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Tuesday, 19 December 2023 00:00
Common Causes of Foot Pain in Seniors
As people age, foot pain becomes increasingly prevalent, affecting one-quarter of those aged 45 or older. Primarily concentrated in the forefoot and toes, this discomfort impedes mobility and balance, raising the risk of falls. Common foot problems among seniors stem from overuse and are influenced by factors such as foot structure, activity level, body weight, and footwear choices. Plantar fasciitis, an inflammation of the ligament that runs from heel to ball of the foot, often results in pain in the heel and arch. Osteoarthritis, a degenerative disease attacking joint cartilage and bone, often targets the ankle, the middle of the foot, and the big toe. Bunions, or hallux valgus, painful bony formations on the big toe joint, are influenced by heredity and can be worsened by years of wearing ill-fitting shoes. Hammer toes, deformity of the smaller toes, often result from tight shoes or inadequate support, especially in individuals with flat feet. Seniors may also experience foot pain due to a decrease in padding on the ball and heel of the foot, as collagen diminishes with age. Early intervention and proper care can alleviate discomfort, improve mobility, and reduce fall risks. Your feet are your foundation, and caring for them ensures a healthier and more active lifestyle as you age. If persistent foot pain is a concern, it is suggested that you make an appointment with a podiatrist.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Tuesday, 19 December 2023 00:00
Elderly and their Feet
While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain foot conditions. The elderly should therefore be well informed about any problems that may arise and about what they can do to properly avoid or treat them.
Some of the most common foot problems seniors are susceptible to include foot ulcers, ingrown toenails, fallen arches, and fungal nails. A foot ulcer is an open sore on the foot and can be a result of diabetes and decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal nails is a condition that results in deformed and discolored toenails.
In order to avoid these conditions it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consult a podiatrist for diagnosis and information on treatment options.
Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems. If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.
As people age, the fat present on your feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground. This also aids in giving the skin on the feet a certain amount of elasticity. This is one factor that causes elderly people to develop some serious foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this. However, water-based moisturizers do not work as well for elderly people as they do for the young. Instead, it is more effective to use an emollient instead. An emollient is effective because it binds the water in the foot, keeping it from becoming absorbed too readily which will result in dry skin. Emollients also have a special property called occlusion, which provides a layer of oil on the skin. This layer prevents the foot from drying up and can be very effective in treating dry skin disorders. If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.
Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.
Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.
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Thursday, 14 December 2023 00:00
Injury From a Winter Sport? Get the Care You Need
Winter sports can be fun for many – but only with the proper protective gear. Even with the right equipment, however, injuries can happen. If you’ve sustained foot or ankle trauma or a foot or ankle injury, we’re here to help.
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Tuesday, 21 November 2023 00:00
Causes of Heel Spurs
Heel bone spurs, or calcaneal spurs, are abnormal bone growths that look like hard lumps on the back of or underneath the heel. These formations are caused by persistent irritation or stress on the heel bone. This prompts the cells responsible for bone growth to produce excess calcium deposits over time. One of the causes of heel spurs is tightness in soft tissues like ligaments, muscles, and tendons. When these tissues are under increased tension, they exert excessive force on the attached bone, leading to inflammation and the development of bone spurs. Conditions such as plantar fasciitis, characterized by heightened tension in the plantar fascia under the sole of the foot, can also be a factor. Wearing shoes that are too tight, lack support, or have an improper shape create repetitive friction on different foot areas. The back of the heel is particularly susceptible to this friction, resulting in the accumulation of calcium deposits and the subsequent formation of calcaneal bone spurs. Women, who frequently wear tight fitting shoes that have high heels or pointed toes, are at a higher risk of developing such heel bone spurs. If you believe you may have developed a heel bone spur, it is suggested that you make an appointment with a podiatrist for a comprehensive evaluation.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Saint Peters, MO . We offer the latest in diagnostic and treatment technology to meet your needs.
