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Tuesday, 30 January 2024 00:00

Diagnosis of Stress Fractures

A foot stress fracture is a microscopic crack in the bone, often caused by repetitive stress or overuse. This common injury can affect various bones in the foot, such as the metatarsals, and typically emerges gradually due to activities such as running or jumping. Recognizing the symptoms is vital, as persistent pain, swelling, and tenderness are common indicators. To diagnose a foot stress fracture, podiatrists employ a combination of clinical evaluation and imaging studies. X-rays may not immediately reveal the fracture, but MRI imaging or bone scans may offer more detailed insights. Medical history, physical examination, and a thorough discussion of the individual's activities contribute to an accurate diagnosis. Early detection is essential for effective management, often involving rest, modified activity, and sometimes bracing or casting. If you have foot pain, and believe it may be a stress fracture, it is suggested that you visit a podiatrist who can accurately diagnose and treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

Read more about Dealing with Stress Fractures of the Foot and Ankle
Tuesday, 23 January 2024 00:00

Causes of Blackened Toenails

Blackened toenails are caused by repetitive pressure and friction, often occurring when the toe is forced against the front edge of a shoe's toe box. While sometimes referred to as tennis toe, blackened toenails can also affect athletes in soccer, football, squash, racquetball, basketball, running, and skiing. Symptoms include throbbing pain and a reddish-blue or black discoloration of the nail plate due to a subungual hematoma, which is caused by blood under the nail. The big toe is more commonly affected in blackened toenails, but the second toe may also be affected. Wearing ill-fitting shoes plays a pivotal role, causing friction that leads to bleeding under the toenail. In severe cases with significant bleeding, swelling, or infection, visiting a podiatrist is suggested. This foot doctor may relieve pressure on the subungual hematoma by making a small hole in the nail or, in extreme cases, recommend partial or complete nail removal. Prevention involves wearing well-fitted shoes and recognizing early symptoms. Whether you are an avid athlete or enjoy an active lifestyle, if you notice discoloration in the toenails, it is suggested that you schedule an appointment with a podiatrist for treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Read more about Toe Pain
Sunday, 21 January 2024 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.

Tuesday, 16 January 2024 00:00

Ways to Reduce Pain From High Heels

Walking in high heels can exude confidence and style, but it often comes at the expense of comfort. To navigate the world of stilettos without enduring pain, consider a few essential tips. First, choose heels with a reasonable height and platform, allowing for better weight distribution. Prioritize proper shoe size to avoid unnecessary pressure on toes and insteps. Engage core muscles for improved balance, maintaining an upright posture to alleviate strain on the lower back. Mastering a heel-to-toe walking technique ensures a smoother gait, reducing impact on the feet. Take smaller steps and embrace a slower pace to enhance stability and grace. Additionally, opt for shoes with cushioned insoles or consider using gel inserts for added comfort. Gradual practice in heels at home can help build endurance and confidence. Lastly, pamper your feet with stretches and massages. If you would like more information about how to wear high heels while protecting the feet, it is suggested that you confer with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Read more about Why High Heels Are Not Ideal for Healthy Feet
Tuesday, 09 January 2024 00:00

Causes of Numbness in the Feet

Numb feet, characterized by diminished sensation, often arises from simple factors like nerve compression due to awkward sitting or tight shoes. However, persistent numbness, or neuropathy, can signal serious underlying health concerns. Numbness in the feet typically accompanies sensations such as pain, burning, or tingling, collectively known as paraesthesia. If left untreated, the numbness may progress to weakness and reduced foot control. The causes can be broadly categorized into nerve damage and diminished blood supply. Nerve damage disrupts communication between sensory nerves and the brain, leading to numbness. This breakdown prevents the interpretation of pressure and temperature stimuli. Pins and needles sensations arise when signals are erratic. Causes of nerve damage include temporary nerve compression, where prolonged awkward sitting or tight shoes reduce oxygen and nutrient flow to nerves, resulting in temporary numbness and subsequent pins and needles upon movement. Peripheral neuropathy involves damaged peripheral nerves unable to transmit signals to the central nervous system. It can lead to persistent numbness and is associated with conditions such as diabetes, systemic diseases, and alcoholism. If you experience numbness in the feet frequently, or for long periods, it is suggested that you schedule an appointment with a podiatrist for a full examination and treatment options. 

