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PCC Admin

PCC Admin

Monday, 14 July 2014 20:39

Diabetic Foot Care

Millions of people are affected with diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy (nerve damage). Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of, or else the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.

It is very important to always wash and dry the feet thoroughly, especially in between the toes, when diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain. You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the die. Additionally, well-fitting socks are highly recommended.

A diabetic’s physician should always monitor their Hemoglobin A1C levels to test how well the blood sugars are being controlled during the past 3 months. It is very important to keep blood sugar levels at normal range, 70-110mg/dl. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with neuropathy of a diabetic patient. It is also advised to see a podiatrist if experiencing any feet conditions. Toe nails may also need to be taken care of by a podiatrist, since some patients may cut too deep around the cuticles, causing infection.

A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. When using tools to remove calluses, use caution, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to call a podiatrist.

On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound gets too bad to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can cause in diabetics that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.

achilles-tendonThe Atlanta Falcons took a huge hit to their roster after their linebacker Sean Weatherspoon suffered a rupture to his Achilles tendon during a team practice. Weatherspoon will miss the 2014 season to fully recover from the injury. Generally speaking, recovery from an Achilles injury can take up to a year.

“We sent Sean to the doctor for some additional testing and evaluation and unfortunately the results showed that he ruptured his Achilles tendon,” coach Mike Smith said in a team statement. “Sean had been working extremely hard to get back on the field, but regrettably he will miss the entire 2014 season. He will have a procedure done in the near future and we expect him to make a full recovery.”

Achilles tendon injuries can be extremely painful. If you injured your Achilles, see podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis can treat your foot and ankle injuries.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body, and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot
- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation. Often the doctor will order an MRI to confirm the diagnosis. Treatment will involve rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries.

If you have any questions, feel free to contact our office in Waynesburg, PA. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read more about Achilles Tendon Injuries

Tuesday, 08 July 2014 15:21

What are Achilles Tendon Injuries

The Achilles tendon is the strongest tendon in the human body. Its purpose is to connect the lower leg muscles and calf to the heel of the foot. This tendon is responsible for facilitating all types of movement, like walking and running. Since this tendon provides an enormous amount of mobility to an individual, any injuries inflicted to this tissue should be immediately brought up with a physician to prevent further damage.

The most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries and can be recognized by the following symptoms: inflammation, dull to severe pain, an increased flow of blood to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.

An Achilles tendon rupture is trickier to heal, and is by far the most painful injury. It is caused by the tendon ripping or completely snapping. The results are immediate and absolutely devastating, and will render the patient immobile. If a rupture or tear occurs, operative and non-operative methods are available. Once the treatment begins, depending on the severity of the injury, recovery time for these types of issues can take up to a year.

Simple preventative measures can be taken as a means to avoid both injuries. Prior to any movement, taking a few minutes to stretch out the tendon is a great way to stimulate the tissue. Calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses are all suggested ways to help strengthen the lower legs and promote Achilles tendon health.

Many problems arise among athletes and people who overexert themselves while exercising or who do not properly warm up before beginning an activity. Proper, comfortable shoes that fit correctly can also decrease tendon injuries. Some professionals also suggest that when exercising, you should make sure that the floor you are on is cushioned or has a mat, as this will relieve pressure on the heels. As always, a healthy diet will also increase tendon health.

It is very important to seek out a podiatrist if you believe you have an injury in the Achilles region, because further damage could result in severe complications that would make being mobile difficult, if not impossible.

Monday, 30 June 2014 18:48

Flip Flops Can Cause Hammertoe

footAccording to an article from Siouxland Matters, writer Allison Warren reported on the various conditions caused by an excessive wearing of flip-flops. Dr. Valerie Tallericoa stated that, “People will come in with heel pain, or even ankle injuries from slipping in their flip-flop shoes. Another concern is tendonitis or capsulitis of their digits, even in the future, hammertoe deformities.”

With this in mind, be sure to consider all options when purchasing flip-flops that best support your feet. Mike Pape of Rudolph’s Shoe Mart said, “There are different types of what they call orthotics or foot beds that are in the various shoes and sandals . . . Now there’s all the different components that go into making the different arches.”

Hammertoe can be an incredibly painful condition. To learn more about the effects of flip-flops on your feet, speak to Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis can answer any of your foot- and ankle-related questions.

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, feel free to contact our office in Waynesburg, PA. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read more about Hammertoe

Monday, 30 June 2014 18:47

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.

Monday, 23 June 2014 00:00

Nerve Disorders of the Foot and Ankle

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf.  In other instances one may encounter partial numbness and atrophy if the cases are extreme.

