Heartland Foot and Ankle Associates, P.C.

Foot for Thought - July 1, 2010

2010-07-01T09:17:00.003-05:00

I was reviewing some old posts, and I came across this post regarding some fun foot facts. I promised you many more fun foot facts in the coming weeks. Well, I would like to get back to these. So without further adieu, here are ten more fun foot facts.

The podiatric physician (doctor of podiatric medicine, or DPM) is the health care professional trained in the care of your feet. He or she receives conventional medical training, plus special training on the foot, ankle, and lower leg. All 50 states, the District of Columbia, and Puerto Rico require that they pass rigorous state board examinations before they are licensed, and most require continuing education programs for regular license renewal.
There are about 10,700 doctors of podiatric medicine actively in practice in the United States, and they receive more than 55 million visits a year from people with any number of foot ailments. Yet that's probably only a fraction of the number of foot problems. Mostly, say podiatrists, that's because many people have the erroneous notion that their feet are supposed to hurt.
Only a small percentage of the population is born with foot problems, the American Podiatric Medical Association believes. Its neglect and a lack of awareness of proper care -- including ill-fitting shoes -- that bring on the problems. A lifetime of wear and tear, plus neglect, accounts for the fact that the practices of most podiatrists are made up of older Americans.
Corns and calluses are caused by friction and pressure from skin rubbing against bony areas when wearing shoes. If the first signs of soreness are ignored, corns and calluses rise up as nature's way of protecting sensitive areas.
There are approximately 250,000 sweat glands in a pair of feet, and they excrete as much as half a pint of moisture each day.
Plantar warts are caused by a virus which may invade the sole of the foot through cuts and breaks in the skin. Walking barefoot on dirty pavements or littered ground can expose feet to this sometimes painful skin infection.
The seven colleges of podiatric medicine all have entrance requirements which, like institutions granting MD (medical doctor) and DO (doctor of osteopathy) degrees, anticipate completion of an undergraduate degree, though they will consider candidates who show unusual promise and have completed a minimum of 90 semester hours at accredited undergraduate colleges or universities. However, the colleges report that recent entering classes were, on the average, almost as likely to have more than four years of undergraduate/graduate work as less than four.
About 19 percent of the US population has an average of 1.4 foot problems each year.
About 5 percent of the US population has foot infections, including athlete's foot, other fungal infections, and warts each year.
About 5 percent of the US population has ingrown toenails or other toenail problems each year.

Even Hollywood Stars Admit To Not Taking Care of Their Feet

2010-06-28T08:18:00.005-05:00

Kristin Stewart, star of the "Twilight Series", admits that her red carpet shoe choices have lead to some VERY tired feet lately. Read the story here (courtesy of People.com).

For women, making the right shoe choice can lead to a great night or a sore morning.

Maybe Kristin should have stopped by our office to see our stylish and COMFORTABLE Sandalista sandals (you can check out the styles here). These sandals are a perfect match of style and comfort. They feature an extra depth sole that will accommodate any custom or medical grade orthotic device that you already have. If you don't wear an orthotic device the provided insole allows you to remove pads on the toes and heel to offload any pressure you might be experiencing and give you a custom fit to your sandals.

So call us at 309-661-9975 or visit our website to make an appointment to have our shoe experts check out YOUR toes and order you a pair of Sandalistas today!

Happy Feet = Happy Kids

2010-06-21T15:43:00.003-05:00

As soon as that last school bell rings for the summer, kids hit the ground running. Whether they are headed to the pool, the beach or to camp, the short time between the end of school and the beginning of summer activities is a great time to pay attention to your child’s foot health.

Fun in the sun can end with a day at the doctor’s office if the proper safety measures are ignored. So before children catch their first glimpse of the giant slide at the pool, the oversized toys at the park, or the exciting new rides at the amusement park, prepare them with the right footwear and protect them with the right care. Here are a few tips from your podiatrist to make the summer fun and safe.

Carefully observe your child’s walking patterns. Does your child have toes that point in or out, or have knock-knees or other gait abnormalities? These problems can be corrected if they are detected early and treated by a podiatrist.
Children’s feet change size rapidly, so always have your child’s feet measured each time you purchase new shoes. Make sure that measurements are done while the child is standing for a more accurate sizing. The best time to buy new shoes is at the end of the day.
When shopping for shoes, look for stiff material on either side of the heel, adequate cushioning and a built-in arch. The shoe should bend at the ball of the foot, not in the middle of the shoe.
Never wear hand-me-down shoes.
Don’t buy shoes that need a “break-in” period. Good shoes should feel comfortable right away. For athletic activities, choose a shoe that is designed for the sport your child will be playing.
Never pack brand-new shoes for your children to wear on vacation.
Walking barefoot on pavement, hotel or airplane carpeting, in hotel bathrooms or a locker room and near the pool can expose your child’s feet to a host of infections. Always wear a pair of flip-flops or strappy sandals made of soft, supple leather to prevent contracting a bacteria, fungus, or viruses.
When applying sunscreen, don’t forget about putting some on your child’s feet. Additionally, always remember to re-apply.
Watch for clues that your child may be injured. Limping, tripping, and hesitating to bear weight are telltale signs that something may be wrong. Remember that lack of complaints by a youngster is not a reliable sign. The bones of growing feet are so flexible that they can be twisted and distorted without the child being aware.
Be careful about applying home remedies to children’s feet. Preparations strong enough to kill certain types of fungus in adults may irritate kids’ skin. Your best bet is to visit your podiatrist for treatment of any infections.

If your children suffer a foot injury, don't let it ruin their entire summer of fun. Call our office (309-661-9975) or visit our website to schedule an appointment.

Melanomas

2010-06-14T08:00:00.001-05:00

Summer is often the time we hear more about skin cancer—we’re told to avoid the sun if possible and always wear sunscreen when we are in the sun. But many people never think about their feet when they take preventative action, even though malignant melanoma (a serious type of skin cancer) can affect the legs and feet as well as other parts of the body.

Melanomas on the feet can occur in men and women, and while they usually develop in people over the age of 50, they can be found at any age. Lighter-skinned people are more likely to develop melanomas on sun-exposed areas of the body, but only one-third of African-American patients who have melanoma develop it on sun-exposed areas. In the African- American population, melanomas most often develop on skin that is not exposed to the sun, such as the foot and under the toenails. Early detection is extremely important since malignant melanoma can spread (metastasize) rapidly.

Since melanomas on the foot and ankle often go unnoticed during their earliest stage, routine foot examinations can increase the likelihood of diagnosing and treating malignant melanomas. During routine examinations your podiatrist will always look for moles, or “nevi,” which are usually evenly colored, round spots on the skin or even under the nails. Most are small and don’t change in size or shape. However, the doctor will carefully examine any moles that look “abnormal.” The podiatrist will use a common dermatological rule (the “ABCD” rule) to characterize the melanoma:

Asymmetrical lesions
Border irregularity
Color variation
Diameter greater than the size of a pencil eraser.

Skin cancer is rarely painful, so routine podiatric medical visits are important for anyone with questionable lesions on the feet. Other signs to watch for are changes in color or a mole that becomes raised from the skin. Malignant melanomas on the feet usually occur between toes, in and around the nails, and on the soles of the feet.

If you see something on your feet that may look like a melanoma, please call 309-661-9975 or visit our website to schedule an appointment to get it checked out.

Foot for Thought - June 10, 2010

2010-06-10T08:00:00.004-05:00

Summer Foot Care

Summertime is here and so are sunny days spent splashing in pools and relaxing on the beach. As many vacationers know, summer can cause some extra wear and tear on the body. Educated consumers usually protect themselves by purchasing sunscreen, lip balm, and sunglasses. But many will forget to look after the most important and neglected part of the body -- the feet.

I recommend the following key tips on how to protect yourself, especially your feet, from salt water, sand, and other summer scares:

Remember to apply sunscreen to feet, especially the tops and fronts of ankles. Don't forget to reapply if you're in the water!
When out of the water, wash and dry feet thoroughly, especially between the toes, and apply a topical anti-fungal medication on any cracked or itchy skin. Clean, dry feet resist disease.
Pass up sharing towels to avoid developing athlete's foot and other diseases that can easily be spread.
Take special care of toenails, which are especially vulnerable around damp areas. Injury to the nail bed may make it more susceptible to infection so make an appointment at first sign of discoloration or infection.
To avoid toe and ankle injuries, wear shoes that are specific to the activity or sport you're participating in. Never play Frisbee in sandals and be sure to wear boots or gym shoes when working outside and mowing the lawn.
Give yourself plenty of time to break in new shoes before going on trips where you'll be doing lots of walking. And when trying on new shoes, make sure you have on the same socks you plan on wearing with them.
When in the ocean, be cautious of jellyfish that often bite at feet and ankles and sharp coral that can cut the undersides of feet. Keeping sandals or water shoes on at all times is a good idea to prevent stings, cuts, and other injuries.
Watch out for prickly sea urchin spines when taking walks on the beach. Avoid walking barefoot; wear an old pair of running shoes or flip-flops to protect you from jagged rocks, shells, spines, and debris that could float ashore.
And most importantly, swim, walk, and enjoy the summer!! Walking is the best form of exercise for your feet and swimming is a great alternative for those suffering from tendonitis and plantar fascitis, which can make other types of exercise painful.

If you experience any injuries during the summer, please give me a call at 309-661-9975 or visit our website to schedule an appointment. I don't want you to miss any of the fun activities summer has to offer.

Summer is Here - Show Your Toes

2010-06-07T16:52:00.000-05:00

With summer upon us, many of us are ready to shed those heavy shoes and socks in favor of sandals and flip-flops. But over the winter, corns and calluses may have developed, making your feet and toes not quite ready for “prime time.” Help is on the way.

Corns and calluses are protective layers of compacted, thick, dead skin cells. They are caused by repeated friction and pressure from skin rubbing against bony areas or against an irregularity in a shoe. Corns ordinarily form on the toes, and calluses on the soles or the balls of the feet. Corns and calluses can also form when the position of the bones in your feet change. The corns and calluses initially form to provide protection, but as they thicken, they can become painful and inflamed.

The friction and pressure from both corns and calluses can cause a painful or burning sensation. Often one visit to the podiatrist can be all that’s needed to relieve the pain, although most corns and calluses will reoccur without regular monitoring or changes in either your shoes or your foot function. The podiatric physician can work with you to relieve the pain by using a variety of pads or materials on the affected areas.

It is important that you never cut your corns or calluses with any instrument and never apply home remedies, except under a podiatrist’s instructions. Many over-the-counter remedies are advertised frequently, but often these home remedies can be dangerous. Self-treatment can often turn a minor problem into a major one.

Corns and calluses can be particularly problematic for patients with diabetes. These patients should always schedule regular yearly visits with their podiatrist to check for foot problems and circulation issues. If more frequent visits are required, the podiatrist will work with you to make sure your corns and calluses are monitored and treated as needed.

One way to control corns and calluses is to make sure that your shoes fit properly. Purchase new shoes later in the day when feet tend to be at their largest and replace worn-out shoes as soon as possible. Select and wear the right shoe for the activity that you are engaged in (i.e., running shoes for running). Also, it is important to alternate shoes—don’t wear the same pair of shoes every day.

A visit wit me can be all you need to get your feet in shape for summer footwear, so schedule that now and be ready to show off your “fancy feet.” So give me a call at 309-661-9975 or visit our website to schedule an appointment to get your feet into summer shape.

Women's Common Foot Problems

2010-05-03T09:26:00.002-05:00

Let’s admit it, ladies. We abuse our feet. We put a lot of stress and strain on our lower extremities, and we don’t take nearly as good care of them as we should. Based on our need to be fashionable, we often wear shoes that don’t fit well or are just not designed for walking and standing for long periods of time. Even Oprah admits that she only wears her highest heels once she’s seated during an interview. It’s no wonder that those stilettos and peep-toes are causing us pain—they are designed for beauty, not comfort. Women have some of the same foot problems as men, but mostly, our feet have many more “issues.”

Bunions are enlargements of the joint at the base of the big toe—the metatarsophalangeal (MTP) joint—that form when the bone or tissue at the big toe joint moves out of place. Bunions are a symptom of our foot’s development due to the way we walk, our inherited foot type, our shoes, or for other reasons. Although bunions tend to run in families, it is the foot type that is passed down—not the bunion. Since the MTP joint carries much of the body’s weight while walking, bunions can cause extreme pain if left untreated. Podiatric medical attention should be sought at the first indication of pain or discomfort.

Stress fractures are tiny or incomplete cracks in a bone often caused by overuse. Stress fractures occur most frequently in the foot and ankle and can be caused by a number of factors. An unusual increase in activity causing strain in the foot (fatigue fracture) is one of the most common causes, while weak bones (insufficiency fractures), are caused by medical conditions such as osteoporosis, can also be a factor. Medications such as steroids can lead to stress fractures, as can a sudden increase in activity levels. All of these causes can and should be evaluated by your podiatrist when you notice pain or swelling, which are the symptoms of a stress fracture.

A neuroma, also referred to as a “pinched nerve,” is a painful condition involving irritation and/or thickening of the nerve tissue between the toes, most commonly the 3^rd and 4th toes. The condition brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot. Your podiatrist can offer a number of treatment options for a neuroma.

Ingrown nails are a common ailment seen by podiatric physicians. An ingrown nail is one whose corners or sides dig painfully into the soft tissue of the toe, often leading to irritation, redness, and swelling. Usually, toenails grow out straight, but sometimes one or both corners or the sides will curve and grow into the flesh. The big toe is the most common site for this condition, but other toes can also become affected.

Ingrown toenails may be caused by any one or more of the following: improperly trimmed nails, shoes that are too tight, trauma, and activities with repeated pressure on the toe (such as running or kicking). There are other causes as well, but this painful condition can usually be eased with one or two visits to your podiatrist’s office. Women may also have a tendency to develop blisters, corns, calluses, and heel pain. All of these conditions can be treated by your podiatrist, and a number of treatment options are available. Once we all realize that our feet don’t have to hurt, life will be that much more enjoyable, ladies.

So if you have suffered any of the above injuries, don't let it become a lingering injury. Schedule an appointment with us by calling our office (309-661-9975) or by visiting our website.

Foot for Thought - April 29, 2010

2010-04-29T08:19:00.009-05:00

We have been very busy at HFAA lately. I wanted to share a picture from our last event, the Advocate BroMenn Diabetes event. We had a great time talking to the visitors about our Diabetic Shoe program, our diabetic focused products, and what types of services we offer a person with diabetes. Here is a picture of our Medical Assistants, Sara and Sam standing behind our display booth.

