My Blog
By Babak Kosari DPM Inc
January 03, 2022
Category: Foot Condition
Tags: Arthritis  
Arthritis and Your FeetIs the pain and stiffness you’re experiencing in your feet and ankles caused by arthritis? If arthritis is left untreated, it’s possible that your symptoms could become so severe that they could affect your quality of life. Therefore, your podiatrist may recommend seeking medical attention right away to reduce the amount of damage to the joints.

What are the signs and symptoms of arthritic feet?

Wondering if you could be dealing with arthritis in your feet? Some warning signs include,
  • Joint pain and stiffness
  • Joint swelling
  • Joint warmth and tenderness to the touch
  • Pain with movement
  • Increased pain and swelling after rest
How do podiatrists treat arthritis of the feet?

There are several different treatment options that we have available to handle your arthritis symptoms:

Medication: Over-the-counter anti-inflammatories like ibuprofen can help reduce inflammation and pain. While those with more minor bouts of arthritis can often find relief from these medications, some patients may need a prescription-strength pain reliever to manage more severe symptoms.
Steroid injections: A dose of corticosteroids administered directly into the joint can help greatly reduce pain and inflammation. While this can be an effective treatment option, the effects are only temporary.
Physical Therapy: There are some exercises you can perform to help increase flexibility and movement while also strengthening your foot and ankle muscles to prevent further problems. Talk to your foot doctor about the different exercises you can perform each day to help improve your foot health and reduce arthritis symptoms.
Lifestyle changes: You should minimize certain activities that could cause symptoms to worsen. This includes switching from more high-impact exercises such as running to lower-impact exercises such as swimming, which will take some of the stress and pressure off the feet and ankles. If necessary we may also advise you to lose weight, as well.
Customized orthotics: Wearing orthotics made specifically for your feet can help take pressure off certain areas of the feet and help reduce pain while moving. Talk to your podiatrist about custom-made orthotics and whether they could improve your condition.

If these conservative treatments don’t do much to help your condition, then we may need to discuss the possibility of surgery. There are different kinds of surgery that we can perform and a lot will depend on the severity and cause of your arthritis. Those with advanced forms of arthritis may have to consider a total ankle replacement.
By Babak Kosari DPM Inc
December 14, 2021
Category: Foot Injuries
Tags: Corns  
CornsFrom running miles to wearing shoes that are too loose or too tight, there are many reasons why you may develop a corn. A corn is your skin’s way of protecting itself when there is any friction or pressure placed on the area. While healthy individuals may be able to simply treat corns on their own with home care, those with diabetes or nerve damage should always turn to a podiatrist even for minor injuries such as corns or calluses.

What is a corn?

A corn is a buildup of skin that occurs when there is repeated friction or pressure placed on the skin. This buildup of skin helps to protect the skin underneath. Corns most commonly develop on the side or tops of the toes and can be either hard or soft. Soft corns often appear between the toes while hard corns typically form on the tops of the toes. While both corns and calluses are thickened areas of skin, calluses are often larger and typically develop on the bottoms of the feet.

Who is more at risk for developing corns?

Certain factors can make someone prone to corns and calluses. These include:
  • Wearing shoes that are too tight or too narrow
  • Having certain foot conditions that alter its structural alignments such as arthritis, bunions, or hammertoes
  • Wearing shoes without socks
  • Being a smoker
How do I treat a corn?

If you are a healthy individual, then simple lifestyle changes and home care can help to improve your corn. Soak the area for 5-10 minutes to soften the area. You may use a pumice stone to gently remove some of the thickened layers of skin. Make sure not to be too aggressive or to remove too much, as this can lead to bleeding and even infection. After pumicing the area, make sure to apply a moisturizer to your feet. If you have diabetes or nerve damage in your feet, do not try the pumice or remove the corn yourself. A podiatrist can provide you with the proper treatment.

Make sure you are wearing properly fitted shoes at all times. This can cut down on the number of corns or calluses you’ll deal with. Keep nails properly trimmed so they don’t rub against toes and cause corns. If certain areas of your feet are prone to corns, you may wish to apply protective adhesive padding to the area either to protect the corn or to prevent a new one from forming.

If you notice any changes to a corn, including signs of infection, it’s important that you turn to a podiatrist right away for care. While most corns will go away if you avoid any shoes that cause pressure or friction to the area, you should turn to a foot doctor if you have concerns.
By Babak Kosari DPM Inc
December 06, 2021
Category: Foot Care
Tags: Custom Orthotics   Orthotics  
Custom OrthoticsOur feet are often overworked and underappreciated. They do so much for us and yet we often take them for granted unless they start to cause us issues. Whether you’re looking for ways to prevent foot problems from happening in the first place or you’re already dealing with these issues, there are many reasons people are turning to their podiatrist for custom orthotics.

What are orthotics?

Sometimes known as arch support, custom orthotics give people the freedom to stand and move easier and more comfortably. Some people might opt for over-the-counter orthotics because of convenience; however, over-the-counter orthotics are not crafted uniquely to your feet, which often means that they won’t provide the relief you’re looking for from foot pain and other issues, and may even make problems worse. Instead, consider getting custom orthotics that are designed to correct your specific foot problems, ease symptoms, and make it easier for you to get back to your life.

Here are the types of custom orthotics that podiatrists often provide:

Rigid Orthotics

Rigid orthotics are often made from harder materials such as plastic or carbon fiber and are used to control function. They also help to control motion in the joints of the foot. They are most often used with walking shoes or dress shoes as they help with strains, aches and pains in the legs, thighs, and lower back.

