My Blog

By Dr. James DiResta, DPM, MPH
July 05, 2019
Category: Foot Conditions
Tags: Hammertoes  

A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.

During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.

However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.

Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.

Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.

If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:

  • Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
  • Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
  • Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
  • Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
  • Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.

If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.

By Dr. James DiResta, DPM, MPH
June 19, 2019
Category: Foot Care
Tags: Flat Feet  

While there are many people with flat feet, often times they won’t even know it; however, there are others with flat feet that regularly experience pain, soreness, and other problems. While flat feet is rarely considered a serious issue, if you are dealing with problems as a result of your flat feet it’s important that you turn to a podiatrist who can offer up ways to prevent problems.

How to tell if you have flat feet

If the arches of your feet touch the floor when you stand then you have flat feet. The arches of our feet don’t actually develop until around the age of six; however, sometimes flat feet develop due to injury or repeated stress on the feet.

Symptoms of flat feet

The most common symptom of flat feet is foot pain that originates in the heels and arches. You may find that the pain gets worse when standing or moving for long periods of time. Those who are physically active may experience pain more regularly. Sometime swelling on the inside of the foot or ankle may also occur.

Potential complications of flat feet

Since flat feet can be responsible for misalignments, this can lead to ankle and knee problems. If you are noticing foot, ankle, knee, hip, or lower back pain then you will want to schedule an appointment with a podiatrist to find out what’s going on.

Treating flat feet

If you aren’t experiencing pain or other issues then you won’t require any treatment for your flat feet. While we can’t fix flat feet our podiatrist can provide you with simple solutions to reduce pain and discomfort associated with faulty biomechanics within the feet. Common ways to prevent flat foot-related pain include:

  • Using arch supports in your shoes, which can take pressure off the arches and provide cushioning and support when standing or moving.
  • Performing certain stretching exercises prescribed by a podiatrist. There are specific exercises designed to stretch the Achilles tendon to alleviate and prevent foot pain.
  • Wearing the appropriate footwear that provides further arch support. Shoes that are old and worn, as well as certain styles such as sandals or flip-flops won’t provide your feet with the proper support they need.
  • Undergoing physical therapy if you are dealing with foot pain due to overuse injuries, which is common among athletes. Physical therapy can help strengthen certain ligaments, tendons and muscles of the feet and ankles to prevent excessive wear and tear, as well as pain and soreness in the arches and heels.

If you are dealing with pain due to flat feet and can’t seem to get your discomfort under control then you will want to talk with a podiatrist who can recommend certain exercises, proper footwear, and custom orthotics to improve the health of your feet. Talk to a podiatrist today.

By Dr. James DiResta, DPM, MPH
May 31, 2019
Category: Foot Conditions
Tags: Diabetic  

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

  1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
  2. Wash and dry your feet daily.
  3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
  4. Wear shoes at all times--even indoors--to avoid injury.
  5. Wear clean, well-fitting, moisture-wicking socks.
  6. Keep your weight and blood sugars within normal range.
  7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
  8. Avoid all forms of tobacco.
  9. Report any changes to your foot doctor as soon as possible.
  10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

By Dr. James DiResta, DPM, MPH
March 20, 2019
Category: Foot Conditions
Tags: Foot Injuries  

An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.

Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.

Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process.  Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.

Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain. 

Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.

Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.

After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.

By Dr. James DiResta, DPM, MPH
March 06, 2019
Category: Foot Conditions
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  




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