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Monday, 15 November 2010 15:25

Metatarsalgia: Ball of Foot Pain

Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot – the area just before the toes, also called the metatarsal region.

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot — the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoesbunionsstress fractures and Morton’s neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren’t affective and pain persists, visit Columbus Podiatry & Surgery for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist at our Columbus office may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

Ingrown toenails, also known as onychocryptosis, can be embarrassing, annoying and painful. This common condition occurs when the surrounding skin on one or both sides of the nail grows over the edges of the nail, or when the nail itself penetrates the skin. As the nail digs into the skin, redness, swelling, and pain are often the result.

People develop ingrown toenails for various reasons. Poor nail-trimming is the most common cause, as this encourages the skin to fold over the nail. Other causes include trauma, such as stubbing a toe, or skin conditions, such as fungal infections or nails that are simply too large. In some cases, the condition may even be inherited. Poor-fitting shoes generally aggravate the condition, making it worse.

Many cases of ingrown toenails may be prevented by:

  • Wearing well-fitted shoes and socks
  • Protecting feet from trauma when possible
  • Trimming toenails straight across and avoiding repeated trimming of the nail borders
  • Keeping feet clean and dry to prevent infection

If an infection is not suspected of your ingrown, it can usually be safely treated from home by soaking your foot in warm water. Avoid “bathroom surgery” and repeated cutting of the nail as this will only make the condition worse.

When attempts to reduce your symptoms from home fail, or when pain, inflammation, swelling or discharge accompany your ingrown, the toenail is most likely infected and should be treated by a podiatrist at our Columbus OH office. People with diabetes, nerve damage or poor circulation should always seek care immediately if an ingrown nail is detected, regardless of the severity.

A podiatrist can examine the affected toe and determine the best treatment for your condition. For an infection, an antibiotic may be prescribed. Other treatments may involve trimming or removing the infected nail with a minor in-office surgical procedure.

Ingrown toenails may be annoying, but rest assured that they can easily be prevented and treated with the help of your podiatrist. If you think you have an ingrown toenail, visit Columbus Podiatry & Surgery for quick and easy treatment.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

If your child has ever complained of not being able to sleep at night due to leg pain, he or she may be experiencing what many people refer to as growing pains — a common occurrence seen in kids during their growth and development years.

Growing pains are often characterized by a sharp, throbbing pain in the leg muscles, usually occurring during the night and sometimes late afternoon without an apparent cause. The nighttime pain can be so intense that it is enough to wake the child from sleep. While there is no evidence that a child’s growth is painful, these pains often occur during an active day of running, jumping or swimming.

Whenever a child is afflicted by episodes of recurrent leg pain, it is always best to have them evaluated by Columbus Podiatry & Surgery. Other foot and leg conditions should be ruled out before a diagnosis of growing pains is made. If the examination is normal, with no redness, tenderness, swelling, or limitation of movement, then it is generally safe to say the child is suffering from growing pains.

Consult with a physician or a podiatrist at Columbus Podiatry & Surgery if aching legs are a chronic complaint or if the pain is so severe it interferes with the child’s daily activities. Persistent pain and other unusual symptoms may indicate a more serious problem. The following symptoms are not due to growing pains and should be evaluated by a doctor:

  • Persistent pain
  • Swelling or redness in one specific area or joint
  • Limping
  • Fever
  • Loss of Appetite
  • Weakness
  • Fatigue
  • Abnormal behavior

There are no treatments or medications available for growing pains, but parents can help ease the pain with simple home remedies.

  • Massage and rub the child’s ache until the pain passes
  • Stretch your child’s legs throughout the day and before bed
  • Heating pads or warm baths can help soothe sore muscles
  • Over-the-counter pain relievers (always consult with physician first)

While growing pains are commonly seen in young children during the growth and development years, lower extremity pain can also be caused by mechanical misalignments and structural imperfections. A thorough evaluation is crucial in order to determine the exact cause of your child’s leg pain. If growing pains are the cause of your child’s discomfort, rest assured that the pain is only temporary and will pass with time.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

Wednesday, 01 September 2010 15:22

Running the Race to Good Foot Health

If you’re a runner, it goes without saying that your feet take the brunt of the punishment. In fact, for runners the feet are more vulnerable to injury than any other part of the body. Luckily, both long-distance runners and casual joggers can improve their performance by paying extra attention to their feet and taking steps to prevent common foot problems. Poor fitting footwear is often the source of many foot problems caused by running. A visit to Columbus Podiatry & Surgery can help you determine the best shoes for your foot structure.

