Roanoke Podiatrist Can Relieve Your Painful Ingrown Toenail

If your toenail is curved and growing into the skin; or if it is "digging in" at the borders of the nail, or it is causing pain, redness, warmth, and swelling in your toe you probably have an ingrown toenail.

As a Roanoke Virginia podiatrist, I want you to know that I see these every single day in my office and what most people tell me is that they’ve been suffering with them from for some time. They’ve tried to treat it themselves and usually, just made it a little worse. And I want you to know that I wish I could visit everyone who is suffering from this to tell them that they just don’t have to suffer. YOU don’t have to suffer. You don’t have to restrict your activities in any way because of this pain. I can’t visit you in your home but you can visit me in my office and we will solve this problem for you. Most people tell me, “Dr. Feeny, I wish I ‘d come in to see you a lot sooner because now I feel great!”


If you have an ingrown toenail, it's important to have a let us take a look at it. We can explain treatment options to ease your pain, but even more importantly, keep it from becoming infected. If an ingrown causes a break in the skin, it becomes easy for bacteria to enter the area and cause an infection. Look out for drainage and a foul odor - these can often be signs of infection. Even if there is no open wound, a curved nail may eventually progress to an infection, so pay close attention to your feet!

Dedicated to your healthy feet,

Dr. Jennifer Feeny

Fact or Fiction: There Is Nothing You Can Do For a Broken Toe?

Your alarm clock, conveniently located on the other side of your room, starts buzzing bright and early. No need to turn on the light…you know the way, BAM! You walk, barefoot, right into the dresser! Just like a cartoon character, you see stars. As your day continues, you can’t get past the throbbing pain. You know you have broken your toe.

Throughout the day your toe begins to bruise and swell. Wearing a shoe, or even walking, is excruciating, maybe even impossible. You know you need to call a doctor, but what did your mom always tell you? “There’s nothing you can do for a broken toe.” Will it be a waste of everyone’s time if you make an appointment with your podiatrist? Should you simply deal with the pain? But the pain is so bad…was your mom really right? Is the rumor true?

When people tell you nothing can be done for a broken toe they normally mean that a cast is not applied. A cast, made of plaster or fiberglass, is the most recognizable treatment for a broken bone. Does that mean if you don’t cast it, you’re not treating the broken bone? No!

The great toe has two bones in it, with all others having three. Although small, they are classified as long bones, just like an arm or leg. When any bone, especially a long bone, breaks, it is very important to make sure that it is not displaced; otherwise it will not heal properly.

During your appointment with us, we will take an X-ray and then be able to advise treatment. If the bone is not displaced, treatment can be as simple as applying a “buddy splint.” This is a splint that simply attaches the broken bone to an adjacent digit. This provides compression and stability.

If you have displaced the bone, most of the time we can realign the bone right here in the office. It involves numbing the toe and using traction to get the toe in a good position. In most severe cases, surgery may be necessary.

I know you may find it hard to believe but sometimes broken toes can become a medical emergency! Anyone who has poor circulation, such as a person with diabetes or peripheral artery disease, can end up with a spasm of the small arteries caused by the trauma, which can shut down the blood supply to the toes. If immediate care is sought, this can be reversed. If left untreated for even one day, however, amputation may be required.

So next time someone tries to argue that there is nothing you can do for a broken toe, let them know that the doctors at Shenandoah Podiatry informed you otherwise. The sooner you receive care, the quicker the pain and swelling will be reduced. Don’t be fooled by the popular rumor, call us right away!

Custom Orthotics Save Giraffe's Life

Humans aren't the only creatures that need care for their feet.

Hope, a baby giraffe born at the Topeka Zoo this July, has been given another chance at a full life, thanks to some clever work with some makeshift "custom orthotics". The giraffe was born with her fetlock joints bent at 90 degrees and dislocated.

Dr. Joseph P. Kamer, a local small animal practitioner, acted quickly at the time of the giraffe's birth and straightened the animal's joints. He put her rear hooves into hard casts within two hours of her birth. After consulting withe veterinarians at the zoo as well as some large animal specialists, Dr. Kamer decided to take the conservative approach and designed a corrective shoe of his own custom design for baby Hope.

