Items filtered by date: October 2023

Tuesday, 31 October 2023 00:00

Lymphedema of the Feet

Lymphedema is a chronic condition characterized by swelling due to a compromised lymphatic system. This system is vital for the immune response and involves organs like the spleen and lymph nodes, as well as fluid-carrying vessels. Normally, it circulates a fluid called lymph, rich in white blood cells, throughout the body to combat infections. When blocked due to obesity, injuries, or genetic issues, the lymph gets trapped in tissues, causing swelling. The swelling usually occurs in the arms or legs and feet and can result in symptoms like heaviness, tight skin, limited joint mobility, skin thickening, and itching or burning sensations. Diagnosis involves multiple steps to rule out other causes of foot swelling, such as infections or blood clots. If you have swollen feet, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of North Penn Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Tarsal tunnel syndrome, or TTS, is a painful condition affecting the feet. It is similar to carpal tunnel syndrome but occurs in the ankle, specifically in the tarsal tunnel. This is defined as a narrow passageway on the inner side of your ankle enclosed by bone and a fibrous band. TTS results from compression or pressure on the tibial nerve, which runs through this confined space. There are specific risk factors that may lead to this condition. These can include an ankle injury, standing for extended periods, or participating in athletic activities. The tibial nerve is responsible for providing sensation to the bottom of your foot and controlling some of the muscles in your calf. When the tibial nerve becomes compressed due to injury, inflammation, or an underlying medical condition, it can lead to a range of distressing symptoms, including tingling, burning pain, and numbness in the foot. Understanding the complexities of tarsal tunnel syndrome is crucial for timely diagnosis and effective management, which often involves rest and in some cases, surgical intervention. If you have any form of ankle pain, it is suggested that you consult a podiatrist who can provide the best course of treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of North Penn Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
Tuesday, 17 October 2023 00:00

Minimally Invasive Foot Surgery

Minimally invasive foot surgery, known as the keyhole approach, is an advanced method for addressing foot pain caused by abnormal anatomy. This technique utilizes specialized instruments for each condition, assisted by intraoperative imaging like X-rays and fluoroscopy. These tools allow surgeons to perform the surgery through small incisions, aiming to minimize damage to muscles and surrounding structures, possibly leading to faster recovery and reduced pain. Notably, minimally invasive foot surgery can often eliminate the need for pins and screws, which results in cost savings for patients and reduces the burden on healthcare systems while providing aesthetically pleasing results. The advantages of this type of surgery over traditional open foot surgery include smaller scars, reduced infection risk, and minimal blood loss. It also offers aesthetic benefits and allows immediate weight bearing. However, like any surgery, minimally invasive foot surgery carries risks, including infection, nerve injury, and potential complications related to general anesthesia. If you are suffering from chronic foot pain, it is suggested that you make an appointment with a podiatrist who can evaluate your case and see if you are a good candidate for this type of surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of North Penn Podiatry. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Fall is the start of the season for many sporting events. If you're trying a new physical activity or sport, it's important to practice injury prevention.

Have a foot or ankle injury? Don't wait to get treated.

Tuesday, 10 October 2023 00:00

Causes of Blisters Between the Toes

Blisters between the toes can be both painful and frustrating. Blisters between the toes often develop due to friction, moisture, or improperly fitting footwear. Friction, the repeated rubbing of toes against each other or the interior of your shoes, is a common culprit. When sweat and moisture become trapped between the toes, it creates an ideal environment for blisters to form. Wearing ill fitting shoes, whether they are too tight or too loose, can exacerbate the problem. Additionally, certain skin conditions such as athlete's foot can render the skin more susceptible to blistering. To address blisters between the toes, it is important to maintain proper foot hygiene and cover the affected area with a bandage. Avoid the temptation to pop blisters, as doing so can lead to infections. Embrace moisture-wicking socks, including toe socks that resemble gloves for the feet. Wearing these may help to reduce moisture between the toes. Ensure your footwear offers an appropriate fit and explore the use of toe protectors or blister pads to reduce friction. If the blisters persist or show signs of infection, it is suggested that you make an appointment with a podiatrist who can safely deal with any problem they have caused.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact one of our podiatrists of North Penn Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Cuboid syndrome, though relatively rare, is a painful condition that affects the cuboid bone in the foot. Understanding its causes and recognizing the symptoms is crucial for timely diagnosis and effective treatment. One of the primary causes of cuboid syndrome is an injury or trauma to the foot, such as a sudden twist or strain. This can dislocate, or subluxate, the cuboid bone, leading to pain and discomfort. Athletes, especially those involved in activities requiring repetitive foot movements, are more prone to this condition. The noticeable symptom of cuboid syndrome is pain on the lateral side of the foot, typically around the midfoot area. This pain can be sharp, stabbing, or aching, and it often worsens with weight-bearing activities like walking or running. You may also experience swelling and limited range of motion in the affected foot. Treatment options may include rest and taping, in addition to realigning the cuboid bone. Early intervention can help alleviate symptoms and prevent long-term issues. If you have pain on the outside of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat cuboid syndrome. 

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from North Penn Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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