Dr. Zirna is announcing his retirement as of April 30, 2025
All patient medical records have been transferred to the offices of James Hanna, DPM who will become the custodian of the medical records, following all Federal and State guidelines. Dr. Hanna has agreed to continue seeing Dr Zirna's patients to provide a seamless transition of care. Future requests for copies of medical records should be directed to his office located at: James Hanna, DPM; 690 Davison Road, Lockport, NY 14094, telephone: 716 433-8711

Items filtered by date: April 2023

Tuesday, 25 April 2023 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Tuesday, 25 April 2023 00:00

Juvenile Plantar Dermatosis

Juvenile plantar dermatosis, also known as atopic winter feet or forefoot dermatitis, is a condition that causes chronic dry skin on the feet. It mainly affects pre-adolescent children between the ages of three and 14. It is slightly more common in boys, and is rarely seen in adults. This problem may happen from repetitive movements causing friction on the feet. Additionally, footwear that is made of synthetic materials, excessive sweating of the feet, or genetic skin sensitivity may contribute to getting this condition. The skin on the weight-bearing parts of the soles of the feet are typically involved. The areas may be itchy, sore, and red, with a glazed appearance. The usual ridge pattern on the soles may be lost, and painful cracking and fissures can develop. Both feet of the child are generally affected. Typically, the affected site is the ball of the big toes. Untreated, this condition can take longer to heal and may lead to a bacterial infection. If you notice your child is experiencing these uncomfortable symptoms, it is strongly suggested that you visit a podiatrist for a proper diagnosis and treatment solutions.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

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Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 18 April 2023 00:00

Ankle Pain

Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.

Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.

Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections. 

Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.

Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.

Tuesday, 18 April 2023 00:00

Dealing With Peroneal Tendonitis

Peroneal tendonitis is inflammation of the tendons that connect your leg to your foot. These tendons run along the outside of the ankle bone and foot. Peroneal tendonitis is an overuse injury, but it can also be caused by a fall or other trauma to your foot. Symptoms include pain along the outside of the foot and ankle that increases with activity. Swelling, redness, and warmth may also develop. Peroneal tendonitis generally starts with tears in the tissue, but if ignored can develop into a rupture. Because this injury exhibits traits commonly attributed to other ankle pain, it can be difficult to diagnose. A visit to a podiatrist is suggested, where the foot doctor can perform a series of tests to determine the cause. Treatment, which may take a month or more, includes taking non-steroidal anti-inflammatory medication, wearing a protective brace or soft cast, and performing certain exercises. In severe cases, surgery to clean out the damaged tissue is required. For more information, it is suggested that you make an appointment with a podiatrist. 

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

 

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Tuesday, 11 April 2023 00:00

Solutions for Cracked Heels

Cracked heels can make life very frustrating and embarrassing when displaying the bare feet. Aside from being unpleasing to the eye, they can also tear stockings and socks and wear out shoes at a faster rate. When severe, cracked heels may cause pain or infection.

Cracked heels are a problem for those who are athletic, those who may walk a lot, and those who have especially dry skin. Those who use medication that dry the skin, those who swim often, wearing certain types of shoes, and those who are diabetic may have trouble with cracked heels. Seniors whose skin produces less oil may also have trouble with cracked feet. There is no one way to develop cracked feet, and there is no cure.

Today, the market consists of numerous products that have a variety of ingredients to promote healing. Some of these are over-the-counter. Others are prescribed by a doctor, especially for those who have chronic dry feet and heels.

Some doctors recommend wearing socks at night for those with rough skin. This helps further healing, and helps creams stay on longer and better absorb into the skin.

One way to alleviate dryness that causes cracked heels is by using moisturizers both day and night. Another way is to make sure the skin is clean and dry at all times. Using a pumice stone to buff away dead skin before putting on moisturizer can also help. Cracked heels will not respond to the cream unless the outer layer of skin is first removed through exfoliation. After exfoliation, lotion or ointment will be absorbed by the skin more easily.

Foods that produce healing and balance can also help the skin from within. Everything that is put into the body can either help it or hurt it. Taking supplements of omega-3 fatty acids and zinc can also be very beneficial.

Nevertheless, not all products are guaranteed to help treat cracked feet. Seeing a professional is best if other treatments options were unsuccessful. A podiatrist should be able to give the best advice to help with this problem.

Tuesday, 11 April 2023 00:00

Cleaning Cracked Heels

Cracked heels are an unsightly condition of the foot where excessive dehydration causes the skin at the back of the heel to become severely dry. As a result, the skin at the back of the heel may crack or fissure. Sometimes, an individual with a bad case of cracked heels might notice that their heels look dirty. This might be because dirt or debris can get trapped between the skin cracks. When the dirt builds up, this can give the appearance of gray lines on the back of the heels. If you are suffering from cracked heels, then it is suggested that you schedule an appointment with a podiatrist. This foot health specialist will be able to treat your condition and answer any questions that you might have about dirt building up in cracked heels.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

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Tuesday, 04 April 2023 00:00

Elderly Foot Care

As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.

Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.

It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.

As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.

The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma

An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.

People who are over 50 years old may notice the aging process has begun. The feet may begin to widen if additional weight is gained, which may cause heel pain to develop. The fat pads are known to lose some of their elasticity and cushioning, and different shoes may need to be worn. After many years of walking and standing, corns and calluses may be noticed. This can happen as a result of wearing shoes that do not fit correctly for long periods of time. Additionally, for the same reasons, bunions and hammertoe may gradually form, possibly causing pain and discomfort. Caring for the feet in elderly people is important in preventing many of these types of foot conditions. This can be done by wearing shoes that fit correctly, properly trimming the toenails weekly, and wearing custom-made orthotics for comfort, if necessary. If you have questions about what proper foot care is for elderly people, it is suggested that you speak with a podiatrist who can address any questions you may have.

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

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