Thursday, February 2, 2012

New hazards for high heel wearers


Study by American Podiatric Medical Association

APMA’s survey data on women and footwear was recently featured on NBC’s Today show.

http://video.today.msnbc.msn.com/today/46235875#46235875


Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Thursday, January 26, 2012

Fighting the five most common foot woes

Posted on: ARA via Bastrop Enterprise

(ARA) - From eating better foods to getting an adequate amount of sleep and exercise, we're a very health-aware society. So why is it that many Americans routinely overlook one of the cornerstones of good health?

While nearly 70 percent of Americans say they want to be healthier five years from now, just 51 percent recognize that foot health can be a key to achieving that goal, according to a survey from the American Podiatric Medical Association (APMA).

"Nearly eight in 10 adults have experienced some type of foot ailment in their lives. Yet despite the pain, close to three in 10 do nothing about it, simply choosing to live with their pain," says Dr. Michael King, a podiatrist and president of APMA. "Meanwhile, more than half of those surveyed said they had endured foot pain at some point in their lives but have not sought treatment from a podiatrist."

So what are the five most common types of foot problems and what causes them? Here are some tips from today's podiatrists:

* Nail problems are one of the most prevalent foot woes in both men and women. These problems can range from ingrown toenails to fungal infections. Ingrown toenails - a condition in which the corners of sides of a nail dig painfully into the soft tissue of the nail grooves - is the most common form of nail problem. To avoid ingrown toenails, trim nails straight across and don't dig into the corners. If a toenail becomes infected, see a podiatrist immediately for treatment. Those with diabetes, peripheral vascular disease and other circulatory disorders should seek a podiatrist's care on a regular basis to help prevent complications.

* Sweaty feet and foot odor are two foot conditions that are often experienced together. While stinky feet are definitely embarrassing, feet that sweat excessively can lead to other foot problems, even creating an environment conducive to the development of athlete's foot. Closed shoes make feet sweat, but in the winter you can't avoid wearing them. Instead, practice good foot hygiene. Wash feet daily with soap and water, keep shoes and socks dry, and choose socks that wick away moisture. Change shoes and socks regularly and consider rubbing cornstarch or applying antiperspirant directly onto the soles of your feet.

* Pain in the ball of the feet - Nearly one-third of adults have reported pain in the balls of their feet. Pain in this location can be caused by over-exertion, injury or ill-fitting shoes. To avoid, always wear well-fitting, supportive and activity-appropriate shoes when walking, running or engaging in other physical activity. If necessary, replace the insoles that came in the shoes with ones that provide additional cushioning.

* Heel pain - This type of pain can have many sources, including weight gain, excessive foot flattening, muscle imbalance, injury or even improper footwear. To kick heel pain to the curb, always be sure to warm up and stretch properly before and after exercise. If wearing high heels, opt for heels that are no more than two to three inches in height. For persistent pain, treatment can range from prescribed orthotic devices and medications to cortisone injections, physical therapy and rarely, surgery.

* Bunions - A bunion is an enlargement of the joint at the base of the big toe. Treatments range from self-remedies such as using a bunion pad around the bony prominence, to ice packs to reduce the swelling, and avoiding shoes that could irritate the bunion and even make the problem worse. For persistent pain, see a podiatrist for a full range of treatment options.

"While foot problems are common, that doesn't mean people should be resigned to living with pain," King says. "Consulting today's podiatrist can help people feel better sooner, and get back to living healthier lives."

Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Tuesday, January 17, 2012

Five Foot Tips to Keep Your Feet Healthy for 2012

Posted on:  The Huffington Post

How to get your feet through 2012

Now that your feet have survived the partying, dining and dancing of New Year's Eve, it is now time to be nice to them again. We all make New Year's resolutions such as lose weight, exercise more, eat healthy, make more money, wear more sensible shoes -- OUCH! -- but how many people make resolutions to decide to take better care of their feet?

"The feet are the most neglected part of the body, everyone thinks they have perfect feet until they start to hurt, then they are not so perfect." The triggers to foot pain are many. Shoes, exercise and structural problems such as bunions and hammer toes can trigger foot problems as well as skin problems like corns, calluses, fissures and ingrown toenails. Medical problems can also trigger foot problems -- rheumatoid arthritis, diabetes and Raynaud's disease are the most common.

