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orthotics5Podiatrists, Rachel Ferguson and Marie Ann Lewis, pitched to investors on the popular television show Shark Tank for their premium orthotics company known as Synxsole. The pitch resulted in a three way bidding bar when they scored Talent2 founder Andrew Banks. The duo created the company when they would attempt to fit their patients with orthotic inserts, but they were too big to wear with most shoes. “The real potential is we all want happy feet,” stated Banks.

Orthotics can be helpful in reducing pain for many foot problems. If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists of Greene Podiatry Associates, Inc. Our doctor will treat your foot and ankle needs.

What are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain, but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct over arched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you, or if you have a more severe foot issue, it is possible to have your podiatrist prescribe custom orthotics. These high quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and more severe heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses, and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist on the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain free.

Monday, 06 July 2015 00:00

Ankle Foot Orthotics For Athletes

Ankle and foot orthotics, known as AFOs, are custom-made inserts, shaped and contoured to fit inside a shoe and used to correct an irregular walking gait or provide cushioning. Orthotics come in a variety of different models and sizes, including both over the counter and customizable variants. Customizable ones should be prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

AFOs are often used by athletes including track and field runners, cyclists, professional dancers, ice skaters, and even golfers. They benefit a lot from custom made AFOs by preventing injuries from occurring and provide cushioning to keep pain levels down to a minimum. Ankle foot orthotics allow for the correct positioning of the feet and also act as shock absorbers to help keep pressure and stress off the foot and ankle. They can also relieve back pain and hip pain while restoring balance and improving an athlete’s performance.

The way they help alleviate pain is by controlling the movement of both your feet and ankles. They are custom designed by a podiatrist or orthopedic specialist to help treat foot problems such as flat feet, spurs, arthritis of the ankle or foot, ankle sprains, weakness, and drop foot, a condition in which the patient cannot raise their foot at the ankle joint.

With custom orthotics, a patient will go through a complete examination of the foot and ankle, followed by the ankle and foot being cast and fitted for the proper orthotic. Depending upon the final result of the tests, a stretching treatment is created with specific shoe fitting in mind. After they have been fitted to the shoes, adjustments can be made in order to get the perfect fit and completely fill out the shoe. Evaluations are then usually set up to monitor the patient in the coming weeks to see how they are adjusting.

AFOs are also available over the counter and are more common than custom fit ones. Athletes that have generally low aches and pains in the foot, ankle, or lower back area can use an over the counter version of these orthotics. Weight is still distributed evenly throughout the bottom of the foot thanks to the arch support they give, but when an injury or ailment occurs, it is usually not enough to try and remedy it with an over the counter version. In either case, a podiatrist will be able to offer the best advice and treatment when it comes to foot and ankle orthotics and handle all your foot care needs.

plantar-fasciitis6Barbie has recently reintroduced their doll brand with some of the dolls bearing flat feet. The changes occurred after a few online sources lashed out at the brand for setting impossible body standards for young children. CNN stated about the new dolls, “The latest line of diverse Barbies may find fans among a growing number of parents who want dolls to reflect the broad ethnic diversity of women and a wide range of possibilities for girls futures.”

Flat feet can be problematic for some individuals. You have any concerns about flat feet; speak to one of our podiatrists of Greene Podiatry Associates. Our doctors will attend to all of your podiatric needs.

What are Flat Feet?

Flat feet are a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. Standing about 20-30% of the population generally has flat feet because their arch never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – if you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms:

Pain around the heel or arch area

Trouble standing on the tip toe.

Swelling around the inside of the ankle.

Flat look to one or both feet.

Having your shoes feel uneven when worn

Treatment:

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

For more information about Flat Feet, follow the link below.

If you have any questions, please feel free to contact our offices located in Waynesburg and Fredericktown, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

Monday, 29 June 2015 22:37

Flat Feet

Affecting about 20-30% of the population, flat feet is a condition in which the foot’s arch either drops or never develops. Flat feet is relatively common in babies and small children as a result of the arch not developing. Adults can develop flat feet as a result of injury or pregnancy due to increased elasticity. However, in adults flat feet is usually a permanent condition.

Flat feet can make walking difficult since it places undue stress on the ankles. This stress throws off the general alignment of the legs since flat feet cause the ankles to move inward, causing discomfort. Flat feet can also affect the knees since arthritis is a common condition in that area. Fortunately, in many cases flat feet do not directly cause any pain.

When it comes to runners, there are specific shoes that can help realign the ankles and provide more support while lessening the amount of pronation involved. Running often causes weight shifting very quickly, so it’s important to be informed whether or not you are affected by flat feet. Knowledge about flat feet is crucial, especially when it comes to preventing injuries.