The wooden shoes were glued to Hope's hooves using methylmethacrylate cement and polyethylene mesh reinforcement. Dr. Kramer fashioned artificial tendons out of nylon rope to resemble the flexor tendons and attached them to the shoe, then ran them along the leg in plastic tubing.

As the baby giraffe grew, the casts and shoes were changed to accommodate her size, and by late September she was out of the casts and no longer needed support for her left leg. "The animal can run - full bore - with these shoes on," said Dr. Kamer. "As long as I can keep the shoes on this animal for the next several months, then I think that's key." He is guardedly optimistic about Hope's chances of survival and adds that he hopes these podiatric techniques will help other giraffes that suffer from similar deformities.

Special thanks to a wonderful patient of ours for pointing out this article from JAVMA (Journal of the American Veterinary Medical Association) by R. Scott Nolen! Article is from Vol. 237, No.9 Page 1002 on November 1, 2010. Photo courtesy of Topeka Zoo.

Diabetic Ulcers

Contributing Factors :

- Mechanical changes in conformation of the bony architecture of the foot

- Peripheral Neuropathy

- Peripheral Arterial Disease

- Glycosilation - Predisposes ligaments to stiffness

Diabetic Facts:

- 12-24% of individuals with ulceration require amputation

- Half of all non-traumatic amputations are the result of diabetic foot complications

- The 5-year risk of needing an amputation on the other extremity is 50%


Diabetic Peripheral Neuropathy results in:

- Loss of sensation in the foot

- Injuries and fractures

- Structural foot deformities

- Hammertoes

- Bunions

- Metatarsal Deformities

- Charcot Foot

- Tissue Breakdown


Peripheral Arterial Insufficiency Results In:

- Intermittent claudication

- Pain at rest

- Non-healing ulceration of the foot

- Ischemia of the foot - Inadequate blood supply

Examination:

Diabetic Ulcers tend to occur in the following areas:

- Heel

- Metatarsal Heads

- The tops and ends of hammertoes


Lab Studies:

- A complete blood count may signal an abscess or infection

- Non invasive vascular studies to assess circulation deficiencies

- Infection markers such as the sedimentation rate


Imaging (to evaluate the presence of osteomyelitis):

- Plain Radiographs

- CT

- MRI

- Bone Scans


Treatments:

- Treat infections with appropriate antibiotics

- Offloading the area of the ulcer

- Wound care

- Application of a Wound Vac - Negative pressure under an occlusive wound dressing for deep cavity wounds

- Surgical Debridement - Surgical management is indicated for debridement of non viable and infected tissue from the ulceration

- Debridement of infected bone

Shoes that are creating their own path in our world Part 2

Simple Shoes

This shoe company has come along way since opening in 1991. The Simple shoes that we know and love today are not at all the same shoes from the 90’s. For about 13 years Simple was just like every other shoe company out there. But in 2004 Simple Shoes had an epiphany and decided to take on the challenge of providing eco friendly shoes to the public. They started small with 2 different styles in 2005 called their ‘Green Toe’ collection. These shoes where a hit and as soon as the ball was rolling for Simple there was no stopping it. Over the past few years Simple has produced with even more shoes that incorporate natural and sustainable materials into their products. In 2006, Simple set a new goal to become a 100% sustainable company. This was a huge step for any company, and a very exciting one at that. In 2007, they took it one step further (we didn’t think it was possible!). Simple shoes started to use recycled materials as well as products found naturally in our world. So now, old tires can gather dirt on people’s feet instead of in a dump. To learn more about Simple Shoes visit www.simpleshoes.com.

5 warning signs of foot problems in children

Foot pain in children is not something to be taken lightly or ignore. Sometimes it is hard for children to tell their parents when they are having foot troubles. Perhaps the child was born with a foot abnormality so their gait, though abnormal, seems normal to them. Or, a child may feel embarrassed about how their feet appear so they don’t want to bring it up. So, it is very important for parents to keep an eye on children's feet to keep them just as healthy as the rest of their body. Remember these feet have lots of miles ahead of them!!

Here are five things to look out for that might indicate your child is having foot pain or problems.

1. If your child is having trouble keeping up with other children~ If your child frequently lags behind other children in sports or other physical activities this could be due to flat feet causing the leg muscles to tire more easily. The muscles and feet become tired easier because the feet are not functioning as efficiently as they could be.