Also, I was recently featured on local radio station WJBC. I spoke with radio personality Beth Whisman about healthy flip-flops as part of a Healthy Cells Magazine update. Below is a link to listen to the segment if you didn't get a chance to listen to it live.

http://wjbc.com/Tabid/7997/default.aspx?AID=15276

Running Injuries

2010-04-19T16:24:00.001-05:00

Spring is a great time to get back into your running routine or to ramp up your training and exercise for the coming summer months. But it’s always important to take it slowly and to train carefully with the advice of an expert to avoid running injuries.

Before you get started, no matter how fit you may be, it’s important to remember that stretching before and after a run is a great way to minimize injuries. Choosing proper footwear is very important and your podiatrist can help you choose the right shoe for your level of activity. Finally, you will want to work with the doctor to develop an effective training routine that allows your body (and more importantly, your feet) to adapt to a new level of exercise. But no matter how careful you are, you may end up with some common injuries such as those listed here.

Shin splints: Shin splints, which are painful and appear at the front and inside of the leg, are often caused by running on hard surfaces, over striding, muscle imbalance, or overuse. Shin splints can also be related to the shape and structure of your feet. Treatment includes rest, stretching, changing your running technique, and rebalancing foot mechanics with the use of an orthotic device in the shoe. Physical therapy can also be helpful. If you begin to feel this type of pain, slow down, take shorter strides, and see a podiatrist at your first opportunity.

Stress fractures: A stress fracture is a tiny or incomplete crack in a bone that is often caused by overuse. Stress fractures occur most frequently in the foot and ankle, so your podiatrist is well trained to diagnose and treat this problem. Signs of a stress fracture are pain that increases with activity and decreases with rest, pain that increases over time or pain that persists even at rest. Often a stress fracture will result in swelling and a spot that feels tender to the touch. Prompt diagnosis and treatment of a stress fracture can often prevent further injury. A podiatrist can determine your best treatment with x-ray and a physical exam. Many stress fractures can be treated with rest, ice and over-the-counter pain relievers. For most people, an appropriate period of rest will be sufficient for the bone to heal, but like all fractures, the bone can take up to 8 to 10 weeks to heal completely. In other cases, your podiatrist may need to immobilize the affected bone with a cast, cast boot, fracture shoe, or a splint. Surgical intervention may be suggested if other, more conservative treatments are not effective.

Blisters and nail problems: Runners often have blisters and nail problems but with a little maintenance and care, they can be avoided or minimized so that they don’t limit your ability to keep up your training routine.

Blisters are caused by skin friction. Don’t pop them. Apply moleskin or an adhesive bandage over a blister, and leave it on until it falls off naturally in the bath or shower. Keep your feet dry and always wear socks as a cushion between your feet and shoes. If a blister breaks on its own, wash the area, apply an antiseptic, and cover with a sterile bandage.

Ingrown nails are nails whose corners or sides dig painfully into the skin, often causing infection. They are frequently caused by improper nail trimming but also by shoe pressure, injury, or poor foot structure. Runners are particularly susceptible to nail problems, and long-distance runners often lose some of their toenails entirely while they are training. If an ingrown portion of the nail is painful or infected, your podiatrist can remove the affected portion to allow for healing. It is possible to permanently remove the offending portion of the nail to prevent occurrence.

So the next time you suffer a running injury or if you have recently suffered a running related injury, don't let it become a lingering injury. Schedule an appointment with us by calling our office (309-661-9975) or by visiting our website.

Foot for Thought - April 15, 2010

2010-04-15T08:11:00.001-05:00

Upcoming Event

Advocate BroMenn Diabetes Awareness Day

When: Saturday April 17, 2010 from 8am to noon
Where: Advocate BroMenn Conference Center

Advocate BroMenn will be hosting a morning filled with facts, fun, and friends. Vendors will be showcasing the latest equipment and resources available. Speakers this year are Dr. Mueed, speaking about Neuropathy and Diabetes, Dr. Thompson, speaking about managing a healthy lifestyle with a chronic illness, and Alison Geyer speaking about Eating for a Healthy Heart with Diabetes.

We will be a vendor at the event. We will have our products and shoes available for visitors to view. We will also have our shoe expert Sam on hand to talk to visitors about our diabetic shoe program and other services we can provide a person with diabetes.

If you are at the event, be sure to stop by and say hi. We hope to see you there!

Watch Out at Your Nail Salon

2010-04-12T11:33:00.000-05:00

While having a pedicure at the local nail salon may seem like a luxury that you deserve, it’s a good idea to keep your eyes and ears open and to make sure that you keep your feet safe by following a few easy tips.

If you schedule your pedicure first thing in the morning, you may find that the foot bath is the cleanest it will be all day. If you can’t be the first customer, however, make sure that the technician cleans both the tub and the filter before your pedicure.

If at all possible, bring your own pedicure tools to the salon. Bacteria and fungus can easily be transferred from person to person on these tools, especially if the salon does not use proper sterilization techniques. Never allow technicians to use blades or knives to cut your calluses or to eliminate thick, dead skin. Only use pumice stones, foot files, or exfoliating scrub. Once you soak your feet for a few minutes, this thickened skin can be easily sloughed off with these types of tools.

The pedicurist should trim your nails straight across. Do not let them dig into the sides of the nails or try to trim out ingrown nails. If you think you may have an ingrown toenail, see your podiatrist immediately.

Only healthy nails should be painted with colored polish. Make sure to change the polish frequently and to check your nails when the polish is off. Signs of fungus and other nail problems can often be hidden under nail polish, so be vigilant in checking your nails.

If your skin bleeds or gets nicked at the salon, make sure to carefully clean and disinfect that area and then watch for signs of infection.

So if you are having any signs of redness or skin irritation after your salon visit, please give me a call at 309-661-9975 or visit our website to schedule an appointment to make sure your well deserved salon visit doesn't turn into nightmare.

Upcoming Events

2010-03-08T18:07:00.002-06:00

Hey everyone!

Sorry for my recent lack of posts. We have been very busy at HFAA preparing for a couple of events. So please take a look below, and if you are in the area, stop by and say hi. We would love to see you!

If you are interested in coming to our Business After Hours Event, remember that you need to RSVP by March 9, 2010 (See below).

2010 Women's Health Night: The Economics of Health and Taking Care of Yourself

Tuesday March 9, 2010
3:00-7:30pm
Interstate Center
Learn how to properly care for yourself and all the women in your family. Enjoy bone density screenings, strength training, and Zumba exercises at this FREE event. This afternoon will be filled with various informational presentations including breast health, nutrition, and vaccines. Click here for additional information.

McLean County Chamber of Commerce After Hours Event

Wednesday March 17, 2010 (St. Patrick's Day - Be sure to wear some green)
4:30-6:30 pm
Heartland Foot and Ankle Associates, P.C.
Don’t miss this opportunity to see a behind the scenes tour of our entire faculty, hear Dr. Lockwood’s story of how and why she became a podiatrist, and network with members of the community. Light appetizers and refreshments will be available for your enjoyment. The free event is open to all friends, colleagues, and patients of HFAA. Bring your business card for a chance to win gifts valued over $40 dollars. Please e-mail your reservation with the full names of you and your guests to appointments@heartlandfootandankle.com, or give us a call at 309-661-9975

Toe Huggers

2010-02-22T08:47:00.001-06:00

In a recent issue of Time Magazine (Feb. 1, 2010), writer Brian Walsh experimented with an interesting idea – Is running barefoot better than with a well structured shoe? The online link to the article is here. New research by the American Academy of Physical Medicine and Rehabilitation suggests that those ‘toe huggers’ just might have the right idea.

When we run (or walk) barefoot, our feet have the ability to work in their natural state. If we all have the ‘ideal’ foot (which, unfortunately, none of us do!), this idea of NOT using shoes would be a great idea. Too many people have structural problems that can lead to serious issues if they begin to run/exercise without the appropriate footwear. People with high arches will have too much stress on the outside of their feet when walking barefoot and people with a lower arch will inadvertently put a lot of stress on the muscles on the inside of their ankles.

A well structured shoe specific for your foot type is ALWAYS the best bet. Consult with your podiatrist or local pedorthist about what may work well for you to begin a well balanced exercise regimen. Barefoot running has its place, but not as an everyday exercise. (Concrete is NOT our friend, no matter what we run in!)

Foot for Thought - February 11, 2010

2010-02-11T08:22:00.002-06:00

For the next few Foot for Thought posts, I am going to give some "Fun Foot Facts". Each week, I will have ten foot facts that might surprise you. So stay tuned.

Seventy-five percent of Americans will experience foot health problems of varying degrees of severity at one time or another in their lives.
The foot is an intricate structure containing 26 bones. Thirty-three joints, 107 ligaments, 19 muscles, and tendons hold the structure together and allow it to move in a variety of ways.
The 52 bones in your feet make up about one quarter of all the bones in your body.
Women have about four times as many foot problems as men; lifelong patterns of wearing high heels often are the culprit.
The American Podiatric Medical Association says the average person takes 8,000 to 10,000 steps a day. Those cover several miles, and they all add up to about 115,000 miles in a lifetime -- more than four times the circumference of the globe.
There are times when you're walking that the pressure on your feet exceeds your body weight, and when you're running, it can be three or four times your weight.
Shopping for shoes is best done in the afternoon, says the American Podiatric Medical Association. Your feet tend to swell a little during the day, and it's best to buy shoes to fit them then. Have your feet measured every time you purchase shoes, and do it while you're standing. When you try on shoes, try them on both feet; many people have one foot larger than the other, and it's best to fit the larger one.
Trim your toenails straight across with clippers specially designed for the purpose. Leave them slightly longer than the tips of your toes.
Walking is the best exercise for your feet. It also contributes to your general health by improving circulation, contributing to weight control and promoting all-around well being.
Your feet mirror your general health. Such conditions as arthritis, diabetes, nerve and circulatory disorders can show their initial symptoms in the feet -- so foot ailments can be your first sign of more serious medical problems.

Foot for Thought - February 4, 2010

2010-02-04T09:21:00.001-06:00

Podiatry and Super Bowl XLIV

If you are a pro football fan, the game you have been waiting for is just 4 days away.

The talk dominating the sports news landscape for the last week and a half leading up to the game has been the injury to Indianapolis Colts star defensive end Dwight Freeney

Freeney suffered a lower ankle sprain in the AFC Championship game on January 23. Due to his superior conditioning and the use of the most advanced healing techniques, he is expecting to play on Sunday, much to the dismay of the New Orleans Saints.

For the rest of us, an ankle sprain can be a lingering injury. According to the American Orthopedic Foot and Ankle Society, more than 25,000 people sprain their ankle EVERY DAY.

I googled ankle sprains and came across some great information that I wanted to pass along to you. I found this information from the patient education section of the Steadman Hawkins Clinic website. The link is posted below.

http://www.steadman-hawkins.com/ankle/overview.asp

The information on this website is very informative and includes descriptions of the different types of ankle sprains, ankle sprain symptoms, treatment, and recovery from ankle sprains. Check it out!

So the next time you suffer an ankle sprain don't let it become a lingering injury. Schedule an appointment with us by calling our office (309-661-9975) or by visiting our website.

Man Up and Think about Your Feet

2010-02-01T08:24:00.000-06:00

Men and women have some similarities in their foot problems, but they also have a number of differences. I thought I would get the men out there thinking about what some of the differences might be.

Let’s admit it guys, we usually tend to wait too long to seek medical care. We avoid our medical problems until sometimes they become too serious to ignore. The term “weekend warriors” often applies to us, especially when we start on a new exercise routine. We also tend to binge on exercise during the weekend. And while we’re making a list, we are less likely to use the proper type of shoe for activities, and we tend not to prepare for those same activities with stretching before and after exercise.

When you experience an athletic injury, it’s important to do the right thing fast. Call your podiatrist to discuss any and all foot and ankle injuries. The doctor may recommend that you treat your injury at home, or may recommend that you meet him or her at the office or the ER. While you’re waiting, remember “RICE” — rest, ice, compression, and elevation.

Another problem that men may be more prone to is “athlete’s foot,” which has a great title for a crummy infection. While most men over fifty would love to have “athlete” associated with them in any way, this condition is probably not what you had in mind. Athlete’s foot is a skin disease caused by a fungus, usually occurring between the toes. The signs of athlete’s foot are dry skin, itching, scaling, inflammation, and blisters.

Men can do a lot to prevent infection by practicing good foot hygiene. Daily washing of the feet with soap and water; drying carefully, especially between the toes; and changing shoes regularly to decrease moisture, help to prevent the fungus from infecting the feet. Men should also avoid walking barefoot, wear socks that keep feet dry and change them frequently, and reduce perspiration by using a powder recommended by the podiatrist.

If an apparent fungus condition does not respond to proper foot hygiene and self care, and there is no improvement within two weeks, consult your podiatrist. The doctor will determine if a fungus is the cause of the problem. If it is, a specific treatment plan, including the prescription of antifungal medication, applied topically or taken by mouth, will usually be suggested.

So if you are a "weekend warrior" and have injured yourself or are suffering from "athlete's foot", please give me a call at 309-661-9975, or visit our website to schedule an appointment to help you get back into action as soon as possible.

Foot for Thought - January 21, 2009

2010-01-21T16:00:00.004-06:00

I wanted to use today's Foot for Thought to highlight some of our upcoming events. If you are in the area stop by and say hi to me and the staff.

Have a Heart - Give Your Soles

The Month of February 2010
Buring normal office hours
Heartland Foot and Ankle Associates
HFAA, in conjunction with the Illinois Podiatric Medical Association, will be collecting shoes to distribute to homeless shelters and charities. Please bring in your gently worn shoes to donate to local shelters and charities.

2010 Women's Health Night: The Economics of Health and Taking Care of Yourself

Tuesday March 9, 2010
3:00-7:30pm
Interstate Center in downtown Bloomington
Learn how to properly care for yourself and all the women in your family. Enjoy bone density screenings, strength training, and Zumba exercises at this FREE event. This afternoon will be filled with various informational presentations including breast health, nutrition, and vaccines. Click here for additional information. http://www.ihlf.org/healthnight.htm

McLean County Chamber of Commerce Business After Hours Event

Wednesday March 17, 2010
4:30-6:30 pm
At Heartland Foot and Ankle Associates
Don’t miss this opportunity to see a behind the scenes look of our entire faculty, hear Dr. Lockwood’s story of how and why she became a podiatrist, and network with members of the community. Light appetizers and refreshments will be available for your enjoyment. The free event is open to all friends, colleagues, and patients of HFAA. Bring your business card for a chance to win a gift valued at over $25 dollars. Please e-mail your reservation with the full names of you and your guests to appointments@heartlandfootandankle.com

Free Living with Diabetes

Thursday October 14, 2010
6:30 pm
OSF St. Joseph Hospital- Business & Conference Center Building
Are you struggling with diabetes? Is the stress of your disease bringing you down? Is diabetes affecting your life and everyday activities? Well then- join professionals and diabetics alike as we share the secrets to living a happy, healthy life as a diabetic. Dr. Lockwood will be the key speaker for the evening. Attend this FREE event for sharing, caring, education, and support!

