My Blog
By Babak Kosari DPM Inc
May 15, 2018
Category: Foot Care
Tags: Foot Health   Aging Feet  

As you age, it becomes even more important to take care of yourself, especially your feet. Foot health tends to decline in seniors for many reasons, including:

∙       Years of walking

∙       Improper footwear

∙       Poor circulation

∙       Diseases related to foot problems such as diabetes and gout

∙       Improperly trimming toenails

When problems are ignored, they may worsen and lead to more dangerous issues. There are easy ways to take care of aging feet and nonsurgical treatments to relieve pain.

When to talk to your doctor

It’s important to know when symptoms are just common aches and pains and when they might be something more serious. Even if your pain isn’t related to something serious, you still need to take care of your feet since they are the foundation of the body. Aging foot pains may cause pain in the knees, hips, or back.

Some symptoms to look out for are:

∙       Brittle or discolored toenails

∙       Discoloration or cold/numb feet

∙       Severe pain in feet and ankles

∙       Blisters or cracked skin

∙       Sores and wounds

Tips for maintaining healthy feet

Taking care of feet is simple and will pay off in the long run. Some easy tips for foot health are:

∙       Inspect your feet and nails regularly

∙       Use soap to wash your feet and always thoroughly dry them

∙       Use lotion to prevent dry, itchy, and cracked skin

∙       Wear properly fitted shoes and clean socks

∙       Trim your toenails regularly

∙       Don’t cross your legs

∙       Elevate your feet when seated

Taking care of aging feet is simple, and your dedicated foot doctors are here to help. Foot care is something you shouldn’t avoid, and individuals that aren’t able to take care of their feet are encouraged to see their podiatrist for foot care appointments. If you have any questions about taking care of your aging feet, call our office today to make an appointment!

By Babak Kosari DPM Inc
May 01, 2018
Category: Foot Care
Tags: Bunions  

BunionsWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.
 

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.
 

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.
 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.
By Babak Kosari DPM Inc
April 17, 2018
Category: Foot Care
Tags: Footwear  

While high-heeled shoes may look stylish or complement your favorite outfit, they are rarely the best option for a woman's feet. According to a study by the American Podiatric Medical Association, 39 percent of women wear high heels every day; of the women who wear heels daily, three out of four reported foot problems. Despite these numbers, many women continue to underestimate the health risks associated with high heels.

High-heeled shoes disrupt the body's alignment, crowd the toes and force the body's weight onto the ball of the foot. Wearing heels can contribute to a variety of foot and ankle problems, including:
 

  • Achilles tendonitis: The Achilles tendon and calf muscles tighten and shorten as the front of the foot moves down in relation to the heel. This causes stress and painful inflammation of the Achilles tendon.

  • Bunion:. Narrow-toed shoes can cause a bony growth on the joint at the base of the big toe. The bunion forces the big toe to slant in toward the other toes, resulting in discomfort, blisters, corns and calluses.

  • Hammertoes: A narrow toe box crowds the smaller toes into a bent, claw-like position at the middle joint.

  • Metatarsalgia: Continued high heel wear can lead to joint pain in the ball of the foot as a result of heels forcing the body's weight to be redistributed.

  • Ankle injuries: Because heels impair balance and increase the risk of falling, ankle sprains and fractures are common.

  • Pump Bump: The rigid back of a pump-style shoe can cause pressure that irritates the heel bone, creating a bony enlargement known as Haglund's deformity.

  • Neuromas: A narrow toe box and high heel can compress and create a thickening of tissue around a nerve between the third and fourth toes, leading to pain and numbness in the toes.


Still not willing to ditch the heels? There are ways to relieve some of the damaging effects of high heels.
 

  • Avoid heels taller than 2 inches

  • Choose thicker, more stable heels. Thicker heels are still stylish, plus they lessen the stress on your feet and provide better shock absorption.

  • If you must wear heels, wear your gym shoes or flats for commuting and change into your heels once you arrive to your destination.

  • Stretch and massage your calf, heel, and foot muscles. This helps relax the muscles and tendons and prevents them from tightening and shortening.

  • Avoid shoes with pointed toes


High heel shoes can cause pain and foot deformities that can last a lifetime. So the next time you go to slip on your heels for a long day at work or a night out, consider the consequences and rethink your options. If foot pain persists, visit us for treatment.

By Babak Kosari DPM Inc
April 02, 2018
Category: Foot Care
Tags: Toenail Fungus  

Also known as onychomycosis, toenail fungus can be painful, irritating and embarrassing. When you experience trauma to your nail, the nail bed is lifted, allowing fungus to invade. Without treatment, this fungus can grow and spread, particularly in dark, warm, moist environments, such as socks and shoes.

Common signs and symptoms of toenail fungus include:

  • Discoloring or yellowing of the nail

  • Thickening or crumbling of the nail

  • Swelling around the nail

  • Disfigured nails

  • Streaks or spots down the side of the nail

  • Foul-smelling debris under the nail

  • Pain and discomfort

  • Complete nail loss

Prevention is Key

Fungal infections can affect the fingernails as well as the toenails, but toenail fungus is more difficult to treat because toenails grow more slowly. Because removal of the fungus is challenging, prevention plays an important role in treatment.

  • Keep nails neatly trimmed.

  • Practice good foot hygiene, including daily washing with soap and water, drying feet and toes, carefully, and changing shoes regularly.

  • Always wear shoes in public areas, such as showers, locker rooms and pools.

  • Wear comfortable shoes that aren't too tight.

  • Avoid wearing nail polish for long periods, as it prevents the nail from breathing and can seal in fungus.

Treatment of Toenail Fungus

If you do develop toenail fungus, especially if the infection has become painful, visit our office. People with a chronic illness like diabetes should always see a podiatrist if they notice any changes in their nails, as it may be an indication of a more serious issue.

To eliminate the fungus, a podiatrist may remove as much of the infected nail as possible by trimming, filing or dissolving it. Oral or topical antifungal medications may also be prescribed to treat the infection. Laser treatment options are also sometimes available.

It’s only for severe, chronic infections that surgical removal of the nail might be recommended. Our office can help diagnose the cause of your toenail troubles, and make the best recommendation for treatment.

By Babak Kosari DPM Inc
March 16, 2018
Category: Foot Care

Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.

What is Tarsal Tunnel Syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

  • Injury to the ankle, which may produce swelling near the nerve.
  • Abnormal blood vessels or cysts that occupy space within the tunnel.
  • Scar tissue that press against the nerve.
  • Foot deformities, such as flat feet, which increase strain on the nerve.
  • Systematic diseases, such as diabetes or arthritis.

When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

  • Pain
  • Numbness
  • Burning or tingling sensation

We Can Help

If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.





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