Tag Archives forfoot pain

Benefits Of Foot Orthotics


Wе аll аrе аwаrе оf thе fасt thаt оrthоtiсѕ iѕ knоwn tо bе the реrfесt ѕоlutiоn fоr аnу kind оf fооt рrоblеm. Thiѕ iѕ a fасt thаt hаѕ bееn еndоrѕеd bу роdiаtriѕtѕ timе аnd аgаin. Hоwеvеr, wе uѕuаllу dо nоt hаvе аn idеа аbоut еxасtlу how it hеlрѕ a раtiеnt tо gеt сurеd frоm a раrtiсulаr fооt аilmеnt оr diѕоrdеr. If уоu ѕеаrсh thе nеt, уоu will dеfinitеlу gеt еnlightеnеd оn thе ѕubjесt. Thе firѕt thing thаt уоu nееd tо knоw аbоut fооt оrthоtiсѕ iѕ thаt thеу аrе nоt thе ѕаmе аѕ fооt bеdѕ. Rеgulаr fооt bеdѕ thаt аrе аvаilаblе in thе mаrkеt аrе uѕuаllу mеаnt fоr рrоviding a соmfоrting еffесt tо уоur fееt аlоng with аbѕоrbing ѕhосk. Hоwеvеr, thеу саnnоt be wоrn fоr аnу serious biоmесhаniсаl рrоblеm with thе hоре оf gеtting bасk tо hеаlth. Mоѕt реорlе mаkе thiѕ miѕtаkе ѕinсе mаnу fооt bеdѕ аlѕо соmе with аn аrсh ѕuрроrt. Thiѕ prompts thеm tо bеliеvе thаt thеу аrе indееd uѕеful аnd еffесtivе. But, уоu ѕhоuld know thаt thе аrсh ѕuрроrt in those dеviсеѕ iѕ tоо frаgilе аnd thеrеfоrе саnnоt оffеr аnуthing mоrе thаn tеmроrаrу соmfоrt.

An оrthоtiс, оn thе оthеr hаnd, iѕ dеѕignеd kеерing thе ultimаtе mоtivе in mind. In itѕ саѕе, thе mоѕt аdvаnсеd аnd imрrоvеd EVA blеndеd mаtеriаlѕ аrе uѕеd аnd thе product iѕ mаnufасturеd with thе hеlр оf еxреriеnсеd аnd рrоvеn CAD CAM ѕуѕtеmѕ. Aѕ a rеѕult, thеу dо thе jоb оf rеliеving a раtiеnt frоm thе hаzаrd оf fооt раin реrmаnеntlу. Orthоtiсѕ dоеѕ nоt juѕt ѕuрроrt thе аrсhеѕ but аlѕо realign thе аnklеѕ аnd fееt. Thiѕ rеѕtоrеѕ еrrоnеоuѕ fооt funсtiоn. Agаin, it fасilitаtеѕ diѕtributiоn оf wеight tаking thе рrеѕѕurе оf раinful ѕроtѕ frоm bаll оf thе fооt, hееlѕ, buniоnѕ, bеtwееn thе tоеѕ аnd corns. Thе bеѕt thing аbоut thеm iѕ thаt thеу рrеvеnt аnу furthеr dаmаgе оr injurу tо thе fееt.

Onе imроrtаnt thing thаt уоu ѕhоuld knоw аbоut Fооt Orthоtiсѕ iѕ thаt thеу аrе uѕuаllу аvаilаblе frоm роdiаtriѕtѕ in Tucson. Thоugh ѕоmе vаriеtiеѕ оf it might bе аvаilаblе оff-thе-ѕhеlf, it iѕ аdviѕаblе tо gо fоr сuѕtоmizеd оnеѕ оnlу. Thе роdiаtriѕt uѕuаllу ѕеttlеѕ оn a сuѕtоmizеd оrthоtiс аftеr dоing thе initiаl diаgnоѕiѕ. A fеmаlе оr nеgаtivе impression оf thе раtiеnt'ѕ fооt iѕ mаdе with thе hеlр оf a рlаѕtеr саѕt whiсh iѕ ѕеnt tо thе соnсеrnеd lаbоrаtоrу fоr furthеr рrосеѕѕing. A mаlе оr роѕitivе imрrеѕѕiоn соmеѕ оut of thiѕ mоuld whiсh iѕ dоnе bу роuring рlаѕtеr оn it. Thiѕ hеlрѕ tо hаvе аn еxасt сору оr imрrеѕѕiоn оf thе undеrfооt. After thаt, thе сuѕtоmizеd dеviсе iѕ fаbriсаtеd kеерing аll thе mоdifiсаtiоn ѕuggеѕtеd bу thе роdiаtriѕt in mind.