High Blood Pressure - The Podiatric Physician and Cardiovascular Ailments

2010-01-18T08:19:00.003-06:00

As a member of the health care team, your doctor of podiatric medicine (DPM) is vitally concerned about hypertension (high blood pressure) and vascular disease (heart and circulatory problems). There are several reasons for this concern. First, because you are a patient, your podiatric physician and surgeon is interested in all aspects of your health and your treatment program. Second, he or she supports the goals of high blood pressure detection, treatment, and control.

Your podiatric physician should know if you have any of the following cardiovascular or related conditions:

Hypertension and/or cardiovascular disease: Hypertension sometimes causes decreased circulation. A careful examination is required to determine if there is lower than normal temperature in any of the extremities, absence of normal skin color, or diminished pulse in the feet. The concern is that these are signs of arterial insufficiency (reduced blood flow). Increased or periodic swelling in the lower extremities is important because it may mean that hypertension has contributed to heart disease.

Rheumatic heart disease: Persons who have had rheumatic heart disease must be protected with prophylactic antibiotics prior to any surgical intervention. If you take medication for this condition, tell your podiatric physician. Any medication you may be taking for high blood pressure, a heart condition, or any other reason should be reported to the DPM to ensure that it does not conflict with medications that may be prescribed in the treatment of your feet.

Diabetes: This condition frequently affects the smaller arteries, resulting in diminished circulation and decreased sensation in the extremities. Let your podiatric physician know if you have ever been told that you have diabetes, particularly if you are talking medication or insulin for this condition.

Ulceration: Open sores that do not heal, or heal very slowly, may be symptoms of certain anemias, including sickle cell disease. Or they may be due to hypertension or certain inflammatory conditions of the blood vessels. Your DPM is on the alert for such conditions, but be sure to mention if you have ever had this problem.

Swollen feet: Persistent swelling of one or both feet may be due to kidney, heart, or circulatory problems.

Burning feet: Although it can have a number of causes, a burning sensation of the feet is frequently caused by diminished circulation.

Control of High Blood Pressure

High blood pressure is a major risk factor for cardiovascular disease. Uncontrolled high blood pressure can cause fatal strokes and heart disease. As a health care provider, your podiatric physician assists in controlling this public health problem. There are three major areas in which he or she provides this important public service:

Detection: Many podiatric physicians routinely take every patient's blood pressure and determine if it is elevated.

Treatment: After confirming that blood pressure is elevated and making this information part of the patient's record, the DPM refers all patients with elevated blood pressure to their primary care physicians for evaluation, diagnosis, and treatment.

Long-Term Control: By encouraging patients at every visit to adhere to treatment, and by monitoring reductions in blood pressure, side effects of treatment, and referring for reevaluation as needed, the podiatric physician facilitates long-term control.

If you have high blood pressure, be sure to inform every health care provider so we can ensure we provide you with the best treatment possible.

Sock it to Me – Your Socks Have Gone High Tech

2010-01-12T07:38:00.001-06:00

New technology has invaded our homes and our offices. It’s become essential in how we correspond with one another, how we drive our cars and even how we stay warm in winter. Even the socks we wear have undergone transformations that relate to technology.

New technology has made fabrics healthier, more comfortable, and better looking than ever. Using fabrics like cotton and getting away from synthetic materials can help keep feet dry, leaving them comfortable and blister-free. Since your feet and legs spend several months of the year covered in footwear, it is essential to choose the right sock for your needs. From fabric to fit, making sure your footwear has all the latest features is key.

Here are some tips to choose socks that are right for you and the occasion.

A sock with a poly/cotton blend, incorporating cotton and synthetics, is an excellent combination for everyday wear. Opting for either a thick or thin sock will not affect the health of your feet.
Socks should fit like a glove. There should be no loose fabric around toes or heels. Socks that bunch up can cause friction and lead to blisters. Socks that are too tight can decrease circulation and comfort.
If you have diabetes or decreased circulation, seamless socks are now available to prevent friction that might result in irritation.
Athletes should look for socks that wick moisture away from the foot. The best material is a cotton/polyester blend which will provide excellent comfort level, great wear, and moisture absorption.
All socks should be tried with the appropriate shoes. Don’t try your running socks on with your dress shoes--that’s a recipe for buying the wrong socks.
Ask your podiatric physician for recommendations. The technology involved can be overwhelming, but your DPM can provide you with the appropriate guidance that matches your sport.

We sell many different types of socks in our office that can meet your needs. If you can't find it in our office, we would be happy to order them for you.

If you would like to discuss socks and your feet, feel free to give me a call at 309-661-9975 or visit our website to set up an appointment.

Foot for Thought - January 7, 2009

2010-01-07T08:12:00.001-06:00

For the past 3 months, HFAA has been sending out a monthly newsletter. Since we may not have some readers e-mail addresses, I wanted to give you the opportunity to check it out and subscribe to it. It contains helpful tips, pratice updates, and our upcomming events.

Click the link below to forward the newsletter to your e-mail.

http://heartlandfoodandankle.forwardtomyfriend.com/r/jjuydjuyt/25EF72C3/kkujtu/l

If you enjoy it and would like to receive it every month, please send your name and e-mail address to officemanager@heartlandfootandankle.com and we will get you on the subscriber list.

Be safe and stay warm,

Dr. Lockwood

Frostbite

2010-01-04T11:33:00.002-06:00

With the New Year came freezing cold temperatures.

Did you know that nearly half of all frostbite cases involve the foot and ankle? That’s a staggering figure, but avoiding frostbite and treating it quickly are both important lessons we can learn. According to your podiatric physician, the most effective way of dealing with frostbite is to prevent it from occurring in the first place.

If you know you will be exposed to the cold weather, following these tips can literally save your toes:

Drink plenty of water, avoid alcohol, and dress appropriately.
If you begin to feel pain, numbness, or tingling in your feet, get out of the cold as soon as possible.
Seek professional help as soon as possible from your podiatric physician for any foot- or ankle-related concerns.

Prolonged exposure to extremely cold temperatures can lead to severe injury if proper treatment is not provided in a timely manner.

Signs and symptoms of frostbite include:

Pain or prickling progressing to numbness
Pale, hard, and cold skin with waxy appearance
Flushing due to blood rushing to area after it's re-warmed
Burning sensation and swelling from collected fluid that may last for weeks
Blisters
Black scab-like crust, which may develop several weeks later

Mild frostbite is treated by re-warming the affected area, washing it with an antiseptic, and applying a sterile dressing. If medical care is not available immediately, seek shelter and re-warm a mildly frostbitten area in warm water (101° to 104° F) or by repeatedly applying warm cloths to the area for 30 minutes. Never use hot water, fire, a heating pad, or other dry heat because these methods may burn the skin before the feeling returns.

Frostbite is a very serious injury that can involve significant damage to the feet. In severe cases, surgery may even be necessary, depending on the depth and extent of tissue damage. Therefore, prompt diagnosis and proper treatment by a podiatric physician is essential.

If you think you might be suffering from Frostbite, please visit our website or call us at 309-661-9975 to schedule an appointment.

Foot for Thought - December 31, 2009

2009-12-31T09:00:00.002-06:00

Here are some of the treatment options for Achilles Tendonitis that we talked about in our blog on Monday.

Treatment normally includes:

A bandage or brace that is specifically designed to restrict motion of the tendon.
Taking non-steroidal anti-inflammatory medication for a period of time. Note: Please consult your physician before taking any medication.
Orthotics, which are corrective shoe inserts designed to help support the muscle and relieve stress on the tendon. Both nonprescription orthoses (such as a heel pads or over-the-counter shoe inserts) and prescribed custom orthotics may be recommended depending on the length and severity of the problem.
Rest and switching to exercises that do not stress the tendon (such as swimming).
Stretching and exercises to strengthen the weak muscle group in front of the leg, calf, and the upward foot flexors, as well as massage and ultrasound.
In extreme cases, surgery is performed to remove the fibrous tissue, any bone spurs, and to repair any tears.

If you are experiencing pain in your foot or heel, please feel free to contact me at 309-661-9975 or at our website.

Achilles Tendonitis – It’s a pain in the ‘heel’!

2009-12-28T17:32:00.003-06:00

As the cold weather is upon us and we begin to wear closed back shoes again after a long summer of those dreaded ‘flip flops’, many members of the Central Illinois community will experience pain in the back of their heels while walking. This is due to a condition commonly referred to as Achilles tendonitis (ITIS means ‘inflammation’).

The Achilles tendon is the largest and strongest tendon in the human body and can withstand forces of 1,000 pounds or more. It also is the most frequently ruptured tendon, usually as a result of a sports injury. Both professional and weekend athletes may suffer from Achilles tendonitis, a common overuse injury and inflammation of the tendon.

Events that can cause Achilles tendonitis may include:

Hill running or stair climbing.
Overuse, stemming from the natural lack of flexibility in the calf muscles.
Rapidly increasing mileage or speed when walking, jogging, or running.
Starting up too quickly after a layoff in exercise or sports activity, without adequately stretching and warming up the foot.
Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.
Improper footwear and/or a tendency toward over pronation. (I.E. your foot turning ‘inward’ as you walk)

Achilles tendonitis often begins with mild pain after exercise or running that gradually worsens. Other symptoms include:

Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.
Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.
Sluggishness in your leg.
Mild or severe swelling.
Development of a bony ‘spur’ on the back of your heel – leading to comfort issues with shoegear.
Stiffness that generally diminishes as the tendon warms up with use.

Stay tuned to Thursday's Foot for Thought for treatment of Achilles Tendonitis.

If you are experiencing pain in your foot or heel, please feel free to contact me at 309-661-9975 or at our website.

Foot for Thought - December 24, 2009

2009-12-24T08:00:00.000-06:00

Myself and the staff at Heartland Foot and Ankle Associates, P.C. want to wish everyone a very Merry Christmas!

We hope everyone enjoys all the family, food, and fun.

Merry Christmas!

Dr. Lockwood

Dry Skin and Winter Itch

2009-12-21T09:48:00.001-06:00

Colder temperatures each winter bring many Americans one big problem: dry, cracked skin. Those itchy, dry patches are nature’s way of letting us know that the outer layer of our skin, made up of dead skin cells, natural oils and lipids (fats), needs help.

Cold weather and lower humidity as a result of indoor heating can strip away the skin’s natural protective layer and wreak havoc with our skin’s ability to stay moisturized. In extreme cases, if not treated, some of these dry areas can deteriorate into painful cracked and bleeding skin, particularly around the feet and ankles. A quick trip to your local drug store will show, however, that there is no limit to the number of products that are designed to alleviate dry skin.

If your skin is excessively dry and certainly if you have any cracking on your feet or heels, you should visit with your podiatric physician. We will diagnose and help you treat your feet so that you can get these conditions under control. We can dispense creams and lotions right in the office or make recommendations for the best products for your particular condition.

The APMA recommends a number of products for handling dry skin. These products carry the APMA Seal of Approval and can be found in most drug stores. For more information about these products, and others carrying the APMA Seal, feel free to ask me or contact the APMA at 1-800-FOOTCARE.

If you are experiencing dry skin or a winter itch, please visit our website or call 309-661-9975 to schedule an appointment,

Foot for Thought - December 17, 2009

2009-12-17T08:30:00.001-06:00

Here is the conclusion of Monday's blog from foot.com regarding the treatment and prevention of problems associated with arthritis and your feet.

Treatment and Prevention

Conservative treatment (non-surgical treatment) of the arthritic foot includes proper footwear, orthotics, and/or forefoot supports. Arthritic footwear should provide the following benefits:

High, wide toe box (high and wide space in the toe area)
Removable insoles for fitting flexibility and the option to insert orthotics if necessary.
Rocker Soles designed to facilitate ambulating (walking) and to reduce stress and pain at the ball-of-the-foot.

Arthritic footwear should also accommodate swelling of the foot. Orthotics designed to provide comfort, support and extra cushioning are also recommended. Orthotics made with a material called Plastazote are often recommended because they mold to your feet to provide customized comfort. The proper footwear and orthotics will reduce pressure to provide a comfortable and healthy environment for the foot.

Forefoot supports such as gel toe caps, gel toe shields, gel toe straighteners and others can often provide relief.

If you have arthritis and are expreiencing these or other foot problems, please visit our website to make an appointment to discuss your treatment options.

Arthritis and Your Feet

2009-12-14T08:36:00.001-06:00

Here is another great blog I found of foot.com about arthritis and your feet.

Definition

Arthritis is a disease characterized by the inflammation of the cartilage and lining of the body�s joints. Inflammation causes redness, warmth, pain and swelling. There are about 40 million Americans who suffer from arthritis. The National Institute of Arthritis and Musculoskeletal and Skin Diseases, estimates that by the year 2020, about 60 million Americans will have arthritis. The primary targets for arthritis are people over the age of 50. Arthritis is a major cause of foot pain because each foot has 33 joints that can become affected by the disease.

Osteoarthritis

There are many different types of arthritis. The most common type is called osteoarthritis. Osteoarthritis causes excessive strain and the wearing away of cartilage in the joints of the foot. Movement becomes very difficult and painful. The pain and swelling worsens while standing or walking, and stiffness usually occurs after periods of rest.

Gout

Gout is another form of arthritis that also leads to foot complications. Excess uric acid crystals collect in and around the joints of the big toe. The big toe joint is commonly the focal point due to the stress and pressure it experiences during walking and other weight bearing activities. This often leads to severe pain in the big toe. Men are more likely to develop gouty arthritis than women.

Rheumatoid Arthritis

Another type of arthritis is rheumatoid arthritis. It can develop at any age and there is no known cause for this condition. Rheumatoid arthritis is the most crippling form of the disease that can affect people of all ages. It can cause severe deformities of the joints with associated fatigue of the entire body. People who suffer from rheumatoid arthritis often develop severe forefoot problems such as bunions, hammer toes, claw toes, and others.

Cause

There are many causes of arthritis. Heredity plays a major role. However, arthritic symptoms can develop due to many other factors. Some of these include bacterial and viral infections, prescription and illegal drugs, traumatic injuries, and bowel disorders such as ileitis and colitis.

Forefoot problems such as hammer toes, claw toes, mallet toes, and bunions often develop as a result of arthritis, particularly Rheumatoid arthritis. Problems can also develop in the heel and ankle area due to the erosion of the involved joints.