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Tuesday, 21 November 2023 00:00
Heel Spurs
Heel spurs are the result of calcium deposits that cause bony protrusions on the underside of the heel. Heel spurs are usually painless, but they have the potential to cause heel pain. Heel spurs tend to be associated with plantar fasciitis, which is a condition that causes inflammation of the band of connective tissue that runs along the bottom of the foot. They most often occur to athletes whose sports involve a lot of running and jumping.
Some risk factors for developing heel spurs include running and jogging on hard surfaces, being obese, wearing poorly fitting shoes, or having walking gait abnormalities.
It is possible to have a heel spur without showing signs of any symptoms. However, if inflammation develops at the point of the spur’s formation, you may have pain while walking or running. In terms of diagnosis, sometimes all a doctor needs to know is that the patient is experiencing a sharp pain localized to the heel to diagnose a heel spur. Other times, an x-ray may be needed to confirm the presence of a heel spur.
Heel spurs can be prevented by wearing well-fitting shoes that have shock-absorbent soles. You should also be sure that you are choosing the right shoe for the activity you want to partake in; for example, do not wear walking shoes when you want to go on a run. Additionally, maintaining a healthy weight can be beneficial toward preventing heel spurs, as it will prevent an excess amount of pressure being placed on the ligaments.
There are a variety of treatment options for people with heel spurs. Some of these include stretching exercises, physical therapy, shoe inserts, or taping and strapping to rest stressed muscles and tendons. If you have heel pain that lasts longer than a month, don’t hesitate to seek help from a podiatrist. Your doctor can help you determine which treatment option is best for you.
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Tuesday, 28 November 2023 00:00
Recognizing Symptoms of Sever’s Disease
Sever's disease, despite its name, is not an illness but a common heel condition affecting growing children, particularly those engaged in sports or activities that involve repetitive stress on the heel bone. Commonly observed in children aged 8 to 14, Sever's disease arises from the inflammation of the growth plate in the heel, where the Achilles tendon attaches. Recognizing the symptoms is vital for early intervention. Affected children may experience heel pain, swelling, and tenderness, especially during or after physical activity. As bones grow faster than muscles and tendons during this age range, the tightness and strain on the heel's growth plate become more pronounced. Factors such as rapid growth, high-impact sports, or wearing inadequate footwear contribute to vulnerability. Understanding Sever's disease and its symptoms equips parents, coaches, and young athletes to navigate this temporary, but uncomfortable condition with informed care and appropriate preventive measures. If your active child has heel pain, it is strongly suggested that he or she is under the care of a podiatrist who can effectively diagnose and treat this condition.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Katie Besselman, DPM from Advanced Podiatry. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
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Tuesday, 28 November 2023 00:00
Sever's Disease
Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.
Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.
The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.
The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.
Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.
Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.
Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.
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Tuesday, 05 December 2023 00:00
Keep Your Feet Healthy When Walking
Walking is a popular low-impact exercise with numerous health benefits, and ensuring your feet stay happy and healthy is key to maximizing those benefits. Proper form and posture when walking are essential elements to consider to prevent injuries. Maintaining proper posture and alignment is the foundation of a healthy walking routine. Imagine a string pulling you up from the crown of your head, ensuring you stand tall. Keep your head up, eyes forward, and shoulders back, allowing your arms to move freely at your sides. Tighten your abs and align your rib cage with your hips, knees, ankles, and second toe to avoid strain on your lower half. Pay close attention to your feet during each step. Adopt a rolling motion of heel, ball, and toes to distribute stress evenly across the lower body. Avoid slamming your entire foot down, as this can increase the risk of knee, hip, and ankle injuries. Notice your walking cadence and try to find a balance between longer, less frequent steps and shorter, more frequent steps to reduce joint stress. While walking is generally low-risk, staying alert is essential. Watch out for obstacles like curbs, potholes, or uneven terrain, especially in low-light conditions. If you have foot problems that you believe may be an after effect of your walking routine, it is suggested that you schedule an appointment with a podiatrist.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Tuesday, 05 December 2023 00:00
Exercise for Your Feet
Foot and ankle pain can be a nuisance in a person’s life, especially if it happens frequently. The best way to prevent this type of pain, is to exercise often. Regular exercise of the foot includes stretching and strength exercises. Stretching exercises can help prevent injuries such as a sprained ankle, while strength exercises can prevent ailments such as plantar fasciitis.
