My Blog
By Arthur Kaplan, D.P.M.
August 30, 2019
Category: Podiatry
Tags: Foot Odor  

The feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. Bacteria then begins to break down the sweat, generating an unpleasant odor. Other factors can contribute to increased perspiration, including anxiety, hormonal changes, medications and various skin conditions.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

  • Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
  • Keep feet dry as moisture enables the growth of bacteria.
  • Alternate shoes and avoid wearing the same pair for multiple days in a row.
  • Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
  • Wear cotton socks which wick away moisture and absorb perspiration.
  • Apply foot sprays and powders to the feet. Ask your podiatrist for recommended products.
  • Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit your podiatrist, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our office, and we'll work with you to determine the cause and most effective treatment for your condition!

By Arthur Kaplan, D.P.M.
July 31, 2019
Category: Podiatry
Tags: Sprained Ankle  

Signs and Treatment for Sprained Ankles

Do you have a sprained ankle? Ankle sprains are among the most common injuries. Ankle sprains sprain occur when the ligaments in the ankle are stretched or torn. Ankle sprains can be very painful and incapacitating. If you have an ankle sprain, it's a good idea to see your podiatrist. Read on to to learn about the signs and treatment for sprained ankles.

Signs You Have a Sprained Ankle

1. Pain: An ankle sprain can be painful and can make it hard to carry out your day-to-day activities. You may also feel discomfort when you place weight on the affected area. The pain may worsen when the area is pressed and during standing or walking.

2. Redness: A sprained ankle can cause warmth and redness around the affected area. If your ankle is warm, red, and swollen, it is inflamed. Warmth and redness is caused by increased blood flow to the area.

3. Swelling: When an ankle is injured with a sprain, inflammation occurs. Swelling is the body’s protective response to an injury. Inflammation occurs because of increased fluid in the tissue. This is a normal reaction of the body and is the start of the healing process. However, sometimes the body produces more swelling that necessary.

4. Bruising: A sprained ankle causes bruising around the affected joint. A contusion, commonly known as a bruise, is made up of blood beneath the skin. A bruise results in a discoloration of the skin. Bruising is a result of injury to the blood vessels in the skin.

5. Stiffness: A sprained ankle causes limited range of motion and stiffness. Inflammation and pain often limit movement after the injury. Your podiatrist may advise against moving the ankle to allow your ankle to heal. Your podiatrist may also design an exercise program to reduce stiffness after the injury.

Treating a Sprained Ankle

1. Rest your ankle: All ankle sprains require a period of rest. Resting your ankle will allow the healing process to begin. Stay off your feet to allow your ankle to heal. Gently exercise your ankle on a regular basis to reduce stiffness. Avoid strenuous activites, such as running and aerobics, until you can walk without it causing any pain.

2. Elevate your ankle: Keep your ankle raised above the level of your chest for several days after injury. Use pillows to keep your foot elevated. Keep your foot elevated for a few hours per day until your ankle stops swelling. Elevation is important after an injury as it helps to reduce the amount of blood flow to the injured area. This helps to reduce the inflammation, bruising, and pain.

3. Ice your ankle: Ice treatment can help decrease pain, swelling, bruising, and muscle spasms. To make an ice pack, fill a freezer bag with ice. Put an ice pack on your injured ankle for 10 minutes every 2 hours. Wrap an elastic medical bandage around the ice pack to hold it in place. You should not use ice for more than 20 minutes at a time. If you have circulation issues or diabetes, talk to your doctor before applying ice.

4. Compress your ankle: Apply a compression bandage from the toes to above the ankle. Wrapping your ankle will help to avoid bruising and swelling. Wrap the bandage around your ankle and foot, and secure it with medical tape. Make sure the bandage doesn't restrict blood flow to your toes or make the pain worse. Do combine compression with elevationa and rest whenever possible.

5. Take a pain reliever: If you have severe pain, a narcotic pain reliever can make you feel better. An OTC pain reliever may also help reduce the pain and swelling. Most medical professionals recommend anti-inflammatory medicines such as naproxen, ibuprofen, or ketoprofen. You can also take acetaminophen for pain, although this medicine does not reduce inflammation. Be safe with medicines. Read and follow all instructions on the label.

6. See a doctor: A podiatrist can diagnose and treat an ankle sprain. Your doctor may order x-rays to determine if you have a broken bone in your ankle. You may receive an ankle brace to keep your ankle from moving and allow ligaments to heal. Your doctor will also give you medications to reduce swelling and pain. Once you can bear weight without increased pain, your doctor will add strengthening exercises to your treatment plan.

Whether your goal is getting back to work, hobbies, sports, the gym, or just enjoying life, a podiatrist can help. If you have an ankle sprain, search for a podiatrist in your area and schedule an appointment. A podiatrist can help you get back on track in no time!

By Arthur Kaplan, D.P.M.
June 28, 2019
Category: Podiatry
Tags: Hammertoes  

A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.

During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.

However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.

Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.

Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.

If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:

  • Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
  • Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
  • Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
  • Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
  • Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.

If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.

By Arthur Kaplan, D.P.M.
May 31, 2019
Category: Foot Care
Tags: Diabetic Feet  

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

  1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
  2. Wash and dry your feet daily.
  3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
  4. Wear shoes at all times--even indoors--to avoid injury.
  5. Wear clean, well-fitting, moisture-wicking socks.
  6. Keep your weight and blood sugars within normal range.
  7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
  8. Avoid all forms of tobacco.
  9. Report any changes to your foot doctor as soon as possible.
  10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

By Arthur Kaplan, D.P.M.
May 03, 2019
Category: Foot Care
Tags: Bunions   Bunion Surgery  

A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.

A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.

The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:

  • Taking over-the-counter NSAIDs
  • Icing the bunion for up to 15 minutes at a time, 2-3 times a day
  • Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
  • Splinting or taping the foot to improve the structural alignment
  • Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
  • Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
  • Avoiding certain activities and sports that could exacerbate your condition

For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.

When should someone consider bunion surgery?

As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:

  • Your bunion is large and makes it difficult to wear shoes
  • Your bunion pain is severe and chronic
  • You have trouble walking or moving around because of your bunion
  • Your bunion is affecting your quality of life

It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.





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