![](/templates/stevenschwartz/images/hamb.png)
July 2024
Total Contact Casting for Diabetic Foot Ulcers
![](/images/grayfish/Z2FZeCe1EPbyEtbZ1asr.jpg)
Total contact casting, or TCC, is a specialized technique used by podiatrists to treat diabetic foot ulcers by alleviating pressure on areas susceptible to skin breakdown. This method involves the application of a fiberglass or plaster cast molded to the foot's contours, which allows for even distribution of weight across the entire foot, rather than concentrating it on vulnerable spots. Total contact casting helps protect the ulcer and fosters a healing environment while allowing patients to remain mobile. It is primarily used for diabetic foot ulcers and Charcot foot, with careful monitoring required due to the potential for reduced sensation in diabetic patient's feet. Proper application includes cushioning, protective padding, and ensuring the cast is kept dry to prevent complications. The cast is typically replaced weekly until the ulcer heals sufficiently for normal footwear or orthotics. Consulting a podiatrist ensures appropriate application and monitoring of a total contact cast, preventing further complications. If you have developed diabetic foot ulcers, it is suggested that you schedule an appointment with a podiatrist to see if total contact casting is right for you.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Steven Schwartz from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
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.
Causes and Treatment of Metatarsalgia
Metatarsalgia, a painful inflammation in the ball of the foot, commonly stems from overuse injuries in sports that involve running and jumping. Wearing poorly fitting shoes, foot abnormalities like high arches or bunions, and conditions such as arthritis can also contribute to this condition. Pain in the ball of the foot typically develops gradually and may worsen with activities like standing, walking, or high-impact sports. Symptoms can include a sensation of walking on a pebble, sharp burning pain, and numbness or tingling in the toes. Treatment by a podiatrist focuses on addressing the underlying cause and relieving pain. Conservative measures include resting the foot and taking pain relievers. Changing to well-fitting shoes with good support and using orthotic pads can also help to alleviate discomfort. Weight loss, if applicable, can reduce pressure on the metatarsal area. In more persistent cases, custom orthotics may be recommended to improve gait and foot mechanics. Surgery is considered to be a last resort if conservative treatments fail. If you are experiencing pain in the ball of the foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Steven Schwartz from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
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.
Soothing Stretches for Relieving Tired Feet
![](/images/grayfish/ZtLky5z6VbqxZ8LOiVPF.jpg)
After a long day of standing or walking, tired feet are a common discomfort. Incorporating foot stretches into your routine can provide much-needed relief and rejuvenation. One effective stretch is the toe stretch, where you sit with your legs extended and use your hands to gently pull your toes back toward your body, feeling a stretch along the bottom of your feet. Another helpful stretch is the calf stretch, which involves standing facing a wall with one foot forward and the other foot back, bending the front knee while keeping the back leg straight, and pressing the heel into the ground to feel a stretch in the calf muscle. Additionally, the plantar fascia stretch targets the arch of the foot by sitting with one leg crossed over the other and gently pulling back on the toes of the crossed leg. These simple yet effective stretches can alleviate tension and soreness, leaving your feet feeling refreshed and revitalized. If your feet are tired during the day, it is suggested that you consult a podiatrist who can provide a comprehensive examination and offer you additional specific stretches to perform.
Why Stretching Is Important for Your Feet
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Steven Schwartz from Pennsylvania. Our doctor 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 to determine 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 exercise, 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 to ice and rest the foot. It is advised that you then see a podiatrist for help.
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.
Newborn Feet
Newborn foot care is essential for ensuring proper development and identifying any abnormalities early. Immediately after birth, a thorough examination of the newborn's feet is conducted by healthcare professionals. This examination includes assessing the shape, size, and position of the feet and checking for movement, reflexes, and the presence of any deformities. Common abnormalities detected during this examination include clubfoot, where the foot is twisted out of shape or position, and flexible flatfoot, where the arch of the foot is not developed. Early detection allows for prompt intervention, which may include stretching exercises, casting, or, in severe cases, surgical correction. Proper foot care, including keeping the feet clean and dry, avoiding tight footwear, and monitoring for any changes, is essential for newborns. If you have any concerns about your newborn’s foot health, it is suggested that you schedule an appointment with a podiatrist to discuss appropriate care and treatment options.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Steven Schwartz of Pennsylvania. 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 offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Pain From Ingrown Toenails
![](/images/grayfish/qQPIVJAaXP1mMQnBJnn8.jpg)
Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. The main causes include improper nail trimming, wearing tight footwear, and trauma to the toe. To prevent ingrown toenails, it is essential to trim nails correctly. Cut toenails straight across rather than rounding the edges to avoid them growing into the skin. Additionally, keeping nails at a moderate length helps prevent pressure from shoes. The pain from ingrown toenails is due to the nail cutting into the sensitive skin, causing inflammation and sometimes infection. This pressure and irritation trigger significant discomfort, making even simple activities like walking painful. Proper nail care and wearing well-fitting shoes can reduce the risk of developing ingrown toenails and alleviate the associated pain. If you have developed an ingrown toenail, it is suggested that you consult a podiatrist who can treat this condition, which may include minor surgery.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Steven Schwartz of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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.