A Runner’s Road Block

While many running-related foot injures can result from a fall or twisted ankle, most running injuries are caused by overuse, meaning the majority of runners experience foot and ankle pain because they do too much for too long. Runners should be aware of the signs of foot problems that can slow them down if not treated promptly. Common foot and ankle injuries experienced by runners include:

Achilles Tendonitis: Achilles tendonitis and other calf-related injuries are prevalent in runners. Poor training, overuse and improper footwear are the three most common reasons for this condition. A sudden increase in distance or pace can strain the muscles and tendons in the foot and ankle, causing small tears within these structures that result in pain and inflammation. Appropriate shoes and training are the most important steps to preventing Achilles tendonitis. Conservative treatment includes, rest, ice, stretching, and sometimes orthotics or physical therapy.

Heel Pain: Runners develop heel pain more than any other foot-related injury. Plantar fasciitis is the most common cause of heel pain, which is the result of excess stress placed on a ligament in the bottom of the foot. Rest, stretching and support are the best ways to ease the pain and inflammation. Reduce your mileage and avoid hill and speed workouts. Stretch before and after you run, and ice your heel after each workout. Special splints and shoe inserts from Columbus Podiatry & Surgery may also provide support and relief for your heel pain.

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body’s ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist at Columbus Podiatry & Surgery. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

If you experience chronic foot pain from running, make an appointment with a podiatrist at our Columbus podiatry office. Leaving foot injuries untreated could result in more serious conditions, ultimately keeping you from your best performance. Keep in mind that these are not the only foot ailments caused by running, and when at-home foot care isn’t effective, you’ll need to be evaluated by a podiatrist. As in most cases, prevention is your best treatment. Good footwear, proper training and recognizing a problem before it becomes serious are your keys to staying on the road and avoiding foot injuries.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

Read the original article online here | Download PDF version here

LANCASTER, Ohio (TBD) – Recently, Dr. Animesh Bhatia was named Fairfield Medical Center’s Assistant Medical Director of the Wound Clinic located in Lancaster.

Dr. Andy BhatiaThe Wound Clinic at Fairfield Medical Center specializes in healing chronic wounds. The clinic’s team of board-certified physicians and wound certified nurses dedicate themselves to treat hard to heal wounds that may be a result of diabetes, poor circulation, trauma, surgery or other conditions. Many of the patients are completely healed after suffering for months or even years after previous treatments failed. The Wound Clinic at FMC, under Medical Director Andrew Murry, M.D, offers state-of-the-art equipment, treatments and advanced wound therapies and is conveniently located at 135 N. Ewing Street in Lancaster.

Dr. Bhatia now joins Dr. Murry as the new Assistant Medical Director. Dr. Bhatia has been in private practice for over ten years as the CEO of Columbus Podiatry and Surgery in Columbus, Ohio. He serves as a wound consultant for 3 other area hospitals and over 25 acute and long-term care facilities in the Central Ohio area. He is a Certified Wound Specialist, also a Fellow of both the American Professional Wound Care Association and the American Academy of Podiatric Practice Management.

Dr. Bhatia looks forward to his new role at the Wound Clinic, noting, “I am honored to now serve as the Assistant Medical director for the Wound Clinic, and be able to help patients who may sometimes have been suffering for years with their condition.”

For more information about the Wound Clinic at Fairfield Medical Center, please call (740) 689-6430.

Monday, 16 August 2010 15:13

How to Minimize Diabetic Foot Problems

People with diabetes are prone to foot problems, often developing from a combination of poor circulation and nerve damage. Damage to the nerves in the legs and feet diminishes skin sensation, making it difficult to detect or notice pain or temperature changes. A minor sore or scrape on your foot may get infected simply because you don’t know it is there. A decrease in blood flow makes it difficult for these injuries to heal. And when a wound isn’t healing, it’s at risk for infection. Left untreated, minor foot injuries can result in ulceration and even amputation.

Foot Care for Diabetics

Simple daily foot care can help prevent serious health problems associated with diabetes.

