My Blog
By Dr. Keith Rosenthal
July 05, 2018
Category: Foot Care
Tags: Hammertoes  

When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.

By Dr. Keith Rosenthal
May 31, 2018
Category: Foot Care
Tags: Footwear   Foot Care   Child Podiatry  

While it might not be something you think about often (or at all), the health of your child’s feet is important. Your child is growing by leaps and bounds and certain habits and other factors can affect how your child’s feet develop or if they experience injuries or other problems down the road. Unfortunately, a lot of children end up wearing shoes that are far too small for their feet, which can lead to pain, structural imbalances and certain foot deformities.

We know that going shoe shopping is certainly not a walk in the park for most parents; however, it’s an important component to making sure your child maintains healthy feet. There are many things to think about when it comes to picking the right shoes, and your podiatrist can also provide suggestions and tips to make the world of shoe shopping easier for you and your little one.

Some factors that you should consider when shopping for the right shoes include:

  • Your child’s age
  • The shoe’s material
  • Your child’s shoe size
  • The shoe’s structure

A good rule of thumb is to shop for shoes every 2 months when your child is between the ages of 1 and 2 years old. Once they reach three and four, you’ll want to purchase new shoes approximately every four months. At the point that your child is five or six years old, every six months is a good time to swap out old shoes for new ones.

As you might already know, the bones of a baby or infant’s feet are soft and haven’t fully developed. To protect your child’s feet it’s important that they wear socks and soft shoes. Make sure that as your child’s feet grow that the toes have room to wiggle and move around within the shoes. Bunched-up toes are a major no-no!

Since your little one is growing by leaps and bounds it is important that you are constantly checking their shoe size for changes. Remember that feet swell throughout the day, so shoe shopping should be done at the end of the day when feet are at their largest. If you aren’t sure what size shoe your little one wears, you can ask one of the store’s footwear specialists for help.

Of course, you can’t forget the importance of choosing the right socks, as well. Socks can prevent your little one from blisters, calluses and other foot problems. They can also wick away sweat and prevent fungal infections. When it comes to choosing the right socks for your little one consider the type of fabric, your child’s activity level, the size of your child’s feet and sensitivities they might have to certain fabrics.

When in doubt, you should talk to a foot doctor who can provide you with advice, answer any questions you might have about your child’s developing feet and also provide comprehensive care, when needed.

By Dr. Keith Rosenthal
April 27, 2018
Category: Foot Care
Tags: Bunions  

BunionsWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.
 

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.
 

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.
 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.
By Dr. Keith Rosenthal
April 02, 2018
Category: Foot Care
Tags: Painful Arthritis  

With age, it’s not uncommon to experience pain and stiffness in your feet and ankles.  Carefully monitoring your pain is important, however, as this noticeable discomfort could be an early indication of a more serious condition known as arthritis. Arthritis is a group of conditions that typically involves pain and inflammation in the joints.  There are many types of arthritis, with osteoarthritis being the most common form.  Left untreated, pain caused by arthritis will get worse, eventually leading to a joint weakness that can interfere with the most basic daily activities.  

Arthritis can have a serious impact on the structure and function of your feet and ankles. See a podiatrist if you experience any of the following symptoms:

  • Swelling
  • Chronic pain or tenderness
  • Limited mobility or motion
  • Stiffness early in the day
  • Changes in skin, including growths and rashes                                              

Whenever you notice a change in your lower extremities, contact our podiatrists at our practice for a thorough evaluation. When detected early, proper treatment can slow the development of arthritis and get you back to your active lifestyle.

Treating Arthritis of the Foot and Ankle

Our practice can help you determine the best treatment option depending on the type and severity of your arthritis.  

Treatment options include:

  • Anti-inflammatory medications or steroid injections for the joint
  • Shoe inserts, pads, braces or arch supports
  • Physical therapy and exercise
  • Custom-designed shoes
  • Weight management

When arthritis doesn’t respond to conservative treatment, surgical intervention may be considered as the last resort.

A thorough evaluation of your health and type of arthritis will allow our podiatrists to recommend the best treatment plan for you. Arthritis is a disabling disease, but with early detection, you can help manage the pain associated with arthritis of the foot and ankle and maintain a healthy, fulfilling life.  Allow our podiatrists to assess your foot and ankle pain and get you back on your feet.

By Dr. Keith Rosenthal
March 02, 2018
Category: Foot Care
Tags: Ankle Sprains   Ankle Pain  

An ankle sprain is one of the most common injuries to the ankle, resulting from a fall or a sudden twist that forces the ligaments out of their normal position. It’s no wonder so many athletes suffer from ankle sprains every year.

The severity of an ankle sprain depends on whether the ligament is stretched, partially torn or completely torn. Look for the following symptoms if you think you have sprained your ankle:

  • Immediate pain at the site of the tear
  • Immediate swelling
  • Hearing or feeling something tear, pop or snap during the twist
  • Bruising
  • Pain and difficulty moving the ankle
  • Inability to walk or bear weight on the ankle

Treating Your Ankle Sprain

Early treatment of a sprained ankle can improve the recovery time and minimize symptoms. The following steps will reduce swelling and help alleviate pain until you can get into our office.

  • Rest: Stay off your ankle as much as possible. This will ease the pain, as well as reduce the swelling.
  • Ice: It’s critical to ice your injured ankle throughout the day for the first 24 hours or until the swelling goes down.
  • Compression: Elastic wraps, such as an ACE bandage, will help reduce swelling.
  • Elevation: Rest your ankle above the level of your heart to keep swelling to a minimum.  

Preventing Injuries to the Ankle

With extra care, you can help avoid ankle injuries.

  • Wear appropriate shoes for each activity
  • Throw out old, worn out shoes
  • Be cautious of wet, slippery floors at work or at home
  • Wear ankle braces or have your ankle taped during sports activities for increased stability

If you’ve injured your ankle and are experiencing pain or difficulty walking, come into our office for an examination and proper diagnosis. If an ankle sprain is not treated promptly with the necessary attention and care, chronic problems of pain and instability may result. Our podiatrists can recommend a treatment plan based on the severity of the sprain to ensure proper healing and a fast recovery.





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