Whеn it соmеѕ tо fооt саrе, оrthоtiсѕ iѕ thе bеѕt орtiоn tо gо fоr ѕinсе it оffеrѕ rеliеf frоm a numbеr оf fооt соmрlаintѕ. Thоuѕаndѕ оf раtiеntѕ whо hаvе bееn uѕing thiѕ рrоduсt fоr ԛuitе ѕоmе timе nоw hаvе benefitted frоm it immеnѕеlу. Sоmе of thе аilmеntѕ it iѕ knоwn tо сurе invоlvе hееl раin, Plаntаr Fаѕсiitiѕ, hееl ѕрurѕ, Aсhillеѕ Tеndоnitiѕ, раin frоm саllоuѕ, соrnѕ аnd buniоnѕ, Mоrtоn'ѕ Nеurоmа аnd Bаll оf Fооt раin.

Hammer toe


A hammer toe is a deformity of toe in which toe is curled downward instead of pointing forward. It can affect any of your toe but most commonly affects the second or third toe. Most of the time hammer toe may be present at birth, but it may also develop over time due to wearing poor-fitting shoes such as pointed and tight heels.

Causes of Hammer Toe

Your toe is designed in such a way that it has two joints that allow it to bend at the bottom and middle. Dislocation of the middle joint leads to hammer toe.

Common causes of hammer toe include:​

  • ​Arthritis
  • Wearing ill fitting shoes
  • High foot arc
  • Injury to toe
  • Tightened tendons and ligaments in foot
  • Pressure from Bunion

Signs and Symptoms of Hammer Toe

The most common symptom of hammer toe is discomfort while walking. It can also cause discomfort and mild to moderate pain when you try to move or stretch the affected toe. Symptoms of hammer toe include:

  • Pain during walking
  • Calluses or corns
  • Claw like toes
  • Inability to stretch and flex your toes
  • Toe that bends downward​

What to do if you notice these symptoms?

Visit your doctor especially podiatrist as soon as possible if you develop any of these symptoms.

​Who can diagnose and treat a Hammer Toe?

​A qualified and certified podiatrist can effectively diagnose and treat a hammer toe

Treatment of Hammer toe

A qualified podiatrist can help you in overcoming this problem. Your doctor can advise you OTC pads , cushions , or medicines to treat corns and bunions. However , if the pain still persists , your doctor may decide to surgically removes these bunions and corns. If you are unable to stretch and flex your toes , surgery is the treatment of choice to restore movements. Surgery can effectively remove deformed bone, reposition the toe , and realign your affected toes. Surgery is normally done by a podiatrist on outpatient basis and you can return home on the same day.​

What is a Bunion?


A bunion is a deformity of the proximal or base joint of big toe. It is basically a bony prominence from realignment and enlargement of joint at the base of big toe. It is a progressive bony deformity and most commonly affects women. The deformity can lead to many problems and may cause the foot to rub on shoes, which can cause pain, redness and inflammation of first metatarsoophalangeal joint. This bunion is also knows as tailor's bunion or bunionette.

What causes Bunions?

In most of the cases , cause of bunion is still unknown. There can be some hereditary or genetic tendency to have abnormality at this part of this joint. In some cases it is also associated with joint problems such as osteoarthritis and rheumatoid arthritis. However, regardless of the underlying causes, wearing tight or unfit shoes tends to make the disease worse. Wearing such shoes puts some extra pressure on the base of big toe and causes friction of underlying skin.

