Dr. Zirna is announcing his retirement as of April 30, 2025
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Whether you are a competitive or a casual runner, wearing the right pair of shoes is a key component of running. Finding the best shoes for your own personal needs revolves primarily around the shape and arch of your foot. Researchers from Runner’s World shared, “Flat feet tend to have fallen arches, making them flexible and prone to over-pronation, an inward rolling motion. Neutral feet are the most biomechanically sound variety, putting them somewhere in the middle. High-arched feet are essentially the polar opposite of flat feet. When the arches are particularly defined, the feet end up being rigid, leading to supination, or landing on the outside edges of the feet."

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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 Choosing the Right Running Shoe for Your Foot Type

According to findings presented at the American College of Rheumatology Annual Meeting, patients with higher weights are more susceptible to foot pain. Instructor of Medicine Alyssa B. Dufour of Harvard Medical School and her colleagues studied 28 different measures over 57 years to identify the trajectories of weight in the Framingham Foot Study. After five such trajectories were established, patterns began to develop that showed a correlation between higher weight over time and higher levels of foot pain.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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 How Obesity Affects Your Feet
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 and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 28 February 2017 00:00

How Not to Get Plantar Warts

Plantar warts are growths on the feet caused by a virus.  The virus can be contracted in moist, warm environments like gym locker rooms or around an indoor pool.  If you have cuts on your feet take extra special care to avoid any contact with these surfaces.  Make sure to change your socks everyday and never share them with others.  Plantar warts are typically not painful at first, but as they grow they can hurt when you walk.  If you notice the wart while it is small, there are various types of home remedies that may be effective.  However, once the plantar wart grows larger, a podiatrist will be your best option.  

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 All About Plantar Warts
Tuesday, 21 February 2017 00:00

Causes of Hammertoe

Hammertoes occur when there is an imbalance in the muscles and ligaments that would normally hold the toe straight.  This results in the toe bending over time and ultimately becoming deformed.  Hammertoe typically affects the second, third, fourth, and fifth toes, not the big toe.  If discovered and managed early, treatments can be non-invasive and the hammertoes may be able to be corrected without surgery.  Although hammertoe may be a congenital disorder in some, usually the cause is either a previous toe injury or wearing ill-fitting shoes.  The toes can become cramped and start to bend gradually if there is not enough space for them.  This is especially the case for people with longer than average toes.  If you notice your toes are bent up in a cramped position, seek medical attention.  Catching this early is crucial.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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 What Are Hammertoes?

Since feet are carrying the weight of the body all day, cramps are apt to occur especially after walking, standing, or during any type of vigorous exercise. While foot cramps are often unexpected, podiatrists suggest that sufferers stop the activity that caused the cramp and immediately stretch the foot. In a seated position, use your hands to hold your toes upwards to stretch the arches and hold for 30 seconds. Putting all of your body weight on one foot can also sufficiently stretch the cramped muscles and tendons in the feet. In addition to stretching, walking around on the cramped foot can help to release tension.

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 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.

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 Dr. Zirna 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 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 Exercise for Your Feet
Tuesday, 07 February 2017 00:00

Understanding Corns and Calluses

Corns and calluses can be best explained as hardened tissue on the skin, formed when the skin is subject to repeated pressure or friction. The balls of our feet are most susceptible to developing corns and calluses, however they can form anywhere. A particular well-known cause of corns and calluses are ill-fitting shoes. Suggested methods for preventing corns and calluses are to wear padding or, in some cases, orthotics in your shoes. Calluses can also be removed with a surgical procedure by your podiatrist.  If you are bothered by corns or calluses, consult with a podiatrist to determine if surgical intervention is necessary.

If you have any concerns regarding your feet and ankles, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Dr. Zirna to determine the best treatment option for your case of corns.

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 Corns: What Are They, and How Do You Get Rid of Them
Tuesday, 31 January 2017 00:00

Daily Foot Care During the Winter

As the winter months are here, that means the weather is becoming colder, and as a result, your feet become susceptible to all sorts of maladies. Some tips for keeping your feet warm and avoiding any foot complications involve wearing properly-fitting, waterproof, snow-resistant shoes, breathable socks that prevent moisture from building up and practicing proper foot hygiene. Make sure to see your podiatrist if you notice any foot problems.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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 Every Day Foot Care
Wednesday, 25 January 2017 00:00

Custom Orthotics Reduce Risk of Sports Injuries

Foot-related sports injuries are extremely common, due to overuse and repetitive strain on the feet. Plantar fasciitis and Achilles tendonitis are two of the most common of these injuries.  Counterintuitively, those of us that only play sports on the weekends have a greater risk of suffering from heel and tendon injuries.  Orthotics can help reduce the odds that you’ll get hurt.  If you jog, play tennis or basketball, or do any kind of high ground impact activity, you should consider getting fitted for orthotics.  Custom made for your foot, they will meet your specific foot needs, and prevent further foot injury.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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 Foot Orthotics
Monday, 16 January 2017 19:11

Virtual Reality Technology Helping Seniors

elderly feetThe use of technology has drastically transformed the way we do lots of things, particularly in the world of medicine. With a combination of virtual reality and treadmill training, an Israeli study shows that this may be an effective way to prevent dangerous falls associated with aging. Currently, this collaboration of virtual reality and treadmill techniques focuses on improving muscle strength, balance, and gait. The Israeli research team, in cooperation with partners across Europe, has found that physical mobility and cognition are important for safe walking. Participants reduced their risk of falling for at least six months post-training.

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 will attend to all of your foot and ankle needs and answer any of your related questions.  

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 threating 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 care needs.

Read more about Elderly and Feet

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