Items filtered by date: December 2014

According to Baylor College of Medicine assistant professor Dr. Jason Ahuero, women should be sensible this holiday season about how often they wear high heels. Wearing high heels regularly can lead to many foot problems such as foot pain and ankle sprains. Ahuero states that women should not wear heels for long periods of time and they should alternate heel height if they are unable to just wear flats. High heel wearers should also roughen up the bottoms of their heels to avoid slipping during inclement weather. When buying new high heels, Ahuero suggests that women have their foot measured each time, purchase shoes with thicker heels for stability, and to avoid high heels that are uncomfortable to wear. At the end of a day of wearing high heels, elevating the feet as well as icing them may reduce any pain or swelling.

High heels are very fashionable and a necessity to some, but they can cause a tremendous about of harm to the feet and ankles. To learn more, contact one of our podiatrists of Greene Podiatry Associates, Inc. Our doctors will answer all of your foot- and ankle-related questions.

Effects of High Heels on the Feet
High heels are popular shoes among women because they are associated with femininity.  Despite their appeal, they can cause many health problems if worn too frequently.
What parts my body will be affected by high heels?

• Ankle Joints
• Achilles Tendon – may shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – heels cause the knees to bend constantly, creating stress on them
• Back – they decrease the spine’s ability to absorb shock, which may lead to back pain.  Also, the vertebrae of the lower back may compress.

What kinds of foot problems can develop from wearing high heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How can I still wear high heels and maintain foot health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work. 

If you have any questions, please feel free to contact one of 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 the Effects of High Heels

For hundreds of years, women have been wearing various kinds of high-heels for mostly aesthetic reasons. Women who wear high-heels appear to be taller and to have longer and thinner legs, and the wearer’s gait and posture changes. Though high-heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high-heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen, which can cause problems when shoes without heels are worn.

By putting a great deal of pressure on the ball of the foot, by forcing the toes into a small toe box, high-heels can cause or may worsen many foot problems, such as corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

Not only does wearing very high-heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high-heels.  High-heels causes the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like this. By limiting the natural motion of the foot during walking, high-heels also cause an increased in stress on the knees.

Similarly, the back may also be affected by high-heels because it causes the back to go out of alignment. If high-heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

However, this is not to say that high-heels can never be worn. If worn occasionally, they will not cause serious problems. They should not be worn every day in order to avoid the long-term physical health problems of the feet, knees, ankles, and back like mentioned above.

 New York Giants’ veteran linebacker Jon Beason broke his foot during the preseason and has been using custom orthotics and special shoes to rehabilitate the problem. Officials are well aware that Beason is not fully healed yet are planning on sending him back to doctors for treatment before the team plays against the Indianapolis Colts. Many are even taking into consideration that the linebacker should take the rest of the season off to heal and not hurt the injury even more. Taking the rest of the season off will help the entire team as well as allow Beason to prepare and come back stronger than ever for the 2015 season.

Foot orthotics serve a wide range of usefulness when it comes to foot and ankle conditions. If you are feeling discomfort in your feet, contact one of our podiatrists, Dr. Paula Raugellis and Dr. Michael Irvin, of Greene Podiatry Associates. Our doctors can treat your foot and ankle needs.  

What are Ankle Foot Orthotics?

Orthotics are physical aids used to support weak limbs or direct the proper function of limbs. Often they are used to support the ankle and foot. Such orthotics are known as AFOs. AFOs help strengthen the muscles or train them to function in the proper position. AFOs can also benefit muscles that need to be lengthened or loosened.

Why might you need orthotics?

Orthotics are often prescribed when someone is suffering from diseases that affect the musculature, like polio and multiple sclerosis. However, more common conditions like arthritis and stroke, or those that “toe in”, may also require orthotics.
Modern orthotics have improved dramatically from the metal braces of previous years. Many of today’s orthotics are made of lightweight plastics and other advanced materials to provide new levels of comfort and support. Often the orthosis is designed in a rigid L shape that is contoured to the calf and flesh colored.

For more information about Ankle Foot Orthotics, please follow the link below.