Symptoms and Problems of Bunions:

  • Pain
  • Difficulty in walking
  • Infection at base of toe
  • Wideness of foot
  • Arthritis of big toe
  • Deformation of second toe​

Treatment of Bunions

If pain and symptoms of bunion persists, consult a podiatrist as soon as possible.

The primary aim of management and treatment of patient with bunions t is to relieve pressure on the bunion and stop the progression of the deformity.

A podiatrist may recommend these treatments:

Padding and Taping: This is the first step in the treatment of bunions.Padding the bunion decreases pain and allows the patient to continue a normal and routine life. Taping helps in keeping the foot in a normal position, thus reduces stress and pain.

Medication: Anti-inflammatory drugs and steroid injections are often prescribed to relieve acute pain and inflammation caused by joint enlargement and deformity.

Physical Therapy: Physical therapy can be very helpful in providing relief of the inflammation and bunion pain. Ultrasound therapy is a very popular and effective technique for treating bunions without surgery.

Orthotics: A foot pad or Shoe insert may be helpful in stabilizing foot and ankle and may reduce symptoms and prevent worsening of the disease

Surgical Options: When early treatments or medications fail or the bunion progresses past the threshold for such options, podiatric surgery may become necessary to relieve pressure, stress and repair the toe joint. Several surgical procedures and options are available to the podiatrist. The surgery will efficiently remove the bony enlargement, restore the normal anatomy and realignment of the toe joint, and relieve pain and inflammation.

Small Fiber Peripheral Neuropathy


Peripheral nerves in a general sense, can be subdivided into large and small nerve fibers. Typically, small nerve fibers are affected before large nerve fibers. Small fiber neuropathy, aka: small fiber sensory neuropathy (SFSN), or C fiber neuropathy is a newer focus of neuropathy that is able to offer an earlier detection of neuropathy. Small nerve fibers are the nerve fibers near the skin's surface, which is why the symptoms deal with sensation. Usually the symptoms start in the feet and lower legs. The symptoms may include insensitivity to heat and/or cold, tingling, numbness, muscle weakness, cramps, pain, and other symptoms. Some people describe the pain as an electric shock, or walking on broken pieces of glass, or bags of ice on their feet. Sometimes people experience a loss in the ability to feel and do not even know it.

The disorder can be caused by diabetes, alcoholism, or other conditions, but many times it is idiopathic. Identifying that you have small fiber neuropathy is the first step. Other tests to identify potential causes is the next step, as therapy often consists of treating the underlying cause, as well as relieving the symptoms.

Foot Drop & the Common Peroneal Nerve


Have you ever crossed your legs, only to find your leg tingling with a sensation of 'pins & needles?' Since the Common Peroneal nerve is relatively exposed, similar to the ‘funny bone' in your elbow, this is not unusual.

A nerve the thickness of a pen, the Common Peroneal Nerve crosses from behind your knee, around the outside of your knee, to enter the muscles of the outside of your leg. This nerve gets compressed between the white covering of the muscles and the underlying bone, the fibula. Many times this nerve becomes subtly compressed and goes unnoticed until you get foot drop.

This nerve is susceptible to compression and may cause symptoms like difficulty lifting up your foot or toes, so your foot drags. It may cause numbness or buzzing below your knee, or feel like your leg is going to "give out" on you. Depending on the severity of nerve compromise, several conservative and surgical treatment options exist.

Peripheral Neuropathy


Burning, tingling, numbness, pain or shooting to your feet?! Does this sound familiar? Are you experiencing some or all of the symptoms? You may be experiencing classic signs of peripheral neuropathy. You may also be experiencing a cramping in the feet, curling of the toes, or weakness and loss of control to your legs and feet. Many people experience the same complaints in their hands.