When your feet hurt, do not ignore them. Wishing and hoping is not the best form of treatment!

If you injure your foot exercising, wearing the wrong shoes or just walking too much, be aggressive in treating the problem. Home care would consist of ice, over-the-counter anti-inflammatory medications such as Advil or aspirin, rest, elevation and wrapping if necessary. Inspect your shoes to make sure they fit properly and there is adequate room for your toes to wiggle around in the toe box of the shoe. Make sure you have proper arch support in your shoes. Soft insole liners can also be placed in your shoes for instant comfort and cushioning.

Inspect your feet regularly; it can make a difference in preventing infections in your feet.

Nail fungus can start off in a tiny little area of the nail and can expand to the entire nail if not detected early. Check for cracks in the skin between your toes and heels after showering. Ingrown toenails can develop without any warning due to cutting your nails incorrectly or from tight shoes. Cut your nails straight across and round the edge with a nail file, and also check to make sure you have enough wiggle room in your shoes. Cracks in your heel are known as fissures and, if not properly cared for, can cause pain standing and walking in shoes or sandals. Using moisturizing cream with urea will help eliminate those types of foot problems.

Select the right shoe for the right activity.

Whatever sports activity you participate in, use sports-specific shoes. Running shoes are for running, aerobic shoes are for aerobics, tennis shoes are for playing tennis. Wearing shoes that are not designed specifically for the sport you are performing can lead to potential foot problems such as plantar fasciitis, arch spasms, heel spurs and tendinitis. Most athletic shoes do not have adequate arch support. Custom made orthotics made by a podiatrist or medical professional will provide the additional arch support needed. Alternatively, over-the-counter arch supports that can be found on line or at sporting good stores will also provide the necessary support your foot needs.

Home remedies for your feet can be dangerous if you do not know what is in them

Be careful when using over-the-counter home remedies because they might increase the problem. Some over-the-counter wart products have salicylic acid in them that could be dangerous if you are a diabetic or have circulatory problems. Always check the back of the package and read the ingredients and warnings.

If you are a diabetic, get regular foot checks to prevent potential foot problems

Diabetes is a small blood vessel disease and leads to circulatory problems because it will clog up the small blood vessels in your feet. The wound-healing can be prolonged due the lack of proper blood supply to the affected area. Diabetics who accidentally cut the skin on their feet or develop a skin infection because of an open sore must aggressively treat those problems. Always check your feet after bathing to ensure that there are no skin problems looming.

Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Friday, January 13, 2012

3 Easy Steps for Treating Dry, Cracked Heels


Posted on Yahoo
Source: 3 Easy Steps For Treating Dry, Cracked Heels

Cracked heels can be a problem, especially in the colder months when the air lends itself to dry skin. On top of that, these fissures can worsen as a result of the pressure put on your heels throughout the day - especially if you're a fan of foot-imbalancing stilettos. Along with being less-than-aethestically-pleasing, untreated cracked heels can split even further, causing pain (and in some cases, infection). Prevention is key: moisturize daily, get pedicures as needed, and drink plenty of water to save your feet. But what do you do when your cracks are already out of whack? Find out how to do your own at-home treatment when you read more.
  • Step 1: Soak. Before heading to bed, soak feet in warm (not hot) water for about 10 to 15 minutes to cleanse and help promote circulation in the feet. Add Epsom salts, honey, oil, or milk to soothe and soften.
  • Step 2: Exfoliate. Now massage on an exfoliating foot scrub to stimulate skin and slough off dead skin. Rinse off and pat dry. Other options: use Stridex pads, which contain salicylic acid, to help gently remove flaking, or a good old-fashioned pumice stone. But whatever you do, do not pick at, peel, or try to cut off dead pieces of skin. That can lead to unnecessary irritation and even infection.
  • Step 3: Hydrate: To finish, apply a thick lotion, salve, or cream liberally to the feet. Cover with socks and let the moisturizer work its magic while you sleep. Repeat the process every day for about a week to reveal beautifully soft heels. And if the fissures still remain, head to the podiatrist for a professional's opinion.
Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Monday, January 9, 2012

Don't let sore feet trip up your travel plans

Posted on: ARA via Redwood Falls Gazette

(ARA) - Whether you travel for business or pleasure, whether you fly, drive or take a train, there's one other mode of transportation you'll almost certainly use on your trip: your feet.

