Wednesday, 19 November 2014 23:48

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid, crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

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Wednesday, 12 November 2014 22:25

Teaching Assistant Accuses Flip-Flops and Flat Shoes and Foot Pain Culprit, Not High Heels

Michele Crow, a 41-year-old teaching assistant has always preferred flip-flops and flat shoes over high heels, never taking into consideration that flat shoes can create just as many problems. Crow started to notice her foot problems when she went on vacation to Portugal and realized that her wooden-soled flip-flops were creating an ache in the arch of her foot. When the teaching assistant went for a run a few days later, the pain worsened to the point that she could not walk and had to see a doctor. Crow has since been diagnosed with plantar fasciitis and is taking on a wide variety of treatments to try and fix her foot. She states, “You often hear about the twisted ankles, bunions, and backache that can be caused by wearing high heels, but I had no idea flat shoes could also damage your feet so badly.”

Flip-flops, while usually cited for their comfort, do not have the proper foot support. For more information, consult with one of our podiatrists of Univeristy Foot & Ankle Center, LLC. Our doctors will answer any of your foot- and ankle-related questions.

Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off, perfect for any summer beach goer. However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

Ankle problems
Hip problems
Lower back problems
Pain in the balls of the feet
Problems with foot arches
Changes in the way you walk

Are there injuries associated with flip-flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:

Sprained ankles
Blisters
Infections
Cuts and Scrapes

I like wearing flip-flops, are there safe alternatives?
When buying flip-flops, try to find ones that have sturdy soles and are made of high quality materials that will support for your feet. These flip-flops will cost more, but will also last longer as a result.

For more information about Flip Flops, follow the link below.

If you have any questions, please contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer all the newest in diagnostic and treatment technologies for all your foot and ankle conditions.

Read more about Flip Flops and Your Feet

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Wednesday, 12 November 2014 22:25

Flip-flops and Feet

Flip-flops are some of the most comfortable and convenient kinds of shoes there are. They let you freely move your toes, aren't constrictive, and allow your feet to breathe. They can also be worn with almost any attire, and match most clothing styles. Unfortunately, wearing flip-flops can also be very dangerous. These sorts of shoes can harm your feet in more ways than you may think.

Although they are comfortable, constant flip-flop use can lead to problems with the ankles, hips, and lower back if worn on a long-term basis. This is because people walk much differently in flip-flops than they do in other shoes like sneakers. Their natural gait is being forced to change, throwing the body off and causing stress to different parts of the body. Flip-flops can also lead to problems in the arches of your feet, and pain in the balls of your feet. There is little to no support provided by flip-flops, so some parts of the foot undergo much more stress than normal.

Flip-flops can cause more obvious short term problems as well, like ankle sprains and frequent blisters. Because these shoes are relatively weak and can easily bend while walking, wearers are far more likely to trip and hurt their ankles. Flip-flops can also cause bad blisters, because their straps are constantly rubbing up against the foot. Additionally, someone wearing flip-flops is more prone to infections, due to the openness of the shoe. It very easy to scrape and cut your foot when wearing flip-flops because they offer little protection for the foot. If left untreated and uncovered, these same cuts can get dirtied and infected as flip-flops wearers walk around.

In order to avoid this, make sure to get a pair of flip-flops that will keep your feet as safe as possible. When looking to purchase flip-flops, you should check that the actual sole is sturdy and firm. The flip-flops are too floppy if the sole droops and wiggles a great deal when lifted off the floor. These will offer very little support, and may lead to other problems like tripping.

If you only purchase flip-flops made of high quality, sturdy materials, you won't have to worry about this. Although they will cost a little more, flip-flops made of these materials will last longer, and will protect your feet more so than a cheap pair of flip-flops. Also, make sure to buy from a reliable brand name. You can often find relatively cheap shoes from these companies, and once you have bought them you know they will last.

You can still wear your favorite flip-flops, just avoid wearing them every day of the week, or for extended periods of time. It is also recommended that you replace flip-flops every three or four months, in order to be sure that they provide maximum protection to your feet.

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Friday, 07 November 2014 16:46

Custom-Sized Shoes provided for Stratford Festival Performers

Specially crafted shoes are made for the various actors and dancers performing at the annually-held Stratford Festival and its several productions. The Stratford shoemakers crank out about 1000 pairs of shoes each year in preparation for the festival. Performers often request customized specifications for their shoes to optimize foot support while on stage.