Stretching exercises can help improve flexibility and the foot and ankle’s range of motion. These exercises can certainly help with those who participate in high-energy activities such as sports. Many athletes routinely perform foot and ankle exercises to prevent injuries like sprained ankles, which are common injuries where the tendons in the ankle are over stretched. Strength exercises help develop foot muscles for better support and protection.
Most exercises are simple and can be done at home, either standing or sitting. One chair exercise is called “limber up”. In this exercise, a person would start by sitting down with their feet flat on the floor. Then lift one leg up so the feet are not touching the floor, then rotate your foot clockwise 15-20 times, and 15-20 times counterclockwise. Repeat the same process with the opposite leg. Another sitting exercise helps stretch the back of your heel and requires an exercise band. It begins by looping the band around a heavy piece of furniture, or something stable that will not be moved when the band is tugged or pulled. Then sit directly in front of it, and slide one foot into the loop, so that the band curves around the forefoot. Start by pulling the forefoot back and holding it for 5-10 seconds. Doing this 10-15 times on each foot, will stretch the back of your heel, increasing your flexibility.
Foot exercises that require standing are also just as easy and simple. Referred as the “Achilles Stretch”, this exercise stretches the Achilles tendon, making it more flexible, helping prevent foot, ankle, and leg pain. It begins by first standing and facing the wall, with the arms outstretched and the palms on the wall. Then place one foot behind another keeping the back leg straight, and the forward leg bending at the knee. Make sure both heels are flat on the floor and adjust your stance accordingly. With your hips, lean forward to feel the stretch, you can also adjust the distance from your feet to feel the stretch in various parts of the calf. Make sure to hold the stretch for about 30 seconds and repeat the same process 3 times with each leg. An even easier foot exercise is simply walking on sand. Walking barefoot on sand both strengthens and stretches your feet.
Doing these exercises regularly can help prevent many foot and ankle problems. Other foot exercises can even relieve pain. For example, those affected with plantar fasciitis can simply sit down on a chair, and then place a tennis ball below their affected foot. By rolling the ball under the foot, and increasing or decreasing pressure, pain will be relieved. With any exercise, it is always important to do a small warmup such as walking a few laps around the house to get the blood flowing. If after doing an exercise to relieve pain such as the tennis ball exercise, or are unsure that your execution is correct, be sure to contact a podiatrist for further instruction.
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Tuesday, 12 December 2023 00:00
Methods That May Help to Prevent Diabetic Limb Loss
Approximately 60,000 lower extremity amputations are performed annually in the United States in patients with diabetes. This fact makes ulceration, infection, and gangrene a prevalent foot and ankle issue for diabetics people. Many amputations can be prevented through daily foot care habits and regular visits to a podiatrist to monitor foot ulcers. These experts suggest adopting an everyday foot care routine of inspecting the feet thoroughly for any changes in shape, color, sensation, or skin integrity. To prevent complications, podiatrists also recommend a gentle cleaning that involves washing feet in lukewarm water with mild soap, avoiding soaking, and ensuring thorough drying, especially between the toes. Nail care includes trimming nails straight across, avoiding rounding the corners. Callus management suggests gently reducing calluses with a foot file or pumice stone, rubbing in one direction to avoid skin tears. Diabetic patients should opt for cushioned, breathable shoes with soft uppers. Choosing cotton or natural fiber socks over synthetic materials is recommended. If you have diabetes, and are experiencing foot ulcers, it is suggested that you are under the care of a podiatrist who is medically trained to manage this condition.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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