Items filtered by date: September 2014

Kris DiNucci, a surgeon who presented at the Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS), stated that women may be at a greater risk for neuromas than men. The presentation stated that women that are flat footed or wear narrow shoes are the most susceptible to the condition that mostly occurs when a nerve becomes inflamed between the third and fourth toe.

The most common foot condition noted in women was the Morton’s Neuroma, which causes a burning or tingling feeling in the toes with the possibility of swelling or even worsening if not treated.  Those that participated in the ACFAS conference believe that conditions such as the Morton’s Neuroma can be prevented and alleviated with the help of proper footwear.

Morton’s neuroma can be a difficult condition to cope with. If you are experiencing symptoms of Morton’s Neuroma, talk to podiatrist Dr. Paula Raugellis of Greene Podiatry Associates, Inc. Dr. Raugellis can diagnose and treat your feet accordingly.

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, although other areas of the foot are also 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.

What Increases the Chances of having Morton’s Neuroma?

-Ill-fitting high heels or shoes that add pressure to the toe or foot area.
-Jogging, running and any sports that involve constant impact to the foot area.
-Flat feet, bunions, and any other foot deformity may put you at a higher risk for developing Morton’s neuroma.

If you suspect that you may have this condition, you should visit your podiatrist. A podiatrist will first conduct a thorough physical examination to check for palpable masses between the bones of the foot.
If you have any questions, please contact one of our offices located in Waynesburg and Fredrickstown, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

For more information on the treatment of diabetes, visit our link below.

Read more on 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.

Due to complications with plantar fasciitis, triathlete Vicky Holland will be ending her season early. She currently has two games left in the World Series Final: Stockholm and Edmonton. The Common Wealth Games champion has been suffering with her foot condition and is now experiencing inflammation. The early retreat this season will allow Holland to address her foot problems so she can prepare for the next step in her career. The Olympian stated, “I’m not sure what the plan at the end of the season is, whether I will be in a boot or have shockwave therapy again or have injections … So it’s important for me now to finish the season early, address the issues I have and then go again.”

Plantar fasciitis can be treated in various ways, one method being shockwave therapy. For more information, speak to Dr. Paula Raugellis of Greene Podiatry Associates. Dr. Raugellis will attend to all of your foot and ankle needs.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. This technique is used on patients that do not respond well to physiotherapy. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation. 

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported. 

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, attacking the source of the problem so treatment lasts for a long time. 

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

For more information regarding shockwave therapy, follow the link below.

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

Read more about Shockwave Therapy

Heel pain shockwave therapy is a treatment option that helps to treat plantar fascia, which is a type of heel and foot inflammation that causes pain to the heel area. This type of injury is often caused by overworking and overusing the feet, and normally happens to people that exercise often such as runners, athletes, obese and overweight individuals, and individuals whose profession requires them to stand for long periods of time.

Since heel pain can be caused by a number of problems including poorly fitting shoes, exercise routines, work hazards, and many more, most plantar fascia treatments include very conservative techniques. Simple things like new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet can treat the problem. However, for the worst cases, using shockwave therapy is often the best treatment option.

For patients that have tried conventional treatment options, and failed at them, and who have been having heel pains for over six months, Shockwave treatment is often the next option. The concept behind this treatment is simple; shockwaves are generated from a device that delivers shockwaves to the outside of the patients body, and the shockwaves will cause the bodies repair mechanisms to work more efficiently and effectively, and in the end, start repairing the damage done to the heel area.

The goal of shockwave therapy is to eliminate the pain in the heel area, and this should happen because shockwaves trigger the body’s natural repair mechanisms. Basically, this therapy speeds up normal tissue healing in the body, and will also lead to a reduction in pain for the patient by working the pain transmission nerves located in the heel area.

The reason this treatment is gaining popularity is because it is less invasive than surgery, and eliminates the risk factors associated with surgery, such as anesthetic usage. Since this technique also works by helping the body to improve using natural healing techniques, the recovery time should be shorter than surgical processes.

This does not mean that there are not some discomfort issues that can arise out of this treatment for patients. Short term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. These side effects of shockwave therapy should be gone in a few days, giving the patient a fast recovery time which makes it easy to return to the routines of their daily life .

