Items filtered by date: December 2022

Neuropathy, a condition characterized by nerve damage, can significantly impact the feet, leading to various symptoms that range from tingling sensations to sharp pain. Diabetes stands as a primary contributor to neuropathy, with prolonged elevated blood sugar levels damaging nerves over time. Other systemic conditions such as autoimmune disorders, kidney diseases, and vitamin deficiencies can also instigate neuropathic symptoms in the feet. Moreover, exposure to toxins, certain medications, or infections may provoke neuropathy, affecting the peripheral nerves responsible for transmitting signals between the feet and the central nervous system. Trauma or injury to the nerves, often arising from accidents or surgeries, can induce neuropathic symptoms. Understanding the diverse causes of neuropathy is paramount for an accurate diagnosis and targeted intervention. If you have tingling or numbing sensations in your feet, it is suggested that you schedule an appointment with a podiatrist who can diagnose and treat neuropathy.

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 one of our podiatrists from Lexington Foot and Ankle Center, PSC. Our doctors 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 Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 19 December 2023 00:00

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

Tuesday, 19 December 2023 00:00

Peripheral Artery Disease and Foot Care

Peripheral artery disease, or PAD, is a vascular condition characterized by the narrowing or blockage of arteries, predominantly in the legs, resulting in reduced blood flow to the feet. This condition, often associated with hardening of the arteries, can significantly impact foot health and lead to various symptoms. Symptoms of peripheral artery disease may include leg pain, cramping, numbness, and skin discoloration. Generally, these symptoms develop when approximately 70 percent of the artery is blocked. Aging, smoking, diabetes, high blood pressure, abnormal cholesterol levels, obesity, physical inactivity, and family history are contributing factors. Men are generally more susceptible to PAD than women. Peripheral artery disease also can result from fibromuscular dysplasia, inflammation, or external pressure from nearby masses. The severity and nature of symptoms depend on the affected artery, degree of blockage, and whether it is a gradual narrowing or sudden blockage. Someone with peripheral artery disease may experience coldness in the lower leg or foot, numbness or weakness, absent or a weak pulse in the legs or feet, and shiny skin on the legs. One of the main dangers is in the formation of sores on the toes, feet, or legs that will not heal. These may develop into ulcers, which can engender severe foot or toe problems. If you have peripheral artery disease symptoms that are affecting your lower limbs and feet, it is suggested that you include a podiatrist as a member of your medical team. 

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 one of our podiatrists from Lexington Foot and Ankle Center, PSC. Our doctors 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 Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 12 December 2023 00:00

All About Broken Ankle

Broken ankles or “ankle fractures” are injuries that occur when the bones that make up the ankle joint are broken. Ankle injuries are some of the most common bone and joint injuries. The ankle joint is made up of three bones that join. The tibia is the main bone, and it makes up the inside of the anklebone. The fibula is a smaller bone, and it makes up the outside of the anklebone. A membrane called the joint capsule is lined with a layer called the synovium, which covers the entire joint. The synovium produces synovial fluid which allows for the joint surfaces to move.

An ankle becomes broken when the joint is stressed beyond the strength of its limits. When an ankle is fractured, ligaments may also tear at the same time. Fractures often occur to the ankle rolling or twisting in an unusual way. At times, a fracture may even be caused by an extreme force applied to the joint.

Symptoms of a broken ankle include pain, swelling, bruising, discoloration, numbness, and an inability to move the toes. If you have a broken ankle, you may also hear something tear or snap when you initially suffered the injury. If you have pain from a broken ankle, beware that the pain will not always come from the exact area of the fracture; you may also experience pain from associated foot fractures. The swelling you may experience can suggest that soft tissue damage may have occurred due to the injury.

There are differences between an ankle fracture and an ankle sprain. The difference is that a fracture or break in the bone is required to classify an injury as a broken ankle. An ankle sprain occurs when there is a tear or disruption of ligaments in the ankle. In some cases, the prognosis of an ankle sprain may be worse than that of a fracture.