EMG tests are often provided to diagnose Tarsal Tunnel Syndrome. If a patient shows signs of Tarsal Tunnel Syndrom, an MRI will be used to see the compression of the nerve. As always, if symptoms do persist, surgery may be required.    

Monday, 23 June 2014 00:00

Woman Limited by Nerve Disorder

 iStock 000000723538XSmallLittle under two years ago, Serena Clarkson was diagnosed with Charcot-Marie-Tooth disorder nearly eighteen months ago. As a result, the Hartsford resident had to receive six surgeries within a single day. In order to maintain her condition now and provide some mobility, Clarkson wears an ankle-foot orthotic.

 “Even with the AFO I’m up to 2,249 feet a day and that’s it,” Clarkson said, “that’s all I can walk. I have an ankle stabilizer I wear on the left leg, and I’m pending surgery on that one.” According to statistics, 2.5 million Americans suffer from Charcot-Marie-Tooth disorder.

Nerve disorders affects more than mobility. If you are struggling with foot or ankle pain, see podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis can treat your podiatric needs.

Nerve Disorders of the Foot and Ankle

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf.  In other instances one may encounter partial numbness and atrophy if the cases are extreme.

EMG tests are often provided to diagnose Tarsal Tunnel Syndrome. If a patient shows signs of Tarsal Tunnel Syndrom, an MRI will be used to see the compression of the nerve. As always, if symptoms do persist, surgery may be required.   

If you have any questions, feel free to contact our office in Waynesburg, PA. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read the Full Article on Nerve Disorders of the Foot and Ankle 

Tuesday, 24 June 2014 14:14

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.

ice-on-footAccording to TIME magazine, the condition of your feet can reveal a lot about your overall health. For example, hairless toes and feet can be strong indicator of potential circulation problems. Baldness in the feet can indicate that there is not enough blood flow to sustain hair growth. Another example would be sores or wounds that do not heal. Sores and wounds that do not heal are often red flags for diabetes or skin cancer and need to be addressed immediately.

An enlarged big toe may be an indicator of gout while skin that is flaky, peeling or itchy could be a sign of a fungal infection. All symptoms of the feet and ankles need to be addressed immediately, as they can always be a sign of a more serious infection or condition. Without treatment, more serious conditions could lead to deterioration and even amputation of the lower legs and limbs.

All feet deserve everyday foot care, not just celebrity feet. If you require a professional opinion, see podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis can address your foot concerns.

Every Day Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. After all, without our feet, we would not be able to perform most daily tasks. It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before, for example.

For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops.

Also, wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent athlete’s foot, fungi problems, bad odors, and can absorb sweat. Also make sure that the socks fit properly and are not uncomfortably tight.

If you have any questions, feel free to contact our office in Waynesburg, PA. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read more about Everyday Foot Care

Tuesday, 17 June 2014 20:15

Every Day Foot Care

Our feet are of great importance in our everyday lives. The problem is that we tend to neglect them. When this becomes a habit, it can cause significant trouble. Ignoring foot problems can mean pain, limited mobility, and expensive doctor's visits. On the other hand, if the feet are cared for and looked after each day, they will perform without pain or complication.

Routine hygiene is the most basic way to care for the feet. Wash and dry them thoroughly everyday. Remember to get between the toes, and keep the toenails trimmed and short. If the feet feel dry or one can see visual signs of dryness or cracking, use a moisturizer designed for the feet.

When using moisturizer on the feet, try to avoid applying between the toes. If creams or lotions sit in that area, they can cause development of fungi and bacteria. When moisturizer is used between the toes, it can also cause the skin to macerate.

Shoes are also an important aspect of foot care to consider. When one is picking out shoes, make sure that they are the correct size. Shoes need to be snug, but not too tight. On the other hand, if the shoes are too loose they can cause foot problems as well. It is highly recommended that shopping for new shoes be done later in the day. The reason for this is that the feet will have settled and swelled to their full size by then. To keep your feet at their most healthy, avoid wearing high heels or flip flops too often. Instead, choose shoes that are good for your feet, and that pad the soles of your feet and support the arches and ankles.

Socks should also be worn daily with closed-toe shoes. They may feel hot during the summer months, but they absorb sweat and moisture and keep it off the feet. Without socks, the build up of sweat in a closed-toe she can cause fungi problems and athlete's foot.

The best thing to remember in every day foot care is that shoes do make a difference. If you spend much time on your feet, make sure that your shoes show no signs of wear and offer ample support for the arches and the overall foot. Additionally, try to engage in thorough foot cleaning and maintenance a part of your daily routine. If you keep these things in mind, your feet will stay healthy and safe.

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