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Taking Care Of Your Feet Doesn’t Have To Be A PainGout Symptoms: When Should You Call a Podiatrist


Whether it is your bunion that bothers you or your ankle pain that doesn’t leave you in peace, it is wise to have a good piece of advice from an experienced healthcare practitioner who can appropriately address your health issue and handle it to the best of his knowledge and abilities.


When you are in pain you want the best tools and specialists for the best possible care, the first person that you need to consult before you go to any specialists is you yourself. By taking care of your feet, you can then make the job of podiatrists or physical therapists that much easier.


Self-Foot Care


You are the first line of defense, and sadly, many people neglect their own feet to the point that intervention is required. They wear ill-fitting shoes, ignore their toenails to the point that they could become lethal cutting weapons - both on themselves or any unlucky significant others -  and let their feet become drier than the Sahara Desert. If these things were attended to first, then any doctor or physical therapist visits would become that much less painful or necessary.


Here are some things you must do:


  • Clip your nails correctly. Use the toenail clipper in the right way - if you don’t, ingrown toenails become a regular hazard. If you don’t feel that you can do this, then have your podiatrist or physical therapist do it for you.
  • Wear proper-fitting shoes. This doesn’t extend just to women, who often wear shoes that even medieval torturers would deem too cruel. Men often don’t pay attention to what size they wear and often pay the price for that with callouses, hammer toes and other foot ailments. Make sure you have ankle support. That can contribute to foot pain.
  • Stretch. It may sound silly but doing some very basic rotation exercises each day can make your feet and ankles much stronger and able to withstand more. 5 to 10 minutes each day is a sound investment to help keep you from being off your feet for a much longer period of time.
  • Moisturize, moisturize and moisturize your feet even more. No, that doesn’t mean run water over them for a long period of time. Make sure you apply lotion on your feet to keep the skin there smooth and supple. Dry, cracked feet can make having to stand on them for long periods of time quite uncomfortable.


When patients come for physical therapy, the very first thing that they want is to relieve pain. If they have taken the steps previously mentioned, then it makes the physical therapist’s job much easier.


If all these tips are not able to relieve whatever ails your foot, feel free to come visit the best physical therapist NYC. The excellent staff there will look at your feet and then chart a course of treatment or exercise or both that will have both you and your feet feeling fine. You can visit either the Midtown or Downtown locations… whatever is the most convenient for you.


Gout Symptoms: When Should You Call a PodiatristGout is a complicated form of arthritis that could strike anyone at any time. It involves a sudden and painful inflammation of the joints. The joint that is most often affected by gout is the base of the big toe. Gout symptoms may come and go, but the flares often get worse over time. If you have any of these symptoms of gout or other problems with the joints in your foot, it is a good idea to call the podiatrist for an examination and diagnosis.


Intense Joint Pain

The hallmark of gout symptoms is intense joint pain that comes on without any warning. A gout attack could wake you up in the middle of the night from a deep sleep. It usually affects the joint at the base of your big toe, but it could affect other joints in your body, such as your ankle or knees. More than one of your joints could be affected at the same time. The pain reaches its maximum about 4 to 12 hours after it begins.

Lingering Discomfort

Many people experience lingering discomfort after a gout attack. The pain gradually subsides, but you could still feel sore and tender in the affected joint for up to a few weeks. Each time you have a gout attack, it could affect additional joints, and the pain could linger on for a longer period of time.

Reduced Range of Motion

During a gout attack, you may not be able to move your big toe in the ways that you usually can. Pointing your toes could be difficult. You might notice increased pain when you stand on your tiptoes or when you push off to run or jump. Bending your foot to step up an incline or climb a set of stairs could worsen your pain. You might find it difficult to put on shoes.

Inflammation and Redness

During a gout attack, it is common to have inflammation of the affected joint. For example, if the big toe of your left foot is affected, its joint is likely to look swollen compared to the big toe on your right foot. The joint may also look red and feel warm to the touch. During a severe gout attack, the joint may be extremely tender. Putting a shoe on your foot could prove to be too painful. Even the pressure of a lightweight cotton or nylon sock might be more than you could bear.

When to Call a Podiatrist

Gout that is not treated could get progressively worse, leaving you with permanent joint damage. Untreated gout attacks often get more painful with time. If you have any of these symptoms, it is important to call your podiatrist for an appointment:

A gout attack that continues to get worse over a few days

* You cannot put weight on the affected foot

* You develop a fever along with the joint pain

 *These are signs of an infection that require prompt medical treatment

Do Orthotics Help Foot PainFoot pain can happen anywhere on the foot, but it is especially common in the ball of the foot, along the arch and at the heel. The ball of the foot incurs a lot of force when you take a step, jump or run. Your heels also experience a lot of force when you walk or stand on your feet for extended periods of time. The arches may develop pain because the soft tissues become stretched, inflamed or swollen. Orthotics that are custom-made for you by your podiatrist are designed to relieve specific types of foot pain.

How Orthotics Work

To answer the question of "Do orthotics help foot pain?", it is important to understand how the devices work and what they are. There are two main categories of orthotic devices. One type is available over-the-counter. These products consist of flexible foam or gel-filled inserts that you place inside of your shoe. They are designed to supplement the cushioning of the insole that is already in your shoe. The second category is custom orthotic devices made just for you by the podiatrist. To make the customized inserts, the podiatrist makes a mold of your foot. The customized orthotic device is made from plastic with layers of leather and foam for durability, protection and comfort. They slide into your shoe and fit underneath of your foot while you stand or walk.