Stay tuned to this weeks Foot for Thought on Thursday for the treatment and prevention of foot problems associated with arthritis.

If you are expreiencing arthritis or other foot problems, please visit our website to make an appointment to discuss your treatment options.

Vacation

2009-12-10T10:23:00.003-06:00

I am sorry for the lack of posts this week. My husband and I are enjoying a much needed/deserved vacation in Las Vegas.

I will return to the regular posting schedule next week.

Dr. Lockwood

Foot for Thought - December 3, 2009

2009-12-03T09:45:00.001-06:00

Here is the conclusion of Monday's blog from foot.com regarding the treatment and prevention of problems associated with pregnancy and your feet.

Treatment and Prevention

There are effective ways to treat both over-pronation and edema during pregnancy.

Over-Pronation can be treated conservatively with "ready-made" orthotics. These orthotics should be designed with appropriate arch support and medial rearfoot posting to correct the over-pronation. Proper fitting footwear is also very important in treating over-pronation. Choose comfortable footwear that provides extra support and shock absorption.

It is important to treat over-pronation for pain relief but also to prevent other foot conditions from developing such as Plantar Fasciitis, Heel Spurs, Metatarsalgia, Post-Tib Tendonitis and/or Bunions.

Edema in the feet can be minimized by the following methods:

Elevate your feet as often as possible. If you have to sit for long periods of time, place a small stool by your feet to elevate them.
Wear proper fitting footwear. Footwear that is too narrow or short will constrict circulation.
Have your feet measured several times throughout your pregnancy. They will probably change sizes.
Wear seamless socks that do not constrict circulation.
If you are driving for a long period of time, take regular breaks to stretch your legs to promote circulation.
Exercise regularly to promote overall health; walking is the best exercise.
Drink plenty of water to keep the body hydrated. This helps the body retain less fluid.
Eat a well-balanced diet and avoid foods high in salt that can cause water retention.

Swelling is normally similar in both feet. If swelling is not symmetrical in both feet, this may be a sign of a vascular problem and a doctor should be contacted immediately.

If you are pregnant and expreiencing these or other foot problems, please visit our website to make an appointment to discuss your treatment options.

Pregnancy and Your Feet

2009-11-30T10:24:00.001-06:00

Here is a great blog about pregnancy and your feet I found over at foot.com.

Definition

Pregnancy triggers many different changes in a woman's body. Many women have common complaints throughout their pregnancy. One of these complaints, often overlooked, is foot pain. Due to the natural weight gain during pregnancy, a woman's center of gravity is completely altered. This causes a new weight-bearing stance and added pressure to the knees and feet.Two of the most common foot problems experienced by pregnant woman are over- pronation and edema. These problems can lead to pain at the heel, arch, or the ball-of-foot. Many women may also experience leg cramping and varicose veins due to weight gain. Because of this, it is important for all pregnant women to learn more about foot health during their pregnancy to help make this nine month period more comfortable for them.

Two of the most common foot problems experienced by pregnant woman are over-pronation and edema. These problems can lead to pain at the heel, arch, or the ball-of-foot. Many women may also experience leg cramping and varicose veins due to weight gain. Because of this, it is important for all pregnant women to learn more about foot health during their pregnancy to help make this nine month period more comfortable for them.

Cause

Over-pronation and edema a very common foot problem experienced during pregnancy.
Over-Pronation, also referred to as flat feet, is caused when a person's arch flattens out upon weight bearing and their feet roll inward when walking. This can create extreme stress or inflammation on the plantar fascia, the fibrous band of tissue that runs from the heel to the forefoot.

Over-pronation can make walking very painful and can increase strain on the feet, calves and/or back. The reason many pregnant women suffer from over-pronation is the added pressure on the body as a result of weight gain. Over-pronation is also very prominent in people who have flexible, flat feet or in people who are obese.

Edema, also referred to as swelling in the feet, normally occurs in the latter part of pregnancy. Edema results from the extra blood accumulated during pregnancy. The enlarging uterus puts pressure on the blood vessels in the pelvis and legs causing circulation to slow down and blood to pool in the lower extremities. The total water fluid in the body remains the same as before pregnancy, however it becomes displaced. When feet are swollen, they can become purplish in color. Sometimes extra water is retained during pregnancy, adding to the swelling. If there is swelling in the face or hands, a doctor should be contacted immediately.

Stay tuned to this weeks Foot for Thought on Thursday for the treatment and prevention of foot problems associated with pregnancy.

If you are pregnant and expreiencing these or other foot problems, please visit our website to make an appointment to discuss your treatment options.

Foot for Thought - November 26, 2009

2009-11-26T10:16:00.001-06:00

Thanks!

Since this week is Thanksgiving, I decided to take a week off from posting foot related blogs, and I wanted to post what I (as owner of HFAA) am thankful for:

I am thankful to all the residents of Bloomington/Normal and the surrounding cities. Without you the last 13 months wouldn't have been possible.
I am thankful for Dana, Laura, and Sam (my staff). They have contributed to the growth and success of the pratice.
I am thankful for my husband Scott for handling the accounting side of the practice.
I am thankful for my mother who helped in the office during the early days of the practice.
I am thankful for all of my friends, networking contacts, colleagues, and business partners (near and far) during the last 13 months. You guys were available when I needed a referral, advice, or just some time to vent.

It has been a great 13 months. I can't wait to see what the future has in store for us for the rest of 2009 and 2010.

I want to wish everyone have a happy Thanksgiving. Enjoy all the food, family, friends, football, and shopping you can handle.

Dr. Lockwood

Foot for Thought - November 19, 2009

2009-11-19T08:30:00.004-06:00

To conclude our 2 week dedication to National Diabetes Month, here are 5 related articles on diabetic foor care as found on the American Diabetes Association website.

There are many more articles related to diabetic foot care. Just type in foot care into the search box on the ADA website to read more.

Foot Complications - http://www.diabetes.org/living-with-diabetes/complications/foot-complications.html
Foot Care - http://www.diabetes.org/living-with-diabetes/complications/foot-care.html
Foot Care FAQ's - http://www.diabetes.org/diabetes-basics/tips/tips-search-results.html?tip_category=foot-care
Understanding Charcot Foot - http://forecast.diabetes.org/magazine/ask-experts/understanding-charcot-foot
Foot Amputations are Preventable - http://forecast.diabetes.org/news/many-diabetic-foot-amputations-are-preventable

I hope you enjoyed these posts associated with National Diabetes Month, and learned something about taking care of your feet if you are diabetic. If you have any questions, feel free to contact me at 309-661-9975, or leave me a message on our website.

Diabetic Wound Care

2009-11-16T08:27:00.004-06:00

What is a Diabetic Foot Ulcer?

A diabetic foot ulcer is an open sore or wound that most commonly occurs on the bottom of the foot in approximately 15 percent of patients with diabetes. Of those who develop a foot ulcer, six percent will be hospitalized due to infection or other ulcer-related complication.

Diabetes is the leading cause of nontraumatic lower extremity amputations in the United States, and approximately 14 to 24 percent of patients with diabetes who develop a foot ulcer have an amputation. Research, however, has shown that the development of a foot ulcer is preventable.

Who Can Get a Diabetic Foot Ulcer?

Anyone who has diabetes can develop a foot ulcer. Native Americans, African Americans, Hispanics and older men are more likely to develop ulcers. People who use insulin are at a higher risk of developing a foot ulcer, as are patients with diabetes-related kidney, eye, and heart disease. Being overweight and using alcohol and tobacco also play a role in the development of foot ulcers.

How do Diabetic Foot Ulcers Form?

Ulcers form due to a combination of factors, such as lack of feeling in the foot, poor circulation, foot deformities, irritation (such as friction or pressure), and trauma, as well as duration of diabetes. Patients who have diabetes for many years can develop neuropathy, a reduced or complete lack of feeling in the feet due to nerve damage caused by elevated blood glucose levels over time. The nerve damage often can occur without pain and one may not even be aware of the problem. Your podiatric physician can test feet for neuropathy with a simple and painless tool called a monofilament.

Vascular disease can complicate a foot ulcer, reducing the body’s ability to heal and increasing the risk for an infection. Elevations in blood glucose can reduce the body’s ability to fight off a potential infection and also retard healing.

What is the Value of Treating a Diabetic Foot Ulcer?

Once an ulcer is noticed, seek podiatric medical care immediately. Foot ulcers in patients with diabetes should be treated for several reasons such as, reducing the risk of infection and amputation, improving function and quality of life, and reducing health care costs.

How Should a Diabetic Foot Ulcer be Treated?

The primary goal in the treatment of foot ulcers is to obtain healing as soon as possible. The faster the healing, the less chance for an infection.

There are several key factors in the appropriate treatment of a diabetic foot ulcer:

Prevention of infection.
Taking the pressure off the area, called “off-loading.”
Removing dead skin and tissue, called “debridement.”
Applying medication or dressings to the ulcer.
Managing blood glucose and other health problems.

Not all ulcers are infected; however if your podiatric physician diagnoses an infection, a treatment program of antibiotics, wound care, and possibly hospitalization will be necessary.

There are several important factors to keep an ulcer from becoming infected:

Keep blood glucose levels under tight control.
Keep the ulcer clean and bandaged.
Cleanse the wound daily, using a wound dressing or bandage.
Do not walk barefoot.

For optimum healing, ulcers, especially those on the bottom of the foot, must be “off-loaded.” Patients may be asked to wear special footgear, or a brace, specialized castings, or use a wheelchair or crutches. These devices will reduce the pressure and irritation to the ulcer area and help to speed the healing process.

The science of wound care has advanced significantly over the past ten years. The old thought of “let the air get at it” is now known to be harmful to healing. We know that wounds and ulcers heal faster, with a lower risk of infection, if they are kept covered and moist. The use of full strength betadine, peroxide, whirlpools and soaking are not recommended, as this could lead to further complications.

Appropriate wound management includes the use of dressings and topically-applied medications. These range from normal saline to advanced products, such as growth factors, ulcer dressings, and skin substitutes that have been shown to be highly effective in healing foot ulcers.

For a wound to heal there must be adequate circulation to the ulcerated area. Your podiatrist can determine circulation levels with noninvasive tests.

Controlling Blood Glucose

Tightly controlling blood glucose is of the utmost importance during the treatment of a diabetic foot ulcer. Working closely with a medical doctor or endocrinologist to accomplish this will enhance healing and reduce the risk of complications.

Surgical Options

A majority of noninfected foot ulcers are treated without surgery; however, when this fails, surgical management may be appropriate. Examples of surgical care to remove pressure on the affected area include shaving or excision of bone(s) and the correction of various deformities, such as hammertoes, bunions, or bony “bumps.”

Healing Factors

Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.

How Can a Foot Ulcer be Prevented?

The best way to treat a diabetic foot ulcer is to prevent its development in the first place. Recommended guidelines include seeing a podiatrist on a regular basis. He or she can determine if you are at high risk for developing a foot ulcer and implement strategies for prevention.

You are at high risk if you:

have neuropathy,
have poor circulation,
have a foot deformity (i.e. bunion, hammer toe),
wear inappropriate shoes,
have uncontrolled blood sugar.

Reducing additional risk factors, such as smoking, drinking alcohol, high cholesterol, and elevated blood glucose are important in the prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. Your podiatric physician can provide guidance in selecting the proper shoes.

Learning how to check your feet is crucial in noticing a potential problem as early as possible. Inspect your feet every day—especially between the toes and the sole—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to your podiatrist as soon as possible, no matter how “simple” it may seem to you.

The key to successful wound healing is regular podiatric medical care to ensure the following “gold standard” of care:

lowering blood sugar
appropriate debridement of wounds
treating any infection
reducing friction and pressure
restoring adequate blood flow

The old saying, “an ounce of prevention is worth a pound of cure” was never as true as it is when preventing a diabetic foot ulcer.

If you have been diagnosed with diabetes and are worried about your feet or have developed an ulcer, please visit our website and use our online appointment scheduler to make an appointment.

Foot for Thought - November 12, 1009

2009-11-12T08:30:00.000-06:00

Diabetes Tips

If you have diabetes already, below are some foot care tips.

Wash feet daily.

Using mild soap and lukewarm water, wash your feet in the mornings or before bed each evening. dry carefully with a soft towel, especially between the toes, and dust your feet with talcum powder to wick away moisture. if the skin is dry, use a good moisturizing cream daily, but avoid getting it between the toes.

Inspect feet and toes daily.

Check your feet every day for cuts, bruises, sores or changes to the toenails, such as thickening or discoloration. If age or other factors hamper self-inspection, ask someone to help you, or use a mirror.

Lose weight.

People with diabetes are commonly overweight, which nearly doubles the risk of complications.Wear thick soft socks.
Socks made of an acrylic blend are well suited, but avoid mended socks or those with seams,
which could rub to cause blisters or other skin injuries.

Stop smoking.

Tobacco can contribute to circulatory problems, which can be especially troublesome in patients with diabetes.

Cut toe nails straight across.

Never cut into the corners, or taper, which could trigger an ingrown toenail. use an emery board to gently file away sharp corners or snags. if your nails are hard to trim, ask your podiatrist for assistance.

Exercise.

As a means to keep weight down and improve circulation, walking is one of the best all-around exercises for the diabetic patient. walking is also an excellent conditioner for your feet. be sure to wear appropriate athletic shoes when exercising. ask your podiatric physician what’s best for you.

See your podiatric physician.

Regular checkups by your podiatric physician—at least annually—are the best way to ensure that your feet remain healthy.

Be properly measured and fitted every time you buy new shoes.

Shoes are of supreme importance to diabetes sufferers because poorly fitted shoes are involved in as many as half of the problems that lead to amputations. because foot size and shape may change over time, everyone should have their feet measured by an experienced shoe fitter whenever they buy a new pair of shoes.

New shoes should be comfortable at the time they’re purchased and should not require a "break-in" period, though it’s a good idea to wear them for short periods of time at first. Shoes should have leather or canvas uppers, fit both the length and width of the foot, leave room for toes to wiggle freely, and be cushioned and sturdy.

Don’t go barefoot.

Not even in your own home. barefoot walking outside is particularly dangerous because of the possibility of cuts, falls, and infection. When at home, wear slippers. Never go barefoot.

Don’t wear high heels, sandals, and shoes with pointed toes.

These types of footwear can put undue pressure on parts of the foot and contribute to bone and joint disorders, as well as diabetic ulcers. in addition, open toed shoes and sandals with straps between the first two toes should also be avoided.

Don’t drink in excess.

Alcohol can contribute to neuropathy (nerve damage) which is one of the consequences of diabetes. Drinking can speed up the damage associated with the disease, deaden more nerves, and increase the possibility of overlooking a seemingly minor cut or injury.