At Columbus Podiatry & Surgery, we recommend the following tips for keeping your feet healthy and preventing foot complications:

  • Wash feet daily. Keep feet clean with mild soap and lukewarm water, and dry thoroughly.
  • Moisturize. Moisturize daily to keep dry skin from cracking, and avoid putting lotion between your toes as this may cause infection.
  • Trim your toenails carefully. Cut straight across, avoiding the corners; visit our office for assistance
  • Never treat corns or calluses on your own. Visit your podiatrist for treatment.
  • Protect your feet from hot and cold.
  • Keep the blood flowing in your feet and legs. Elevate your feet when sitting; don’t sit cross-legged; and stay active.
  • Inspect your feet every day. Check your feet for cuts, redness, swelling and nail problems. Contact Columbus Podiatry & Surgery if you notice anything unusual- even the slightest change.
  • Avoid Smoking. Smoking restricts blood flow in the feet
  • Wear comfortable, supportive shoes and never walk barefoot
  • Visit Columbus Podiatry & Surgery for regular exams. Seeing a podiatrist at our Columbus, OH office regularly can help prevent diabetic foot problems.

At Columbus Podiatry & Surgery, we understand that living with diabetes can be challenging. Let’s discuss simple ways you can reduce your risk of foot injuries. We’ll work with you to create a treatment plan that fits your lifestyle and gets you back on your feet so you can enjoy the things you love. Remember to inspect your feet every day. If you detect an injury- no matter how small- come in for an exam right away.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

The arch structure of our feet determines how we walk, which means our arches need to be both sturdy and flexible in order to adjust to different walking surfaces. For most people, their feet have a curve or an arch at the bottom that provides flexibility and shock absorption. But for the five percent of Adults in the U.S. with flat feet, also known as fallen arches, the arches of their feet are either partially or completely collapsed.

One common type of flatfoot is adult-acquired flatfoot. It is caused by overstretching the tendon that supports the arch. Flexible flatfoot is also common and occurs when the foot is flat when standing, but returns to a normal arch in non-weight-bearing positions.

Factors than increase your risk of flat feet include:

  • Excess weight
  • Age
  • Injury to your foot or ankle
  • Rheumatoid Arthritis
  • Pregnancy

When to See Your Columbus Podiatrist

Most adults with a fallen arch experience little to no pain. For these patients, treatment is rarely necessary. A painful flatfoot, however, may be the sign of a congenital abnormality or an injury to the muscles and tendons of the foot. Pain can be severe, making it difficult to walk, wear shoes and perform simple every day tasks. More than achy feet, flatfoot can also lead to other, more serious problems and pain for your ankles, knees, back and hips.

Common symptoms associated with flat feet include:

  • Swelling along the inside of the ankle
  • Feet that tire easily or ache after standing for an extended period of time
  • A lack of mobility in your foot and difficulty standing on your toes
  • Sore, swollen feet; especially in the heel or arch of your foot

Steps Away from Flatfoot Pain Relief

If you are experiencing pain caused by flatfoot, visit Columbus Podiatry & Surgery for an evaluation. We can identify the cause of your pain and recommend the best treatments for your type of arch.

Talk with your podiatrist about the following treatment options:

  • Shoe inserts/ Orthotics
  • Shoe modifications
  • Rest and ice
  • Stretching exercises
  • Non-steroidal anti-inflammatory medications
  • Surgery

Whether you were born with flat feet or you acquired fallen arches over time, if your flat feet are causing you pain or interfering with your day to day activities, visit Columbus Podiatry & Surgery. We can work with you to determine the best treatment options to eliminate the pain, improve your mobility and get you back to the activities you love.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Worthington.

Thursday, 15 July 2010 15:12

How to Relieve Corns and Calluses

Corns and calluses are thick, hardened areas of skin that develop in response to your body’s natural defense to repeated pressure or friction. While neither condition presents a long-term or serious health risk, they can be painful, irritating and unattractive.

Identifying a Corn or Callus

Corns and calluses are similar in nature, but differ in size and location. Corns are smaller than calluses and usually have a hard, thickened center surrounded by red, inflamed skin. They typically develop on the tops and sides of your toes and can be painful when touched. Calluses generally develop on your heels and balls of your feet. They vary in size and shape, although almost always larger than corns.

For most people who develop calluses or corns, eliminating the source of pressure is usually enough to make the thickened skin disappear. Columbus Podiatry & Surgery recommends the following for treating corns and calluses:

  • Wear comfortable shoes and socks. When footwear fits properly, there is less opportunity for friction and rubbing to occur.
  • Soak your feet in warm, soapy water to help remove corns and calluses. Rub the thickened skin with a pumice stone to remove toughened layers more easily.
  • Keeping your feet moisturized with foot cream or lotion will help improve the quality of your skin and rid your feet from calluses or corns.

