Posts for: March, 2021
By Dr. James DiResta, DPM, MPH
March 11, 2021
Category: Foot Care
Tags: Flat Feet
Are you flat-footed? If so, you join the ranks of about 18 million American adults over age 21 that also have this common foot condition, reports the National Foot Health Assessment. Having flat feet simply means that you don’t have arches in your feet, which means that the entire foot touches the ground when you stand or walk. While flat feet won’t cause problems for some, others may regularly deal with achy, sore feet or pain in the ankles, legs, or thigh. If you are dealing with foot pain and you think it may be due to flat feet, your podiatrist can help.
What causes flat feet?
Sometimes flat feet are simply inherited (thanks mom and dad!). Other times they develop as a result of a weakening of the posterior tibial tendon due to age-related wear and tear, physical activity, and overpronation. Those who are overweight or obese are more likely to develop flat feet.
Should I be concerned about my child’s flat feet?
The arches of the feet develop during childhood, so it’s not normal for your baby or toddler to have arches. Their flat feet are perfectly normal and nothing to worry about. Arches typically won’t form until your child is two or three years old, and some children won’t develop arches until the age of five.
What are some ways to treat flat feet?
If you aren’t experiencing any symptoms then there is no reason to seek treatment for your flat feet; however, if you are dealing with foot pain, particularly around the heel or arches of the foot, then you should talk with your podiatrist about ways to ease your pain and prevent further flare-ups. Some conservative ways to treat flat feet include,
- Wearing properly fitted shoes that provide ample cushioning and support for the entire foot, particularly the arches and heel
- Consider getting prescription orthotics from your podiatrist, which can evenly distribute the weight throughout the foot rather than putting added pressure on the arches or heel
- Losing weight, if the patient is overweight or obese
- Taking pain relievers such as ibuprofen, which can reduce pain and swelling
- Talking to your podiatrist about special exercises that you can do to improve the strength and function of the ligaments, tendons, and muscles of the foot to reduce pain
- Weighing the pros and cons of surgical intervention
Fallen arches and flat feet can impact a person’s ability to walk or run. If you are dealing with pain and other issues due to flat feet, a podiatrist can provide you with simple solutions to ease discomfort and improve how your feet function as a whole.
By Dr. James DiResta, DPM, MPH
March 02, 2021
Category: Foot Conditions
Tags: Puncture Wound
A puncture wound in the foot occurs when you step on an object that leaves a small hole behind. One of the most common puncture wounds comes from stepping on a nail. Puncture wounds are not simply cuts and will require different treatment and care to prevent infection and other complications from occurring. If you’re dealing with a puncture wound, you probably took a trip to your local emergency room for care. Even if you’ve done this, you should still follow up with a podiatrist to make sure the wound is properly cared for and tended to.
Dealing with a puncture wound? Here are the steps you should take,
- Seek immediate medical attention (head to your local ER)
- You may need a tetanus shot if it’s been more than 10 years since your last shot
- Schedule an appointment with your podiatrist within 24 hours of the injury
- Your podiatrist will provide you with a variety of care instructions to keep it clean and disinfected (make sure to follow all of these instructions)
When you come into the podiatrist’s office the first thing they will do is assess the wound and make sure it is properly cleaned. They will also make sure there is no debris remaining. To clean the wound, a numbing gel may be applied to the area first. Sometimes a round of antibiotics is prescribed to prevent an infection from developing. If your podiatrist suspects that you might still have a piece of an object in the wound or that there might be bone damage, imaging tests may need to be performed.
You must keep off the foot so that it can fully heal. If you’ve been prescribed antibiotics, make sure to take the medication until it is finished (if you stop taking it before the medication is finished it won’t be as effective). While your foot heals you must examine it daily and look for any signs of infection. These signs include,
- New or worsening pain
- Skin that’s warm to the touch
It’s important to turn to a podiatrist right away to treat your puncture wound to prevent complications. A foot and ankle specialist can provide you with instructions on how to properly care for your wound to ensure that it doesn’t get infected. Seek treatment right away.