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 Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna 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 offices located in Lockport, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy
Tuesday, 02 January 2024 00:00

Adult Flat Feet and Their Underlying Causes

Adult flat feet, a condition where the arches of the feet collapse, can be attributed to a multitude of factors, each contributing to the intricate landscape of this common ailment. One primary cause is weakened or overstretched tendons, often stemming from prolonged wear and tear or injury. Age-related changes to tendons and ligaments can also impact foot structure, leading to the development of flat feet. Genetic predispositions often play a role, as individuals with a family history of flat feet may be more susceptible. Certain medical conditions, such as arthritis, diabetes, or obesity, contribute to altered foot mechanics and increased stress on the arches. Pregnancy is another factor, with hormonal changes and increased weight-bearing influencing foot structure. Wearing unsupportive footwear, especially during critical developmental stages, can contribute to the prevalence of adult flat feet. If you have flat feet, it is suggested that you visit a podiatrist who can offer you relief techniques, which may include custom-made orthotics. 

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, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flatfoot

Congenital foot deformities, occurring at birth, present a spectrum of conditions that impact the structure and function of the feet. One notable congenital deformity is clubfoot, a condition where the foot is twisted inward and downward. This malformation results from a combination of genetic and environmental factors influencing the development of tendons, muscles, and bones in the foot during pregnancy. In clubfoot, the Achilles tendon is often shorter than usual, exacerbating the inward rotation of the foot. While the exact cause remains elusive, early identification and intervention are pivotal. Advances in medical understanding and technology continue to enhance treatment outcomes, providing hope for those born with congenital foot deformities. Those born with clubfoot can lead active and fulfilling lives with proper care and intervention. If your child has been born with clubfoot, it is strongly suggested that you consult a podiatrist who can immediately begin appropriate treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Read more about Congenital Foot Problems
Friday, 22 December 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 19 December 2023 00:00

Causes and Treatment of Bunions

Bunions, characterized by bony protrusions at the base of the big toe, result from various factors like genetics, wearing tight shoes, and poor foot mechanics. They can cause discomfort and pain. Treatment for bunions typically involves wearing roomy, supportive footwear, or using orthotic inserts to improve foot alignment. Additionally, it may be beneficial to apply padding and taping for pain relief and engage in helpful exercises. For severe bunions, surgical intervention may be necessary to correct the deformity. If you are suffering from a painful bunion, it is suggested that you schedule an appointment with a podiatrist for suitable treatment based on the severity of your condition.

If you are suffering from bunion pain, 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.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Read more about Bunions
Tuesday, 12 December 2023 00:00

Dealing With Foot Pain

Foot pain can stem from a myriad of causes, each intricately tied to the complex structure of the foot. One prevalent contributor is improper footwear, as shoes with an ill fit or high heels can induce foot pain and disorders. The foot, supporting the body's weight, is susceptible to injuries during high-impact activities like running or aerobics. These activities can lead to ligament sprains, muscle or tendon strains, and foot bone fractures. Degenerative conditions such as osteoarthritis and rheumatoid arthritis may also play a role in foot pain. Osteoarthritis arises from cartilage overuse around joints, commonly affecting the big toe, ankle, and midfoot. Meanwhile, rheumatoid arthritis introduces pain, stiffness, swelling, soreness, and warmth in the foot and ankle joints. Diabetes, with its repercussions like nerve damage, reduced blood flow, and ulcers, often contributes significantly to foot pain. Numerous other conditions further complicate foot health, including plantar fasciitis and Achilles’ tendonitis. Corns, calluses, bunions, and plantar warts are other sources of foot pain. Ingrown toenails, Morton’s neuroma, and hammertoes may induce pain in parts of the foot. Peripheral arterial disease, gout, and flat feet are still other conditions that generate foot pain. If you experience any type of foot pain that persists or gets worse, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain
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