During the course of a regular day, the average person walks 8,000 to 10,000 steps, but that number can increase dramatically when you're traveling. From inappropriate footwear to long stretches of inactivity in cramped cars or airplane seats, traveling can be hard on your feet.

"Exploring a new destination with family and friends, or getting to that important business meeting on time should not involve having to struggle with foot pain," says Michael King, a podiatrist and president of the American Podiatric Medical Association (APMA). "By following basic foot care practices, travelers can help ensure foot pain doesn't slow down their enjoyment of the journey."

If you're planning a trip, the APMA recommends you take a few steps to ease the wear and tear on your foot muscles and joints:

* Start out with the proper footwear. If you're flying, shoes that slide on and off easily make sense, but don't sacrifice health and safety for convenience. Choose footwear that is comfortable and supportive. Business travelers - especially women - may want to pack their dress shoes in their carry on and wear comfortable footwear while traveling. If you're driving, and don't have to worry about speedy shoe removal, go with a comfortable, supportive athletic shoe that will allow your feet to breathe and provides ample cushioning.

* Never go barefoot through airport security. While current security regulations require all travelers to remove their shoes, you're not required to remove your socks-unless a security officer asks you to. Keep your socks on to help protect your feet from dirt and bacteria.

* If possible, get up and walk around every 45 minutes. Sitting for long periods of time restricts blood flow to the legs and feet, which can lead to swelling and, in extreme cases, blood clots. If walking around isn't possible-if you're in a car for a couple of hours or stuck in your seat during a turbulent flight-exercise your legs, ankles and feet while seated. Roll your ankles and point your toes up and down to encourage blood flow. If you have the room to do so, raise each knee and hold it for a few seconds while tensing your thigh muscles. If your feet begin to swell, unlace your shoes.

* Even with the best precautions, vacation walking can create a foot emergency. Pack a foot care emergency kit that's equipped with adhesive bandages, antibiotic cream, tweezers and nail clippers. You can also include foot lotion for a soothing massage.

* Finally, travel time is no time to try breaking in new shoes. In fact, new shoes should never have to be "broken in" before they feel comfortable. Shoes should be comfortable, without chafing or pinching, from the first time you put them on, otherwise, don't buy them.


"Our research tells us that most Americans say they have foot pain at least some of the time," King says. "When you're traveling, it's no time to contend with foot pain. Travelers can protect their foot health by following simple precautions."
Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @ 702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Saturday, January 7, 2012

Large Lumps on the Arches in Ballet Dancers


Posted on: LiveStrong
Ballet dancers rely on their feet to execute their dance moves gracefully and correctly. If you have pain in your feet when you dance, you are not able to coordinate your movements appropriately. Foot pain is fairly common among ballet dancers, but should be treated as soon as possible to prevent further injury. If you have discovered a large bump on the bottom of your foot, there are treatment options to reduce your pain and eliminate the bump.
Ballet Background
Ballet is considered a high-performance sport, which places you at an increased risk of injury. Ballet dancing can be particularly damaging to your feet, since each of your dance moves relies on certain foot positions. Podiatry Today, an online journal dedicated to foot health, reports that as a ballet dancer, you may be more likely to sustain foot injuries because you do not wear supportive shoes. Instead you wear a thin ballet slipper that does not absorb shock and force when you execute various dance moves. Improper ballet technique and fatigue might also increase the risk of injuries to your feet.
Plantar Fibroma
A lump on the arch of your foot is referred to as a plantar fibroma. A plantar fibroma is a benign tumor that forms in a ligament, called the plantar fascia, located in the arch of your foot. In the early stages, a plantar fibroma does not cause pain, and may be too small to notice. Over time, a plantar fibroma can get larger and cause you pain when you put pressure on the bottom of your foot. The primary cause of a plantar fibroma is damage to your tendons, which can occur when you do certain ballet moves, dance for extended periods of time or otherwise injure the bottom of your foot. Your doctor will likely take an X-ray or MRI to diagnose a plantar fibroma.
Treatment
A plantar fibroma will not shrink or go away on its own. The primary way to treat a plantar fibroma is to pad the area to relieve pressure on the arch of your foot. A functional foot orthotic will help remove the strain on the arch of your foot. A foot orthotic might also help reduce the size of your plantar fibroma. Cortisone injections are often used to help shrink the fibroma, but are temporary because the lump will slowly grow back over time. Surgical removal is an option if the lump causes you a great deal of pain, but is likely to flatten your arch.
Considerations
Speak with your doctor if you discover a lump on the arch of your foot, whether you experience pain or not. Because a plantar fibroma will not go away on its own, treatment is necessary to prevent and reduce pain. Ask your doctor about the risks and benefits of surgically removing your plantar fibroma. Surgery may put your ballet dancing on hold has you heal, and it could make it more difficult to execute dance moves due to a potential change in the shape of your arch.
Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @ 702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Wednesday, January 4, 2012

