Tuesday, 11 July 2023 00:00

Education for Podiatrists

Podiatry is a field of medicine that specializes in the disorders and treatment of the feet and ankles. There are several painful conditions that can affect the feet, including plantar fasciitis, heel spurs, and ingrown toenails. There are various branches of podiatry that can range from performing foot surgery to working in a hospital or clinic setting. Interested candidates pursuing podiatry will go through an extensive education process. This can begin with obtaining a bachelor's degree, followed by completing a four-year program in a podiatric medical school. At this time, the student will earn a DPM, which is the abbreviation for a Doctor of Podiatric Medicine degree. A residency program begins after the DPM is obtained, and lasts for three years. This will give the student an opportunity to work in podiatry, in addition to learning pertinent information about medicine. If you think you may want to pursue a career in podiatry, it is suggested that you meet with this type of doctor who can answer any questions you may have.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Kevin Powers, DPM from The Center for Lower Extremity Nerve Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

If you have any questions please feel free to contact our offices located in Indianapolis and Bloomington, IN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

Read more about What is a Podiatrist?
Tuesday, 11 July 2023 00:00

What is a Podiatrist?

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.

Anyone with plantar fasciitis knows how much pain it can cause, and one of the ways to ease that pain is by using shoe inserts, or orthotics. The plantar fascia is a band of tissue that runs along the sole of the foot. When this tissue is torn from overuse, it becomes inflamed and a stabbing pain is mostly felt in the heel and arch. One of the major causes of plantar fasciitis is improper footwear. It is especially common in runners and women who frequently wear high heels. Shoes should have the proper arch support as well as ample cushioning to absorb shock. Special orthotics may be helpful in this regard, particularly in people with flat feet, high arches, or other biomechanical foot conditions. In these cases, ready-made shoe inserts may not be able to solve the problem. Custom orthotics made by a podiatrist can be exceedingly helpful because they are constructed to fit the contours of your feet perfectly and correct the problem areas. For more information, it is suggested that you make an appointment with a podiatrist for an exam.

If you are having discomfort in your feet and would like to try orthotics, contact Kevin Powers, DPM from The Center for Lower Extremity Nerve Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Indianapolis and Bloomington, IN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Orthotics
Tuesday, 04 July 2023 00:00

Foot Orthotics

Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet.  Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.

Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.  

Tuesday, 27 June 2023 00:00

Diabetic Foot Conditions

According to the American Diabetes Association (ADA), diabetes is a condition that affects approximately 23.6 million Americans.  Around 750,000 new cases are diagnosed each year, and the disease’s most common form, Type 2 diabetes, makes up for 90 to 95 percent of these cases.  Type 2 diabetes is especially prevalent among older Americans, those who are obese, and those who lead sedentary lifestyles.

Complications of the disease may lead to several foot and ankle-related conditions.  The loss of nerve sensation, or neuropathy, can cause diabetics to lose feeling at the bottom of the feet and therefore leave them unaware of pain, pressure, and heat.  Decreased circulation is another complication of diabetes that can slow down the healing of wounds and injuries; this can lead to the development of foot ulcers.

To prevent foot ulcers from forming, diabetics should examine their feet every day for small cuts and wear shoes that curtail pressure.  Constant monitoring for the risk factors associated with ulcer formation can allow for early detection and therefore lessen the possibility of ulcers or, even worse, amputation.  The removal of calluses and ingrown toenails should be left to the podiatrist to avoid improper removal and possible infection.

Diabetic patients may also experience foot deformities due to complications in their feet, such as limited joint mobility, muscle atrophy, and decreased fat padding.  These complications can increase pressure in certain areas of the foot, which in turn can cause certain deformities, such as hammertoe, to form.  Another deformity, Charcot foot, develops due to the collapsing of microfractures in the bones of the feet.  The resulting deformity is a foot that is flattened and wider in appearance.