Soft Orthotics

Just like the name states, soft orthotics are made out of more cushioned materials so they can act as shock absorbers, help with balance, and relieve pressure. They also cradle the soles of the foot and support everything from the heel and balls of your feet to the toes. Since soft orthotics help to absorb shock, they can be a good option for athletes and those with active lifestyles.

Semi-Rigid Orthotics

Semi-rigid orthotics can also be a great option for sports players as they provide a good balance. As the name implies, semi-rigid orthotics are made with layers of soft material that are backed by a rigid material. While this type is great for avid walkers and the like, semi-rigid orthotics are also prescribed to treat flatfoot and other foot disorders in children. If you’re planning on running a marathon this year and you’re experiencing foot pain, semi-rigid orthotics might help relieve some of the discomforts you’re feeling while training.

Are you interested in custom orthotics? If so, your podiatrist can chat more about orthotics and how they could benefit your feet based on your foot health, age, activities, and lifestyle.
By Babak Kosari DPM Inc
November 24, 2021
Category: Foot Issues
Tags: Sweaty Feet   Hyperhidrosis  
Sweaty FeetSweating occasionally is normal. It could be a particularly hot day or you could simply be hitting your workout hard. In these instances, sweating isn’t just normal, it’s expected; however, if you find yourself sweating excessively, particularly in your feet, and for no reason whatsoever you may be wondering what’s going on.

Your Sweaty Feet Could be Hyperhidrosis

Hyperhidrosis is the medical term for excessive sweating. Plantar hyperhidrosis is when people experience excessive sweating of the feet. Men are often more likely than women to develop this issue. The good news is that if your podiatrist determines that you have plantar hyperhidrosis there are ways to several ways to treat it.

Your Hyperhidrosis May Be Secondary

Okay, so what does this mean exactly? This means that you may have an underlying condition that could have brought about hyperhidrosis. So by finding and treating the underlying cause we can often alleviate hyperhidrosis. Secondary hyperhidrosis may be caused by:
  • Menopause
  • Hyperthyroidism
  • Parkinson’s disease
  • Anxiety
  • Diabetes
  • Intense stress
  • Certain prescription medications such as antidepressants
  • Tuberculosis and other infections
  • Dysautonomia
We’ll Try Conservative Measures First

As is the way for treating most health conditions, your podiatrist will often recommend certain lifestyle changes and simple treatment options first to see if these are effective enough against excessive sweatiness. Only if these treatment options don’t work will your podiatrist turn to more aggressive options. Conservative options include:
  • Applying deodorant or antiperspirant to your feet
  • Applying antifungal powder to the feet
  • Making sure not to wear the same shoes two days in a row
  • Choosing breathable shoes (shoes made from leather or canvas)
  • Wearing moisture-wicking socks
How a Podiatrist Can Help

While a podiatrist can recommend a variety of options to help you manage your sweaty feet, there are instances where you may need to turn to a foot and ankle specialist for more aggressive treatment. One way that a podiatrist treats sweaty feet is with iontophoresis, a painless device that passes mild electrical currents through the feet to temporarily stop sweat glands from producing sweat. Along with iontophoresis, a podiatrist may also recommend Botox injections, which can also temporarily stop excessive sweating for anywhere from 6-9 months.

If you are dealing with sweaty feet and it’s impacting your daily routine or making you uncomfortable, a podiatrist can evaluate your issue and figure out how to get your sweating under control.
By Babak Kosari DPM Inc
November 02, 2021
Category: Foot Injuries
Tags: Splinters  
SplintersGetting splinters in the feet is fairly common. Of course, some people wonder if they can simply leave a splinter in their foot and let it work itself out. Others may not know how to safely remove a splinter, which can cause more harm than good. A podiatrist can help you remove splinters from your feet, particularly in children who may be squeamish about having parents remove them.

Why Splinters Need to be Removed

Regardless of whether the splinter is wood, glass, or even a plant thorn, you must remove it from the foot as soon as possible. Why? Because these foreign objects also contain germs, which can lead to an infection if the splinter isn’t promptly and fully removed.

How to Remove a Splinter Yourself

You probably have all the tools you need at home to remove a splinter safely. Of course, it’s important to go over the basics of safe splinter removal. Here are tips for safely removing the splinter:
  • Soak the foot in warm water for a few minutes to soften the skin
  • Wash your hands thoroughly before removing the splinter
  • Once the skin has softened in the water, see if you can squeeze the splinter out by simply applying pressure to both sides (like you would a pimple)
  • If squeezing doesn’t work, you can use tweezers or a sewing needle to remove the foreign object (just make sure to disinfect these tools first with rubbing alcohol)
  • If the splinter cannot be grabbed with tweezers, use the needle to create a small opening around the splinter to make it easier to grab
  • Be gentle and careful when removing the splinter to avoid breaking it
When To See a Podiatrist

While a splinter often isn’t a big deal there will be situations in which turning to a podiatric physician will be the best option. You should turn to one if:
  • You aren’t able to remove the splinter or foreign object yourself
  • The area becomes red, tender, swollen, or contains pus (signs of infection)
  • You feel like there’s a splinter but you can’t see it
  • You have diabetes or nerve damage in your feet (do not try to remove a splinter yourself)
  • The splinter is too deep or too painful
  • Your child is too squeamish or won’t sit still so you can remove the splinter
If there is a foreign body in your foot or your child’s foot, or if there are symptoms of an infection present, it’s important that you turn to your podiatrist right away to have the splinter removed and the area properly treated.




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