe is located on the outside of the foot, the pinky toe can be especially prone to stubbing and injuries. If you are experiencing pain in the pinky toe, there could be any number of causes. First, you might have broken or fractured the pinky toe. Broken toes will sometimes release a popping sound when impacted. X-rays might be needed to analyze the toe and its fracture. Another potential cause of pinky toe pain is ill-fitting footwear that makes the pinky toe rub up against the shoe. Lastly, pinky toe pain can be caused by the development of a corn. Similar to a thick, hardened callus, corns on the pinky toe can be painful when they are rubbed against the inside of a pair of shoes. Pain in the pinky toe is no joke — it is suggested you see a podiatrist who can help you address the problem.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Steven Schwartz of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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