If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
We are FULLY OPEN and following all CDC Guidelines
Lockport Foot Care, PLLC Harry I. Zirna, DPM

Blog

Blog

Tuesday, 24 May 2022 00:00

Pain in the Big Toe

Gout is an inflammatory arthritis that develops from high levels of serum urate in the body which can form into crystals in and around a joint causing inflammation. Urate comes from purines found in the body’s tissues and many foods. When purines break down, they become urate. Not everyone who has high serum urate levels will develop gout, but if one does, it can flare up with intense pain, swelling, and stiffness. Gout flares can occur in any joint but often start in the big toe. With early intervention through treatment and lifestyle changes, gout is one of the most controllable forms of arthritis. Men, middle-aged and older people, and those with a genetic predisposition to gout are more at risk. This condition can be triggered by foods rich in purines, alcohol, certain medications, injury, or illness. It can lead to other complications like obesity, diabetes, and hypertension. Seeing a podiatrist for gout is the best route to proper diagnosis and treatment to help keep this affliction under control.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Tuesday, 17 May 2022 00:00

Heel Pain in Children

Children often complain of heel pain, and it is usually not serious.  However, it is important to understand what is going on as such pain can arise for various reasons. If a child suffers from pain or tenderness in the back of the foot or ankle, limps, or walks on their toes, they might have Achilles tendonitis or Sever’s disease. Achilles tendonitis is an inflamed Achilles tendon. Sever’s disease, or calcaneal apophysitis, affects kids from five to eleven years of age and involves the Achilles tendon pulling on a growing heel bone. Both conditions can occur from overuse or a sudden increase in activity.  Children performing repetitive movement as in sports like soccer, basketball, and track that involve running or jumping are more prone to heel pain. Rest, ice, compression, elevation, stretching, over-the-counter pain medication, and perhaps cushioned heel lifts usually provide relief, but ignoring symptoms can lead to worsening of the injury and sometimes chronic pain. Other less common reasons for heel pain in children are plantar fasciitis, fractures of the heel or foot, infections, tumors, or congenital problems. If one suspects a child has sustained a fracture or if pain persists beyond a couple of weeks, a podiatrist should be seen to examine your child’s feet, determine what the cause of pain is, and suggest an appropriate treatment plan.

Many people suffer from bouts of heel pain. For more information, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Lockport and Medina, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Tuesday, 10 May 2022 00:00

Runners and Flat Feet

Flat feet is generally easy to notice when one is barefoot. While standing flat on the floor, a person that has flat feet will have a small or absent arch, which causes the foot to lie completely flat on the floor. There are some patients who are pregnant or overweight and will develop flat feet temporarily. When their condition changes, the feet will resume their arch. People who enjoy running may experience conditions throughout their bodies that may be related to having flat feet. Flat feet can cause over-pronation, which is when the feet roll inward. It can be a common condition among runners, and it is beneficial to maintain a healthy weight which can lessen the pressure on the feet. Additionally, it is important to follow a good training practice, which may prevent overuse injuries. If you have flat feet, it is suggested that you are under the care of a podiatrist who can prescribe custom made orthotics or shoe inserts specifically designed to your feet.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna 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 offices located in Lockport and Medina, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flatfoot

Research has shown that people who are sixty-five years and older are prone to have problems with their feet. This may be a result of wear and tear the feet endure as the aging process occurs. Many people do not pay attention to their feet until an uncomfortable foot condition arises. Additionally, they may lose their motivation to exercise, and this can contribute to specific foot problems. The arches may flatten, and the padding can become thin from weight gain, and possible heart issues. It is helpful to inspect the feet on a daily basis for cuts and bruises, and the feet and overall body may feel better when proper size shoes are worn. It may be beneficial for family members or professional caregivers to help with proper foot care. If you would like more information about how to care for elderly feet, please contact a podiatrist who can provide you with qualified answers.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna 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 offices located in Lockport and Medina, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Elderly and their Feet
Friday, 29 April 2022 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 26 April 2022 00:00

Understanding the Risks of PAD

PAD or Peripheral Artery Disease occurs when there is a narrowing or blockage of blood vessels. This disease is caused by a buildup of fat in the arteries, and is also known as atherosclerosis. Though this can happen in any blood vessel, it is more common in the lower extremities. Risks for PAD include aging, smoking, high blood pressure, high cholesterol, and diabetes. Some symptoms that may be present include pain in the feet or legs with activity that stops with rest, decreased or absent foot pulse, sores or ulcers that do not heal, and cold or numb toes. Beyond damage to one’s feet if left untreated, PAD can lead to a heart attack or stroke. If you have any of these symptoms, it is important to see a podiatrist to measure blood pressure in the ankles via an ankle brachial index (ABI) and compare that to blood pressure in the arms, do possible imaging studies, confirm the diagnosis, and obtain a treatment plan.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Wednesday, 20 April 2022 00:00

When Rheumatoid Arthritis Affects the Ankle

Rheumatoid arthritis (RA) is a progressive disease that causes the body’s immune system to mistakenly attack healthy tissue. RA can break down cartilage between bones in the ankle. Without healthy cartilage between ankle bones, bones rub together and cause friction that can lead to inflammation and pain in the ankle joint. In addition, RA can also weaken surrounding tissues that normally support and stabilize the ankle. Over time, the damage RA inflicts on the ankle can change how the joint functions and may lead to further destruction. A podiatrist can diagnose RA in your ankles and help determine the best course of treatment, which may include non-steroidal anti-inflammatory medications, corticosteroid injections, custom orthotics, physical therapy, and in some cases, surgery.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Read more about How to Care for Your Arthritic Foot
Tuesday, 12 April 2022 00:00

Successful Foot Surgery

Many patients choose to have foot surgery performed when other treatment options have failed. A common surgery is called bunionectomy, and this is successful in removing bunions. A bunion is defined as a bony protrusion on the side of the big toe and can cause pain and discomfort. Severe cases of arthritis in the feet may require surgery. This is accomplished by fusing the bones together which may eliminate existing pain. Heel surgery is done to find relief from foot conditions that can include heel spurs and plantar fasciitis. Patients who have Morton’s neuroma may benefit from having surgery performed that may involve cutting a piece of the nerve that was causing the condition. If you have foot pain, please consult with a podiatrist who can determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna 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 Lockport and Medina, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 05 April 2022 00:00

How to Know if Your Ankle Is Broken

If you sustain an injury to your ankle and wonder whether it is broken or not, you should remain calm and assess your symptoms. A broken ankle is quite painful, especially when you try to move it or put weight on it. The ankle is usually swollen from blood or fluid accumulating at the site of injury and it may be discolored or bruised. Less common symptoms of a broken ankle can be feeling a numb or tingling sensation and/or what is called “crepitus” or a feeling of bone grinding on bone when the ankle is manipulated. Beyond a bone sticking out of the flesh, the only way to know for sure if you have a broken ankle is to obtain an X-ray or bone scan. If the ankle is broken, these diagnostic tests will show that something is out of place. A CT scan or MRI may be ordered to determine the severity of the break. It is vital to see a podiatrist if you have injured your ankle as this professional can order the appropriate test and proceed to treat the fracture or whatever condition might be identified.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Read more about All About Broken Ankle
Wednesday, 30 March 2022 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Page 1 of 38
Connect with us

our recent articles