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Posts for category: Foot Issues

By Arizona Foot & Ankle Specialists, LLC
November 24, 2021
Category: Foot Issues
Tags: Sweaty Feet   Hyperhidrosis  
Sweaty FeetSweating occasionally is normal. It could be a particularly hot day or you could simply be hitting your workout hard. In these instances, sweating isn’t just normal, it’s expected; however, if you find yourself sweating excessively, particularly in your feet, and for no reason whatsoever you may be wondering what’s going on.

Your Sweaty Feet Could be Hyperhidrosis

Hyperhidrosis is the medical term for excessive sweating. Plantar hyperhidrosis is when people experience excessive sweating of the feet. Men are often more likely than women to develop this issue. The good news is that if your podiatrist determines that you have plantar hyperhidrosis there are ways to several ways to treat it.

Your Hyperhidrosis May Be Secondary

Okay, so what does this mean exactly? This means that you may have an underlying condition that could have brought about hyperhidrosis. So by finding and treating the underlying cause we can often alleviate hyperhidrosis. Secondary hyperhidrosis may be caused by:
  • Menopause
  • Hyperthyroidism
  • Parkinson’s disease
  • Anxiety
  • Diabetes
  • Intense stress
  • Certain prescription medications such as antidepressants
  • Tuberculosis and other infections
  • Dysautonomia
We’ll Try Conservative Measures First

As is the way for treating most health conditions, your podiatrist will often recommend certain lifestyle changes and simple treatment options first to see if these are effective enough against excessive sweatiness. Only if these treatment options don’t work will your podiatrist turn to more aggressive options. Conservative options include:
  • Applying deodorant or antiperspirant to your feet
  • Applying antifungal powder to the feet
  • Making sure not to wear the same shoes two days in a row
  • Choosing breathable shoes (shoes made from leather or canvas)
  • Wearing moisture-wicking socks
How a Podiatrist Can Help

While a podiatrist can recommend a variety of options to help you manage your sweaty feet, there are instances where you may need to turn to a foot and ankle specialist for more aggressive treatment. One way that a podiatrist treats sweaty feet is with iontophoresis, a painless device that passes mild electrical currents through the feet to temporarily stop sweat glands from producing sweat. Along with iontophoresis, a podiatrist may also recommend Botox injections, which can also temporarily stop excessive sweating for anywhere from 6-9 months.

If you are dealing with sweaty feet and it’s impacting your daily routine or making you uncomfortable, a podiatrist can evaluate your issue and figure out how to get your sweating under control.
By Arizona Foot & Ankle Specialists, LLC
August 10, 2021
Category: Foot Issues
Tags: Heel Pain  

Introduction:

Heel pain is one of the most common conditions we treat here at Arizona Foot and Ankle Specialists. Heel pain can result from many heel paindifferent causes. These may include local inflammation to the plantar fascia; a long thick ligament to the bottom of your foot, lower back problems, or some rheumatologic problems. But most common causes of plantar heel pain are plantar fasciitis, atrophy to the plantar fat pad (cushion), calcaneal stress fracture, or entrapment of the nerves around the heel area.

Risk factors:

  • Obesity

  • Sudden increase in activity

  • Inappropriate footwear

  • Biomechanical abnormalities

  • Trauma

Common findings:

Most commonly if plantar fasciitis is the main component of heel pain, pain exacerbates with activity after a period of rest. This phenomenon is referred to as post kinetic dyskinesia. If you are experiencing sharp pain to the bottom aspect of heel, with activity after a period of rest, you may have a component of plantar fasciitis. Similar symptoms maybe experienced due to other problems such as fat pad atrophy, tarsal tunnel syndrome, lower back radiculopathy, or some systemic cause. It is very important that a thorough and proper evaluation is performed in order to identify the main root of symptoms and then develop an appropriate and personalized treatment plan.

Evaluation:

Through physical exam, with proper history, is required for a proper diagnosis. At Arizona Foot and Ankle Specialists, we perform a detailed examination and may order laboratory work or advanced imaging to properly diagnose heel pain.

Imaging:

Part of your visit for heel pain will involve taking x rays in our office. On x rays there may or may not be a bone spur to the bottom aspect of the heel bone. Bone spurs are usually NOT the cause of heel pain. Instead, bone spurs result as response to increased tension to the bone (in this case heel). Presence of bone spurs usually means chronic tension from the plantar fascia.