When to Seek Care from Columbus Podiatry & Surgery

When corns and calluses don’t respond to conservative care, contact our Columbus, OH office for a careful evaluation. We can investigate the possible causes of your corn or callus, safely remove the thick, hardened area of skin, and recommend appropriate footwear and treatment, including padding and inserts. Never attempt to cut away a corn or callus on your own, especially if you have diabetes or poor circulation. Instead, seek advice from Columbus Podiatry & Surgery for careful removal and proper care.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Westerville, Worthington, and Powell.

Tuesday, 15 June 2010 15:11

Detecting a Painful Bone Spur

Bone spurs, also known as osteophytes, can occur anywhere in the skeletal system, and the feet are no exception. Bone spurs are simply overgrowths of bone that can develop on any normal bone, but most commonly form where two bones come together. Normally bone spurs in the feet are painless, but when exposed to pressure from an activity or footwear, can cause the excess bone to rub against other nerve endings or soft tissues, resulting in pain.

Causes of Bone Spurs in the Feet

When your feet are repeatedly exposed to excessive pressure and stress, a bone spur can form as a result of the body’s normal response to repair itself. The following activities and conditions are also common causes of bone spurs in the feet:

  • High-impact activities, such as running
  • Excessive weight
  • Poor-fitting footwear
  • Tightening of the plantar fasciitis due to excessive stress
  • Aging

Because there are no obvious symptoms associated with bone spurs in the feet, diagnosing the disorder can be difficult. Some people experience unbearable pain in particular areas of their foot when exposed to pressure, which prompts them to seek medical care. Other people can go long periods of time without realizing they even have a bone spur. An x-ray can identify a bone spur in your foot, but if it isn’t causing you pain, damaging other tissues or restricting your movement, treatment probably won’t be necessary.

Identifying the cause of your bone spur, such as poor-fitting shoes or weight gain, is often times enough to reduce the pressure that is causing the pain.

Conservative treatments for bone spurs include:

  • Change in footwear
  • Weight loss
  • Padding or insoles
  • Deep tissue massage and stretching

If you’re experiencing chronic foot pain, schedule an appointment at our Columbus, OH office. At Columbus Podiatry & Surgery we’ll carefully examine your feet and evaluate your symptoms to better understand your condition. If you’ve developed a bone spur, we can work with you to create a treatment plan that best fits your needs and puts an end to your frustrating foot pain.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Westerville, Worthington, and Powell.

Treating an array of problems of the foot and ankle at Columbus Podiatry & Surgery, we put the best of technology to work in diagnosing many biomechanical injuries and abnormalities that cause pain and discomfort when walking or running.

After extensive research and new advances in podiatric technology, there are now faster and more accurate ways to asses a patient’s feet and administer the most appropriate treatment. In fact, many foot problems can be treated most effectively by addressing their mechanical function, and at Columbus Podiatry & Surgery, we offer our new Computerized Gait Analysis technology that helps us identify biomechanical faults faster and more accurately than ever.

Assessing Your Gait

Our Computerized Gait Analysis is an advanced method used to assess the way an individual walks or runs to highlight biomechanical abnormalities. While many of these common problems are treatable with modern medicine, assessing motion, and more specifically how you walk, has always been limited until the recent development of the Computerized Gait Analysis.

The Procedure

A Computerized Gait Analysis uses pressure mapping technology to identify pressure points in the feet as a patient walks or runs. Dr. Animesh Bhatia and Dr. Sarah Abshier can observe and analyze the way an individual moves, looking in particular at the feet, ankles, knees and hips to determine the problem. This can then be relayed to a computer screen where slow motion and freeze frames can be used to carefully assess your running or walking style. By assessing the condition in the actual environment that causes that particular problem, we can actually identify what is happening while you walk and give you the best treatment for your condition based on this data.

By analyzing the mechanics of a patient’s stance, postural alignment, and flexibility of the hips and back, recommendations can be made for orthotics, shoe modifications or a course of physical therapy designed to strengthen core muscles. Many times, with the right treatment, surgery can be avoided, thus diminishing the recovery time from a variety of injuries or disorders. With the new foot pressure measurement technology, our Columbus office can identify foot abnormalities more accurately than ever before.

Please visit www.ColumbusFoot.com for more information or call 614-885 FEET (3338) to schedule an appointment with a podiatrist in Columbus, OhioColumbus Podiatry & Surgery is located on the North side of Columbus, Ohio near Westerville, Worthington, and Powell.

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