A Resolution Worth Keeping


Published by:  American Podiatric Medical Association, Inc.

Make a resolution to have healthy feet in 2012!

Stroll into the New Year with healthy and pain-free feet using these tips.


Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!  

Thursday, December 22, 2011

How to get through the winter injury-free

Published on:  Detroit Free Press

Whenever there's a snowstorm, Dr. James Kraft typically sees an influx of patients with back pain and injuries.  The doctor of chiropractic medicine, who runs Kraft Chiropractic Clinic in Troy, says the avalanche of appointments is due to shoveling heavy snow.
"I see lots of patients with the same injuries after a snowstorm," says Kraft, who has been based in Troy for 22 years. His clientele includes everyone from professional athletes to 90-year-old war veterans.
Dr. Ronald Taylor advises those with a history of back or heart problems to not shovel.  "With snow, you've got all that weight at the end of a long lever arm; even with proper shoveling techniques, it's a lot of stress on the body," says Taylor, chair of the Physical Medicine and Rehabilitation department at Beaumont Health System in Royal Oak.
He admits that he will occasionally shovel his own driveway if he needs to get out in a hurry.  "But I'm in shape; I bike 45 minutes a few times a week and I don't have any health problems that would be affected by shoveling."
As pretty as the white stuff is, snow does bring danger. According to a 17-year study published this year in the American Journal of Emergency Medicine, an average of 11,500 snow shoveling-related injuries and medical emergencies were treated in U.S. emergency departments each year from 1990 to 2006.
The lower back was the most frequently injured part of the body, followed by injuries to the arms and hands. There's also a chance of falling and injuring yourself, especially if you're not wearing the proper footwear.
These tips can help you lift, glide, walk, trudge and bend yourself through the snowy season, injury-free.
SOLE MATES: You get the best traction with boots that have a rubber sole and deep grooves, says Dr. Jodie Sengstock, a West Bloomfield-based podiatrist who runs Feet First Podiatry and is president of the Michigan Podiatric Medical Association.
HEED THE HEEL WARNING: When walking on ice and snow or shoveling snow, avoid boots with heels over one-half inch, says Sengstock.
AVOID ANKLE ANGST: "Wear boots that are high enough to fully support your ankle to help avoid ankle sprains from slips," she says.
WARM UP: "You should always stretch before heading out to shovel," says Kraft.
"Lay on the floor on your back and pull your knees up to your chest, one at a time," Kraft suggests. "Or sit on the edge of your bed or on a chair and do some upper-body rotations." He also recommends raising your arms over your head and reaching straight up, "which strengthens the whole back."
TECHNIQUE 101: Bend your knees and lift with your legs, says Kraft. "And keep your back straight, using your shoulder muscles as much as possible."

NEAR & DEAR: "Keep the snow (on the shovel) as close to your body as possible; don't lift snow that's far away from you," he says.
SMALL SCOOPS: "If the snow is heavy, take small shovel fulls; don't fill up the whole shovel," says Taylor.
TAKE A BREAK: "Break up your shoveling," says Taylor, "into maybe 10 or 15 parcels; rest often."