Treatment:

Once the cause of your heel pain is identified, we design a personalized treatment plan. Every patient and every heel pain are different. Therefore, we design a personalized treatment plan for every patient. What worked for one patient in resolving their heel pain, does not mean will work for another patient. There are multiple ways to treat heel pain. Some of the treatment options available at Arizona Foot and Ankle Specialists include:

Conservative care:

  • Personalized stretching program

  • Orthotic management (prefabricated-medical grade, and custom options are available)

  • Corticosteroid therapy

  • Physical therapy

  • Shoe gear change and recommendation

  • Brace therapy

  • EPAT (shockwave therapy)

  • Anti-inflammatories

  • Activity modification

Surgical:

  • We offer Both traditional open vs. Minimally invasive surgical options. Surgical procedure is determined based on the severity of the problem.

Conclusion:

Heel pain is one of the most common conditions seen at Arizona foot and ankle specialists. Plantar fasciitis is not always the cause of heel pain and that’s why it is very important that the etiology of heel pain is identified and only then a personalized treatment plan can be created. At Arizona foot and ankle specialists, we provide individual care and personalized treatment plans for every patient.

References

1. Malahias MA, Cantiller EB, Kadu VV, Müller S. The clinical outcome of endoscopic plantar fascia release: A current concept review. Foot Ankle Surg. 2020 Jan;26(1):19-24.

2. Al-Boloushi Z, Gómez-Trullén EM, Bellosta-López P, López-Royo MP, Fernández D, Herrero P. Comparing two dry needling interventions for plantar heel pain: a protocol for a randomized controlled trial. J Orthop Surg Res. 2019 Jan 25;14(1):31. 

3.Orhurhu V, Urits I, Orman S, Viswanath O, Abd-Elsayed A. A Systematic Review of Radiofrequency Treatment of the Ankle for the Management of Chronic Foot and Ankle Pain. Curr Pain Headache Rep. 2019 Jan 19;23(1):4.

4.Moroni S, Zwierzina M, Starke V, Moriggl B, Montesi F, Konschake M. Clinical-anatomic mapping of the tarsal tunnel with regard to Baxter's neuropathy in recalcitrant heel pain syndrome: part I. Surg Radiol Anat. 2019 Jan;41(1):29-41. 

5.Kim TH, Lee JK, Sung HK, Kim BH, Song YS, Sung IH. Radiologic features in symptomatic/asymptomatic heels of patients with ankylosing spondylitis. Int J Rheum Dis. 2019 Feb;22(2):222-227.

By Arizona Foot & Ankle Specialists, LLC
November 12, 2020
Category: Foot Issues
Bad Circulation and Your FeetAre you dealing with numbness, tingling, or muscle cramps in your feet? If so, you could be dealing with poor circulation. Your feet must be getting proper blood flow, as this can provide the tissue with the oxygen and nutrients they need to stay healthy. Unfortunately, as we get older, we’re more likely to deal with poor circulation. If you are experiencing symptoms of poor circulation in your feet, you must seek podiatry care from a qualified foot doctor.

Do I really have poor circulation in my feet?

It isn’t always easy to notice the warning signs of bad circulation. After all, it’s normal to feel a lack of sensation in your feet during cold winter days or to notice some aching and tiredness when standing for long periods of time; however, signs of poor circulation in the feet include:
  • A “pins and needles” sensation in your feet
  • Changes in the color of your feet
  • Swelling
  • Cold feet
  • Heaviness
  • Pain
  • Numbness or tingling
If these symptoms persist or keep coming back, it’s time to see a foot doctor. While circulation issues may only cause minor problems, it can also cause dangerous complications. Seniors must really pay attention to these symptoms and seek proper podiatry care right away if these symptoms appear.

What causes poor circulation in the feet?

There are many reasons that people may develop poor circulation in their feet as they get older. Some causes can’t be helped but others are due to health conditions or bad habits. Causes of poor circulation include:
 
  • Age: As we get older most people will deal with some degree of decreased blood flow.
  • Inactive lifestyle: If you lead a sedentary lifestyle you are more likely to deal with blood flow issues, especially as you get older. We see this most often in seniors who have mobility issues and can’t stay active.
  • Overweight or obese: Being overweight or obese also puts a lot of stress on the body, causing the heart to work harder to pump out blood to the rest of the body including the feet.
  • Smoking: Smoking restricts blood flow, which makes it more difficult for blood to reach the feet. Smoking can also increase your risk for deep vein thrombosis (DVT) and peripheral artery disease (PAD).
  • Diabetes: Diabetes can increase your risk for inflammation, poor circulation, and even nerve damage in the feet (known as neuropathy). You must work with your doctor and a podiatrist to control your blood sugar to reduce your risk.
You must discuss your poor circulation with a qualified podiatrist, as these seemingly innocuous symptoms could be signs of an underlying problem that could require urgent medical attention.
By Arizona Foot & Ankle Specialists, LLC
September 15, 2020
Category: Foot Issues
Common Foot and Ankle Injuries And How a Podiatrist Can HelpFoot and ankle injuries are fairly common and can happen to anyone, not just athletes. While minor strains and sprains can be nursed back to health by simply resting and icing your injury, it’s important to be able to discern when you need to see a podiatrist for care. Put your feet up and check out these signs that it might be time to schedule a podiatry appointment.