Don’t wear anything that is too tight around the legs.

Panty hose, panty girdles, thigh-highs or knee-highs can constrict circulation to your legs and feet. So can men’s dress socks if the elastic is too tight.

Never try to remove calluses, corns or warts by yourself.

Commercial, over-the-counter preparations that remove warts or corns should be avoided because they can burn the skin and cause irreplaceable damage to the foot of a diabetic sufferer. Never try to cut calluses with a razor blade or any other instrument because the risk of cutting yourself is too high, and such wounds can often lead to more serious ulcers and lacerations. See your podiatric physician for assistance in these cases.

If you have been diagnosed with diabetes and are worried about your feet or proper foot care, please visit our website and use our online appointment scheduler to make an appointment.

Diabetes

2009-11-09T09:14:00.002-06:00

November is national diabetes month. So I wanted to dedicate a 2 weeks worth of posts to diabetes and the role of proper foot care for those with diabetes.

Diabetes: Startling Statistics

Diabetes mellitus is a chronic disease that affects the lives of nearly 24 million people in the United States, nearly 6 million of whom are unaware that they even have the disease. In 2007 alone, 1.6 million new cases of diabetes were diagnosed in people aged 20 years or older. The disease is marked by the inability to manufacture or properly use insulin and impairs the body’s ability to convert sugars, starches and other foods into energy. The long-term effects of elevated blood sugar (hyperglycemia) are damage to the eyes, heart, feet, kidneys, nerves and blood vessels.

Symptoms of hyperglycemia may include frequent urination, excessive thirst, extreme hunger, unexplained weight loss, tingling or numbness of the feet or hands, blurred vision, fatigue, slow-to-heal wounds and susceptibility to certain infections. People who have any of these symptoms and have not been tested for diabetes are putting themselves at considerable risk and should see a physician without delay.

Part of keeping your diabetes in control is testing your blood sugar often. Ask your doctor how often you should test and what your blood sugar levels should be. Testing your blood and then treating high blood sugar early will help you to prevent complications.

The socioeconomic costs of diabetes are enormous. In 2007, the total annual economic cost of diabetes was estimated at $174 billion -- about $116 billion of which are direct costs from the disease with $58 billion indirectly related. Diabetes is the sixth leading cause of death by disease in the United States, and individuals with diabetes are two to four times as likely to experience heart disease and stroke.

The growth of the disease worldwide is especially alarming. The World Health Organization (WHO) expects the number of new diabetes cases to double in the next 25 years from 135 million to nearly 300 million. Much of this growth will occur in developing countries where aging, unhealthy diets, obesity, and sedentary lifestyles will contribute to the onset of the disease.

According to a recent survey, about 86,000 lower limbs are amputated annually due to complications from diabetes. Diabetes is the leading cause of end-stage kidney disease, accounting for about 44 percent of new cases. Diabetes is also the leading cause of new cases of blindness among adults aged 20 to 74.

While there is no cure for diabetes, there is hope. With a proper diet, exercise, medical care and careful management at home, a person with diabetes can keep the most serious of the consequences at bay and enjoy a long, full life.

How Do You Get Diabetes?

No one knows why people develop diabetes, but once diagnosed, the disease is present for life. It is a hereditary disorder, and certain genetic indicators are known to increase the risk of developing diabetes. Type 1, previously known as insulin-dependent diabetes mellitus or juvenile-onset diabetes, afflicts five to ten percent of diagnosed cases of diabetes. This type occurs most frequently in children and adolescents, and is caused by the inability of the pancreas to produce the insulin needed for survival. Type 2, previously called noninsulin-dependent diabetes mellitus or adult-onset diabetes, affects the other 90-95 percent of all diagnosed cases of diabetes, many of whom use oral medication or injectable insulin to control the disease. The vast majority of those people (80 percent or more) are overweight; many of them obese, as obesity itself can cause insulin resistance.

Certain characteristics put people at a higher risk for developing Type 2 diabetes. These include:

A family history of the disease
Obesity
Prior history of developing diabetes while pregnant
Being over the age of 40
Being a member of one of the following ethnic groups: African American, Native American, Latino American, Asian American, Pacific Islander

African Americans are 1.7 times more likely to have diabetes than the general population, with 25 percent of African Americans between the ages of 65 and 74 diagnosed with the disease. Hispanic Americans are almost twice as likely to develop type 2 diabetes, which affects 10.6 percent of that population group. Native Americans are at a significantly increased risk for developing diabetes, and 12.2 percent of the population suffers from the disease. In some tribes, as many as 50 percent of its members have diabetes.

Of all the risk factors, weight is the most important, with more than 80 percent of diabetes sufferers classified as overweight.

The Role of Your Podiatric Physician

Because diabetes is a systemic disease affecting many different parts of the body, ideal case management requires a team approach. The podiatric physician, as an integral part of the treatment team, has documented success in the prevention of amputations. The key to amputation prevention in diabetic patients is early recognition and regular foot screenings, at least annually, from a podiatric physician.

In addition to these check ups, there are warning signs that you should be aware of so that they may be identified and called to the attention of the family physician or podiatrist. They include:

Skin color changes
Elevation in skin temperature
Swelling of the foot or ankle
Pain in the legs
Open sores on the feet that are slow to heal
Ingrown and fungal toenails
Bleeding corns and calluses
Dry cracks in the skin, especially around the heel

Wound Healing

Ulceration is a common occurrence with the diabetic foot and should be carefully treated and monitored by a podiatrist to avoid amputations. Poorly fitted shoes, or something as trivial as a stocking seam, can create a wound that may not be felt by someone whose skin sensation is diminished. Left unattended, such ulcers can quickly become infected and lead to more serious consequences. Your podiatric physician knows how to treat and prevent these wounds and can be an important factor in keeping your feet healthy and strong. New to the science of wound healing are remarkable products that have the appearance and handling characteristics of human skin. These living, skin-like products are applied to wounds that are properly prepared by the podiatric physician. Clinical trials have shown impressive success rates.

If you have been diagnosed with diabetes and are worried about your feet or proper foot care, please visit our website and use our online appointment scheduler to make an appointment.

Foot for Thought - November 5, 2009

2009-11-05T08:30:00.001-06:00

Neuroma Tips

Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment.
Wear shoes with thick, shock-absorbent soles and proper insoles that are designed to keep excessive pressure off of the foot.
High heels should be avoided whenever possible because they place undue strain on the forefoot and can contribute to a number of foot problems.
Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.
For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own. For more severe conditions, however, podiatric medical treatment or surgery may be necessary to remove the tumor.
Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.

If you believe you are suffering from a neuroma, please give me a call to schedule an appointment (309-661-9975), or visit our website to schedule an appointment.

Neuromas

2009-11-02T17:54:00.003-06:00

What is a Neuroma?

A neuroma is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.The principal symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

Symptoms

Pain in the forefoot and between the toes.
Tingling and numbness in the ball of the foot.
Swelling between the toes.
Pain in the ball of the foot when weight is placed on it.

How Do You Get a Neuroma?

Although the exact cause for this condition is unclear, a number of factors can contribute to the formation of a neuroma.

Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.

Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.

Improper footwear that causes the toes to be squeezed together is problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.

Repeated stress, common to many occupations, can create or aggravate a neuroma.

Treatment by Your Podiatric Physician

Treatment options vary with the severity of each neuroma, and identifying the neuroma early in its development is important to avoid surgical correction. Podiatric medical care should be sought at the first sign of pain or discomfort; if left untreated, neuromas tend to get worse.

The primary goal of most early treatment regimens is to relieve pressure on areas where a neuroma develops. Your podiatric physician will examine and likely X-ray the affected area and suggest a treatment plan that best suits your individual case.

Padding and Taping: Special padding at the ball of the foot may change the abnormal foot function and relieve the symptoms caused by the neuroma.

Medication: Anti-inflammatory drugs and cortisone injections can be prescribed to ease acute pain and inflammation caused by the neuroma.

Orthotic Devices: Custom shoe inserts made by your podiatrist may be useful in controlling foot function. An orthotic device may reduce symptoms and prevent the worsening of the condition.

Surgical Options: When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks. Your podiatric physician will thoroughly describe the surgical procedures to be used and the results you can expect. Any pain following surgery is easily managed with medications prescribed by your podiatrist.

Your Feet Aren’t Supposed to Hurt

Remember that foot pain is not normal, and any disruption in foot function limits your freedom and mobility. It is important to schedule an appointment with your podiatrist at the first sign of pain or discomfort in your feet, and follow proper maintenance guidelines to ensure their proper health for the rest of your life.

If you believe you are suffering from a neuroma, please give me a call to schedule an appointment (309-661-9975), or visit our website to make an appointment.

Foot for Thought - October 29, 2009

2009-10-29T08:30:00.000-05:00

Foot and Ankle Injury Prevention

Wear the correct shoes for your particular activity.
Wear hiking shoes or boots in rough terrain.
Don't continue to wear any sports shoe if it is worn unevenly.
The toe box in “steel-toe” shoes should be deep enough to accommodate your toes comfortably.
Always wear hard-top shoes when operating a lawn mower or other grass-cutting equipment.
Don’t walk barefoot on paved streets or sidewalks.
Watch out for slippery floors at home and at work. Clean up obviously dangerous spills immediately.
If you get up during the night, turn on a light. Many fractured toes and other foot injuries occur while attempting to find one’s way in the dark.

If you experience a foot or ankle injury, please contact me at our website or call 309-661-9975 to schedule an appointment to diagnose the problem.

Foot and Ankle Injuries

2009-10-26T08:21:00.004-05:00

Immediate Treatment

Foot and ankle emergencies happen every day. Broken bones, dislocations, sprains, contusions, infections, and other serious injuries can occur at any time. Early attention is vitally important. Whenever you sustain a foot or ankle injury, you should seek immediate treatment from a podiatric physician.

This advice is universal, even though there are lots of myths about foot and ankle injuries. Some of them follow:

Myths

"It can't be broken, because I can move it." False; this widespread idea has kept many fractures from receiving proper treatment. The truth is that often you can walk with certain kinds of fractures. Some common examples: Breaks in the smaller, outer bone of the lower leg, small chip fractures of either the foot or ankle bones, and the often neglected fracture of the toe.
"If you break a toe, immediate care isn't necessary." False; a toe fracture needs prompt attention. If X-rays reveal it to be a simple, displaced fracture, care by your podiatric physician usually can produce rapid relief. However, X-rays might identify a displaced or angulated break. In such cases, prompt realignment of the fracture by your podiatric physician will help prevent improper or incomplete healing. Often, fractures do not show up in the initial X-ray. It may be necessary to X-ray the foot a second time, seven to ten days later. Many patients develop post-fracture deformity of a toe, which in turn results in a deformed toe with a painful corn. A good general rule is: Seek prompt treatment for injury to foot bones.
"If you have a foot or ankle injury, soak it in hot water immediately." False; don’t use heat or hot water on an area suspect for fracture, sprain, or dislocation. Heat promotes blood flow, causing greater swelling. More swelling means greater pressure on the nerves, which causes more pain. An ice bag wrapped in a towel has a contracting effect on blood vessels, produces a numbing sensation, and prevents swelling and pain. Your podiatric physician may make additional recommendations upon examination.
"Applying an elastic bandage to a severely sprained ankle is adequate treatment." False; ankle sprains often mean torn or severely overstretched ligaments, and they should receive immediate care. X-ray examination, immobilization by casting or splinting, and physiotherapy to ensure a normal recovery all may be indicated. Surgery may even be necessary.
"The terms 'fracture,' 'break,' and 'crack' are all different." False; all of those words are proper in describing a broken bone.

Before Seeing the Podiatrist

If an injury or accident does occur, the steps you can take to help yourself until you can reach your podiatric physician are easy to remember if you can recall the word “rice.”

Rest. Restrict your activity and get off your foot/ankle.
Ice. Gently place a plastic bag of ice wrapped in a towel on the injured area in a 20-minute-on, 40-minute-off cycle.
Compression. Lightly wrap an Ace bandage around the area, taking care not to pull it too tight.
Elevation. To reduce swelling and pain, sit in a position that allows you to elevate the foot/ankle higher than your waist.
For bleeding cuts, cleanse well, apply pressure with gauze or a towel, and cover with a clean dressing. See your podiatrist as soon as possible. It’s best not to use any medication on the cut before you see the doctor.
Leave blisters unopened if they are not painful or in a weight-bearing area of the foot. A compression bandage placed over a blister can provide relief.
Foreign materials in the skin—such as slivers, splinters, and sand—can be removed carefully, but a deep foreign object, such as broken glass or a needle, must be removed professionally.
Treatment for an abrasion is similar to that of a burn, since raw skin is exposed to the air and can easily become infected. It is important to remove all foreign particles with thorough cleaning. Sterile bandages should be applied, along with an antibiotic cream or ointment.

If you experience a foot or ankle injury, please contact me at our website or call 309-661-9975 to schedule an appointment to diagnose the problem.

Foot for Thought - October 22, 2009

2009-10-22T08:30:00.001-05:00

Hammertoe Tips

Apply a commercial, nonmedicated hammertoe pad around the bony prominence of the hammertoe. This will decrease pressure on the area.
Wear a shoe with a deep toe box.
If the hammertoe becomes inflamed and painful, apply ice packs several times a day to reduce swelling.
Avoid heels more than two inches tall.
A loose-fitting pair of shoes can also help protect the foot while reducing pressure on the affected toe, making walking a little easier until a visit to your podiatrist can be arranged. It is important to remember that, while this treatment will make the hammertoe feel better, it does not cure the condition. A trip to the podiatric physician’s office will be necessary to repair the toe to allow for normal foot function.
Avoid wearing shoes that are too tight or narrow. Children should have their shoes properly fitted on a regular basis, as their feet can often outgrow their shoes rapidly.
See your podiatric physician if pain persists.

If you think you have a hammertoe or other foot pain, please visit our website or call our office at 309-661-9975 to schedule an appointment to discuss your concerns.

Hammertoes

2009-10-19T08:13:00.004-05:00

What is a Hammertoe?

A hammertoe is a contracture—or bending—of the toe at the first joint of the digit, called the proximal interphalangeal joint. This bending causes the toe to appear like an upside-down V when looked at from the side. Any toe can be involved, but the condition usually affects the second through fifth toes, known as the lesser digits. Hammertoes are more common to females than males.

There are two different types:

Flexible Hammertoes:

These are less serious because they can be diagnosed and treated while still in the developmental stage. They are called flexible hammertoes because they are still moveable at the joint.

Rigid Hammertoes:

This variety is more developed and more serious than the flexible condition. Rigid hammertoes can be seen in patients with severe arthritis, for example, or in patients who wait too long to seek professional treatment. The tendons in a rigid hammertoe have become tight, and the joint misaligned and immobile, making surgery the usual course of treatment.

