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PCC Admin

PCC Admin

hammertoesMany patients often choose to undergo corrective surgery for hammertoe to quickly relieve the pain and swelling associated with the condition. Insurance companies will often require patients to first try non-surgical treatments, however, before agreeing to cover the cost of hammertoe surgery. Treatments for hammertoe that are non-surgical include a splint to hold the hammertoe in the correct position if it can still be straightened, the placement of non-medicated pads over the tops of the deformed join to protect the toe from rubbing against the shoe, and the creation of a custom-made orthotic insert to help decrease discomfort. General prevention of hammertoe exacerbation involves wearing properly fitted shoes that leave a gap of at least half an inch between the longest of your toes and the top of the shoe and avoiding wearing high heels.

To successfully correct a hammertoe and relieve the pain and inflammation associated it, medical assistance may be necessary. If you are seeking hammertoe treatment, consult with one of our podiatrists of Greene Podiatry Associates, Inc. Our doctors will provide you with quality treatment and assist you with all of your foot and ankle concerns.

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 our offices located in Waynesburg and Fredericktown, PA. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read more about Hammertoes

 

Monday, 16 March 2015 00:00

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.

atletesfootTo avoid the possible side effects that accompany prescription drugs, natural remedies are available for use to treat Athlete’s foot. Apple cider vinegar or tea tree oil can be rubbed directly onto areas affected by Athlete’s foot. To create a solution to soak your feet in, mix one part white vinegar and two parts warm water. Soak the feet in this for fifteen minutes. Similarly, garlic can be grinded into a fine paste, mixed into a tub of water, and used as a fifteen-minute soak for the feet. Another remedy can be found in neem leaves, which can be boiled in water for ten minutes. After the water has cooled, wash feet twice a day in the solution to treat Athlete’s foot.

Athlete’s foot can be treated successfully using any of the aforementioned methods. If you would like assistance with the treatment of Athlete’s foot, consult with one of our podiatrists of Greene Podiatry Associates, Inc. Our doctors will attend to all of your foot and ankle needs and answer any of your related questions.

Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be extremely contagious. It is commonly found in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere the feet often come into contact with.

Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal herbs or oils such as oregano or melaleuca oil
- Address sugar in the diet
- Examine feet and visit your doctor if any suspicious blisters or cuts are present.

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, redness, and severe symptoms include bleeding and cracked skin, intense itching and burning and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. It is best to see your podiatrist for the best treatment and relief from these symptoms.
For more information about Athlete’s Foot, 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 holistic treatment protocols for all your individual foot and ankle needs.

Read more about Athlete’s Foot

Monday, 09 March 2015 00:00

Athlete's Foot: The Sole Story

Do you suffer from itching, burning, dry, and flaking feet? It could be athlete's foot. Athlete's foot, also known as tinea pedis, can be extremely contagious, often infecting shower floors, gyms, socks and shoes, and anywhere else feet might contact. It's commonly found in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools. "Commons" areas in prisons and residential care facilities are frequently caught feeding the fungus as well. One step in the wrong direction can be enough to start the fire that can be tremendously difficult to treat.

Athlete's foot is most often caused by the same fungus that causes ringworm (tinea). It can be spread by direct contact with an infected body part, contaminated clothing, or by coming in contact with other objects or body parts that have been exposed to the fungus. Although the feet are more frequently assumed to get athlete's foot, tinea can invade other parts of the body as well so long as the proper growing conditions are met.

Tinea thrives in a dark, warm, and moist environment. Body parts that are often infected include the hands, groin, and scalp. Although many people never experience athlete's foot, around 70% of the population suffers from tinea at some point in their lifetime. Like most ailments, some people are more likely to acquire this fungal infection than others. People with a history of tinea or other skin infections are more likely to suffer from recurrent, or even additional, unrelated infections. The extent to which a person is tormented by the fungus can vary greatly as well.