The theater’s upcoming production of Crazy For You features numerous tap dancers; several of these dancers have requested altered shoe sizes to allow a specific amount of toe room for dancing. Shoes are either altered by the Stratford shoemakers themselves or off-site. “It makes a difference to how you perform, especially with tap dancing,” said Kerry Gage, associate choreographer of Crazy for You. “Everybody’s feet are entirely different.”

Getting the right shoe size is important for those who rely on the performance of their feet. If you would like more information in determining your shoe size, speak to one of our podiatrists of Univeristy Foot & Ankle Center, LLC. Our doctors can assist you with all of your foot and ankle concerns.

Getting the Right Shoe Size

Sometimes it may be difficult finding the right shoe size especially because shoe sizes tend to vary depending on the brand and company you are looking for. A size 6 for one brand may be a size 7 in another. Although many people know their exact shoe size, it can range within 2 sizes depending on where they shop.

So it is important not to always go for a size 7 just because you think you might be a size 7 universally. It is best to try on the shoe and walk around for a bit to see how it fits and how it feels. Comfort is essential and the fitting has to be well otherwise it can lead to blisters, bruises at the back of the ankle and it can also hurt your toes if the shoe is too tight for example.

People walk a lot, so it is important for you to find what is comfortable when it is possible.

For more information about Getting the Right Shoe Size, follow the link below.

Read more about Getting the Right Shoe Size

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Friday, 07 November 2014 16:46

Getting the Right Shoe Size: How To Keep Your Feet Happy

Are your shoes the right size? Many people are walking around with ill-fitting shoes. Picking the right shoe size is not rocket science, but there are a few things to remember when selecting your next pair.

Most shoe stores and department stores have rulers for measuring your feet, and these can give you an exact size. Be sure to measure with your shoe on. Measuring your foot will give you a different size than your shoe. If you do measure your foot size, you will need to add 1-2 inches to get the proper sizing.

Wiggle room is the most important factor when selecting shoes. Make sure that your toes are not cramped and that you can wiggle them. A rule of thumb is that there should be one inch between your toes and the tip of your shoe. If your shoes are not properly sized, you can experience foot pain, knee pain, blisters and swelling.

Don’t assume that you will always wear the same size in a shoe. Often manufacturers size shoes differently. The size you wear with one company may not be the same as the size you wear with another. Make sure that the company you buy from has a return policy. No one needs a closet full of shoes which they cannot wear.

It is advisable not to buy your shoes in the morning, but rather late in the day. Your feet actually swell as the day goes on and you need plenty of room to walk comfortably. Buying shoes in the morning that are snug is sure to cause problems once the day is done. Also, make sure that you are buying the right sizes for both feet. It is not uncommon for one foot to be larger than the other, and some people have to buy two separate sizes to accommodate different sized feet.

The biggest concern in buying shoes is comfort. Oftentimes people will buy shoes that are not the most comfortable in the store. People think that the shoes simply need to be “broken in”. If a shoe does not fit in the store, it will not fit at home either. Comfort should be the ultimate goal when purchasing a pair of shoes; your feet will thank you.

Let’s face it; we all walk a lot, some of us more than others. Selecting the best shoes for your particular lifestyle is essential. By properly sizing your shoes and buying the proper comfort level, your feet will be dancing all day long.

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Thursday, 23 October 2014 08:45

Several Hundred Children Given Shoes from Samaritan’s Feet

Northeastern Indiana Credit Union Chapter (NEICUC) recently joined forces with Samaritan’s Feet International in creating the Samaritan’s Feet event. NEICUC financed, coordinated logistics, and recruited 40 volunteers for the event that provided three hundred new pairs of shoes for members of the Boys & Girls Club and the Euell A. Wilson Center. Members also had the option of having their feet washed by one of the volunteers to spread hope and sharing. Samaritan’s Feet leaders believe that they can show the youth that their dreams are attainable. “It is wonderful to see the collaborative efforts that have been done on behalf of the youth in our community,” said Joe Jordan, President and CEO of the Boys & Girls Clubs of Fort Wayne.