2. If your child suddenly stops wanting to participate in activities they enjoy~ If your child is suddenly not participating in their favorite activities this could be due to heel pain that is common in children ages 8-14. Heel pain can be caused by repetitive stress that occurs while playing sports. Too much strain can lead to pain and inflammation in the growth plate at the back of your child’s heel.

3. If your child is reluctant to show you their feet~ If a child notices a change in their feet they might be embarrassed or nervous that the change could lead to a trip to the doctors office. Start making it a habit early to check your children's feet for discoloration of the skin or nails, growths, calluses, redness, swelling or ingrown nails. Seek podiatric help for any of these signs of a problem.

4. If your child trips or falls often~ Although children are often clumsy while they are getting used to their body, repeated clumsiness can be a sign of in-toeing, balance problems or neuromuscular conditions.

5. If your child tells you they have foot pain~ Sometimes we get lucky and our children will tell us that their feet hurt. If this happens be thankful and take them to see a podiatrist right away. It is never normal for children to have foot pain and since they are growing all the time foot pain should not go overlooked. If injuries cause pain or swelling for more than a few days see a podiatrist asap.

Even if no symptoms are present and your children don’t complain of foot pain it is a good idea to get a yearly check up to make sure that the feet are growing properly.

Introducing Dr. Daniel Yeaman

I am pleased to announce that Daniel Yeaman, DPM has joined our team at Shenandoah Podiatry. A native Virginian, Dr. Yeaman recently completed an extensive fellowship in diabetic wounds and limb salvage following a three-year residency, specializing in reconstructive foot and ankle surgery.

His specialties are management and reconstruction of the diabetic foot and ankle. He also treats ingrown nails, skin conditions of the foot such as plantar warts, fungal nails and painful foot conditions such as heel spurs.

He has traveled to Honduras to assist in surgery for children born with foot deformities such as clubfeet and has volunteered locally throughout his education.

In his free time, Dr. Yeaman enjoys hunting, fishing and spending time with his family.

We strive to provide the best care possible for our patients and feel his addition will contribute greatly to our efforts. Please welcome Dr. Yeaman as we all work towards your good health.

Dedicated To Your Healthy Feet,

Dr. Jennifer Feeny

King Tut's Club Feet

When we think about world rulers, the ones who changed history, we usually concentrate on the changes they’ve done rather than think about the human aspects of their lives. Recent CT scans and DNA tests reveal a lot about the great Boy-King of Egypt’s very human life. They found out that he had club feet, Kohler’s disease, and a cleft lip just to name a few, yet he went on to rule the empire of Egypt for 10 years from 1333 B.C. until his death at the age of 19.

It is amazing to see that he was able to rule such a great empire with these ailments despite the physical pain that they cause and also though they caused visual changes in him as well. Club foot is a congenital deformity in which the foot turns inward and downward at birth causing that outer side of the foot to become the area that is walked on. Kohler's disease is a condition, where the navicular bone in the foot undergoes avascular necrosis. Avascular necrosis is a disease resulting from the temporary or permanent loss of the blood supply to the bones. Without blood, the bone tissue dies and causes the bone to collapse. Both of these ailments are very painful and make it extremely difficult to walk.

Often people have a hard time following leaders if they seem physically weak but King Tut was able to pull it off despite being in pain everyday and having to use a cane to walk. It is inspiring to know the lives that people have lead even with foot pain but makes me so thankful that we now have podiatrists and don’t have to live it foot pain!!

Fun fact: Over 130 walking sticks where found in King Tut’s tomb.

Olympic Feet

With the winter Olympics going on right now, it makes me think of all the different sports we are able to participate in. Sports that ask us to run, jump, kick, twist, turn, and glide. Sports that ask for speed and agility that, without the versatility of our feet, would not be possible or at least would look quite a bit different!

The 26 bones and 33 joints in each foot allow us to effortlessly become mobile in many different ways. When I see someone skate their heart out down the length of the ice and stop on a dime, my breath is taken away. Though it may seem like the boot is doing the work, anyone who has ice skated before and had sore feet the next day will tell you otherwise. The complexity of the foot is amazing. And even more amazing than that are the mechanics that make a human foot work properly, the podiatrist.

