It's Time for Beautiful Feet
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Symptoms and Causes of Flat Feet
Flat feet, also known as fallen arches, is a common condition where one or both feet lack the typical arch structure. Instead, the bottom of the foot lies flat on the ground. While babies are initially born with flat feet, their arches generally begin to develop by the age of two or three. However, some people may continue to have flat feet into adulthood. In older children, common symptoms of flat feet include foot or ankle pain, heel or arch pain, and discomfort during walking and running. Adults with flat feet may experience symptoms such as tired or achy feet after prolonged standing, sports activities, or exercise. Many also experience lower back, hip, and knee pain. In children, many cases are attributed to what is called flexible flat feet, a result of loose joint connections and baby fat between the foot bones. This can cause the arch to collapse when the child stands. In adults, flat feet can be linked to factors like weakened or torn tendons, rheumatoid arthritis, midfoot fractures, or ligament injuries. Recognizing the signs and understanding the underlying causes of flat feet is essential for proper management and treatment. If you believe that flat feet are causing health and mobility problems for you or your child, it is suggested that you make an appointment with a podiatrist for an exam, a gait assessment, and appropriate treatment options.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Howard Abramsohn, DPM from Ambulatory Foot and Ankle Associates, LLC. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in Mt Laurel Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is Flexible Flat Foot?
Flatfoot is classified as having the entire sole of the foot in contact or near contact to the ground while standing. The disorder is also known as fallen arches, because those affected have no arch in their feet. Flexible flatfoot and rigid flatfoot are the two types of flatfoot.
A person has flexible flatfoot if when sitting or standing on their toes, they have an arch that disappears when they stand with the entire foot on the ground. Flexible flatfoot may also be called “pediatric flatfoot” because the condition first appears in childhood. It is common among infants because the arch does not develop until the age of 5 or 6 years. Rigid flatfoot is not as common in children as it is with adults. This type of flatfoot is developed due to the weakening of tibialis posterior muscle tendon, a major supporting structure of the foot arch. Development of this deformity is progressive and shows early signs of pain and swelling that begins at the inside arch of the foot and moves to the outside of the foot below the ankle. More severe cases can possibly lead to arthritis of the foot and ankle joints.
Although most cases of flatfoot involve people born with the condition, some less common causes are obesity, diabetes, pregnancy, and osteoporosis. In some cases, flatfoot may come with no symptoms at all and does not require any type of treatment. With other cases though, symptoms may include pain in the shin, knee, hips and lower back. If a person with flatfeet experiences such symptoms, a health care provider may suggest using orthotic devices or arch supports, which may reduce the pain. Wearing supportive shoes can also prove more comfortable with flatfeet and staying away from shoes with little support such as sandals. Other methods to relieve pain also include stretching the Achilles tendon properly and using proper form when doing any physical activity. In addition, losing weight can reduce the stress on your feet and reduce the pain.
Need for Vascular Testing With Lower Extremity Issues
Peripheral vascular disease, also known as PVD, is a prevalent issue, especially among diabetics. It affects over five million people each year and contributes to complications such as lower extremity wounds and amputations. Given its widespread incidence, obtaining an accurate diagnosis is critical for effective management and prevention of severe outcomes. There are non-invasive screening methods that podiatrists can incorporate into their initial patient evaluations, and they are deemed highly effective for identifying peripheral arterial diseases, particularly in at-risk populations. If you have PVD or lower extremity issues, it is strongly suggested that you make an appointment with a podiatrist for a comprehensive vascular assessment and treatment.
Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Howard Abramsohn, DPM from Ambulatory Foot and Ankle Associates, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Vascular Testing?
Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.
How Is it Conducted?
Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.
The most common tests include:
- Ankle-Brachial Index (ABI) examination
- Doppler examination
- Pedal pulses
These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.
If you have any questions, please feel free to contact our office located in Mt Laurel Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Vascular Testing in Podiatry
In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.
Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.
Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.
Proper Recovery for a Foot Stress Fracture
A foot stress fracture can be a painful setback, but with the right approach to recovery, you can ensure a swift and safe return to your active lifestyle. The first step is rest. Allowing your foot to heal is of utmost importance, and this may mean using crutches or a brace to minimize weight-bearing. Getting adequate nutrition, rich in calcium and vitamin D, aids in bone healing. Gentle exercises like swimming or stationary cycling can help maintain cardiovascular fitness without adding stress to your healing foot. Gradually, as pain subsides, introduce weight-bearing activities and strength exercises. Wearing footwear with proper arch support and cushioning is suggested to help reduce pressure at the fracture site. A gradual return to regular activity and sport is vital to prevent re-injury. If you have suffered a foot stress fracture, it is strongly suggested that you visit a podiatrist who can provide the correct treatment options.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Howard Abramsohn, DPM from Ambulatory Foot and Ankle Associates, LLC. Our doctor can provide the care you need to keep your pain free and on your feet.
Dealing with Stress Fractures of the Foot and Ankle
Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use. The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.
What Are Stress Fractures?
Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:
- Runners
- People affected with Osteoporosis
- Tennis or basketball players
- Gymnasts
- High impact workouts
Symptoms
Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.
If you have any questions please feel free to contact our office located in Mt Laurel Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Stress Fractures of the Foot and Ankle
Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.
The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.
Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.
Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.
It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture. Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.
The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.
Charcot-Marie Tooth Disease
Charcot-Marie-Tooth disease, or CMT, is a group of genetic disorders that affect the peripheral nerves responsible for transmitting signals between the brain, spinal cord, and the rest of the body. It can also impact the nerves controlling muscle function. Symptoms typically manifest in adolescence or early adulthood, often beginning in the feet and lower legs before spreading to the hands and arms. Common signs include muscle weakness, reduced muscle bulk, diminished reflexes, sensory loss, and foot deformities. CMT is a genetic condition, with various types resulting from mutations in different genes. The two primary categories are CMT1, characterized by issues with the myelin sheath surrounding nerves, and CMT2, involving abnormalities in the nerve axons themselves. CMT3, or Dejerine-Sottas disease, is a severe form that begins in infancy. There is no cure for CMT, but treatment focuses on managing symptoms and maintaining mobility. If you know you have Charcot-Marie Tooth disease or have symptoms characterizing this disease, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Howard Abramsohn, DPM from Ambulatory Foot and Ankle Associates, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in Mt Laurel Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy
Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.
The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.
Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.
If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