To ensure that their feet will grow and develop healthily, children need to proper fitting shoes on their feet. For more information about determining proper shoe fitting for children, see podiatrists Dr. Genine Befumo & Dr. Mark Berger of University Foot & Ankle Center, LLC.. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in properly fitting shoes:

Be sure the shoes fit correctly right away
Ensure the ball of your foot fits comfortably in the widest portion of the shoes
Even though they may look fashionable, improperly fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

For more information about Proper Shoe Fitting, follow the link below.

If you have any questions, please contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Designer Shoes Cause Blisters for Virgin Atlantic

Over the years there have been plenty of collaborations between airlines and big time fashion designers. Some of these include Pierre Balmain for Singapore Airlines and Christian Lacroix for Air France. Recently, Virgin Atlantic has made an agreement with Vivienne Westwood on creating the new flight attendant and crew member uniforms. The global wearer trial for the uniforms has had positive reviews; however, plenty employees have described blisters from the designer’s shoes. The shoes are an adaptation of Westwood’s signature heels. A spokesperson for the airline responded to the reports declaring that the company is working to ensure that its employees are “happy and comfortable in their working environment.”
If you work in an environment that requires extensive standing and walking, you may develop blisters on the feet. To learn more about blister treatment and prevention, speak to Dr. Genine Befumo and Dr. Mark Berger of University Foot & Ankle Center, LLC. Our doctors will assist you with all of your foot and ankle concerns and answer any of your related questions.

Blisters on the Feet
When tight or ill-fitting footwear is worn, many times a foot blister may develop. Blisters can even develop by constant rubbing from the shoe, often times leading to pain.

What is a Foot Blister?
A foot blister is a small pocket that is filled with fluid, forming on the upper most layer of the skin. Blisters are filled with clear fluid, and may lead to drainage of blood or pus if the area has become infected.

How do they Form?
Blisters of the feet are almost always the result of shoe rubbing and constant friction of the skin and material. Long periods of walking in shoes, sandals, or boots which don’t fit properly can result in a blister. Those who often have moisture or humidity in the feet, are prone to blister formation easily.

Prevention & Treatment
Proper care is vital to alleviate pain and prevent infection to the affected area of the foot. The best treatment is to leave them alone. New skin will develop under the blister and during the healing stages, your blister will pop.

For more information about Blisters on the Feet, follow the link below.

If you have any questions please feel free to contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Blisters on the Feet

If you have ever worn a pair of shoes that were two tight or just rubbed you in the wrong place, then chances are that you have experienced the pain of having a blister formed. To better understand how blisters form, what treatment we should apply for blisters, and how we can avoid having them form, we should learn more about what blisters are.

A blister on the foot is basically a small pocket that is fluid filled. This pocket typically forms on the upper layers of skin, because those layers are so thin. The majority of the time, blisters are filled with clear fluid; however, sometimes the blisters may be filled with blood and even pus if they have become infected due to bacteria entering the blister pocket.

Blisters on the feet are almost always a result of a shoe rubbing the foot constantly which results in what is termed a friction blister. These blisters occur after you have walked for very long periods of time or when you wear a pair of shoes that do not fit your feet properly. Blisters also form more easily if your feet are moist.

If you experience the displeasure of having a blister form on your foot, then proper treatment is an absolute must to alleviate pain and to prevent infection. In general the best treatment for blisters that are full of clear fluid is to just leave them alone. Your body will form new skin under the blister and then when the time is right your body will allow the blister to pop. If you try to lance the blister you may introduce bacteria in it that will lead to an infection. If the blister is painful, then you can use a band-aid over it to provide some cushioning which should relieve pain.

If the blister is filled with blood or pus, then the best treatment is to seek out the attention of a doctor. These blisters may need to be further evaluated and you may be given antibiotics to destroy any infection that you may have.

Preventing blisters on the feet is the best way to prevent any pain or infection that could occur. You can prevent blisters by keeping your feet dry and by making sure that you wear a proper pair of shoes that fit your feet well, without being too tight or too loose. If you do feel a place on your foot where your shoe is rubbing, then applying a band-aid to that spot may prevent a blister from forming until you can change them.