While some people are never even aware that they have been infected with athlete's foot, others are pestered with mild to moderate symptoms like dry and flaking skin, itching, and redness. Still others are bothered by more severe symptoms including cracked and bleeding skin, intense itching and burning, and even pain when walking. In the worst cases, tinea can cause blistering as well.

The treatment for athlete's foot begins with prevention. Changes in the environment infected with athlete's foot can prevent spreading. Keeping the area that is infected clean and dry with the use of medicated cleansers and powders is essential. Allowing the area to breathe is important in the treatment as well. Exposure to cool air and light can make conditions undesirable for tinea. Treating the infected area with miconazole, tolnaftate, or other medicated creams, ointments, or sprays not only helps to kill the fungus, but helps prevent recurrences as well. White vinegar-based foot soaks can also be beneficial. Seeing a podiatrist is often a good idea when treating athlete's foot, since more often than not, other skin infections can develop from the initial infection, and recurrences are common.

 

Friday, 06 March 2015 00:00

Cracked Heels

Cracked heels can be embarrassing, and can make life frustrating when sandal season comes around. But not only are they an aesthetic problem – they can also tear stockings, socks and even wear out shoes faster at the back, and when severe may cause pain and infection.

Cracked heels are a problem for many who walk a lot, who are athletic, and who have especially dry skin. Those who are using certain kinds of medication that will dry the skin, who swim a lot, wear certain kinds of shoes, and those who are diabetic may also have trouble with cracked heels. Seniors may have more trouble with cracked heels than others, since the skin’s production of oils decreases with age. There is no one way to get cracked heels, and there is no one cure for them.

Today there are numerous products on the market that have a variety of ingredients to promote healing. Some of these products are over-the-counter and some come from a physician’s prescription pad--especially for those who have chronic dry feet and heels.

Some doctors recommend for those with rough skin to wear socks at night when they sleep. This helps promote healing of the skin on the heels and helps any creams put on the feet stay on longer and better sink into the skin.

Using moisturizers both day and night is one way to help alleviate the dryness that causes cracked heels. Making sure that the skin is clean and dry at all times is another way. Using a pumice stone to remove dead skin before applying a moisturizer can also help, as many times cracked heels will not respond to moisturizers unless the thick outer layer of skin is first removed through exfoliation. Lotion or ointment applied after exfoliation will be absorbed by the skin much more easily.

Eating a well-balanced diet with foods that promote body healing and balance can also help the skin – from within. Whatever is put into the body can either help it or hurt it and foods that give the body staying power will permeate throughout, especially through the first line of protection--the skin. Taking supplements of omega-3 fatty acids and zinc may also help cracked heels.

Not all products that say they will help cracked heels actually work. See a professional for foot care if nothing being tried is working. A podiatrist or a dermatologist should be able to give information and advice to help with the problem.

 
Friday, 27 February 2015 10:02

Diabetic Foot Care

Diabetes affects millions of people each year. Diabetes damages blood vessels in all parts of the body, including the feet. The legs and feet may have slow blood flow which causes neuropathy (nerve damage). Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid amputation of the feet or legs.

It is important when caring for the feet of diabetics to always wash and thoroughly dry the feet, especially between the toes. Next, examine your feet and toes for any redness or sores that may be there, even if you do not feel any pain. You may also use a mirror to examine your feet from the bottom side. Avoid wearing colored socks to prevent infections that may occur from the dye used in them. Well-fitting socks are also highly recommended.

Anyone with diabetes should have their physicians to monitor Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is very important to keep the blood sugar levels in the normal range (70-110mg/dl). There are medications that a physician may prescribe to help with neuropathy of the diabetic patient. It is also advisable to visit a podiatrist if the diabetic patient is experiencing any conditions involving the feet. Toe nails may need to be taken care of by a podiatrist as some patients may cut to deep or not deep enough around the cuticles and risk having an infection that could occur.