Symptoms

Pain upon pressure at the top of the bent toe from footwear.
The formation of corns on the top of the joint.
Redness and swelling at the joint contracture.
Restricted or painful motion of the toe joint.
Pain in the ball of the foot at the base of the affected toe.

How Do You Get a Hammertoe?

A hammertoe is formed due an abnormal balance of the muscles in the toes. This abnormal balance causes increased pressures on the tendons and joints of the toe, leading to its contracture. Heredity and trauma can also lead to the formation of a hammertoe. Arthritis is another factor, because the balance around the toe in people with arthritis is so disrupted that a hammertoe may develop. Wearing shoes that are too tight and cause the toes to squeeze can also be a cause for a hammertoe to form.

What Will Your Podiatrist Do to Treat a Hammertoe?

The treatment options vary with the type and severity of each hammertoe, although identifying the deformity early in its development is important to avoid surgery. Podiatric medical attention should be sought at the first indication of pain and discomfort because, if left untreated, hammertoes tend to become rigid, making a nonsurgical treatment less of an option.

Your podiatric physician will examine and X-ray the affected area and recommend a treatment plan specific to your condition.

Padding and Taping:

Often this is the first step in a treatment plan. Padding the hammertoe prominence minimizes pain and allows the patient to continue a normal, active life. Taping may change the imbalance around the toes and thus relieve the stress and pain.

Medication:

Anti-inflammatory drugs and cortisone injections can be prescribed to ease acute pain and inflammation caused by the joint deformity.

Orthotic Devices:

Custom shoe inserts made by your podiatrist may be useful in controlling foot function. An orthotic device may reduce symptoms and prevent the worsening of the hammertoe deformity.

Surgical Options:

Several surgical procedures are available to the podiatric physician. For less severe deformities, the surgery will remove the bony prominence and restore normal alignment of the toe joint, thus relieving pain.

Severe hammertoes, which are not fully reducible, may require more complex surgical procedures.

Recuperation takes time, and some swelling and discomfort are common for several weeks following surgery. Any pain, however, is easily managed with medications prescribed by your podiatric physician.

Your Feet Aren’t Supposed to Hurt

Remember that foot pain is not normal. Healthy, pain-free feet are a key to your independence. At the first sign of pain, or any noticeable changes in your feet, seek professional podiatric medical care. Your feet must last a lifetime, and most Americans log an amazing 75,000 miles on their feet by the time they reach age 50. Regular foot care can make sure your feet are up to the task. With proper detection, intervention, and care, most foot and ankle problems can be lessened or prevented. Remember that the advice provided in this pamphlet should not be used as a substitute for a consultation or evaluation by a podiatric physician.

If you think you have a hammertoe or other foot pain, please visit our website or call our office at 309-661-9975 to schedule an appointment to discuss your concerns.

Foot for Thought - October 15, 2009

2009-10-15T08:30:00.000-05:00

Nail Care Prevention Tips

Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails.
Clean and dry feet resist disease.
Washing the feet with soap and water, remembering to dry thoroughly, is the best way to prevent an infection.
Shower shoes should be worn when possible in public areas.
Shoes, socks, or hosiery should be changed more than once daily.
Toenails should be clipped straight across so that the nail does not extend beyond the tip of the toe.
Wear shoes that fit well and are made of materials that breathe.
Avoid wearing excessively tight hosiery, which promote moisture.
Socks made of synthetic fiber tend to "wick" away moisture faster than cotton or wool socks.
Disinfect instruments used to cut nails.
Disinfect home pedicure tools.
Don't apply polish to nails suspected of infection—those that are red, discolored, or swollen, for example.

If you have ingrown toenails or are suffering from fungal nails, please give me a call at 309-661-9975 or visit our website to make an appointment.

Nail Problems

2009-10-12T09:40:00.003-05:00

Barometers of Health

Toenails often serve as barometers of our health; they are diagnostic tools providing the initial signal of the presence or onset of systemic diseases. For example, the pitting of nails and increased nail thickness can be manifestations of psoriasis. Concavity—nails that are rounded inward instead of outward—can foretell iron deficiency anemia. Some nail problems can be conservatively treated with topical or oral medications while others require partial or total removal of the nail. Any discoloration or infection on or about the nail should be evaluated by a podiatric physician.

Nail Ailments

Ingrown Toenails

Ingrown nails, the most common nail impairment, are nails whose corners or sides dig painfully into the soft tissue of nail grooves, often leading to irritation, redness, and swelling. Usually, toenails grow straight out. Sometimes, however, one or both corners or sides curve and grow into the flesh. The big toe is usually the victim of this condition but other toes can also become affected.

Ingrown toenails may be caused by:·

Improperly trimmed nails (Trim them straight across, not longer than the tip of the toes. Do not round off corners. Use toenail clippers.)
Heredity
Shoe pressure; crowding of toes
Repeated trauma to the feet from normal activities

If you suspect an infection due to an ingrown toenail, immerse the foot in a warm salt water soak, or a basin of soapy water, then apply an antiseptic and bandage the area.

People with diabetes, peripheral vascular disease, or other circulatory disorders must avoid any form of self treatment and seek podiatric medical care as soon as possible.

Other "do-it-yourself" treatments, including any attempt to remove any part of an infected nail or the use of over-the-counter medications, should be avoided. Nail problems should be evaluated and treated by your podiatrist, who can diagnose the ailment, and then prescribe medication or another appropriate treatment.

A podiatrist will resect the ingrown portion of the nail and may prescribe a topical or oral medication to treat the infection. If ingrown nails are a chronic problem, your podiatrist can perform a procedure to permanently prevent ingrown nails. The corner of the nail that ingrows, along with the matrix or root of that piece of nail, are removed by use of a chemical, a laser, or by other methods.

Fungal Nails

Fungal infection of the nail, or onychomycosis, is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail's quality and color, which is often ugly and embarrassing.

In reality, the condition is an infection underneath the surface of the nail caused by fungi. When the tiny organisms take hold, the nail often becomes darker in color and foul smelling. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails. If ignored, the infection can spread and possibly impair one's ability to work or even walk. This happens because the resulting thicker nails are difficult to trim and make walking painful when wearing shoes. Onychomycosis can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate.

Because it is difficult to avoid contact with microscopic organisms like fungi, the toenails are especially vulnerable around damp areas where people are likely to be walking barefoot, such as swimming pools, locker rooms, and showers, for example. Injury to the nail bed may make it more susceptible to all types of infection, including fungal infection. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributing factors may be a history of athlete's foot and excessive perspiration.

Treatment of Fungal Nails

Treatments may vary, depending on the nature and severity of the infection. A daily routine of cleansing over a period of many months may temporarily suppress mild infections. White markings that appear on the surface of the nail can be filed off, followed by the application of an over-the-counter liquid antifungal agent. However, even the best over-the-counter treatments may not prevent a fungal infection from coming back.

A podiatric physician can detect a fungal infection early, culture the nail, determine the cause, and form a suitable treatment plan, which may include prescribing topical or oral medication, and debridement (removal of diseased nail matter and debris) of an infected nail.

Newer oral antifungals, approved by the Food and Drug Administration, may be the most effective treatment. They offer a shorter treatment regimen of approximately three months and improved effectiveness. Podiatrists may also prescribe a topical treatment for onychomycosis, which can be an effective treatment modality for fungal nails.

In some cases, surgical treatment may be required. Temporary removal of the infected nail can be performed to permit direct application of a topical antifungal. Permanent removal of a chronically painful nail that has not responded to any other treatment permits the fungal infection to be cured and prevents the return of a deformed nail.

Trying to solve the infection without the qualified help of a podiatric physician can lead to more problems. With new technical advances in combination with simple preventive measures, the treatment of this lightly regarded health problem can often be successful.

If you have ingrown toenails or are suffering from fungal nails, please give me a call at 309-661-9975 or visit our website to make an appointment.

Foot for Thought - October 8, 2009

2009-10-08T08:00:00.002-05:00

Bunion Tips

Here are some tips to help prevent/deal with painful bunions.

Wear comfortable shoes that conform to the shape of your foot.
Wear shoes with a wide and deep toe box.
Always fit the larger foot and have your feet sized each time you purchase shoes.
Apply a commercial, nonmedicated bunion pad around the bony prominence.
If your bunion becomes inflamed and painful, apply ice packs several times a day to reduce swelling.
Avoid high-heeled shoes over two inches tall.
Seek professional podiatric evaluation and assistance with uncomfortable or noticeable bunions.

If you are suffering from bunions, please give me a call at 309-661-9975 or visit our website to make an appointment to discuss your options.

Bunions

2009-10-05T10:41:00.004-05:00

What Is a Bunion?

A bunion is an enlargement of the joint at the base of the big toe—the metatarsophalangeal (MTP) joint—that forms when the bone or tissue at the big toe joint moves out of place. This forces the toe to bend toward the others, causing an often painful lump of bone on the foot. Since this joint carries a lot of the body’s weight while walking, bunions can cause extreme pain if left untreated. The MTP joint itself may become stiff and sore, making even the wearing of shoes difficult or impossible. A bunion–from the Latin "bunio," meaning enlargement–can also occur on the outside of the foot along the little toe, where it is called a "bunionette" or "tailor’s bunion."

Symptoms

Development of a firm bump on the outside edge of the foot, at the base of the big toe.
Redness, swelling, or pain at or near the MTP joint.
Corns or other irritations caused by the overlap of the first and second toes.
Restricted or painful motion of the big toe.

How Do You Get a Bunion?

Bunions form when the normal balance of forces that is exerted on the joints and tendons of the foot becomes disrupted. This can lead to instability in the joint and cause the deformity. They are brought about by years of abnormal motion and pressure over the MTP joint. They are, therefore, a symptom of faulty foot development and are usually caused by the way we walk, and our inherited foot type, our shoes, or other sources.

Although bunions tend to run in families, it is the foot type that is passed down—not the bunion. Parents who suffer from poor foot mechanics can pass their problematic foot type on to their children, who in turn are prone to developing bunions. The abnormal functioning caused by this faulty foot development can lead to pressure being exerted on and within the foot, often resulting in bone and joint deformities such as bunions and hammertoes.

Other causes of bunions are foot injuries, neuromuscular disorders, or congenital deformities. People who suffer from flat feet or low arches are also prone to developing these problems, as are arthritic patients and those with inflammatory joint disease. Occupations that place undue stress on the feet are also a factor; ballet dancers, for instance, often develop the condition.

Wearing shoes that are too tight or cause the toes to be squeezed together is also a common factor, one that explains the high prevalence of the disorder among women.

Conservative Treatment For Bunion Pain

Treatment options vary with the type and severity of each bunion, although identifying the deformity early in its development is important in avoiding surgery. Podiatric medical attention should be sought at the first indication of pain or discomfort because, left untreated, bunions tend to get larger and more painful, making nonsurgical treatment less of an option.

The primary goal of most early treatment options is to relieve pressure on the bunion and halt the progression of the joint deformity. A podiatric physician may recommend these treatments:

Padding & Taping - Often the first step in a treatment plan, padding the bunion minimizes pain and allows the patient to continue a normal, active life. Taping helps keep the foot in a normal position, thus reducing stress and pain.

Medication - Anti-inflammatory drugs and cortisone injections are often prescribed to ease the acute pain and inflammations caused by joint deformities.

Physical Therapy - Often used to provide relief of the inflammation and from bunion pain. Ultrasound therapy is a popular technique for treating bunions and their associated soft tissue involvement.

Orthotics - Shoe inserts may be useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity.

Surgical Options

When early treatments fail or the bunion progresses past the threshold for such options, podiatric surgery may become necessary to relieve pressure and repair the toe joint. Several surgical procedures are available to the podiatric physician. The surgery will remove the bony enlargement, restore the normal alignment of the toe joint, and relieve pain.

A simple bunionectomy, in which only the bony prominence is removed, may be used for the less severe deformity. Severe bunions may require a more involved procedure, which includes cutting the bone and realigning the joint.

Recuperation takes time, and swelling and some discomfort are common for several weeks following surgery. Pain, however, is easily managed with medications prescribed by your podiatric physician.

If you are suffering from bunions, please give me a call at 309-661-9975 or visit our website to make an appointment to discuss your options.

Foot for Thought - October 1, 2009

2009-10-01T14:27:00.006-05:00

Wow, I can't it is already October, and I can't believe our 1st anniversary is just around the corner. Thanks to everyone for their support. Without all of you, this wouldn't have been possible.

As promised, below is the link to our feature article in the Bloomington Edition of Healthy Cells Magazine.

Link to the ARTICLE

Link to the main site with our COVER PHOTO

The link to my talk on WJBC has not been posted yet. Stay tuned. I promise to get this posted as soon as they do.

Just to remind everyone, we will be at two exciting events in the next 4 days! We will be giving away free samples, and holding a raffle for a chance to win a pair of Crocs RX footwear.

On Saturday October 3rd, we will be part of the American Diabetes Association Step Out: Walk to Fight Diabetes. The event will be held at White Oak Park in Normal.
On Monday October 5th, we will be participating in the McLean County Senior Expo at the Doubletree Hotel in Bloomington.

Thanks again to everyone for making HFAA a huge success. I really appreciate all your love and support.

Have a great weekend!

Athlete's Foot

2009-09-28T11:03:00.002-05:00

What is Athlete's foot?

Athlete's foot is a skin disease caused by a fungus, usually occurring between the toes.

The fungus most commonly attacks the feet because shoes create a warm, dark, and humid environment which encourages fungus growth.

The warmth and dampness of areas around swimming pools, showers, and locker rooms are also breeding grounds for fungi. Because the infection was common among athletes who used these facilities frequently, the term "athlete's foot" became popular.
Not all fungus conditions are athlete's foot. Other conditions, such as disturbances of the sweat mechanism, reaction to dyes or adhesives in shoes, eczema, and psoriasis, may mimic athlete's foot.

Symptoms

The signs of athlete's foot, singly or combined, are dry skin, itching, scaling, inflammation, and blisters. Blisters often lead to cracking of the skin. When blisters break, small raw areas of tissue are exposed, causing pain and swelling. Itching and burning may increase as the infection spreads.

Athlete's foot may spread to the soles of the feet and to the toenails. It can be spread to other parts of the body, notably the groin and underarms, by those who scratch the infection and then touch themselves elsewhere. The organisms causing athlete's foot may persist for long periods. Consequently, the infection may be spread by contaminated bed sheets or clothing to other parts of the body.