You are dealing with persistent heel pain

Heel pain is a common complaint and most often the result of an overuse injury such as plantar fasciitis or Achilles tendonitis. The good news is that heel pain will usually go away on its own with rest and home care; however, if the heel pain is severe or persists for weeks without getting better than it’s time to see a podiatrist and find out what’s going on.

You’re dealing with a sprained or fractured foot

If you are dealing with a new foot and ankle injury that you’ve never experienced before, then it’s a good idea to see a podiatrist who will be able to examine it to determine the extent and severity of the sprain or break. Since untreated or improperly treated injuries can lead to long-term foot and ankle pain and instability, it’s a good idea to get proper podiatry care when you sustain an injury.

You have been diagnosed with diabetes

People with diabetes know that they are also at an increased risk for other foot-related complications including neuropathy, ulcers, and infections. If you have been diagnosed with diabetes it’s a good idea to have a podiatrist that you can turn to for regular care, especially when problems arise. Even if you aren’t experiencing symptoms, you should still see your podiatrist once a year for a routine checkup.

You’re dealing with regular joint pain and stiffness

While there are many reasons why someone may deal with a bout of joint pain, if this is a persistent problem, you may be dealing with arthritis. Since arthritis is progressive, it’s important to diagnose this problem early when medications and treatments can help to slow the progression of joint damage.

If you are experiencing a foot or ankle injury or experiencing symptoms that have you concerned, it’s best to consult foot care professionals for comprehensive podiatry care.
By Arizona Foot & Ankle Specialists, LLC
August 11, 2020
Category: Foot Issues
Tags: Swollen Foot   Swollen Ankle  
Foot and Ankle SwellingThere are many reasons why someone may be dealing with swollen ankles or feet. The most common reason is an injury such as a sprained ankle; however, not all causes are as obvious. If you aren’t dealing with a foot or ankle injury, then you may be wondering what could be causing your swelling. Along with. determining the cause of your swelling it’s also important to recognize warning signs of a potentially serious health problem.

Here are some possible reasons why you may be dealing with foot and ankle swelling,

You’re pregnant

It’s normal for there to be a little bit of swelling in the ankles and feet due to extra fluid and pressure placed on the body from the developing uterus. This is more common for women in their third trimester, especially the weeks leading up to delivery, or during hotter months. However, it’s important to keep an eye on your swelling to make sure it’s not severe or appearing suddenly. If you notice significant swelling of the feet and ankles along with stomach pain, nausea, vomiting or headaches, call your doctor right away, as this could be a sign of high blood pressure (known as preeclampsia).

You have a foot or ankle injury

This is a common reason why people often turn to a podiatrist. Everything from strains to sprained ankles and fractured bones in the foot can lead to sudden swelling after an injury. It’s a good idea to ice the injury to help reduce swelling. If your swelling is accompanied by severe pain or trouble walking on the foot then you should see a podiatrist immediately.

You could have a blood clot

A blood clot in the leg, often known as deep vein thrombosis, can stop blood from flowing through the legs back to the heart. As a result of the blockage, this can lead to swelling in the ankles and the affected leg. Since a blood clot can be particularly dangerous it is important that you seek immediate medical attention if your swelling is accompanied by leg pain, fever, and any color changes in your leg.

You may have heart or kidney disease

It is possible that swelling in your feet or ankles could be warning us of problems with your kidneys, liver, or heart. If you find that your ankles start to swell at night, your body could be retaining both salt and water (a possible sign of heart failure). When kidneys don’t function properly excess fluid can accumulate within the body and lead to swelling. If you notice swelling along with weight gain, loss of appetite, and fatigue then you should talk with your doctor.

These are only some of the reasons why you may be dealing with foot and ankle swelling. Other causes could be,
  • Consuming too much salt
  • Sitting or standing for too long
  • Side effects from certain medications
  • An infection (more common in those with diabetic neuropathy)
  • Weak or damaged veins in the legs
If you are dealing with severe or recurring foot and ankle swelling, it’s important that you see a podiatrist right away to find out what’s going on and to catch potentially dangerous problems as soon as possible.