While at home a person can take care of their feet if they follow instructions given by their physician or nurse. An effective treatment is using creams and applying them to the heels due to the possibility of extreme dryness. Be careful when using tools to remove the calluses as severe diabetics may not be able to feel pain, and this can cause a severe wound to develop.

Diabetic feet absolutely need to be inspected on a daily basis. Always notify your health care professional with any concerns that you may have about the care of your feet. Waiting to see if a wound will get better is not a good idea as it can turn into a life threatening condition. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation. Early treatment and daily inspection of the diabetic feet are keys to staying healthy.
Friday, 20 February 2015 12:02

How Obesity Affects Your Feet

Maybe you have gained a few extra pounds over the past couple of years. It comes on slowly and you are not always aware of it until your feet start hurting at the end of the day. After all, they carry the weight of your whole body. Experiencing foot pain and swelling is one of the biggest side effects of being overweight. 

Many problems that occur in the feet are directly related to carrying even a small amount of extra weight. If you are overweight, the body may try to compensate by changing the way it moves. You may lean forward a bit and put extra weight on the wrong part of the foot. Your feet were designed to carry a normal amount of body weight and any extra will put undue stress on them.

Many people who are overweight as adults develop type 2 diabetes and it is often the cause of leg and foot pain. This is very serious and often older people who do not control their condition may lose all feeling in their legs and feet. It is also possible to develop small sores on the feet, and when you have diabetes, these do not always heal properly which can lead to serious infection.

The extra pressure and stress placed on muscles, joints, and tendons in the feet by extra body weight can also trigger plantar fasciitis. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, and causes pain and stiffness when walking and climbing stairs. Pain caused by plantar fasciitis can be relieved by foot stretches and orthotics inserted into the shoe.

Foot problems triggered by excess body weight may be treated by special attention to footwear. Shoes that properly support the foot – especially the arch and ankle – and allow for good circulation are very important. A podiatrist can help you decide what kind of shoe is best for your feet. Orthotics – special inserts that can be inserted into shoes – can absorb shock, support the arches, and keep the feet properly aligned. These can be found in shoe stores or may be fitted by a podiatrist.

It may also be time to consider taking off a few pounds to prevent diabetes and other life threatening diseases. Your feet will certainly thank you for it and you will feel better in a short amount of time. A water aerobics class at a local gym is a way to get needed exercise without putting any stress on the feet or ankles. Yoga is also an activity that is beneficial both to your feet and your entire body. Don't risk losing your freedom by ignoring foot pain. If you take care of your feet, you can keep your feet and your entire body feeling great.
Friday, 20 February 2015 00:00

Foot and Ankle Injuries Common in Obese Kids

obesity and feetA study conducted in Denmark found that children who are overweight or obese are more susceptible to develop foot, ankle, and leg injuries during engagement in physical activity as opposed to children at lower weights.

Researchers studied 632 overweight children who went to physical education classes for an hour and a half each week for two and a half years.

The group of children experienced 673 lower-limb injuries during this time. The children who were heavier had an average of 5.3 injuries for every 1000 “athletic exposures,” as compared to only 4.4 per 1000 for lighter children. "In the bigger picture the need to get all kids more active, and particularly overweight children, is imperative," sports medicine researcher Malachy McHugh said. McHugh was not involved in the study.

As an epidemic, obesity negatively affects all life stages. Seek the help of  Dr. Paula F. Raugellis and Dr. C. Michael Irvin of Greene Podiatry. Our doctor will examine your child’s feet and provide the right care and treatment for them.

How Obesity Affects Your Feet

Extra weight can sneak up on anyone unprepared. It’s not until your feet begin to hurt at the end of the day when you realize they have been carrying your entire body weight. There are many side effects that occur in the feet as a result of having a few extra pounds.