Prevention

It is not easy to prevent athlete's foot because it is usually contracted in dressing rooms, showers, and swimming pool locker rooms where bare feet come in contact with the fungus. However, you can do much to prevent infection by practicing good foot hygiene. Daily washing of the feet with soap and water; drying carefully, especially between the toes; and changing shoes and hose regularly to decrease moisture, help prevent the fungus from infecting the feet. Also helpful is daily use of a quality foot powder.

Tips

Avoid walking barefoot; use shower shoes.
Reduce perspiration by using talcum powder.
Wear light and airy shoes.
Wear socks that keep your feet dry, and change them frequently if you perspire heavily.

Treatment

Fungicidal and fungistatic chemicals, used for athlete's foot treatment, frequently fail to contact the fungi in the horny layers of the skin. Topical or oral antifungal drugs are prescribed with growing frequency.

In mild cases of the infection it is important to keep the feet dry by dusting foot powder in shoes and hose. The feet should be bathed frequently and all areas around the toes dried thoroughly.

Consult Your Podiatrist

If an apparent fungus condition does not respond to proper foot hygiene and self care, and there is no improvement within two weeks, consult your podiatrist. We will determine if a fungus is the cause of the problem. If it is, a specific treatment plan, including the prescription of antifungal medication, applied topically or taken by mouth, will usually be suggested. Such a treatment appears to provide better resolution of the problem, when the patient observes the course of treatment prescribed by the podiatrist; if it's shortened, failure of the treatment is common.
If the infection is caused by bacteria, antibiotics, such as penicillin, that are effective against a broad spectrum of bacteria may be prescribed.

We have been trained specifically and extensively in the diagnosis and treatment of all manner of foot conditions. This training encompasses all of the intricately related systems and structures of the foot and lower leg including neurological, circulatory, skin, and the musculoskeletal system, which includes bones, joints, ligaments, tendons, muscles, and nerves.

If you have had persistant athlete's foot, please give me a call at 309-661-9975 or visit our website to make an appointment.

Foot for Thought - September 24, 2009

2009-09-24T15:45:00.010-05:00

Upcoming Events

Today's Foot for Thought is to inform you of some of the exciting events that Heartland Foot and Ankle Associates will be participating in around Bloomington/Normal Illinois in the next few weeks.

On October 3rd, we will be participating in the American Diabetes Association Step Out: Walk to Fight Diabetes. See the banner at the top of the blog to register or visit their website to learn more.
On October 5th, we will have a booth at the McLean County Senior Expo. This expo provides a full day of activities, games, giveaways, health screenings & seminars, as well as, refreshments and entertainment for McLean County seniors on this special day that is dedicated to them. This event will be held at the Doubletree Hotel and Conference Center in Bloomington. We will be at booth #59.

On September 23rd, I was invited to WJBC (a local radio station) to give a Healthy Cell Update. Once the podcast is posted on their website, I will link to it here.

We are also the cover story/feature article in the October edition of Healthy Cells Magazine. Once the article is posted on their website, I will link to it here.

So if you are in the area, feel free to stop by our booths for free samples, pens, shoehorns, and a drawing for a free pair of Crocs RX footwear.

Hope to see you out. Have a great weekend!

Plantar Warts

2009-09-21T08:46:00.003-05:00

As summer draws to a close, many of us have an uninvited guest on the bottom of our feet as a result of traipsing around without shoes on. A plantar wart is the product of a virus that can enter our bodies through small cuts in the skin. This virus (human Papillomavirus or HPV) has been known to be resistant to traditional over the counter remedies.

What is “Verruca”?

Verruca is the medical term used to describe a wart. In the feet a wart is referred to as verruca plantaris. These small, mostly flesh colored ‘bumps’ tend to grow on the weight bearing parts of our feet (the most likely place for a skin tear). They sometimes have black dots associated within the lesion itself – these are tiny blood vessels that help the wart survive. Attacking this blood supply is one way your podiatrist can stop a wart from multiplying.

How do I get a wart?

You acquire warts through direct contact with the human papillomavirus (HPV). There are more than 100 types of HPV. Some types of HPV tend to cause warts on your hands, fingers or near your fingernails. Others tend to cause warts on your feet. The virus that causes plantar warts isn't highly contagious, but it thrives in warm, moist environments including:

shower floors
locker rooms
public swimming areas

It’s important to NOT walk barefoot in these areas to minimize the risk of contracting HPV. It is also very important to address any issues regarding sweaty feet (the ultimate warm, moist environment!) at the time of wart treatment to help prevent future breakouts.

Treatment Options

Plantar warts are known to be difficult to treat → the high rate of skin shedding on your foot leads to an outgrowth of new warts often before the original lesion has been fully treated. Generally, the over the counter treatment options do not work simply because of the concentration of the medicines in them. Salicylic acid is a common ingredient in these therapies and one that can easily damage healthy skin if not used correctly. A few common treatment options that your podiatrist may apply are:

Freezing (cryotherapy, or liquid nitrogen therapy: This involves applying liquid nitrogen with a spray canister or cotton-tipped applicator to freeze and destroy your wart. This treatment isn't too painful and is often effective, although you may need repeated treatments. The chemical causes a blister to form around your wart, and the dead tissue sloughs off within a week or so.
Cantharidin: This is a substance extracted from the blister beetle. Typically, the extract is paired with salicylic acid and is applied to the plantar wart and covered with a bandage. The application is painless, but the resulting skin blister can be uncomfortable. Your doctor clips away the dead part of the wart in about a week.
Laser surgery: There are several different types of lasers used to remove stubborn warts. Laser surgery is more painful and can require multiple sessions to treat the warts.
Immunotherapy: This treatment option involves the use of antigens to stimulate your immune system and make it ‘react’ to the wart itself.
Minor surgery: This involves cutting away the wart or destroying the wart by using a numbing agent on the skin and removing the entire wart. This treatment can work well for warts that are small in number and size and have been difficult to treat with other options

For more information about warts and the treatment options associated with warts, please contact me at 309-661-9975 or visit our website.

Foot for Thought - September 17, 2009

2009-09-17T15:30:00.003-05:00

Orthotic Tips

Now that you know what orthotics are, here are 4 small tips from the APMA that you should follow if you are prescribed custom made orthotics.

Bring and wear your orthotics with you whenever you purchase a new pair of shoes.
Try on the shoes with socks or stockings if that’s how you’ll be wearing those shoes.
Return as directed for a follow-up evaluation of the functioning of your orthotics. This is important to make certain that your feet and orthotics are functioning properly together.
Remember podiatrists are the orthotic experts. Your podiatric physician will make sure that the proper orthotic is prescribed to meet your specific needs.

If you have any questions or concerns about your orthotics, please contact me at 309-661-9975 or visit our website.

Orthotics 101: How They Can Help You

2009-09-14T08:00:00.001-05:00

Recently we discussed Orthotics for your children. Today I want to give you an overview of orthotics and how they can help everyone with foot problems.

Orthotics are custom molded devices which are designed specifically for your feet and then placed in your shoes. They are intended to correct abnormal foot biomechanics. They perform functions that make standing, walking, and running more comfortable and efficient by altering the angles at which the foot strikes a walking or running surface. Doctors of podiatric medicine prescribe orthotics as a conservative approach to many foot problems or as a method of control after certain types of foot surgery; their use is a highly successful, practical form of treatment.

Orthotics take various forms and are constructed of various materials. They fall into three broad categories: those that primarily attempt to change foot function, those that are primarily protective in nature, and those that combine functional control and protection. Orthotics can be categorized as rigid, semi-rigid, and soft.

The so-called rigid orthotic device, designed to control function, may be made of a firm material such as plastic or carbon fiber and is used primarily for walking or dress shoes. It is generally fabricated from a plaster mold of the individual foot. The finished device normally extends along the sole from the heel to the ball or toes of the foot. It is worn mostly in closed shoes with a heel height under two inches.

The semi-rigid orthotic provides for dynamic balance of the foot while walking or participating in sports. Each sport has its own demands and each sport orthotic needs to be constructed appropriately with the specific sport and athlete in mind. This functional dynamic orthotic helps guide the foot through proper functions, allowing the muscles and tendons to perform more efficiently. The classic, semi-rigid orthotic is constructed of layers of soft material, reinforced with more rigid materials.

The soft orthotic device helps to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. It is usually constructed of soft, compressible materials, and may be molded by the action of the foot in walking or fashioned over a plaster impression of the foot. This orthotic usually extends from the heel past the ball of the foot to include the toes. The advantage of any soft orthotic device is that it may be easily adjusted to changing weight-bearing forces. The disadvantage is that it must be periodically replaced or refurbished.

Various other orthotics may be used for multidirectional sports or edge-control sports by casting the foot within the ski boot, ice skate boot, or inline skate boot. Combinations of semi-flexible material and soft material to accommodate painful areas are utilized for specific problems.

Only a licensed health care professional can diagnose and prescribe medical treatments, including orthotics. There are some outstanding over-the-counter products which your podiatrist may recommend as an interim treatment, but remember that you will want the advice of your podiatrist before buying these devices from a retail store, since wearing the wrong type of insert can be detrimental to feet, especially for people with diabetes or arthritis.

If you have any questions or concerns about orthotics or if you need orthotics, please contact me at 309-661-9975 or visit our website.

Foot for Thought - September 10, 2009

2009-09-10T08:00:00.006-05:00

Since Tuesday's blog post dealt with fall exercise. Today's Foot for Thought gives you some basic tips to keep your feet in tip top shape as you transition from an indoor to outdoor routine or vice versa.

Fall is often a transition period for many exercisers. Those in the colder climates start to head indoors as the weather cools and the conditions outside become less conducive to outdoor exercise. In the west, however, many who were exercising indoors due to the extremely high temperatures will be more comfortable outdoors again. Whatever direction you’re headed, here are some reminder tips for indoor and outdoor exercise.

See your doctor before beginning any exercise regimen. A visit to your podiatric physician can help you determine if you’re getting the optimal result from your body, specifically from your feet and ankles. An exam by a podiatrist can determine if you are excessively pronating (turning your feet inward) or supinating (feet leaning out) and whether a prescription orthotic can give you relief from heel pain, ankle strain, and shin splints.

Stretching before and after any aerobic activity can help prevent injuries. Check with your podiatrist to determine the best stretching exercises for your particular sport. Since muscles that haven’t been properly prepared tend to be injured more easily, make sure to start out with some light cardiovascular activities, such as easy jogging or brisk walking, just to get your muscles going. Stretching after the muscles are slightly warm will help you maximize your overall workout.

Drink plenty of water while working out. Drinking water will help reduce your chance of becoming dehydrated. Even when the weather cools down significantly, it’s also important to stay hydrated.

To discuss your fall workout transition and how it can affect your feet, please contact me at 309-661-9975 or visit our website.

Look Out Below!

2009-09-08T09:13:00.001-05:00

As cooler temperatures approach, many of us are changing our exercise routines and either moving indoors to tracks and treadmills or outdoors to trails and paths to keep up with our walking routines. But before you head out for a stroll, consider the type of surface and terrain that you’ll be walking on. Concrete and asphalt can be hard on your bones and joints, while uneven terrains such as hiking trails, although soft, can make you more vulnerable to twisting injuries such as ankle sprains. Wherever you walk, it’s important to have the appropriate shoe gear that provides your foot with protection, control, and stability.

Indoor tracks and treadmills provide excellent shock absorption and are forgiving on joints and bones. However, if you’re walking on a track, be sure to change directions periodically so that you have even pressure on both feet. Your outdoor running or walking shoe will provide excellent support indoors as well. Your podiatric physician can make recommendations for you regarding the best shoe for any surface.

On outdoor trails, especially in wooded areas, you have a higher risk of injuries. Slow your pace so you can navigate the uneven terrain. You may want to choose a shoe with more ankle support. On the beach, never run or walk barefoot. While the beach can be easier on your bones, the risks here are greater, so caution with the sand is important.

Asphalt surfaces are somewhat forgiving. If you are walking on a road, however, walk against traffic so drivers can see you, and wear bright, reflective clothing. Walk or jog on sidewalks whenever possible. Many roads are “canted” or angled to the curb. Running or walking on these roads can contribute to imbalance leading to injury or fatigue.

Concrete is the hardest surface to walk on, sometimes up to ten times harder than asphalt. Limit the amount of time you walk on concrete, and make sure that your shoes are in good shape and still have all their cushioning intact. Alternate walks on all surfaces if possible to keep your feet safe and happy this season.

If you have any questions or concerns about the kinds of surfaces you are exercising on, please contact me at 309-661-9975 or visit our website.

Foot for Thought - September 3, 2009

2009-09-03T09:27:00.003-05:00

Today's Foot for Thought focuses on some basic foot care guidelines taken from our website that everyone should follow to help maintain happy and healthy feet.

Basic Foot Care Guidelines

Don't ignore foot pain. It's not normal. If the pain persists, contact our office.
Inspect your feet regularly. Pay attention to changes in color and temperature. Look for thick or discolored nails (a sign of developing fungus), and check for cracks or cuts in the skin. Peeling or scaling on the soles of feet could indicate Athlete's Foot. Any growth on the foot is not considered normal.
Wash your feet regularly, especially between the toes, and be sure to dry them completely.
Trim toenails straight across, but not too short. Be careful not to cut nails in corners or on the sides; it can lead to ingrown toenails. Persons with diabetes, poor circulation, or heart problems should not treat their own feet because they are more prone to infection.
Make sure that your shoes fit properly. Purchase new shoes later in the day when feet tend to be at their largest, and replace worn out shoes as soon as possible.
Select and wear the right shoe for the activity that you are engaged in (e.g. running shoes for running).
Alternate shoes -- don't wear the same pair of shoes every day.
Avoid walking barefooted. Your feet will be more prone to injury and infection. At the beach or when wearing sandals always use sunblock on your feet as the rest of your body.
Be cautious when using home remedies for foot ailments. Self-treatment can often turn a minor problem into a major one.
If you are a diabetic, contact our office and schedule a check-up at least once a year.

If you are experiencing any pain or would like to discuss your foot care on a more personal level, please contact me at 309-661-9975 or visit our website.

Give Shoes the "1,2,3 Test" During Back-to-School Shopping

2009-09-01T10:25:00.007-05:00

In keeping with our recent posts on children's foot care as they go back to school, the following was taken from the American Podiatric Medical Association's website. It can be found here.

As parents across the country check off school items from their shopping lists, remember one of the most important purchases that can be made for children this season—foot-friendly shoes. Whether on the school bus, in the classroom or on the playground, a properly constructed and well-fitted pair of shoes can drastically reduce a child’s risk of injury, from conditions such as blisters to more serious injuries such as tendonitis, sprains, strains and even fractures.