BOSS OF TOSS: "Try to throw the snow straight from your shovel," Kraft says, "and not right or left; don't twist when throwing the snow."
HAND-Y IDEA: "Keep one hand closer to the shovel's blade for better leverage," Kraft says.
STOKE YOUR BODY: "You need to hydrate regularly when shoveling," he says.
DESIGN DETAIL: "Ease of shovel use is imperative," says Colleen Maiura, a publicist for Lowe's. "The best and most innovative features in snow tools are lightweight and ergonomic (which relieves stress on joints and lower back). The latest innovations include curved handles for better leverage, oversized and bent grips that provide better hand placement and maneuverability."
Two popular shovels available at Lowe's are the True Temper SnowBoss and VersaGrip.
WEIGHT UP! "If the snow you are shoveling is 6 inches deep or less, then a pusher style is an ideal snow tool," says Maiura. "However, if you're shoveling deeper snow, then a combo blade is more ideal. Combo blade shovels feature higher sides and can be used both to push the snow and shovel."
FIND A NEIGHBOR KID: "If you've had lower back pain issues in the past, and depending on your physical health, it may be best to not shovel," says Kraft.

Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Monday, December 19, 2011

Hammertoes


Posted on:  Ladue News
Among the many injuries and deformities that can occur on our feet, hammertoes are among the most obvious. This condition causes the joints in the toes to contract, forcing the toes to bend upward at the joint.
“Anything that causes damage to the top extensor tendons, making them pull harder than they’re supposed to, can pull the toe back,”explains Dr. Lawrence Iken, a St. Louis podiatrist. In hammertoe patients, the tendons that attach to the top of the toe become contracted, sometimes to the point of becoming frozen in the abnormal position.
Hammertoes may be hereditary, and Iken says this is the case for the majority of patients. However, other factors can contribute to the problem. “This is a muscle tendon imbalance or the effect of overstabilization of the toes due to flat feet. When your feet are flat, you get used to over-flexing your toes for balance,” says Dr. Michael Horwitz, director of Feet for Life Podiatry Centers.“Cortisone shots given the wrong way also are a cause of hammertoe deformity. The tendons to the digits are delicate and can be injured if the practitioner is not knowledgeable and careful with injections.”
Hammertoes do not affect the big toe but may affect one or more of the other toes. As the toe contracts and is pulled up and back, it tends to rub on shoes, causing discomfort and calluses or corns. Patients often pad the corns and attempt to ignore the problem.“People like to buy over-the-counter medicines, and that’s a very bad thing to do,” Iken says. “It leads to a lot of complications as far as infections and problems of that nature. Unfortunately, an acid pad, as found in medicated corn pads, doesn’t know the difference between thickened skin and good skin. If you get it on the good skin, it’s like a first-degree chemical burn. So I would caution people not to buy medicated over-the-counter pads.”
People who have hammertoes should wear comfortable shoes with plenty of space for the toes. Tight or pointed shoes tend to exacerbate the condition. “Orthotics are good for slowing down the progression of the deformity; but even better, frequent use of minimalist footwear without orthotics will help keep your feet strong,” Horwitz says. He explains that hammertoes occur because of foot weakness and instability. “The stronger your foot is, the healthier it is. So if you wear orthotics, get out of them for at least 16 hours a week and get into minimalist footwear. This will strengthen your feet.”
Surgical correction is the only answer for some patients, particularly if the joints become rigid. The outpatient procedure involves cutting and realigning the tendons and also removing some small pieces of bone in order to straighten the toe. Iken says that most patients who have the surgery wear a surgical shoe for a couple of weeks and limit walking and standing initially as the toe heals. Most can resume all activities within a month.
“If you have a hereditary inclination to get hammertoes, use common sense with shoes and wear a comfortable shoe,” Iken adds.“And don’t let it get too bad. If you notice a malalignment of the toe and it’s starting to get contracted, see a podiatrist.”
Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

Friday, December 16, 2011

The high heels and tight fits of today's shoes are terrible for women's feet (photo gallery)


Posted on:  The Plain Dealer (Cleveland.com)

Gallery: Shoes, heels and foot problems (7 photos) RSS


Description:

http://photos.cleveland.com/4501/gallery/shoes_heels_and_foot_problems/index.html

Women's shoes have always been about the heels. And barring the brief Earth Shoes phase in the 1970s, style has usually trumped comfort.

Maybe it was "Sex and the City" and its fetishization of Manolo Blahniks. Whatever the reason, 4-plus-inch spike heels that would have been available only at Frederick's of Hollywood in the 1980s are now seen at every department store and major shoe retailer.