Though feet are not visible during the winter Olympics, they are still a very important part of the games. A ski or a skate is merely an extension of the foot. Bobsledding wouldn’t be possible without the help of our feet mustering up enough momentum to make the sled go. Even changing the balance and placement of your feet in curling can change your game.

During the 2010 winter Olympics root for team feet! And keep in mind all the amazing things your feet do for you everyday.

Though we are all about feet, we want to recognize those who haven’t given up the games they love because their mode of movement is different than the movement of the original game. We want to recognize how these sports have been modified to work for all kinds of people. For more information about wheelchair and ambulatory sports check out http://www.wsusa.org/.

American Podiatric Medical Association Podiatrists Perform Life-Saving Amputations in Haiti

Above: A team of doctors works to perform foot surgery on a victim of the January 12 earthquake in Haiti.


Bethesda, MD – When a devastating earthquake rocked a vulnerable Haiti on January 12, lives of numerous American podiatrists with ties to the country and its people were rocked, too. For years, American Podiatric Medical Association (APMA) doctors have traveled to the diabetes-plagued nation on a mission to save lower limbs from amputation as a result of the disease. In fact, nearly seven percent of the estimated nine million Haitians have diabetes, and far too many don’t even know they have it. Ironically, APMA doctors, such as Patrick DeHeer, DPM, of Carmel, IN, who set up a diabetes wound care center in Port-au-Prince with the intent of preventing people’s legs, feet, and toes from being amputated, this month found himself back in the devastated city to perform the surgery he tried so hard to avoid—amputations. He did it not because of diabetes, but in order to save lives.

"It is chaos here—terrible injuries, people crushed, compartment syndromes—many of which are ending up in amputations," reported Dr. DeHeer, who served as a wound care director for a field hospital at a United Nations (UN) compound overseen by Project Medishare in Haiti’s capital city. "I just assisted on a below-the-knee amputation with an orthopedic surgeon on a 12-year-old girl. It is overwhelming."

This type of limb removal surgery, such as the one Dr. DeHeer described, has become all too common since the disaster hit. Infections such as gangrene have made amputations imminent without enough antibiotics and proper sterilization. The Pan American Health Organization reports there will be thousands of amputations in Haiti—and nearly half of the people impacted may lose more than one limb. Haiti’s high prevalence of diabetes and lack medicine to properly regulate the disease may only compound the amputation demand, as well as the need for expert podiatric care.

“It’s a tragedy that such an already fragile nation has to deal with such devastation and loss,” said APMA President Ronald D. Jensen, DPM. “As a podiatrist, I know firsthand how tragic it can be for a patient to lose a limb. There is a tremendous amount of help and support that the patient and their family require that is a challenge to provide in the best of circumstances. The people in Haiti will need help for a very long time.”

APMA podiatrists across the country continue to deploy to the shaken country to offer medical assistance. Only time will tell what toll the surge in amputations will have on the plight of the Haitian people.

To read more about APMA podiatrists’ missions to Haiti, visit www.apma.org.

Helping Hatian Feet

It is about three weeks after the 7.0 earthquake hit Haiti. Sadly, the news of this devastating event is fading out of the spot light of our media and out of the minds of those in our country though the effects of this earthquake have hardly vanished from the eyes of the Haitians. Some of us have not forgotten, others of us just need a little reminder to bring us out of our own routine. Perhaps you have been keeping up with the news in your own way; checking blogs, talking to friends, watching videos, doing what you can to not let the Haitians vanish into the rubble that is now their country. Perhaps you have given your time, informed others, or given monetarily to show the Haitians your support. Every little bit helps and giving can be fun especially when you can find ways to give that resonate with things you are passionate about.

Since we are all about feet, we wanted to share some ways with you that will help the feet of the people in Haiti. Through these websites there are several ways that you can find to help protect the Haitians from the debris left by the earthquake.

http://www.soles4souls.org/

http://www.shoes2share.com/

Check them out today!

The Strength of Feet: A Remembrance of Martin Luther King Jr.

Today we remember a man who called on the feet of our country to bring about the changes that we needed. We remember those who marched for freedom and stood strong on their beliefs. We look back into history and take into account the miles traveled towards a more equal future for all Americans in our country.