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

Read more about Foot Ankle Orthotics

Orthotics is a medical field concerned with the design, manufacture and use of aids used to support weak limbs or direct the proper function of limbs, in this case the foot and ankle. Ankle-foot orthotics, or AFOs, are braces worn at the ankle that encompass some or all of the foot. Diseases that affect the musculature or weaken the affected area require AFOs to strengthen the muscles or train in the proper direction. Tight muscles that need to be lengthened and loosened also benefit from AFOs.

When we think of diseases that affect the musculature we think of the big boys: muscular dystrophy, cerebral palsy, polio and multiple sclerosis. We rarely think that arthritis and stroke can affect the musculature or that there are some who "toe in". But whatever trauma affects that musculature, there is a way to correct it. The orthosis helps to control range of motion, provide support by stabilizing walk, correct deformities and manage pain load. A podiatrist would be consulted for those who "toe in", for instance, or an arthritis sufferer whose ankles suffer through walking on the job or perhaps a victim of stroke whose musculature is wasting away and requires strength.

Before the advent of modern orthotic devices, it wasn’t uncommon to see polio victims wearing metal braces from mid thigh to the bottom of the foot, or children who "toed in" wearing metal braces around their ankle and foot. However, both designs and materials have improved dramatically, allowing for new levels of comfort, functionality, and appearance. Many orthotics are now made from plastics in the shape of an L and designed to fit inside a corrective shoe. These can be rigid, buckling at the calf and extending the length of the foot to support the ankle. This same design except with a hinged ankle provides support while walking by normalizing the gait. In the past boots lined with leather and fiberboard provided the rigidity needed for correction and support. Now corrective shoes are available with built up soles to correct the gait or manage pain by sharing it with another area when the foot spreads during walking.

The podiatrist would prescribe this orthosis in the rigid L shape because the foot moves on a hinge. If the hinge isn't functioning as intended due to an injury or malformation, the muscles tighten up, thus making it difficult to flex the foot. When we walk, the foot flexes and muscles stretch. This brace or AFO would support the ankle and musculature during flexion of the foot, in much the same way a knee brace works. Corrective shoes are for people whose feet hit the ground backward, causing tight muscles and arch problems. Wedges and rocker bars on the heels correct the step to heel first and rock onto the ball of the foot, resulting in relaxed musculature and strengthened ankles.

Appearance also counts when we consider a particular support device, especially if the item is intended for regular, daily wear. The L shaped orthotic is contoured to the calf and flesh-colored, fitting into a sneaker or dress shoe. As present, corrective shoes are more attractive than past models, enabling patients wear such devices with greater comfort and confidence.

 Jenny Strickland, a physiologist at Greenwich University, is a leading voice on Osgood-Schlatters Disease research. Strickland founded the Strickland Protocol for treatment of Osgood-Schlatters and Sever’s Disease. The Strickland Protocol has been selected by major UK football academies as their treatment of choice for those contending with Osgood-Schlatters and Sever’s disease. According to PR Underground, these diseases have affected—and been treated—in four thousand young children globally.

Sever’s disease is common in children and young athletes. If your child has Severs Disease, contact one of our podiatrists of Greene Podiatry Associates, Inc. Our doctors can diagnose provide treatment and healing for the feet.  

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms
Acute pain – pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
Improper pronation – the rolling of the foot during walking or running and obesity are all linked to causing Sever’s disease.

Treatments
Rest – the feet and legs needs rest. In order to speed up any kind of healing time, one should refrain from sports activity.
Medication- over the counter meds will help with inflammation and also reduce heel pain.
One can also purchase shoe inserts which will help support the heel and foot. Heel pain usually diminishes after wearing the supported heel inserts.  

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

Learn more about Sever’s Disease here.

Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in one or both feet of children during the period when their feet are growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14 years of age.

Sever's disease occurs when the part of the child's heel known as the growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, suffers an injury or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel, forcing the child to bear weight on their toes while walking. A toe gait develops in which the child must change the way they walk to avoid placing weight on the painful heel, a position that can lead to other developmental problems.

The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are very active athletes are among the group most susceptible to experiencing Sever's disease because of the extreme stress and tension they place on their growing feet. Improper pronation, the rolling movement of the foot during walking or running, and obesity are all additional conditions linked to causing Sever's disease.

The first step in treating Sever's disease is to rest the foot and leg and avoid sports activity which only worsens the problem. Over the counter pain medications targeted at relieving inflammation can be helpful for reducing the amount of heel pain. Combined with rest and pain medication, a child with Sever's disease should wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.