That's been great for orthopedic surgeons, says Dr. Randall Marcus, but terrible for women's feet, tendons and lower backs.

Heels are only part of the problem, however. Ballet flats and flip-flops don't offer the foot enough support or shock absorption, while platform wedges can be unstable and too easy to fall off of, resulting in a torn ligament or broken bone. Adding insult to injury: Many women's shoes, even flats, taper at the front, creating narrow toe boxes.

"No human has a pointed foot," says Marcus, chairman of the Department of Orthopedic Surgery at University Hospitals Case Medical Center. "So eventually, if you wear shoes that don't conform to the shape of the foot, they will deform your foot."

Dr. Marie Blazer, a podiatrist at the Cleveland Foot & Ankle Institute of the Ohio College of Podiatric Medicine, has run into resistance from patients unwilling to make changes.

Facts and tips about shoes and foot problems


"Just last week, I had a patient who told me she was willing to put up with pain because she has well over 100 pairs of shoes that have heels of 4 to 5 inches," says Blazer. The woman, in her 40s, "wanted me to advise her on padding. I told she's got to wear different shoes.

"She said she buys longer pants to accommodate her heels, and said this is what she needs to look good as a professional."

Sooner or later, though, a woman will pay the price -- perhaps surgically -- for choosing fashion over function. And it will probably be sooner if she's forcing her feet into an unnatural shape, at an unnatural height.

Men tend to wear shoes that are close in shape to their feet, so women are at least 10 times more likely to need surgery on their feet, says Marcus, who is also chairman of the Department of Orthopedics at Case Western Reserve University School of Medicine.

Marcus and his fellow surgeons don't see many young women as patients (unless they fall off their platforms or high heels and break an ankle, which does happen). It takes a few years for damage to feet and bones to manifest.

"Then, as women get older, there's also some fat atrophy," says Marcus, so the padding on the bottom of their feet diminishes. That comes with age, and it can make it even more uncomfortable to wear high heels or thin-soled shoes.

What isn't natural is what happens to feet that have spent too many years in heels -- because of the way pointy toe boxes push the toes together, which is aggravated by the downward pressure placed on the balls of the feet in heels.

Often, bunions are the result. A bunion is what appears to be a bony projection on the inner side of the foot below the big toe. Bunions, which in reality are misaligned big-toe joints, require surgery to correct, followed by a slow healing process. Continuing to wear unsuitable shoes will bring them back, though, Marcus warns his patients.

But that's not the only thing that can happen to feet. Women can get arthritic inflammation. Or they might get a condition known as hammertoes, in which the toes begin to buckle into a clawlike position; corns form at the bent joint where the toes rub against the tops of shoes.

High heels also create problems for the rest of the body, especially the lower back, says Marcus. Wearing heels forces the buttocks out -- which is often what men find sexy about women in heels -- but this position also causes pressure and strain on the lower back.

Less serious effects of high heels, but still irritating, are corns and calluses, often caused by ill-fitting shoes and underlying bone problems in the foot. Those problems combined cause excessive irritation.

These issues are so prevalent because 9 out of 10 women wear shoes too small for their feet and 8 out of 10 women say their shoes are painful, according to a study by the American Orthopaedic Foot and Ankle Society. The research also shows 7 out of 10 women develop bunions, hammertoes or other foot deformities, and 9 out of 10 women's foot deformities can be attributed to tight shoes.

Blazer says the first sign she sees, even in younger women, is discoloration of the tops of the toes. "I'll see 20-somethings and they'll ask me about that, and if there's a cream for it," she says. "I ask them if they wear high heels a lot and the answer is always yes. They'll be wearing a shoe with too small a toe box, which creates friction and then discoloration."

It won't go away unless they start wearing reasonably heeled shoes with a wider toe box, she says.

Spiky heels are more popular than ever, says Blazer. "It looks like we're in the age of Lady Gaga. That means we'll be seeing lots and lots of patients."

Please call the Foot, Ankle & Lower Leg Center office in Las Vegas anytime @702-878-2455 between Monday – Friday and we would be happy to set up an appointment for you.  Please visit our website @ www.FallCenter.com.   The Foot, Ankle & Lower Leg Center has Diagnostic imaging:  Digital X-Rays, Ultrasound or Advanced Imaging will be used to aid in the diagnosis.
Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current state of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!