From the beginning to the end of Martin Luther King Jr’s days as one of the most influential people in the civil rights movement, walking was an extremely important part of the campaign to bring about change. From the Montgomery Bus Boycott to the march supporting sanitary waste workers in Memphis, activists used there feet to get their voices heard and heard they were.

One momentous march, the ‘March on Washington for Jobs and Freedom’ has inspired people everywhere to get off the couch and get moving towards the things they believe in. It inspired local marches throughout cities all over the U.S. during the civil rights movements and beyond. Even today we see different groups of people taking to the streets to stand for what they are passionate about and to bring light to inequalities that unfortunately are still present in our world.

Today, take a few steps and remember those who rallied together and used their feet to peacefully make a difference in our world. Take a few steps for those in our history who have fallen fighting for the freedom we enjoy. Today, take a few steps for Martin Luther King Jr. and everything he stood for.

Common Symptoms for Foot Ailments Part 2

Do any of your toenails curl into the fleshy part of your toe causing pain?

You could have an ingrown toenail. This can occur from cutting your toenails rounded at the corners instead of straight across, tight shoes, injuries, toenail fungus, or infections. Do not attempt to cut the toenail out yourself. If you notice your toenail curling even before it is painful call a podiatrist to get this nail removed.

Do you have stinky feet? Do your feet sweat profusely?

You might have Hyperhidrosis or trench foot. This is caused by sweat glands on the bottom of your foot creating more sweat than necessary. What may start off as just an annoyance or unpleasant smell can cause skin to become thick, macerated or painful.

Do you experience a feeling of sharp pain, cramping, or burning in your feet?

You might have a neuroma. A neuroma is when the nerves are pinched by your toe bones. This pinching commonly occurs between the third and forth toes. Tight shoes irritate the symptoms.

Do you have wounds on your feet that do not seem to be healing in a normal amount of time?

You might have chronic wounds or ulcers due to poor circulation or increased pressure on the wound site. These can be very dangerous if they are continuously left untreated. They can become seriously infected or even gangrenous and in severe cases can lead to amputation. Treatment plans can be offered by podiatrists to help the healing process and in most cases can heal in a few months.

Do you have painful growths on the underside of your heel bone? Do the arches of your feet hurt when you get up in the morning?

You might have heel spurs also known as Plantar Fasciitis. This is caused by a strain on the ligaments and muscles attached to your heel bone that lead to the membrane covering the bone to tear. This leaves the ligaments becoming inflamed and the heel bone lacking its natural protective barrier.

If you are experiencing any of these symptoms please call our office and make an appointment today. Don’t live with foot pain any longer! The sooner you get into an office and get your foot pain diagnosed the sooner something can be done about it.

Barefoot Running... The Official Stance

The official stance taken by the American Podiatric Medical Association on barefoot running is as follows:

Barefoot running has become an increasing trend, and a possible alternative or training adjunct to running with shoes. While anecdotal evidence and testimonials proliferate on the Internet and in the media about the possible health benefits of barefoot running, research has not yet adequately shed light on the immediate and long term effects of this practice.

Barefoot running has been touted as improving strength and balance, while promoting a more natural running style. However, risks of barefoot running include a lack of protection--which may lead to injuries such as puncture wounds--and increased stress on the lower extremities. Currently, inconclusive scientific research has been conducted regarding the benefits and/or risks of barefoot running.

The American Podiatric Medical Association, along with the American Academy of Podiatric Sports Medicine, encourages the public to consult a podiatrist with a strong background in sports medicine to make an informed decision on all aspects of their running and training programs.

Barefoot Running

A new trend in running has taken off in recent years though it is not a new concept. People have been kicking off their running shoes to go au nautrale and enjoy the intense connection with the earth that they feel when running this way. Though there has not been a lot of conclusive research done to prove whether or not running shoes are beneficial.

Even with out the concrete evidence showing that barefoot running is better for you, barefoot runners swear by this lifestyle. Barefoot runners believe that with out the obstruction of a running shoe, the brain knows where to place the body and foot in order to run in a way that is most efficient and beneficial to the particular runner. The world was wowed in 1960 when Ethiopian runner Abebe Bikila won his first of many gold medals running barefoot. Of course this was nothing new to him, but it caught everyone else off guard. Barefoot running was also brought to the world’s attention by European runner Bruce Tulloh and American runner’s Charlie Robbinson and Zola Budd.