To be able to diagnose flat feet, a test commonly used is known as the wet footprint test. In the wet footprint test, the individual places a flat foot on a surface to generate a footprint. If there is no indication of an arch or any indentations, that person could have flat feet. In any case, if there is a possibility of having flat feet, a podiatrist should be consulted.

Once flat foot has been diagnosed, it can be treated by wearing insoles. There are two types of flat feet. The first type is rigid, where the feet appear to have no arch even if the affected person is not standing. The other condition, known as flexible flat feet, occurs when the arch seems to ‘go away’ when someone is standing but appears while sitting. In the case of flexible flat feet, unless pain is caused by the condition, there is no need for treatment. However, in the case of rigid flat feet or pain involved in flexible flat feet, orthotic insoles and exercises are prescribed to help the arches develop.

foot-care6More often than not people think that foot conditions develop as a result of overworking the feet. What many people do not realize, however, is that foot pain is usually a result of a mechanical problem.Weak feet or ankles lack in stability and are often the cause of many problems that have to do with movement. They also contribute to the development of ailments such as Morton’s neuroma, a painful nerve condition in the ball of the foot. The feet stabilize the base of the body and are therefore crucial in determining which muscles will be emphasized as the body moves. 

Morton’s Neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma contact podiatrist Dr. Paula F. Raugellis of Greene Podiatry Associates. Our doctor will treat your foot and ankle needs.

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions please feel free to contact our office located in Waynesburg, PA. We offer the newest diagnostic tools and treatments to treat your foot and ankle needs.

Read more about Morton’s neuroma.

Monday, 22 June 2015 00:00

Morton's Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the third and fourth toe and the ball of the foot. Other areas of the foot can also be susceptible to this condition. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones. Women are more likely than men to have an occurrence of this foot condition. When a person has Morton's neuroma, it can feel as if they are walking on stones or marbles.

There are risk factors that can increase a person's chance of having Morton's neuroma. Ill-fitting high heels or shoes can add pressure to the toe or foot area. Jogging, running and any other sports that involve constant impact to the foot area can make a person more susceptible to this condition. If a person has flat feet, bunions or any other foot deformities, it can put them at a higher risk for developing Morton's neuroma.

There is no one major sign that indicates a person has Morton's neuroma, but rather certain symptoms to look for. A person who has burning in the ball of the foot or tingling and numbness in the toe areas are signs they may have Morton's neuroma. The pain increases greatly when wearing shoes or being active. There usually is little or no pain at night.

If a person suspects that they have this condition, they should visit their doctor. A physician will check for palpable masses between the bones of the foot. A doctor will also apply pressure to the foot or toe area to replicate the pain a person experiences when active. Range of motion tests and X-rays are other options a doctor may offer a patient to rule out other conditions or problems.

Treating Morton's neuroma can be as simple as changing the type of shoes a person wears. Wear wider shoes or flat shoes with a soft sole. Doing this may help reduce the pressure on the nerve that is aggravated. If necessary, a person can have a cortisone injection to help reduce swelling and pain in the foot area.

If these methods don't relieve the symptoms, consulting with an orthopedic surgeon should be the next option. During a consultation, a patient will find out about the treatment methods available for Morton's neuroma. A surgeon can release the tissue around the nerve that is causing this pain, or they can remove a small area of the nerve completely. There is a short recovery time for this type of surgery, and afterward, patients can return to their normal lifestyle.

 

fracturesKate Gabey, health teacher at Lincoln-Way North, recently completed the Boston Marathon with a stress fracture. The physical education teacher and avid runner continued her training for the marathon as she normally would when she started to feel extensive pain in her foot. “I ended up going in to see a doctor and found out it was a stress fracture,” Gabey stated. Ultimately the teacher was able to run the marathon with the stress fracture and was greeted at the finish line by Lincoln-Way North colleagues such as Brooke Vesely.

Many marathon runners are susceptible to receiving stress fractures because of the intense training they may undergo. If you would like treatment for a stress fracture, contact one of our podiatrists of Greene Podiatry Associates, Inc. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Dealing with Stress Fractures of the Foot and Ankle

The Stress Fractures occur on the foot and ankle when muscles in these areas weaken from too much or too little use. Then the feet and ankles lose support when walking or running from the impact of the ground. Since there is no protection the bones receive the full impact of each step. The stress on the feet causes cracks to form in the bones, thus called stress fractures.

What are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

-runners                                  

-people affected with Osteoporosis

-play tennis or basketball

-gymnastics

-high impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures, and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves in high impact will aggravate pain.

For more information about Stress Fractures of the Foot and Ankle, follow the link below.

If you have any questions feel free to contact our offices located in Waynesburg and Fredericktown, PA. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Stress Fractures of the Foot and Ankle

Monday, 15 June 2015 20:41

Stress Fractures of the Foot and Ankle

Highly active people (athletes in particular), or those with a very sedentary lifestyle, are very prone to stress fractures. When muscles weaken—either from too much or too little use—the muscles cease providing cushion for the foot and ankle as they impact the ground. As there is very little to protect the bones in your feet, each step you take causes the bones to absorb the full impact, and this causes cracks to form, or stress fractures, to form in the pressurized bones.