Peripheral neuropathy is actual nerve damage that results from a systemic disease. The most common form of neuropathy is from diabetes. There are many other causes of neuropathy like chemotherapy, thyroid disorders, arthritis (rheumatoid, lupus), vitamin deficiencies, heavy metal toxicity, drug-induced, leprosy, and alcoholism. Many people today are overweight, have high cholesterol, and high blood pressure. They are "Pre-diabetic" (Metabolic Syndrome / aka Syndrome X). Their neuropathy is often an earlier phase of diabetic peripheral neuropathy. Many times the cause of neuropathy is unknown, that is called idiopathic neuropathy.

Anyone who is a diabetic or knows a diabetic understands the havoc it can wreak on the body. The nerves are included in this path of destruction and this includes the nerves to your lower extremity and your feet. The damage to the nerves in your feet makes you unable to really feel your feet and can lead to open wounds (ulcerations). Ulcerations can lead to amputations. How does this happen?

Neuropathy can affect the motor nerves which control the muscles in your body. Damage to these types of nerves produces weakness in the muscles. This weakness can affect your balance. Loss of motor nerve function also causes loss of the tone of the muscle (atrophy of the muscle).This causes your foot to lose its original shape and produces areas of increased pressure. This increased pressure can cause breakdown of the foot which can lead to skin ulcerations.

Neuropathy can also affect the autonomic nerves which affect your skin's ability to maintain moisture. This loss of moisture makes your skin dry. Dry skin can lead to cracking, and this cracking in your skin can lead to ulcerations.

The most devastating effect neuropathy has is on the sensory nerves. This numbness, burning and/or tingling is the loss of sensation you may be experiencing. This can affect part of your foot, your whole foot, or even your entire lower extremity. This loss of sensation means a loss of your body's ability to perceive increased pressure areas or changes in temperature. This loss of natural protection puts you at risk for ulcerations.

When you hear of a diabetic losing part of his or her foot, or one or both legs, you can now understand why this at any time could become your battle. The damage produced by neuropathy does not occur rapidly. On the contrary, it usually occurs so slowly and subtly that it is not enough for you to notice. The longer you have neuropathy, the longer you are undiagnosed, or the longer you have uncontrolled diabetes, the more danger you place on your limbs and your life.

Why is controlling this important? The amputation of part of the foot dramatically increases the likelihood of further amputation of your foot or your limb within the next few years. The loss of one limb puts increased pressure on the other limb and this increased pressure inevitably results in breakdown of this foot and loss of this limb. The lifetime expectancy for a single amputee is five years. The lifetime expectancy for a double amputee is less than five years.

Are you experiencing numbness, burning, and/or tingling in your feet? Whether you have a history of diabetes in your family or not, we urge you to come in to have this evaluated. There are many times where these symptoms have resulted in a diagnosis of diabetes. At the very least, this discovery alone could save your limbs. At the very most, this discovery could save your life.

Peripheral Arterial Disease (PAD)


Before we focus on neuropathy, let's discuss our circulatory system. There are many cases in which the vascular system may be the predominant cause of your leg pain. The artery, vein, and nerves all course together and ruling out peripheral arterial disease is important. PAD is narrowing or blockage of arteries that results in poor blood flow to your legs. When you walk or exercise, your leg muscles do not get enough blood and you can get painful cramps. Peripheral arterial disease is also called peripheral vascular disease or simply poor circulation. Just like clogged arteries in the heart, clogged arteries in the legs mean you are at risk for having a heart attack or stroke. Plaque buildup in the legs does not always cause symptoms, so many people can have PAD and not know it. People who do experience symptoms, such as pain or cramping in the legs, often do not report them, believing they are a natural part of aging or due to another cause.

One in every 20 Americans over the age of 50 have PAD and it is estimated that over 8 million are undiagnosed. Early detection of PAD has been shown to save limbs and lives, so if you have any of the risk factors you should undergo PAD screening by your podiatrist yearly or more often if symptoms occur.

The exact cause of plaque buildup in the limbs is unknown in most cases. However, there are some conditions and habits that raise your risk for developing poor circulation.