Research done by Michael Warburton and published in Sportsscience journal entitled ‘Barefoot Running’ which can be found at www.sportsci.org/jour/0103/mw.htm has shown that running shoes increase ankle sprains, Plantar Fasciitis, and other shock related injuries. He also found that less expensive running shoes cause fewer injuries and fewer stressing points on your body than more expensive and advanced running shoes do. According to the article Amby Burfoot wrote in Runnersworld which you can read at http://www.runnersworld.com/article/0,7120,s6-240-319--6728-0,00.html, the brain is much more aware of your body and its surrounds when no shoes are worn.

Despite these findings, running shoes do have their advantages. Most importantly they provide protection. We live in a world filled with dirt, debris, and sharp objects no matter where you are running. Whether that is on a trial, a grassy field, on a side walk, or in a gym, puncture wounds are nothing to take lightly. These wounds can be very dangerous especially if they are not taken care of right away. Running shoes provide support for those with flat feet or high arches. Shoes also protect diabetics from foot injuries. Diabetics are strongly recommended not to try this style of running.

Barefoot running is a very controversial subject. Many people believe that humans should run exactly how they where made and not let anything get in the way of that. Others believe that shoe where invented for a purpose and are extremely important to wear. A third party believes that there is a happy medium between these views and has designed shoes that resemble barefoot running without the risk of puncture wounds. If you are going to start barefoot running make sure to take things very slow and consult your podiatrist before you start. If you don’t have a podiatrist, get one!! And make sure to go to regular check ups. If you are not sure if barefoot running is right for you, do a little research of your own and talk to your podiatrist to decide what is going to be the best running style for you.

How to keep your feet friendly during flights.

Sitting for hours in a cramped airplane chair is no ones favorite part of traveling. Not only are you much to close to the person besides you, your glutes and thighs get cramped and your feet get swollen and sore. There is no magical advice to keep the cramping away, although buns of steel exercised might help, but there are some simple ways to help keep the swelling and soreness away from your feet.

• Drink plenty of water. Keeping your whole body hydrated will decrease foot swelling. Try and stay away from salty foods and alcohol unless you are able to drink enough water to compensate.
• Walk around. You’ll need to use the bathroom after all that water and this is a good thing. Take this time to walk up and down the isles a bit to keep the blood in your body flowing. This will help prevent blood from building up in your feet.
• Wear big shoes. Wearing shoes that have enough room to let your feet to swell will help prevent them from becoming cramped and sore.
• Stay active. Do some seat stretches to keep your body active. Try wiggling your toes, rolling your ankles, and pointing/flexing your feet. This will help prevent tightness from building up in your lower body.

Keep these tips in mind the next time you’re in a plane to make for a more comfortable flight.

Safe Travels!!

Common Symptoms for Foot Ailments

Do you suffer from itching or scaling between your toes? Have you experienced this sensation in the past but now your feet are painful, inflamed, and possibly have blisters?

You might have Athlete’s Foot. Athlete’s foot is a fungus that enjoys the dark dampness between your toes. This is usually taken care of with an anti fungal cream or powder.

Does your big toe point towards the rest of your toes? Does your big toe look like its overlapping or invading the space of your second toe? Does the portion of bone that connects your big toe to your foot look like its protruding from your body?

You might have bunions. A bunion occurs when the bone starts pointing outward. This puts extra pressure on the toe joints which can cause inflammation and pain. Different splints and spacers can help slow this process or relieve pain but surgery is the only way to correct it.

Do you have sections on the skin of your foot that seem thicker than the rest of the skin?

You might have corns or calluses. These can be red flags for more serious foot ailments because they are caused by constant rubbing. These should only be removed by a professional.

Are your toe nails discolored, misshapen or smell? Is it painful to walk?

You might have toe nail fungus. The fungus can be gotten rid of by topical or oral medication. In extreme cases the toe nail will be completely removed so a healthy nail can have the freedom to grow.

Do you have severe and sudden attacks of pain, redness, or tenderness in your joints?

You might have gout, a form of arthritis that is caused by a build up of urate crystals in your body. These crystals are formed by uric acid, a by-product of breaking down of proteins. Different forms of therapy are now available to help cope with Gout.