Like most types of treatments, surgeries, and medications, there are certain people that should not have shockwave therapy procedures performed on them. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would also be ineligible for this treatment option. And lastly, children and pregnant women should avoid this as well.

Overall, shockwave therapy could be a great option for heel pain because it is less invasive than surgery, helps to trigger the natural healing mechanisms of the body, and should be considered by people who have had long bouts of heel pain, who have tried conventional treatment options that failed, and who have the money to afford such a procedure.

Children can develop ingrown toenails in their feet from even the simplest of mistakes. For example, one of the most common ways a child develops an ingrown toenail is when his or her nails are cut too short. To prevent these ingrown toenails, cut their nails evenly and avoid trimming them down excessively. Keep in mind ingrown nails can also occur if a child wears socks and shoes that are too small for his or her feet.

Other cases of ingrown toenails can simply be caused by a genetic predisposition to curved nails. No matter the cause of the ingrown toenail, do not attempt to treat this condition at home. Removing an ingrown nail with a “bathroom surgery” can lead to a bacterial infection.

Ingrown toenails are terribly uncomfortable, and in the worst cases surgery might be required to get rid of them. If you think you have an ingrown toenail, consult podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis will confirm your diagnosis and do everything she can to treat your problem.

Ingrown Toenails Causes
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

There are a number of risk factors for ingrown toenails. Some include cutting your nails too short, participating in strenuous sports, diabetes, obesity, and fungal infection. Some are genetically predisposed to ingrown nails, although wearing ill-fitting or damp shoes can exacerbate the problem.

Treatment
There are a number of steps you can take to treat ingrown nails:

-Let your toenails grow out
-Soak the toes in hot water with antibiotic soap or Epsom salts
-Placing a piece of cotton under the affected nail may allow the toe to grow up instead of into the nail bed
-Rest with your feet up

If however, your pain is severe, or you see red streaks running up your leg, you should see a podiatrist. Your podiatrist may make a small incision and remove part of the toe nail to relieve the pressure. A local anesthetic may be used to lessen the discomfort of the operation.  Topical medication may also be prescribed to prevent the regrowth of the problem nail.

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 Ingrown Toenails

An ingrown toenail is caused when a toenail grows sideways into the bed of the nail, causing pain and swelling. Sometimes this can become infected causing drainage and may become serious.

There are many risk factors that can predispose a person to this common condition. Cutting your nails too short, participating in sports, diabetes, being overweight, or having a fungal infection of the toe can all cause ingrown toe nails. Many people are genetically prone to ingrown nails and it can often be related to genetics. Often the problem can come from wearing ill-fitting shoes, or even from shoes that keep the feet slightly damp.

There are some things that you can do to prevent and treat these painful problems. Letting your toe nails grow a little longer will help prevent this condition. If you do develop an ingrown nail, soaking the toe in hot water will help prevent infection and lessen pain. You may want to add antibiotic soap or Epsom salts to the water. This will help to prevent infection.

Some experts also recommend placing small pieces of cotton under the affected part. This will help the toenail to grow up instead into in your nail bed. Resting with your feet up can reduce swelling and redness.

If your pain is so severe that it keeps you from everyday activities, it is time to see your podiatrist. Also, if you see a red streak running up your leg, or if your infection is spreading, see a podiatrist immediately. There are many quick treatments that can lessen your pain and have you walking with comfort.
One method of treating an ingrown toenail involves using a Band-Aid. Wrapping the affected toe with a Band-Aid will prevent infection and also keep the nail from growing out at painful angles.

If your podiatrist feels it is necessary, he or she may make a small incision and remove part of your toe nail. Medication will be placed in the nail bed to prevent re-growth of the problem nail parts. This will be done under local anesthesia and should lessen your discomfort in no time. You will be advised to stay off your foot for a day or so, but can then carry on normal activities.

Take care of your feet; you have many steps to take in your life. Walking in comfort should be a priority for a lifetime of healthy living.

Sue Asher serves as an instructor for a local aerobics class that mainly pertain to senior citizens. Asher’s class meets at a local swimming pool two times on a weekly basis, where students exercise the feet, arms, and legs. Although the workout is relatively calm and simple workout serves to improve muscle strength and prevent the onset of joint problems like arthritis.

“Class starts at 10:45 but between 10:30 and 10:45 we catch up on things that are happening in the town, happening with the senior citizens and it is our social time,” Asher stated. “Then we do our exercises and work hard.”