Your risk increases if you:

  1. Are over the age of 50.
  2. Smoke or used to smoke. Those who smoke or have a history of smoking have up to four times greater risk of PAD.
  3. Have diabetes. One in every three people over the of 50 with diabetes is likely to have PAD.
  4. Have high blood pressure. Also called hypertension, high blood pressure raises the risk of developing plaque in the arteries.
  5. Have high blood cholesterol. Excess cholesterol and fat in your blood contribute to the formation of plaque in the arteries, reducing or blocking blood flow to your heart, brain, or limbs.
  6. Have a personal history of vascular disease, heart attack, or stroke. If you have heart disease, you have a one in three chance of also having PAD.
  7. Are African-American. African-Americans are more than twice as likely to have PAD as Caucasians.

What are the symptoms of PAD?

Most patients with PAD have little or no symptoms until the disease is advanced; that's why screening exams are so important. Those who do experience symptoms have reported the typical signs and symptoms:

Claudication: fatigue, heaviness, tiredness, cramping in the leg muscles (buttocks, thigh, or calf) that occurs during activity such as walking or climbing stairs. This pain or discomfort goes away with rest or once the activity is stopped and during rest.

Rest Pain: pain in the legs at night that often disturbs sleep

Wounds or sores that heal very slowly or not at all

Color changes to the skin on the feet and lower legs Cold, pale feet and legs Decreased hair and nail growth on the feet

How is PAD Diagnosed?

Your podiatrist will start with checking the pulses in your foot and ankle, examining the skin for changes and wounds that are poorly healing. Often an ABI (ankle-brachial index) is performed which compares the blood pressure in your anus to your ankles. A Doppler exam may be ordered. This test uses sound waves to measure the blood flow in the veins and arteries in your arms and legs. If any of these exams are abnormal, your podiatrist may refer you to a vascular surgeon to discuss options for treatment.

How is PAD Treated? The overall goals for treating PAD are to reduce any symptoms, improve quality of life and mobility, and prevent heart attack, stroke, and amputation. There are three main approaches to treating PAD: making lifestyle changes, taking medication, and in some cases, having a special procedure or surgery. Your physicians will determine the best treatment options for you, based on your medical history and the severity of your condition.

How Can I Prevent PAD?

The cornerstone of prevention is lifestyle changes.

Exercise is very important and you should aim for 30-45 minutes of moderate intensity exercise each and every day.

Stop smoking immediately and ask your doctor for help if you have difficulty with smoking cessation.

Keep your cholesterol and blood glucose levels down. Keep your blood pressure in the normal range.

Decrease stress.

If you are overweight or obese, aim for a normal weight and again, ask your doctor for help) A diet low in saturated fats, trans fats and cholesterol is also helpful.

More than anything, talk to your doctors about a comprehensive treatment plan that decreases your PAD risks.

One in every 20 Americans over the age of 50 have PAD and the incidence is higher in diabetics. Most patients have little or no symptoms until it is too late! Early detection of PAD has been shown to save limbs and lives, so if you have any of the risk factors you should undergo PAD screening by your podiatrist.

Got Neuropathy?

Introduction & Acknowledgement

neuropathy treatment tucson

Welcome to the world of peripheral nerves and neuropathy. While the author has had significant training in his profession, current HENS president Dr. Richard Jacoby of the Scottsdale Neuropathy Institute and Dr. A. Lee Dellon exposed him to a novel approach to help preserve and improve nerve function in 2007. This remains a relatively new frontier and perhaps a well kept secret to many, even those in the medical profession.

There are two types of nerves: cents. nerves, primarily the brain and spinal cord, and peripheral nerves, nerves that extend to your arms and legs. When central nerves are damaged, they do NOT regenerate. When Christopher Reeves fell off his horse, he was left paralyzed with little chance of recovery because he injured central nerves within his neck. This publication will focus on peripheral nerves. The most exciting aspect of peripheral nerves is that following injury, they have the ability to regenerate) Carpal tunnel is an example of a peripheral nerve disorder, which can be improved with surgery.

Who is Dr. Dellon and Why Listen?