Like any medical condition, the key to getting healthy faster is by listening the symptoms you have and treating the problem right away instead of just ignoring them and hoping they will go away. The sooner you see a podiatrist for your feet ailments the sooner your life doesn’t have to be run by them.

Hammertoes

A hammertoe is a bending of the toe at the first joint of the digit, called the proximal interphalangeal joint. Flexible hammertoes are still moveable at the joint and are less serious as they can be treated while still in the developmental stage. Splints such as Yoga Toes can help. Rigid hammertoes are more advanced than the flexible condition. The joint is misaligned and immobile, making surgery the usual course of treatment. Hammertoes are more common to females than males.

Hammertoes are formed due a muscle imbalance in the toes. This imbalance causes increased pressures on the tendons and joints of the toe, leading to its contracture. There is a strong hereditary predisposition to develop hammertoes, although shoes, trauma and arthritis can also contribute.

Your feet should not hurt. If you are suffering from hammertoes, call your local podiatrist to discuss the best option for you. If you live near Roanoke, VA, I'd love to help you at Shenandoah Podiatry.

Pregnancy And Your Feet

Being pregnant is usually a wonderful experience, but it can make life a little uncomfortable at times. Many women suffer from foot and leg problems during pregnancy but the good news is there are things you can do to prevent or relieve them. The two most common foot problems during pregnancy are over-pronation (flat feet) and edema (swelling). Leg cramps are also a common experience during the second trimester.

During pregnancy hormones can do some interesting things to prepare your body for birth. One of the things they do is relax ligaments to help the body during birth. Unfortunately it is not only pelvic structures that can become more relaxed, but also your feet. The other main reason that you may become prone to flat feet during pregnancy is due to the natural weight gain that occurs. Not only do you gain weight, but your body’s center of gravity changes quite dramatically forcing a change in gait.

While there is not a lot you can do to prevent this condition occurring, apart from keeping up gentle exercise and not over eating,there are things you can do to prevent any further pain or damage. Make sure your shoes are not too tight, you may even need to wear a half or even full size larger shoe than you normally would. Your feet will need extra support and shock absorption too. You can purchase specially designed orthotic insoles or shoes that will provide this extra support.

Edema, or swelling of the feet and ankles, is very common particularly towards the end of pregnancy. This is caused by increasing pressure from the growing uterus that can lead to fluid pooling in the lower extremities. Fortunately there are things you can do to help prevent edema and to relieve it.

Drink plenty of water as this actually helps the body to release the fluids and avoid retention. Cut down on salt in your diet,including soda drinks as salt encourages water retention. Wear comfortable shoes and avoid socks that have seams or tight bands. While it is important to exercise you also need to rest and elevate your feet frequently. If you do need to stand keep moving.

Swimming is great exercise during pregnancy and the support of the water will also help with swollen feet. Soak your feet in cool water too to ease pain and disperse fluid build up. Get in the habit of sleeping on your left side as this reduces pressure on your veins. Avoid crossing your legs or ankles when you are sitting. If you have to work at a desk remember to take plenty of breaks and walk around and if you can keep a footstool under your desk so you can raise your ankles.

Some women who suffer from severe edema also find that wearing compression stockings can also be helpful. Treat your self to a few reflexology treatments too. This can be great not only for foot problems but any other pregnancy issues as well.

If you develop swelling around your face see your doctor immediately as this can be a sign of something more serious. Feet can be a bit of a pain in pregnancy but it is usually controllable and any problems will dissipate after birth.

What Is A Podiatrist?

Simply put, podiatrists are medical experts that deal exclusively with problems associated with the foot and ankle. The DPM after a podiatrist's name stands for Doctor of Podiatric Medicine. Because our training is highly specialized, we are able to quickly and accurately diagnosis your condition while offering the most modern treatment plans available.
Many people know that podiatrists treat senior citizens and those with diabetic foot conditions but may not realize that we also treat patients of all ages for a wide variety of ailments. Podiatrists are well qualified to help children and young adults with any foot and ankle problems they may be experiencing . Sports injuries, heel pain, bunions and hammer toes are just a few problems we provide treatment for. If your discomfort involves any part of the foot or ankle, a podiatrist is the one to call.

For more information visit our website http://www.roanokefoot.com/