Caring for Elderly Feet

Caring for Elderly Feet

As people age and the skin loses its thickness and elasticity, it can become harder to take care of their feet. Because it gets harder to bend and inspect elderly feet, caregivers often assume the role of elderly foot care. This can be a daunting task if the one cared for is embarrassed that they cannot do this for themselves and resist help. The key things to look for regarding an older person’s feet are signs of infection, such as discolored nails, blisters, cracked skin, or bleeding sores and wounds. Clean and dry the feet thoroughly each day. Toenails should be kept at a short length to avoid breaking, snagging on clothing, or scratching the skin. Look for ingrown toenails or hangnails, moisturize the feet, and make sure the elderly person wears shoes that fit properly. Footwear should also provide adequate cushioning and support for the feet, and fasten securely. Socks should not be too tight. If circulation is an issue for an older person a warm foot bath might be employed to help with blood flow and relieve tired, achy feet. If infections or problems with an older person’s feet are noted, a quick response and contacting a podiatrist can prevent a foot health crisis. A podiatrist can properly diagnose, treat, and provide prevention tips on caring for elderly feet.

If you need your feet checked, contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Bunions

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Bunion Surgery May Be Necessary

Bunion Surgery May Be Necessary

Bunions may be prevented from developing. A bunion is defined as a bony protrusion on the side of the big toe and can gradually occur from wearing shoes that do not fit correctly. In severe cases, the bunion can cause the other toes to overlap, and this may cause difficulty in walking and completing daily activities. Some of the suggested ways to prevent bunions from developing can include wearing shoes that have adequate room for the toes to move freely as well as avoiding high heels. It can be beneficial to frequently rest the feet as this can provide the opportunity to stretch the toes. If the bunion is painful, it may feel better to wear a protective pad on top of it which may aid in reducing the pressure against the shoe. When a bunion is severe, surgery may be a necessary option for permanent relief. If you notice the beginning stages of a developing bunion, it is suggested that you contact a podiatrist who can offer the correct treatment options. 

If you are suffering from bunions, contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

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Foot and Ankle Fractures

Foot and Ankle Fractures

When the foot or ankle experiences trauma, a fracture may occur.  Causes of foot and ankle fractures can vary; in some cases, an obvious impact to the foot or a fall can be behind a fracture.  Alternatively, fractures can also occur because of increased stress on the bone over time.  The location of the fracture can often give your podiatrist information on how the fracture occurred.

Pain, especially when bearing weight, is a telltale sign of a fracture.  Limping due to this pain is a further sign of a foot or ankle fracture.  Other symptoms include inflammation, bruising, deformity, and tenderness.  A deformity may occur due to a shift in bone alignment or a joint dislocation near the fracture.  While pain is a significant symptom of breakage, a patient who has nerve damage or who has diabetes may not feel this pain.  In this instance, your podiatrist will look for additional signs to determine whether a fracture has occurred.

If you are experiencing severe pain, cannot walk without limping, have an open wound near the suspected break, or have numbness or tingling in the toes, you should see your podiatrist.

Facts About Foot and Ankle Fractures

Facts About Foot and Ankle Fractures

A fracture, which is a break or crack in a bone, can vary greatly in type and level of severity. Symptoms of fractures include redness, swelling, pain, and difficulty/inability to bear weight. If you believe you have sustained a foot or ankle fracture, please seek medical help immediately. Among the types of fractures are displaced bone, stress fracture, pathological fracture, or compound or open fracture. A displaced bone fracture occurs when the broken ends of a bone move away from each other. Conversely, with a stress fracture the bone cracks but stays intact. A pathological fracture may be the result of a disease or condition that weakens the bone. Among the causes are cancer and osteoporosis. A fracture can occur simply as a result of ordinary daily activities, absent any extreme force or trauma. A compound fracture creates an open wound when the bone is pushed through the skin as the result of trauma. These are extremely serious fractures and it is suggested you get immediate attention as soon as possible. A podiatrist can examine, diagnose and treat it properly. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

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Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Policeman’s Heel, Jogger’s Heel, and Plantar Fasciitis Are Similar

Policeman’s Heel, Jogger’s Heel, and Plantar Fasciitis Are Similar

The foot condition that is known as plantar fasciitis has been known to be similar to policeman’s heel or jogger’s heel. The pain that is associated with this condition is felt in the heel, and can become unbearable while walking or standing. The pain may intensify in the morning after arising. The plantar fascia is found on the bottom of the foot, and connects the heel to the toes. It is a shock absorber, and supports the arch in the foot. Plantar fasciitis occurs when this portion of tissue becomes irritated, and this can happen from wearing shoes that do not fit correctly. Additionally, it may happen from standing on hard surfaces for the majority of the day. The risk of developing plantar fasciitis may increase in patients who are overweight, or in people who frequently run. Some people have a tight Achilles tendon, which is the tendon that connects the heel to the calf muscles, and this can lead to plantar fasciitis. There are specific stretches that can be practiced which may help to diminish the pain. If you are afflicted with plantar fasciitis, it is suggested that you speak with a podiatrist as quickly as possible so correct treatment can begin. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

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Plantar Warts Can Be Treated!

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

What Are Hammertoes?

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Mild and Severe Hammertoe

Mild and Severe Hammertoe

Toes are composed of several small bones that are held together by tendons and ligaments. The condition known as hammertoe is considered to be a deformity and can develop from wearing shoes that do not fit correctly. The second toe can gradually bend downward and may overlap the third toe. A proper diagnosis consists of an X-ray which is helpful in observing the deformity. Many patients will purchase larger shoes that can accommodate the unusual position of the toes. In mild cases where the toes remain flexible, the tendons may be rebalanced. Sometimes hammertoe is severe and surgery is often required for permanent straightening. The approximate healing time for surgery is four to six weeks and it is advised to elevate the foot as often as possible to help diminish existing swelling. If you have developed hammertoe, it is suggested that you are under the care of a podiatrist who can guide you toward correct treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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