  • Leaning forward (uneven posture)

  • Extra weight placed in the wrong parts of your feet

  • Development of Type-2 diabetes

  • Loss of sensation in the legs and feet

  • Small sores

  • Plantar Fasciitis


Treating your feet can be helped by paying special attention to your footwear and your own body. Investing in yourself can help to lead you on a better road to health as well as serve to relieve some of the issues related to your feet.

  • Invest in shoes that allow for good circulation and support

  • Losing weight can help prevent and treat diabetes in addition to other diseases

  • Activities such as yoga and water aerobics can help keep you active and mobile without placing stress on  your feet

  • Foot stretches can help alleviate some pain associated with foot conditions.


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

Read more on Obesity and Feet

 

 

 

 

 

 

 

 

 
Tuesday, 17 February 2015 10:02

Proper Shoe Fitting

Proper shoe fitting is one of the most common concerns people have when it comes to the health of their feet. To some this may not seem like a major issue, but the reality is that improperly fitted shoes account for a tremendous amount of injuries to the foot. Because our feet, our posture, and our gait directly affect the bio-mechanics and the overall structure of our entire body, pains and discomforts felt elsewhere within the body can frequently be attributed to improperly fitted footwear. Here are a few factors to consider, which will help you select the proper footwear when shopping.

Do not purchase shoes with the expectation that they will stretch to accommodate the size of your feet. You are looking for shoes that fit correctly right away. If the shoes you purchase are too large and are slipping in the area of the heel while you walk, do not purchase them. Do not look favorably upon shoes that slip with the intention of wearing thicker socks to compensate for the slippage. Make certain that in the widest portion of the shoes, the ball of your foot, fits comfortably in the shoe.

It may be difficult to focus on these things with all the distractions of shopping, or tempting to ignore them because you badly want an uncomfortable shoe. However, if you cannot wear shoes because they hurt too much to use, your money and time will be wasted. When you get your new shoes home, put them on and walk around on a carpeted surface to see ensure your shoe's fit comfortably with normal activity.

With 33 joints, 26 bones, and over 100 ligaments, the potential for damage to the sensitive components within the foot are greater than many people realize. Finding a properly fitting shoe is the single most important factor you can do to help prevent injury and maintain optimal foot health. Adults tend to forget the fact that our feet continue to change as we grow older. So, even though they may no longer experience growth spurts associated with youth, their feet still change shape as they mature.

If you already have problems with your feet, wearing improperly fitted shoes can potentially exacerbate those problems. Fortunately, it does not require a tremendous amount of effort to find shoes that fit correctly. When shopping for shoes, keep in mind that improperly fitted shoes can not only cause a whole host of disorders and problems to occur within the feet themselves—they can affect the entire bio-mechanical structure of the body. Your posture and your stride are based on your feet, so your footwear can have a tremendous impact on the legs, back, and rest of your body. Finding the proper shoe fitting is essential to keep your feet and body healthly.
proper fitting shoesIn 2002, Roger Gallup was one of the 1 in 3 Americans with pre-diabetes, a condition where you have diabetes-like symptoms, but you do not have all of the ailments that go with condition. Pre-diabetes is reversible with exercise and a proper diet, but Gallup was overweight and found that most shoes were hurting his feet; the pain was keeping him from changing his lifestyle. Gallup decided to have his feet measured by a professional and then used a machine to find where his feet place most of their pressure in order to find the perfect fitting shoe. Since his diagnosis and proper shoe fitting, Gallup has lost 125 pounds and reversed his pre-diabetes. “I think the proper footwear is very important in the exercises you do,” stated Gallup.

Proper fitting shoes are essential to one’s overall health. Speak to podiatrists Dr. Paula F. Raugellis and Dr. Michael C. Irvin of Greene Podiatry Associates, Inc to learn more about the detrimental effects of shoes that fit incorrectly. Our doctors can assist you with all of 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 feel free to contact one of our offices located in Waynesburg and Frederickstown, PA. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Proper Shoe Fitting 
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