Sever's disease may affect just one heel of either foot as well as the heels of both feet. It is important to have a child experiencing heel pain get an examination by a foot doctor who can apply the squeeze test, which compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.

Exercises that help to stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling, in which the foot is pointed away from the body, then curled toward the body in order to help stretch the muscles, has also proven to be very effective at treating Sever's disease. The curling exercise should be done in sets of 10 or 20 repetitions, and repeated several times throughout the day.

Treatment methods should usually continue for at least 2 weeks and as long as 2 months before the heel pain goes completely away and the child can resume normal physical and athletic activities again. A child can continue doing daily stretching exercises for the legs and feet to prevent the heel pain of Sever's disease from returning.

If you have an occupation as a worker that is always on his or her feet, you are probably very familiar with experiencing soreness and pain at the end of the day. Endurance can easily be maintained by considering several important tips. Shoes should be checked to ensure that they offer support, as ill-fitting shoes can contribute to pain and fatigue. When standing, the feet should be planted firmly on the ground with your weight distributed evenly between the two. Take the time to stretch the feet if possible; stretches such as toe curls, toe raises, and toe flexion and extension can help flexibility and reduce stress.

Employees who are always working on their feet should pay special attention to their foot health. If you work on your feet and have foot concerns, consult with one of our podiatrists of Greene Podiatry Associates, Inc.. Our doctors can attend to all of your foot and ankle needs and answer any of your related questions.   

Working On Your Feet
Long periods of standing often times lead to pain and discomfort around the feet. Every day the body undergoes a series of stresses, especially during work. To minimize these stresses on your feet, better shoe choices and proper posture will significantly help. 

Better Choices
A Negative Heel

• This is where the heel is slightly lower than the ball of the foot.

Going Barefoot

• Having your feet crammed into shoes for long periods of time increases pressure. Giving your feet some exposure to air and walking barefoot helps tremendously.

Exercise Your Feet

• A foot workout helps correct movements and stimulates the blood flow and muscles of the feet. Implementing yoga exercises to your daily routine is a good example of this.

Foot Care
Spending a majority of the time on your feet will most likely trigger pain; even more so if you suffer from poor circulation.  Proper footwear and appropriate stretching will alleviate pain and prevent further issues. When your feet hurt, it is best to take care of them right away.

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

Read more about Working on Your Feet

Overworking your feet can put stress on your entire body, so taking care of your feet is an absolute priority for overall good health. Standing all day can cause a myriad of different conditions such as bunions, callouses, and plantar warts. These conditions are all very painful but can be avoided with proper foot care, which includes both proper posture and good shoe choices to contribute to the overall health of your feet.

A good place to start is choosing a show that has a negative heel which places the heel slightly lower than the ball of the foot, as shoes designed this way are best for your foot health. Having a job that keeps you on your feet all day makes it an especially a good idea to spend the extra money on a good pair of shoes. And most definitely purchase your shoes from a reputable manufacturer who puts foot health at the forefront of their goals. Having a job that keeps you on your feet all day makes it an especially a good idea to spend the extra money on a good pair of shoes.

The feet were not designed to be enclosed for hours on end. In fact, incorporating some "barefoot" time into your daily routine is not a bad idea to improve overall foot health. There are some other simple things that you can do to help alleviate pain and pressure on the feet from standing all day.

One of the first things you can do is perform some simple foot exercises and some common yoga moves to improve the function of your feet. Foot work outs that aid in your movement will stimulate blood flow and muscles of your feet. Yoga exercises that stretch your feet out flat on the floor can be very beneficial for you if you work on your feet all day. It can also help stretch and relax the calf muscles and Achilles tendon, both of which can become problem areas if not taken care of. You can perform these exercises every day during your daily routine, at the office, at the gym, or even before you go to bed simply stretching your feet out can do wonders for your foot health.

Foot pain that occurs every day because you work for long hours on your feet may lead you to think that this pain is inevitable. However, it does not have to be. Foot stretches and proper footwear work well in alleviating foot pain and preventing further foot problems.

With a little effort and some education, you can keep your feet healthy and feeling good. If your feet hurt, your whole body will eventually feel the effects over time. Start taking care of your feet today!