Dr. A. Lee Dellon, TAD, PhD is arguably the world's foremost authority in Peripheral Nerve Surgery. He has dedicated a life's work to understanding and treating nerve pa.. Follow.; graduation from John Hopkins School of Medicine in 1970, he completed 8 years of additional training including 2 years of research with the National Institutes of Health. Currently a Professor of Plastic Surgery a Neurosurgery at the John Hopkins University School of Medicine a the University of Arizona, Doctor Dellon has won fifteen national research awards, authored 72 book chapters, and published more than 375 articles in peer-reviewed journals.

He recently received a PhD for his basic science and clinical research into the surgical treatment of compressed nerves in the patient with diabetic neuropathy. He received his PhD from the University of Utrecht in the Netherlands on March 6, 2007.

Dr. Shih, Director of Neuropathy Services at Head to Toe Healthcare, is committed to improving & restoring sensation to neuropathic feet. He has completed the Lower Extremity Peripheral Nerve Surgery advanced train.g in Baltimore, accredited by the American Society of Plastic Surgeons and directed by Dr. A. Lee Dellon. There are roughly 220 surgeons, primarily consisiting of plastic, orthopedic, general, and podiatric surgeons worldwide who have received this training. Dr. Slob is a Fellow of the Association of Extremity Nerve Surgeons (AENS)

Why I Wrote This Book

Peripheral neuropathy afflicts millions of Americans. It is important to note that there are several types and causes. The most common form of peripheral neuropathy is diabetic peBpheral neuropathy. More than 60% of non-traumatic lower limb amputations are due to diabetic neuropathy. One in six diabetics will have ulcers of the lower extremity. One in six diabetics who have ulcerations will have amputations. Over 200,000 lower extremity amputations were performed in the United States and Europe last year. This is simply too much!

There is now hope for patients suffering from diabetic neuropathy, as well as other neuropathy causes. A relatively new surgical technique is allowing neuropathic patients to retain their limbs, live pain-free and have a better quality of life. For patients who had tittle chance for symptomatic improvement, we may now have the real opportunity to prevent ulcers and amputations in many diabetics.

Other causes of peripheral neuropathy are related to alcoholism, various chemotherapeutic agents, certain drugs, m well as a large group of idiopathic neuropathy (unknown muse). There are several scientific studies available that suggest an underlying theme with many of these varying types of peripheral neuropathy. Many of these peripheral neuropathies may be aggravated by a compression or squeezing of the nerve in tight tunnels the nerves must pass through.

What a Patient Has to Say about Peripheral Nerve Decompression?

Dr. Shih,

Thank you for the follow up about my surgery. I am doing great after the surgery. I am no longer in pain and I have full strength back to my right foot. This is remarkable since it had been about 8 years that I started experiencing foot pain. After seeing 4 different foot doctors over the years and getting several orthotics. I still had pain. The shoe Inserts helped but did not fix the problem. After the surgery I can wear any shoe type and do any activity I want. I am 48 years old and I hike long and hard now. Thank You!

I am glad you had the technical expertise to find the real prob-lem with the foot pain and not just tell me to wear another shoe insert. As an Engineer I respect that level of competence in flooding the root cause of the problem and not just working on the symptom.

I would like to thank your office staff They were at as times very friendly and helpful.

Thanks again,

Plantar Fasciitis Treatment

Hi My name is Rosie Ayala, about three years ago I came to see Dr. Alan Shih with severe feet pain, I could not even get up in the morning because, I felt like that the bottom of my feet where burning.

I have some stabbing pain so I went to see my primary care physician. And she guess that I might have Plantar Fasciitis I came to see Dr. Shih and his office was wonderful, his assistant was wonderful. He did some x-ray and he did some treatments.

And he had prescribed some orthotics, I wore those orthotics for about a year at first it was hard to get used to them. The first month was a little hard for me but then as I got used to them, little by little I was able to get up in the morning without any pain.

They are life changing, I do recommend them highly. Four years now and I have no more foot pain. I recommend Dr. Shih and his staff highly.}