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Wednesday, 08 October 2014 11:07

Non-Surgical Methods to Aid Hammertoes

Although many patients suffering from hammertoes would like to receive immediate surgery to get the process over with, many insurance companies will not even consider covering the costs until non-surgical treatments are attempted first. Invasive methods of non-surgical treatment include cortisone injections, analgesic drugs, or anti-inflammatory drugs to help ease the discomfort and swelling caused by hammertoes. Using custom orthotic inserts can help decrease discomfort as well as wearing a splint if the toe is still capable of being straightened are some non-invasive methods. The splint can also keep the toe from rubbing against the top of the toe with its protective padding. Hammertoes can be prevented with proper fitting footwear and by avoiding high heels.

Successful hammertoe correction will often require the assistance of a medical professional. If you would like to make a consultation for a hammertoe, see podiatrist one of our doctors of University Foot and Ankle Center, LLC. We will provide you with quality treatment and attend to all of your foot and ankle needs.

Hammertoe
Hammertoe is little-known a painful condition that affects the second, third and fourth toes involving different joints of the toe and foot. Hammertoe can be caused by many other conditions such as RA (rheumatoid arthritis), osteoarthritis, trauma or injuries to your foot, it can be hereditary and it can also be caused by a cerebral vascular accident. If you wear shoes that are too narrow or short for your feet, it may exacerbate any pain you already have.

It is really important to your overall well-being to seek out medical attention at the first signs of foot pain or anything that may hinder your ability to walk in a normal manner. Taking care of your feet is one of the first steps to being able to live a full and healthy life.

If you have any questions, please feel free to contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe: No Walk in the Park!

Hammertoe is a painful deformity of the second, third, or fourth toe, frequently caused by improper mechanics—the way a person walks or the shoes they wear that do not allow room for the deformity. Similar to mallet toe and claw toe, hammertoe involves different joints of the toe and foot. Shoes that are too narrow or short for the foot, or have excessively high heels, can cause of hammertoe. Improperly sized shoes force the toes into a bent position for long periods, causing the muscles to shorten and bend the toes into the hammertoe deformity.

Other causes of hammertoe may be complications from RA (rheumatoid arthritis), osteoarthritis, trauma to the foot, heredity, or CVA (cerebral vascular accident). Symptoms of hammertoe include, but may not be limited to, pain and difficult mobility of the toes, deformity, and calluses or corns from toes abrading one another.

A patient experiencing symptoms of hammertoe should seek examination by a physician, specifically a podiatrist. Podiatrists diagnose and treat disorders of the foot. If the doctor finds the involved toes have retained some flexibility, treatment may involve simple exercise, physical therapy, and a better fit to shoes worn by the patient. Treatment often targets controlling the mechanics, such as walking, that cause hammertoe by using custom orthotics.

In more advanced cases, where the toes have become rigid and inflexible, the doctor may suggest surgery. The operation would consist of incising the toe to relieve pressure on the tendons. The doctor may re-align tendons and remove small pieces of bone in order to straighten the toe. The insertion of pins may be necessary to fix bones in the proper position while the toe heals. Usually the patient is able to return home on the day of surgery.

If surgery is necessary, it is important to follow the postoperative directions of your physician. Theses may include various stretches, attempting to crumple a towel placed flat against your feet, or picking up marbles with your toes. Striving to wear shoes with low heels and ample toe space will ensure healthy feet and toes. Avoid closed shoes and high heels. Laced shoes tend to be roomier and more comfortable. Shoes with a minimum of one half inch space between the tip of your longest toe and the inside of the shoe will provide adequate space, relieve pressure on your toes, and prevent hammertoe from re-occurring.

Some tips on feet may include purchasing shoes at mid-day as your feet are smaller in the morning and swell as the day progresses. Ensure that she shoes you buy are both the same size and have the store stretch shoes at painful points to provide for optimum comfort.

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Systemic Diseases of the Foot

Teaching Assistant Accuses Flip-Flops and Flat Shoes and Foot Pain Culprit, Not High Heels

Flip-flops and Feet

Custom-Sized Shoes provided for Stratford Festival Performers

Getting the Right Shoe Size: How To Keep Your Feet Happy

Several Hundred Children Given Shoes from Samaritan’s Feet

Designer Shoes Cause Blisters for Virgin Atlantic

Blisters on the Feet

Non-Surgical Methods to Aid Hammertoes

Hammertoe: No Walk in the Park!

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