Why Orthotic Inserts Help With Painful Feet

The second part of the answer to "Do orthotics help foot pain?" is about the mechanics of taking a step. The forces on the different parts of your foot cause minor traumas, such as tissue swelling, irritation of a nerve or tiny stress fractures. The arch support of the hard plastic part of the orthotic device helps to align your foot properly within the shoe. It keeps the bones of your feet aligned so that the forces of walking or running are distributed properly instead of focused on one area. The cushioning parts of the orthotic devices absorb some of the impact of taking a step, reducing the amount of force that is transmitted to your bones and soft tissues. The combination of support and cushioning is what reduces your foot pain.

Painful Foot Conditions Helped By Orthotic Devices

There are many types of painful foot conditions that could benefit from the use of customized orthotic inserts. Some foot problems are often successfully treated with the use of orthotic shoe inserts. These conditions include:
  • Plantar fasciitis
  • Prominent big toe joints
  • Osteoarthritis and rheumatoid arthritis
  • High arches
  • Flat feet
  • Over-pronation
  • Heel spurs
  • Metatarsalgia
  • Sesamoiditis
  • Sesamoid fractures

When you meet with the podiatrist, it is a good idea to share which activities tend to aggravate your pain. This could affect the types of materials that are used in the creation of your orthotic device. The mechanics of running are different than the mechanics of walking.
December 28, 2017
Category: Uncategorized
Tags: calluses  

How do podiatrists remove calluses?How do podiatrists remove calluses?

Many people develop one or more calluses on their feet. Calluses are thickened layers of skin. These thick areas serve to protect the inner parts of the foot from impacts each time a person runs, jumps or takes a step. People with diabetes, neuromuscular disorders or circulatory system disorders may need to visit a podiatrist to have their calluses evaluated and professionally removed. Athletes and other people may also wish to have calluses removed, especially if they become uncomfortable.

Which Calluses Should Be Removed

An important part of considering how do podiatrists remove calluses is related to which calluses should be removed by a podiatry specialist. A small callus might be reversible by replacing worn-out shoes or switching to shoes that have better heel and ball of foot support. A callus that is larger than a dime, causing pain or ulcerated should be removed. Podiatrists will also attend to a callus on an athlete or a person with diabetes or other chronic conditions that affect the foot.

Callus Removal With a Surgical Blade

The primary method of how do podiatrists remove calluses is with a sterile surgical blade. The podiatrist may use a blade that is attached to a handle or one that is held in their hand. Slowly and methodically, the podiatrist moves the blade across the callused area. One layer of dead skin is removed with each passing of the surgical blade. Once the dead layers of skin have been removed and live skin is uncovered, the podiatrist will stop. The edges of the callous will be smoothed with a pumice stone in order to enhance patient comfort.

Trimming a Callus With an Electric Tool

Some podiatrists use an electric tool that looks like an electric razor. This type of a tool has multiple thin and flexible blades that glide across the skin. The podiatrist might select this tool for a callus that is on the side of a toe or that wraps around the back of a heel.

Callus Removal With a Scalpel

When a callus is cracked open or has started to ulcerate, the podiatrist might need to remove the infection underneath the dead skin. In this situation, the podiatrist numbs the area with an injection of a local anesthetic. A surgical scalpel is used to remove the callus and the infected tissue. This technique may be required in people with diabetes who did not notice that the callus was cracked open. It may also be necessary when removing a callus between the toes. A cortisone injection may be given to reduce inflammation and pain in the affected area.

Callus Surgery

A person with advanced diabetes or circulatory disorders may need surgical callus removal. A deep infection or a large, deep callus may need to be removed in this way. Podiatrists usually do this as an outpatient procedure. Regular check-ups with the podiatrists are key to ensuring proper healing of the foot and prevention of future calluses and infections.

common foot probles when runningIf you’re a runner, you know that the biggest challenge is caring for your feet. From getting the right running shoes to after care when your feet are tired and sore. That’s just one of the reasons runners begrudgingly don’t like running. Of course, the benefits of running far outway the negatives.

As a runner, there are some more serious conditions than sore feet that should be paid attention to. A foot, while carrying us through life, can also be quite delicate. It’s a series of bones, tendons, ligaments, and muscles that are all connected have to work together. If one these goes out of order, the foot is out of commission until it’s fixed.

Fortunately, most foot ailments can be handled. These below are the most common foot ailments are runner can run into.


The Foot and the Runner


The first and most common condition is Plantar Fasciitis. The plantar fascia tendon is the one that runs the length of the bottom of the foot. This condition is characterized by a sharp, stabbing pain at the bottom of your foot. This is a tendonitis issue. Generally, it’s caused by overuse, not stretching, or wearing the wrong shoes.

The second common condition is a Stress Fracture. This is where the bone issue, where a small fracture can occur in any of the bones that comprise the foot. The most common area for stress fractures, however, is the metatarsals. These fractures they take time to build. Then, suddenly, the point comes where you feel a sharp pain in an area of your foot. Unfortunately, it’s sometimes hard to distinguish between general foot pain and a stress fracture, and x-rays are not always reliable as these fractures are quite small. The common way to find out if you have a stress fracture, is the tuning fork method and the vibrations will end up rattling your bones. Your podiatrist will advise on the best treatments.

The last condition that runners currently find themselves in is Extensor Tendonitis. These are the tendons that go across the top of the foot and go down from the muscles in front of the shin. These are the tendons that straighten each toe and generally help work them. Just like any tendon, it can become inflamed and overused. The pain can be similar to a stress fracture, but the main difference is that with extensor tendonitis, you’ll have trouble raising your toes.

While these conditions are painful and can momentarily stop you from running, letting them go unchecked or untreated, will only worsen the condition for the future. Make sure to visit a podiatrist who will advise the best treatment to get you back on your feet and hitting the streets.

Family Foot Center is always ready to help runners during any time of need. If you’re experiencing any of the above, feel free to schedule an appointment.

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