X-rays are the most common way to diagnose a broken ankle. X-rays show if the ankle is broken and where exactly the fracture is located. It will also show how many pieces of broken bone there are. A second method of testing to see if an ankle is broken is a stress test.  To do this, the doctor will put pressure on the ankle and perform a stress test to determine if the fracture requires surgery. Other methods for diagnosis include CT scans and MRI scans.

If you are suffering from a broken ankle, consult with your podiatrist immediately to receive a proper diagnosis and treatment.

Tuesday, 12 December 2023 00:00

Causes and Signs of a Broken Ankle

A broken ankle, a distressing injury, occurs when one or more of the bones comprising the ankle joint suffer a fracture. This injury is often the result of sudden trauma, such as a fall, a twisting motion, or a direct impact, causing the bones to exceed their structural limits. The severity of a broken ankle can vary, ranging from simple fractures to more complex fractures that involve multiple bones. Recognizing the signs is essential for prompt intervention. Common indicators can include intense pain, swelling, and bruising around the ankle. Individuals may find it challenging to bear weight on the affected foot, and there could be noticeable deformities or misalignment. Seeking immediate medical attention from a podiatrist is imperative for an accurate diagnosis. If you have broken your ankle, it is suggested that you visit this type of healthcare professional as quickly as possible who can provide you with correct treatment methods.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Lexington Foot and Ankle Center, PSC. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

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Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 05 December 2023 00:00

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin.  This typically occurs at the nail borders, or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail.  In most cases, however, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 05 December 2023 00:00

Chronic Ingrown Toenails

Chronic ingrown toenails can be a persistent and painful foot condition. They occur when the edge of the toenail, usually on the big toe, grows into the surrounding skin, leading to discomfort, swelling, redness, and sometimes infection. While an occasional ingrown toenail is common and often manageable at home, chronic ingrown toenails are a recurring problem. Several factors can contribute to chronic ingrown toenails, including improper nail trimming, wearing tight or ill-fitting shoes, genetics, and underlying foot deformities. Over time, chronic ingrown toenails can lead to pain and discomfort, making it difficult to walk and wear shoes comfortably. Treatment options for chronic ingrown toenails may include gently lifting the ingrown edge of the nail and placing cotton or dental floss under the nail to encourage it to grow away from the skin. In more severe cases, a podiatrist may need to trim or remove the ingrown portion of the nail, and in some instances, surgery may be necessary to permanently correct the problem. If you have ingrown toenails and you are experiencing pain or if it is a repeated issue, it is suggested that you schedule an appointment with a podiatrist for treatment and proper management of this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of Lexington Foot and Ankle Center, PSC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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Tuesday, 28 November 2023 00:00

Congenital Foot Problems

A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.

The following are specifics about a few of these conditions:

-    Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.

-    Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation 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 is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.

-    Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.

-    Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.

-    Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.


 

Tuesday, 28 November 2023 00:00

Rocker Bottom Foot in Newborns

Vertical talus, often known as a rocker bottom foot, is a rare congenital condition in children where the talus bone, a key ankle component, points towards the ground instead of the toes. This misalignment leads to a stiff foot without an arch. It can occur alone or be associated with other health conditions. Diagnosis typically occurs at birth or through prenatal ultrasound. A podiatrist can assess flexibility and rigidity, using X-rays to determine the severity of misalignment. Oblique talus, a milder form of rocker bottom foot, shows misalignment only during weight-bearing. Treatment is aimed at reducing pain, advancing stability, and creating a functional foot. Non-surgical options, such as stretching or casting, may precede surgery. A series of casts can gradually improve foot flexibility. If surgery is needed, it corrects bone positions, potentially involving tendon or ligament lengthening. Post-surgery, casts, and pins are used to maintain corrections. Special shoes or braces may prevent recurrence. Understanding rocker bottom foot deformities is important for early detection and effective treatment. With a combination of non-surgical and surgical approaches, podiatrists aim to ensure pain-free, stable, and functional feet for optimal childhood development. Regular follow-up visits can help to monitor growth and address issues promptly. It is suggested that you make an appointment with a podiatrist to discuss the treatment schedule for your child.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Lexington Foot and Ankle Center, PSC. Our doctors 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 Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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