"Ensuring a child wears a shoe that fits properly is paramount to keeping feet healthy during the school year,” said APMA President Ronald D. Jensen, DPM. “By taking just a few extra minutes to examine a shoe before purchase, parents can rest assured that their child will be keeping their feet safe to and from school, as well as during the busy school day.”

One easy way to determine if a child’s shoe is foot-friendly is to perform the “1,2,3 Test.” First, press on both sides of the back of the shoe’s heel. Make sure that it does not collapse when pushed on. Second, check toe flexibility. The shoe should bend with your child’s toes, but should not be too stiff or bend too much in the toe box area. Third, grab the shoe by the front and back and twist gently. A foot-friendly shoe should never twist easily in the middle. Here are several more shoe shopping tips to help start the school year off on the right foot:

Take your child shoe shopping. Letting a child have a say in the shoe buying process promotes healthy foot habits down the road.
Examine the heels. Children often wear through the heels of shoes faster than outgrowing the shoes themselves. Uneven heel wear can indicate a foot problem that should be checked by a podiatrist.
Look for the Seal of Acceptance. Certain footwear brands, such as the Reebok Classic Leather Collection and Asics’ GEL-Nimbus model, carry the APMA’s Seal of Acceptance. APMA’s Seal program recognizes products that set the benchmark for footwear and foot care industries, and have been evaluated by a team of podiatrists to guarantee proper foot function.
Remember socks when shopping. Make sure to have your child try on shoes with socks or tights, if that is how they will be worn, in order to ensure a proper fit.

For more shoe shopping tips, please click here. For a full list of children’s footwear that has received the APMA’s Seal of Acceptance, please click here.

For more information about properly fitting your children with the proper shoes, please contact Dr. Lockwood at 309-661-9975 or at our website.

Foot for Thought - August 27, 2009

2009-08-27T15:42:00.002-05:00

Since the last few posts have been dedicated to back to school foot care and shoes for your children, today's Foot for Thought focuses on orthotics for kids.

Orthotics are shoe inserts that are intended to correct an abnormal, or irregular walking pattern. They perform functions that make standing, walking, and running more comfortable and efficient by altering slightly the angles at which the foot strikes a walking or running surface. As such, orthotics are often effective in the treatment of children with foot deformities or to improve foot performance for some athletes.

If we determines that your child needs to be fitted for orthotics, those orthotics will usually need to be replaced when the child’s foot has grown two sizes. Different types of orthotics may be needed as the child’s foot develops and changes shape.

The length of time a child needs orthotics varies considerably, depending on the seriousness of the deformity and how soon the correction is addressed.

For more information about orthotics for your childern or if you think your child might need orthotics, please contact me at 309-661-9975 or at http://www.heartlandfootandankle.com

Shoes and Your Kids: Small Steps for the Right Fit

2009-08-24T15:26:00.001-05:00

Children’s feet may be small but unless adults consider the specific needs of young walkers,problems for those children may loom large. Shoes will protect children's feet,but if fit incorrectly,they can do more harm than good. A few simple guidelines for determining proper size, type of shoe and professional care can help you get the right fit for your growing children. When a child first begins to walk,shoes are not necessary indoors. Shoes may even impede a child's development and progress.

Allowing toddlers to go barefoot or to wear just socks helps the foot to grow normally and to develop its musculature and strength, as well as the grasping action of toes. When walking outside however, babies' feet should be protected in lightweight, flexible footwear made of natural materials.

The feet of young children may be unstable because of muscle problems which may make walking difficult or uncomfortable. A
thorough examination by a podiatrist may detect any underlying defects or conditions which may require immediate treatment or
consultation.

Once the child is ready for shoes, to get the right size, make sure there is 1/2″ space between the child’s longest toe and the end of the shoe. Remember that it’s natural for small children to curl their toes when trying on new shoes. To get the right width, see that you can pinch a small amount of the shoe upper across the top of the foot. If you have a toddler, check shoe fit every three or four months since children’s feet grow rapidly.

The type of shoe you pick is important to ensure proper fit. Shoes should have thin, soft soles and be flexible enough to bend very easily across the ball of the foot. Flexible soles help children develop their sense of balance. Shop at stores with experienced sales people that feature a wide selection of footwear styles, sizes and widths. Do not assume a given size will fit the same for different brands of shoes. Avoid man-made materials because they limit breathability. Hand me down clothes are great—but not shoes. Second hand shoes can create improper balance because they may have worn out unevenly by the previous owner.

Some foot problems require professional help. Infants’ feet that curve excessively inwards or outwards can be corrected with shoes that are modified and fitted with arch support. By age three, when children develop a heel to toe gait, excessively flat feet should be fit by a podiatrist with a custom molded shoe insert (orthotic) or a pre-fabricated insert to assist bones to develop in correct alignment. Infants and toddlers feet are normally fat, flat and flexible. Normally, these qualities decrease until about age seven.

Children’s feet grow rapidly during the first year, sometimes reaching almost half their adult foot size. This is why podiatrists consider the first year to be the most important in the development of the feet. With a well coordinated effort between parents, podiatrists and shoe fitters, you can ensure that your child gets the right shoe to keep them happy and active as they grow and play.

For more information about properly fitting your children for shoes or if your children are having foot problems, please contact Dr. Lockwood at 309-661-9975 or at http://www.heartlandfootandankle.com/

Foot for Thought - August 20, 2009

2009-08-20T12:09:00.003-05:00

Today's foot for thought centers around some random foot facts I found from Foot.com.

Foot Care Facts:

3 out of 4 Americans experience serious foot problems in their lifetime.
The foot contains 26 bones, 33 joints, 107 ligaments and 19 muscles.
1/4 of all the bones in the human body are down in your feet. When thesebones are out of alignment, so is the rest of the body.
Only a small percentage of the population is born with foot problems.
It's neglect and a lack of awareness of proper care - including ill fitting shoes - that bring on problems.
Women have about four times as many foot problems as men. High heels are partly to blame.
Walking is the best exercise for your feet. It also contributes to your general health by improving circulation, contributing to weight control, and promoting all-around well being.
Your feet mirror your general health. Conditions such as arthritis, diabetes, nerve and circulatory disorders can show their initial symptoms in the feet - so foot ailments can be your first sign of more serious medical problems.
Arthritis is the number one cause of disability in America. It limits everyday dressing, climbing stairs, getting in and out of bed or walking - for about 7 million Americans.
About 60-70% of people with diabetes have mild to severe forms of diabetic nerve damage, which in severe forms can lead to lower limb amputations. Approximately 56,000 people a year lose their foot or leg to diabetes.
There are 250,000 sweat glands in a pair of feet. Sweat glands in the feet excrete as much as a half-pint of moisture a day.
Walking barefoot can cause plantar warts. The virus enters through a cut.
The two feet may be different sizes. Buy shoes for the larger one.
About 5% of Americans have toenail problems in a given year.
The average person takes 8,000 to 10,000 steps a day, which adds up to about 115,000 miles over a lifetime. That's enough to go around the circumference of the earth four times.
There are currently more websites on the Internet having to do with foot fetishes than with foot health.

Back to School - Fall Sports - Happy Feet Can Help

2009-08-17T09:00:00.003-05:00

Back to school each fall means back to the books, but it also means getting back into fall sports. Since many kids spend the summer relaxing and enjoying their time off, participating in football, cross-country, soccer, cheerleading and other strenuous sports can also put a strain on out-of-shape muscles, tendons, and bones. Since most schools now require that kids participate on some level in sports, it’s important to keep in mind some basic rules of thumb.

Each child physically matures at his or her own rate, and has a different degree of athletic ability. No amount of training can improve a child’s natural athletic ability, but training helps improve coordination and therefore performance. Parents should encourage their children to participate in sports, but never forget that competition should be fun.

Children active in sports programs will improve their cardiovascular
and musculoskeletal systems, coordination, and state of mind. In addition, participation in sports develops a sense of self, discipline, teamwork, and the recognition of the importance of a healthy body.

Probably the single most important way to avoid injuries in all sports is to warm up before participating. Warming up helps to loosen muscles and prevent injuries in athletes of all ages. Learning to stretch at an early age will set a good pattern for sports activities as the body develops. In addition, it’s extremely important to wear the correct shoes for the sport. Your podiatrist can help you choose the right shoes for your children; the shoes should fit the sport.

According to podiatrists, repetitive overuse or improper training can lead to problems with ligaments, tendons, bones and joints in the feet. As children’s feet are still growing, serious injuries can cause long-term problems. Some common injuries are listed here:

Ankle sprains, which can be stretched or torn ligaments, are more common than fractures. Watch for extensive swelling around the ankle. Immediate treatment by the podiatrist is crucial as he/she can provide treatment as well as recommended balancing and strengthening exercises to restore coordination quickly.

Shin splints are tiny tears or inflammation of the muscles on the front of the leg. Rest is the best way to heal these injuries, but if pain persists a podiatrist can recommend strengthening, specific shoes, or orthotics (insoles).

Sever’s disease (aka Calcaneal Apophysistis) is an inflammation of a growth plate where the Achilles tendon is attached to the heel bone and is often felt as pain on the bottom of or around the heel. Rest, ice, and heel lifts, and sometimes orthoses are often prescribed by the podiatrist in these cases.

Fractures/stress fractures from overuse in child athletes are commonly seen in podiatric medical offices. Growth plates are particularly susceptible to injuries, but mid-shaft fractures of the bone also occur. If a fracture is not severe, rest and immobilization may be the best treatment. More complicated injuries may require casting or surgical correction. If swelling and pain persist, see a podiatrist immediately.

For more information about proper back to school foot care or if you are having any foot problems following an sports related incident, please contact Dr. Lockwood at 309-661-9975 or at http://www.heartlandfootandankle.com/

Foot for Thought - August 13, 2009

2009-08-13T09:05:00.000-05:00

Below are some helpful tips to keep your feet and toes working at top speed if you workout or are engaged in physical activity on a regular basis.

Wear sturdy, comfortable shoes for all types of sports activity and running.

Look for a pair of shoes with a stiff heel to support your foot.

Shoes should not be able to “twist” in the middle. A rigid center (like many cross-training types of shoes have) works best to control excess motion.

The ‘toe’ part of the shoe should be slightly flexible to allow for push off during your walking routine.

There should be about half an inch of room at the end of the shoe to allow the toes and feet to propel during the gait cycle.

Walk around the store with both shoes on and be aware of any ‘rubbing’ of your feet in the shoe.

Try on shoes near the end of the day when your feet are larger.o Wear socks that you intend to use with those particular shoes.

Socks should always wick away any moisture – synthetic ones work best!

Have your feet measured by a professional to determine the correct length and width!

Examine your feet following a workout or any physical activity for any signs of redness or ‘rubbing’ from your shoes. Always remember to break in a new pair of shoes in slowly (with shorter walking segments!) to evaluate whether or not the shoe gives you adequate motion control and support. Contact your local podiatrist if you notice any blisters from your shoe-gear or if you are having any pain in your feet following any physical activity.

As always, you should consult your family doctor before starting any new exercise routine. For more information about appropriate shoe-gear for both exercise and everyday use, please contact Dr. Lockwood at Heartland Foot and Ankle Associates, P.C. at 309-661-9975 or www.heartlandfootandankle.com.

Radio Ad/You Tube Ad

2009-08-06T16:52:00.002-05:00

Check out our Radio Ad that was turned into a YouTube Ad.

Foot for Thought - August 6, 2009

2009-08-06T15:45:00.000-05:00

Nowhere is the miracle of the foot more clear than watching the human body in motion. The combination of 26 bones, 33 joints, 112 ligaments, and a network of tendons, nerves, and blood vessels all work together to establish the graceful synergy involved in running.

With every step there is over 500 pounds of pressure applied to each foot. It is no wonder that people don’t have more foot problems. Common causes of pain in feet are neuromas, bone spurs, tendonitis, stress fractures, and arthritis.

Foot pain should not be a common part of every day life. Most problems can easily be treated with one or two visits.

Memorial Day Shoe Gear - Do's and Don'ts

2009-05-22T10:34:00.001-05:00

Hello and Welcome to our inaugural blog entry! I will be updating the blog frequently with interesting stories and tips to help keep you all "on your toes". This week I will be focusing on Summer Shoe gear and have included an article that I wrote in our local Health Magazine...

Summer Foot Gear
The Good, Bad, and Ugly!
Melissa J. Lockwood, DPM

"June is finally upon us and we are all excited to enjoy those outdoor activities with our family and friends! Whether you area new outdoor enthusiast or a seasoned veteran, below are some tips and information to help get you off on the 'right foot' as we head into the dog days of summer!

FLIP FLOPS
These colorful, trendy shoes are NOT our friends! Unfortunately, the use of flip flops should be limited to the beach as much as possible. Flip flops (and other extremely flat and open back sandals) make our feet work extra hard because our muscles have to balance us and keep those shoes from slipping off! A great alternative would be a low heeled (less than 1 inch) sandal with a closed back if possible. The more support and mechanical advantage we can give our Achilles tendons (the muscle on the back of our calves that helps us move forward) the better. The flimsy, flip flop style of shoe can cause a lot of 'footaches' down the road (including extra pressure on the ball of your foot), so it's best to wear them onl when you will be walking for short distances.

WALKING SHOES
Summer is the best time to get up and begin a walking program. Trees are green and we have lots of sunshine in the heart of Illinois! The right type of walking shoe is a must. There are several new brands of walking shoes that aim to have an 'exercise advantage' because of their 'rocker bottom' shape. While these types of shoes do engage the muscles in the back of your leg (both the superficial Achilles Gastro complex and the deep muscles), they also force these muscles to work (or "fire") during times of the gait cycle that is not appropriate which can lead to muscle fatigue and possible cramping. The best tip is to start SLOWLY with any type of walking shoe and to stretch all your muscles before and after exercise. Also, as with any type of gym or tennis shoe, it's important to have a strong counter (the middle of the shoe) and a stiff sole.

WEDDING SHOES
With June comes the 'busy' season of weddings! And with a quick toss of rice at the bride and groom comes the aches and pains of summer dress shoes. The phenomenon of "I have to wear them becuase they match my outfit!" is not isolated to women either. Men also put on those old wing tips that pinch their baby toes just as quickly as the women strap on those three inch strappy silver stilettos! the best advice is the simplest: If you must wear a pair of shoes that are painful when you first put them on for the sake of 'fashion', alsways bring a backup pair of comforatble, appropriate shoes to dance the night away in afer your feet have painfully reminded you to come to your senses! Even a dress pair of isotoner slippers can feel great after a day of hobbling!

For more information about appropriate types of summer shoe gear or if you are having any foot problems following an 'improper shoe' incident, please contact Dr. Lockwood at 309-661-9975 or at www.heartlandfootandankle.com"