Basketball, tennis, and gymnastics are three of the top activities in which stress fractures appear consistently and frequently. On the other side however, those people who have previously lived an inactive lifestyle may incur a fracture when transitioning abruptly to an active lifestyle—such as those starting a high-impact, intensive workout. The muscles, unused to such vigorous work, are not used to handling and cushioning against a vigorous activity. Also, those patients who suffer from osteoporosis, or any condition in which their bones are weakened, frequently suffer stress fractures simply from normal wear and tear.

At the localized site of the fracture (typically where the symptoms originate) the pain can be immense. Sharp or dull pain is paired with swelling and possibly tenderness—engaging in any kind of further activity, especially high-impact, is highly discouraged. Though stress fractures heal in time, they are not as serious as say, when you receive one and continue engaging in high-impact activity; the condition may turn into a full fracture. A full fracture is very serious and may prevent usage of the foot wholesale.

From this point, treatment can vary patient to patient with the severity of the fracture. Rest is absolutely required for the foot. Fractures vary in healing time, some can be healed with short bursts of rest, and others require prolonged periods of resting paired with crutches. In cases in which the fracture is very serious, surgery may be authorized to install pins supporting the fracture and aiding in healing.

Prevention is always the best medicine. Calcium and Vitamin D are a must in the diet as they aid the fortifying and strengthening of bones. If you are a newcomer to high-impact activity, it is very important to gradually build the level of vigor on a weekly basis so as to create the requisite muscular strength. Supportive and adequately protective shoes are also a must. Consider switching up routines; if you walk every day, consider switching to biking to lower the stress on your feet.

On diagnosis of a stress fracture—immediately cease the activity that caused the fracture and rest! Prevention is always your first step, however, if relief of the symptoms does not occur naturally and within a reasonable time frame, an orthopedic specialist is highly recommended.

Following the above suggestions will allow you to prevent stress fractures and let you lead as active a life as you could wish.

bunions10Compared to 15 years ago, bunion surgery has become easier in terms of recovery time and how painful the treatment is. Certain patients are even capable of participating in light sports up to six weeks after surgery. Bunion surgery is used to correct the alignment and bony forces around the toe. Although bunion surgery is very common, it is considered a last resort and is only recommended when daily routines are interrupted and tremendous amounts of pain are felt.

The pain and discomfort caused by bunions can put a halt to everyday activities. If you have any concerns contact Dr. Paula F. Raugellis of Greene Podiatry Associates. Our doctor will treat your foot and ankle needs.

What is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs by the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why do Bunions Form?

  • Genetics – susceptibility to bunions are often hereditary
  • Stress on the feet – poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can cause bunions to form

How are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any concerns please feel free to contact our office located in Waynesburg, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about bunions.

Monday, 08 June 2015 19:31

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues, and is caused by the shifting of the big toe bone inward towards the other toes. This shift can cause a serious amount of pain and discomfort and the area around the big toe will become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. However, even if you do not have a history of this in your family, you can still develop bunions if you are wearing improperly fitting shoes, such as trying to cram your feet into high heels, or by running or walking in a way that causes too much stress on the feet. High heels are a major culprit in the formation of bunions because not only do they push the big toe inward, but your body weight and center of gravity is shifted towards the edge of your feet and your toes, which can cause bone displacement.

Bunions are quickly and easily diagnosed by podiatrists. However, because of their nature, they can appear similar to arthritic conditions or gout, so sometimes a blood test is required to fully diagnose a bunion. A full radiological or x-ray exam could also be done by a podiatrist to examine the bone structure of your feet. One thing that is looked for specifically is an enlargement of that base joint or evidence of the big toe bone being pushed inward.

One of the first things to do if you have bunions is to get a larger, wider shoe that can remove pressure from your toes. This usually means that high heels should be eliminated from use for a period of time to allow the bunion to heel. Oftentimes, eliminating the pressure placed on a bunion is enough to eliminate the pain involved with them, however, pain can persist in some instances and anti-inflammatory drugs may be prescribed. If the pain is too severe, steroid injections near the bunion or even surgery may be required. Orthotics for shoes may also be prescribed which can alleviate the pain of bunions by removing pressure from them. However, these methods simply stop the pain of bunions but do not correct the problem at its source.

As previously mentioned, surgery may be an option to completely eliminate your bunions. Surgery is done to reposition the toe bones so that they no longer face inward. This can be done by removing a section of bone or by rearranging the ligaments and tendons in the toe to help them align properly. Even after the surgery, it may be necessary to wear protective shoes for a while to ensure that the bunions do not return.

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