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Tuesday, 20 February 2024 00:00

Treatment Options for Drop Foot

Foot drop is a condition marked by having difficulty lifting or moving the foot and toes. The foot fails to lift properly, causing a gait that looks like marching. Foot drop typically stems from nerve injuries as the result of sports injuries, spinal issues like slipped discs, or neuropathies associated with conditions such as diabetes. Other causes of drop foot  include inherited conditions like Charcot-Marie-Tooth disease or neurological disorders, such as stroke or multiple sclerosis. Treatment strategies for foot drop are multifaceted, depending on the underlying cause and severity of symptoms. Certain exercises can play an important role in strengthening and stretching muscles to improve function. In addition, braces, splints, or custom orthotics may offer external support and aid in maintaining proper foot positioning. In cases of permanent impairment, surgical joint fusion or nerve repair may be necessary. Electrical nerve stimulation devices also can offer promising therapeutic options, particularly for individuals affected by stroke or multiple sclerosis. If you have symptoms of foot drop, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis, followed by the appropriate treatment options. 

If you have any concerns about your feet, contact Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 20 February 2024 00:00

Biomechanics in Podiatry

Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.

Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.

At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.

Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates.  They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.

Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.

Tuesday, 13 February 2024 00:00

Trim Properly to Avoid Ingrown Toenails

Improper toenail trimming is a common culprit behind ingrown toenails, a painful condition that occurs when the nail grows into the surrounding skin. The risk of ingrown toenails increases when toenails are trimmed improperly. This includes when toenails are cut too short, rounded at the corners, or not trimmed straight across. To trim toenails correctly and reduce the likelihood of ingrowth, you should follow a few simple steps. Firstly, soften the nails by soaking the feet in warm water for a few minutes. Using sanitized nail clippers, cut the nails straight across, avoiding curved edges. Ensure that the nails remain slightly longer than the skin at the nail's edge. Digging the clippers into the corners of the nails, or trying to create a rounded shape, will increase your chances of developing ingrown toenails. Adopting these toenail-trimming practices will help you maintain healthy, pain-free feet. If you suspect ingrowth, it is suggested you seek an appointment with a podiatrist, who can help you treat ingrown toenails and provide more prevention tips. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

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

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 13 February 2024 00:00

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin.  This typically occurs at the nail borders, or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail.  In most cases, however, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 06 February 2024 00:00

Proper Footwear for a Productive Workday

In the hustle and bustle of our daily lives, the importance of wearing appropriate shoes often takes a backseat. However, the effect of choosing the right footwear for your workday cannot be overstated. The shoes you wear play a pivotal role in supporting your feet and maintaining overall well-being. Wearing ill-fitting or improper shoes can lead to a cascade of issues, from discomfort and fatigue to more severe problems like joint pain and posture issues. Investing in the right pair of shoes tailored to your work environment is an investment in your health and productivity. The correct shoes provide adequate support, preventing strain on your feet and lower limbs throughout the day. By prioritizing proper footwear, you not only enhance your physical comfort but also contribute to a more focused and effective work routine, setting the foundation for a successful and pain-free professional journey. If you experience any type of foot pain as a result of the shoes you wear while working, it is suggested that you consult a podiatrist who can offer treatment options.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 06 February 2024 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Friday, 02 February 2024 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Tuesday, 30 January 2024 00:00

How to Recognize Charcot Foot

Charcot-Marie-Tooth, or CMT disease, is a genetic condition that affects the peripheral nerves. It can be recognized by progressive muscle weakness, particularly in the arms and legs. The condition is named after Jean Charcot, Pierre Marie, and Howard Henry Tooth, the physicians who first described it. Symptoms of Charcot foot often begin in adolescence or early adulthood and may include weakness and wasting of muscles in the foot and lower leg, as well as a loss of sensation in toes, and lower limbs. Additional symptoms can include abnormalities in foot muscles, unstable ankles, cramping in lower legs, and reduced reflexes. Over time, symptoms may worsen, leading to increased muscle and joint pain, neuropathic pain, and walking and mobility problems. Assistive devices, such as wheelchairs, leg braces, special shoes, or orthopedic devices, play an essential role in managing Charcot-Marie-Tooth disease. If you believe you may be experiencing symptoms of CMT, it is suggested that you schedule an appointment with a podiatrist for a comprehensive assessment and personalized care planning.

Some foot conditions may require additional professional care. If you have any concerns, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Tuesday, 30 January 2024 00:00

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

Tuesday, 23 January 2024 00:00

Achilles Tendon Injuries From Running

Experiencing Achilles tendon pain while running can be quite uncomfortable, and preventing injuries is essential. The Achilles tendon connects the major calf muscles, the gastrocnemius and soleus, to the back of the heel bone. When it is subjected to excessive stress, it tightens and is forced to work too hard. This can lead to irritation or inflammation, which is commonly referred to as Achilles tendinitis. Over time, scar tissue, which is less flexible than the tendon, can develop on it. If the inflamed Achilles tendon continues to endure stress, it may tear or rupture, resulting in an Achilles heel injury. To address Achilles pain during running, the first step is to stop running when you feel discomfort. It is important to rest and seek professional advice from a podiatrist to assess the condition of your lower leg. Continuing to run with Achilles pain can potentially worsen the injury. If you are experiencing Achilles pain from running, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

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 create immense 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 injuries 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, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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