Exploring Surgery Options for Ankle Arthritis

Ankle arthritis, characterized by the progressive degeneration of the ankle joint, can cause significant pain and hinder one's ability to move comfortably. When conservative treatments such as medication and bracing prove insufficient, surgery for ankle arthritis may become a viable option. There are several surgical procedures available to address ankle arthritis, each tailored to the individual's specific condition and needs. One common procedure is ankle arthroscopy, a minimally invasive technique that allows the surgeon to examine and treat the joint with small incisions. Ankle fusion, or arthrodesis, involves the removal of damaged joint surfaces and the fusion of the tibia and talus bones to create a stable but immobile joint, effectively eliminating pain. Ankle replacement surgery, or arthroplasty, is another option, where the damaged joint is replaced with a prosthetic implant, preserving joint motion and relieving pain. The choice of surgery depends on factors like the extent of joint damage, the patient's age, and overall health. While each surgery comes with its own set of considerations and potential risks, these options offer hope for improved ankle function and long-term pain relief for individuals battling ankle arthritis. If you have ankle arthritis and are contemplating surgery as a treatment option, it is strongly suggested that you consult a podiatrist who can determine the best type of surgery for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Westside Podiatry Center, LLP. Our doctors 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 one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Risk Factors and Symptoms of Ankle Gout

Gout is a painful form of inflammatory arthritis that can affect various joints in the body, usually the big toe. When it strikes the ankle, it's referred to as ankle gout. This condition can be identified by sudden and intense pain, swelling, and redness in the affected joint. The root cause of gout in the ankle is a buildup of uric acid. This waste product is produced during the breakdown of purines, which are found in certain foods, like red meat and seafood. Normally, your body transports uric acid to the kidneys for elimination in urine. But if not properly flushed out, excessive uric acid remains in the bloodstream, termed hyperuricemia. Eventually, uric acid crystals can accumulate in certain joints, including the ankle joint, and cause the classic symptoms of pain, swelling, and redness. Gout flares usually peak within 12 to 24 hours of onset and gradually improve over one to two weeks, with or without treatment. Some individuals may experience only one gout flare in their lifetime, while others suffer from recurring flares. In cases of recurring gout flares, symptoms can become more severe and prolonged, potentially leading to joint damage. If you suspect you have ankle gout, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and more advanced treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Westside Podiatry Center, LLP. Our doctors 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 one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Athlete's Foot

Athlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.

Tinea is the same fungus that causes ringworm, and is spread by direct contact with an infected body part, contaminated clothing, or by touching other objects and body parts that have been exposed to the fungus. Because the feet are an ideal place for tinea to grow and spread, this is the most commonly affected area.  It is, however, known to grow in other places. The term athlete’s foot describes tinea that grows strictly on the feet.

The most commonly infected body parts are the hands, groin, and scalp, as well as the feet. Around 70% of the population suffer from tinea infections at some point in their lives, however not all of these cases are athlete’s foot. Just like any other ailment, some people are more likely to get it than others, such as people with a history of tinea infections or other skin infections, both recurring and non-recurring ones. The extent to which a person experiences regrowth and recurrent tinea infections varies from person to person.

Sometimes people will not even know that they are infected with tinea or that they have athlete’s foot because of a lack of symptoms. However, most experience mild to moderate flaking, itching, redness, and burning. However, some of the more severe symptoms include cracking and bleeding skin, intense itching and burning, pain while walking or standing, and even blistering.

Because of the recurring nature of the tinea fungus and the athlete’s foot it causes, the best way to treat this condition is with prevention. You can take some preventative measures such as wearing flip flops or sandals in locker rooms and public showers to reduce contact with the floor. It also helps to keep clean, dry feet while allowing them to breathe. Using powders to keep your feet dry is a good idea, as well as keeping your feet exposed to light and cool air, to prevent the growth of tinea. If you do happen to get athlete’s foot, opt for using topical medicated creams, ointments or sprays. These treatments help eliminate and prevent it from coming back.

Causes and Symptoms of Athlete’s Foot

Athlete's foot, scientifically known as tinea pedis, is a fungal infection that can affect anyone. It is notorious for causing discomfort, itching, and unsightly skin changes. Athlete’s foot tends to be more prevalent among older adults, especially males. The primary cause is dermatophytes, a type of fungus that thrive in warm and humid environments. You can contract athlete's foot by walking barefoot on wet and contaminated floors, especially in public areas like locker rooms, showers, and pools. It also can be transmitted by sharing towels, clothing, or shoes with someone who has the infection. Prolonged use of sweaty, tight shoes that create a moist environment for fungi to flourish also increases the risk of infection. Symptoms of athlete's foot can include red and inflamed skin, persistent itchiness, flaky and scaly skin, thickened skin, and dry feet. In severe cases, tiny red blisters may develop between the toes or on the soles of the feet. The good news is that athlete's foot is generally easy to treat with prescribed antifungal creams or oral medications. If you suspect you have a particularly troublesome case of athlete's foot, it is suggested that you make an appointment with a podiatrist for help managing this fungal infection.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Westside Podiatry Center, LLP.  Our doctors will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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The Causes, Types, and Treatments of Achilles Tendon Injuries

Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking. 

Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.

Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.

The two most common Achilles tendon injuries are tendonitis and ruptures. Tendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.

Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.

An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.


 

Achilles Tendon Ruptures

Achilles tendon ruptures are serious injuries often resulting from participating in intense physical activities such as running or sports involving quick turns and stops. If you experience a sharp pain accompanied by a popping sound in the back of your leg, it may indicate a tear in your Achilles tendon. Immediate diagnosis by a podiatrist, done typically through a physical examination and possibly an MRI, is crucial to determine the severity of the tear. Partial tears may require immobilization using a boot or splint, allowing the tendon to naturally heal over the course of approximately six weeks. Complete ruptures, however, often necessitate surgical intervention. Post-injury care includes elevation of the leg and pain medication. If you feel you may have ruptured your Achilles tendon, it is suggested that you make an appointment with a podiatrist for a prompt diagnosis and treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Westside Podiatry Center, LLP. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

How Wearing Compression Socks Can Help You at Work

When it comes to working long hours, whether at a desk or on your feet, wearing compression socks has become increasingly recognized as a proactive health measure. Prolonged sitting can reduce blood flow to the legs, potentially leading to blood clots. Standing for extended periods places extra strain on the circulatory system and can cause fatigue and soreness. Jobs requiring extended standing, such as nurses, retail workers, flight attendants, and restaurant staff, benefit from the all-day support provided by compression socks. Similarly, office workers, administrative staff, and those in sedentary roles can protect their legs by wearing compression socks to alleviate fatigue and prevent swelling. The therapeutic pressure of compression socks can promote better circulation, reducing achiness and energizing the legs. If you work in an occupation that requires you to stand or sit for prolonged periods, it is suggested that you make an appointment with a podiatrist to discuss relief methods and other ways to promote circulation in your feet and legs, such as wearing compression socks.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Westside Podiatry Center, LLP. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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