Swimming is a great way for the elderly and people with arthritic feet to get exercise. If you have any questions about the benefits of swimming on the feet, consider contacting podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis will explain the unique health advantages this activity has and recommend some simple exercises for you to do.

Benefits of Swimming and Foot care

Our feet receive the most stress on a daily basis. Walking, running, and long standing contribute to pain and stress on the feet. Swimming helps promote circulation and keep the body feeling great and healthy.

Benefits of swimming:

Improve blood circulation

• Swimming is a good, safe way to get in extra physical activity and improve circulation, without causing further trauma to the feet

Relieve aches or pains

• It takes all the pressure off of them, allowing the feet to relax and recover, and     improves blood flow to them.

Circulation overall for diabetics

• Swimming contributes to blood flow, and increase oxygen levels within the body.

Reduce foot inflammation

• Swimming in warm water can increase blood flow and make it easier to move       and stretch the afflicted foot. The feet are also exposed in water, giving them much needed air.

Swimming the helpful alternative:

Many people like the elderly and diabetics suffer from weakened muscles and joints. A water sport like swimming will support the body, thus allowing him or her to move freely. Blood flow circulation is a main trigger to tired inflamed feet.

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 the Benefits of Swimming and Foot Care

If our feet could talk, they would complain about all the walking, running and long standing we put them through. Our feet deserve a break from the stress put on them, and swimming is a great way to do just that. This activity not only takes all the weight off of the feet, allowing them to relax—there are many other reasons why it is helps take care of feet as well.

Swimming is great for foot health because it improves blood circulation to all the lower extremities. This is especially true for older people or those with injuries, who often cannot exercise as much due to weakened muscles or joints. Water supports much of the weight of the swimmer, relieving aches and allowing him or her to move freely. This gets the blood flowing to the rest of the body, including the feet.

Improving blood flow is also paramount to those with diabetes, who usually have problems with circulation in their feet. Additionally, because of various foot complications, it is often difficult for these people to exercise. Swimming is a good, safe way to get in extra physical activity and improve circulation, without causing further trauma to the feet.

For those that have foot problems due to overuse, swimming can be very beneficial. Athletes and people who are constantly on their feet frequently suffer from injuries like foot tendinitis or ankle sprains. Swimming in cold water can reduce foot inflammation, while swimming in warm water can increase blood flow and make it easier to move and stretch the afflicted foot. Furthermore, because the feet are usually covered during high activity, they tend to sweat a lot. This can cause complications like athlete's foot. Swimming not only allows the feet to be open to the air, it gives them a chance to be cleaned as someone moves around in the water.

Pregnant women who suffer from edema can benefit from swimming, because it allows them to get off their feet for a while. Due to the buoyancy of the human body, they may comfortably float and move around without exerting uncomfortable and often painful pressure on swollen feet and legs. This also lets them to relax sore muscles and joints.

Swimming is, in general, one of the best ways to exercise while protecting and caring for your feet. It takes all the pressure off of them, allowing the feet to relax and recover, and improves blood flow to them. It also makes it easier for someone to stretch and ease an injured foot, which helps heal it and reduces recovery time. If someone has any foot issues at all, or if they simply want to let their feet relax for a while, they should just go swimming.

Whether you are a seasoned marathon runner, a light jogger, or just getting started; runners of different commitments can all benefit from following the same set of training guidelines, says Coach Vic Gainer of the National Federation of State High School Associations (NFHS). Following these guidelines, Gainer suggests, can aid in the prevention of running injuries.

Cement surfaces, with their denseness, can be damaging to the feet and knees. Along with fast downhill runs and slanted terrains, these should all be avoided. Different distances should be run if you are a daily runner as opposed to running the same distance. Additionally, choose to stretch after running at least one mile instead of stretching before a run.

All runners are susceptible to injury. If you’re a runner and you’d like to learn how to protect yourself from getting hurt, see podiatrist Paula F. Raugellis, DPM of Greene Podiatry Assoc Inc. Dr. Raugellis will treat your foot and ankle needs.

How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscles and sports orthotic. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned. Physical therapy can help you learn the best exercises to heal runner’s knee.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule.
- Stretching keeps muscles limber, this will help you gain better flexibility.

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 Preventing Running Injuries

Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility.