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Those with peripheral artery disease, or PAD for short, may experience chronic ischemia, better known as a lack of blood supply. When this occurs, you may experience a dull, cramping pain in the affected area, commonly the feet, when exercising. The pain often stops when resting. This kind of symptom is referred to as claudication. For a proper diagnosis, a podiatrist may suggest taking an ABI, or ankle brachial index. This exam consists of using ultrasound images that will measure the blood pressure in your feet. This type of test is common for diagnosing PAD, and is painless. PAD is likely to develop among adults over the age of 50, and is especially common for those with diabetes. For more information about peripheral artery disease, and to discuss a plan for treatment, we recommend you consult with a podiatrist for professional care.

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

Read more about Peripheral Artery Disease
Monday, 28 December 2020 00:00

What Causes Burning Pain in the Heel?

A burning sensation in the heel can be a troubling symptom. Burning pain in the heel or bottom of the foot that has a tingling or prickling quality, causes numbness, feels hot, and is worse at night may be indicative of nerve damage or  a disorder affecting the nerves that supply the foot. There are many conditions that can cause this type of damage, including diabetic neuropathy, physical trauma or injuries, tarsal tunnel syndrome, autoimmune diseases, and certain infections. If you have burning heel pain, it is suggested that you visit a podiatrist. A podiatrist can help diagnose the cause of your pain and find the right treatment for you.  

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

Read more about Heel Pain
Tuesday, 18 April 2017 00:00

Decreasing Gout Risk

Gout is one of the most painful forms of arthritis, commonly affecting those aged 60 and higher. Associated with high levels of uric acid, gout is typically characterized by pain and redness in the joints. Many health professionals agree that gout risk can be lowered by managing one’s diet, which involves reducing foods and drinks high in purine from one’s food intake. These foods include alcohol, red meat, organ meat such as liver or kidney, certain seafoods, drinks high in fructose, and processed foods. Lowering one’s uric acid levels is key in reducing gout risk.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Everything You Need to Know About Gout
Tuesday, 07 March 2017 00:00

Causes of Plantar Fasciitis

If you are experiencing moderate to severe pain in your heel or foot, you may have Plantar Fasciitis.  Plantar Fasciitis is an inflammatory condition that affects the heel of the foot, causing in some cases, very extreme pain. There are many causes for this, one being overstretching of the plantar fascia ligament, which runs from the heel to the ball of the foot.  This ligament supports the arch and can be affected by both the feet below it, and the muscles above.  If the calf muscles are too tight, this can pull on the ligament and cause inflammation.  A similar thing happens if you have flat feet.  The foot stretches the ligament from below.  Other activities that can cause Plantar Fasciitis are standing for long periods of time, running while planting your heel instead of your toe, and constant stress on the plantar fascia ligament.  Make sure to stretch your calves, take care that your footwear is not worn out, and seek podiatric treatment if your condition is painful.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 Plantar Fasciitis
Tuesday, 18 June 2019 00:00

Possible Causes of Toenail Fungus

Toenail fungus appears after there has been a fungal infection on the feet. There are noticeable symptoms that often accompany this condition, including the nail becoming thick and having a yellowish tinge, in addition to lifting off of the nail bed. Many patients notice their nails appear brittle, and the edges of the nail may crumble. If there are existing medical conditions, the possibility of developing toenail fungus may increase. These include diabetes, vascular disease, or immune system issues. Additionally, if you wear shoes which are not made of a breathable material, a fungal infection of the feet may develop. One treatment option includes taking prescribed medicine for several months. If you feel that you may have toenail fungus, it is suggested to consult with a podiatrist who can determine the best course of treatment for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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 Treating Toenail Fungus

Many people who are involved in sporting activities have experienced the pain and discomfort of foot and ankle injuries. It may typically result in significant downtime from running or jumping to allow for proper healing to begin. There are several ways to possibly prevent foot and ankle injuries from occurring, including warming up the muscles before starting to run, properly stretching the muscles in the foot and ankle, in addition to gradually increasing the time spent on the chosen activity. It’s important to wear proper shoes for walking and running, and this may aid in preventing any trauma inflicted on the foot and ankle. Ankle sprains are a very common injury to endure, as well as an Achilles tendon rupture or tear. This type of injury may affect the plantar fascia, which is tissue that is located on the bottom of the foot that connects the heel to the toes. If you are experiencing any pain in the foot or ankle, it’s suggested to speak with a podiatrist as soon as possible.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, 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.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, 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 Foot and Ankle Trauma

When the feet and ankles are strong and flexible, the benefits typically extend to the entire body. There are numerous bones, tendons and muscles that the feet are comprised of. If the feet are in top physical condition, they may act as an effective shock absorber and this may ensure that daily activities such as walking and running can be performed with ease. There are several yoga postures that may aid in strengthening the toes and feet. A simple practice that may be done is to sit back on your heels while kneeling. As this is performed, the tops of the feet will automatically stretch, which may promote strong feet. To strengthen the toes and top of the foot, try to firmly stand tall. While lifting the inner toes off the ground, keep the big toe and pinky toe stationary. Additionally, frequent massages may benefit the general health of the feet, and you may want to engage in these practices as often as possible.

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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 How to Stretch Your Feet
Monday, 21 December 2020 00:00

Leg and Foot Cramps During Pregnancy

Pregnant women often experience foot pain, and a common ailment during pregnancy can include leg cramps. They may develop as a result of shortened calf muscles, and they can cause severe pain and discomfort. Additional reasons why foot cramps can develop may be from a vitamin deficiency, or an imbalance in electrolytes. This type of pain generally occurs in the third trimester, and will gradually diminish once the baby is born. Relief may be attained when the affected leg is stretched, and the foot is rotated several times in clockwise and counterclockwise directions. If you would like additional information on why leg cramps can occur during pregnancy, and how to prevent them, please consult with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Foot Care for Pregnant Women
Monday, 14 December 2020 00:00

Sever's Disease and Heel Pain in Children

Sever’s disease is a common issue that leads to heel pain in children between the ages of 8 and 14. Sever’s disease occurs when the bones in the calves grow faster than the Achilles tendon, which connects the heel bone to the calf muscle. This causes the tendon to tighten and the heel to become swollen and sore. Sever’s disease symptoms are typically most  prominent during running or jumping activities. However, there is usually no long term damage caused by Sever’s disease as the child continues to grow. Common symptoms include limping, tenderness in the heel, especially after exercise, and swelling in the heel bone. If you believe that your child is struggling with Sever’s disease, consulting with a podiatrist is suggested.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna 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 offices located in Lockport, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease
Monday, 10 December 2018 00:00

Are Flat Feet Hereditary?

The medical condition that is referred to as flat feet is a result of the absence of the arch that feet generally have. This ailment is also known as fallen arches and is noticeable when the feet lie flat without a gap between the foot and the floor. Research has shown that genetics may play a significant role in the development of flat feet. Additionally, other causes may include arthritis or a ruptured tendon as a result of a possible injury. Patients who have this condition may observe pain or stiffness that may be present in the inner side of the ankle or where the arch would generally be. There may be effective treatment methods for this ailment, including wearing shoes that offer adequate support, in addition to possibly wearing orthotics. If you are experiencing pain and discomfort as a result of having flat feet, please speak to a podiatrist who can properly address any concerns you may have.

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 Flat Feet
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