To help minimize pressure and prevent the development of these diabetes-related foot and ankle conditions, your podiatrist may consider using orthotics or special shoes.  Charcot foot may be treated using walkers, custom orthotic insoles, or non-weight-bearing or rigid weight-bearing casts or braces.  In more serious cases, surgery may be considered to treat more developed deformities.  Ulcers can be further cared for with the help of proper diet, medication to control glucose, intensive wound care, and infection treatment.

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 20 June 2023 00:00

Foot Pain From Treadmill Running

When running on a treadmill, the feet may begin to ache. The first thing to do is to check your form and relax your body from head to toe with the goal of removing any tension. Next, it is important to make sure you are running at your fitness level and have the core muscle strength to sustain the intensity of the workout. If this is the issue, it is suggested that you reduce volume and speed to be more in line with your current abilities and build up from there. The incline of the treadmill may lead to foot pain, particularly when combined with speed and intensity.  Treadmill speed, breath, and heart rate can give you good clues as to whether you are overextending yourself. Your breathing should not be labored. Notice if your foot pain corresponds to the incline of the treadmill and adjust. Of course, foot pain while running on the treadmill may be related to the shoes you are wearing, which may not fit well or be appropriate for this activity. If your foot pain continues or worsens, and if it is also present when you are not running on the treadmill, it is suggested that you visit a podiatrist for an evaluation and recommendations to prevent and treat your discomfort.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Kevin Powers, DPM from The Center for Lower Extremity Nerve Surgery. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our offices located in Indianapolis and Bloomington, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sports Related Foot And Ankle Injuries
Tuesday, 13 June 2023 00:00

Symptoms of Morton’s Neuroma

The nerve found between the third and fourth toes can be affected by a foot condition known as Morton’s neuroma. This is an ailment that compresses or irritates the nerve and is considered to be benign. The majority of patients who develop Morton’s neuroma have severe pain and discomfort, and it can be difficult to walk. Morton's neuroma may be common in women who frequently wear high heels. These types of shoes have limited room in the toe area and this can cause the toes to shift toward each other, affecting the nerve. The pain is often felt in the ball of the foot and can be noticed while standing and walking. Additionally, a burning or tingling sensation can affect the toes, and it may feel like there is a small pebble in the shoe or sock. If you have pain in this area of your foot, it is suggested that you seek the counsel of a podiatrist who can perform a diagnosis and offer the proper treatment options.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Kevin Powers, DPM of The Center for Lower Extremity Nerve Surgery. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our offices located in Indianapolis and Bloomington, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma
Tuesday, 13 June 2023 00:00

Morton's Neuroma

A neuroma is a thickening of nerve tissue and can develop throughout the body.  In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes.  The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.

Neuromas can be caused by anything that causes compression or irritation of the nerve.  A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes.  Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas.  Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.

Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up.  Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot.  An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.

Treatment for Morton’s neuroma can vary between patients and the severity of the condition.  For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed.  Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition.  The severity of your condition will determine the procedure performed and the length of recovery afterwards.

Tuesday, 06 June 2023 00:00

Different Types of Athlete’s Foot

Athlete’s foot, also known as tinea pedis, is a fungal infection that results in inflammation, redness, itchiness, and scaling between the toes. It can also cause blistering on the bottom of the feet. This is a highly contagious infection and can be brought on by wearing wet or sweaty shoes or by walking barefoot on contaminated wet floors. Common areas to pick up athlete’s foot are pools, locker rooms, and public showers. Athlete’s foot can be difficult to cure and may come back again or turn into a bacterial infection if left untreated. There is more than one type of athlete’s foot. The three types of this fungal infection are interdigital, moccasin, and vestibular infections. An interdigital infection affects the skin between the toes. A moccasin infection covers the sole of the foot and can spread to the heel and edges of the feet. A vestibular infection can appear between the toes or the soles of the feet and can cause blisters or vesicles filled with pus that can burst open and cause open sores. Because athlete’s foot can sometimes be misdiagnosed, it is suggested that if you have these types of symptoms, an appointment is made with a podiatrist who can accurately diagnose and offer treatment options for athlete’s foot.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Kevin Powers, DPM from The Center for Lower Extremity Nerve Surgery. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact our offices located in Indianapolis and Bloomington, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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