Louisville Podiatrist - Dr. Steven Shlonsky - Foot Doctor Louisville, KY
Steven Shlonsky, DPM
149 Thierman Ln
Louisville, KY 40207
(502) 897-6343 We make house calls
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Louisville Podiatrist - Dr. Steven Shlonsky - Foot Doctor Louisville, KY
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Tuesday, 06 September 2016 02:06

High Heels May Negatively Impact Foot Health

high heel16A study published by the Journal of Applied Physiology has determined that long-term high heel use can have detrimental effects on the legs’ muscles, such as muscle strain and muscle fatigue. According to the study’s abstract, long-term high heel use has been found to “shorten medial gastrocnemius muscle fascicles and increase Achilles tendon stiffness.” The study’s results are consistent with reports that high heel wearers often experience discomfort, pain, and tiredness. It also suggests that “long-term high heel use may compromise muscle efficiency in walking”.

High heels have a history for causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky can provide the care you need to keep your pain free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because their style and societal appeal. Despite this, they can still cause many health problems if worn too frequently.

What parts my body will be affected by high heels?

  • Ankle Joints
  • Achilles Tendon – may shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – heels cause the knees to bend constantly, creating stress on them
  • Back – they decrease the spine’s ability to absorb shock, which may lead to back pain. Also, the vertebrae of the lower back may compress.

What kinds of foot problems can develop from wearing high heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How can I still wear high heels and maintain foot health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.

If you have any questions please feel free to contact our offices located in Louisville, KY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about the effects of high heels

Monday, 05 September 2016 02:06

Effect of High-Heels on the Feet

For hundreds of years, women have been wearing various kinds of high-heels for aesthetic reasons. Women who wear high-heels appear to be taller and have longer and thinner legs, and the wearer’s gait and posture changes. Though high-heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high-heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen. This can cause problems when shoes without heels are worn.

By putting a great deal of pressure on the ball of the foot and by forcing the toes into a small toe box, high-heels can cause or may worsen many foot problems. These include corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

Not only does wearing very high-heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high-heels. High-heels causes the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like in high-heels. By limiting the natural motion of the foot during walking, high-heels also cause an increased in stress on the knees.

Similarly, high-heels can cause the back to go out of alignment. If high-heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

However, this is not to say that high-heels can never be worn. If worn occasionally and not often, they will not cause serious problems. They should not be worn every day.It’s important to wear them modestly to avoid the long-term physical health problems of the feet, knees, ankles, and back mentioned above.

elderly feet 3Diabetic foot is one of the top 20 causes of hospitalization in Australia. Studies conducted in the country found that one in every twenty-two patients in Australian hospitals have active diabetic foot disease. The disease is also responsible for over 4,400 amputations and 1,700 deaths each year. Nevertheless, early prevention is the best way to assure that diabetic foot does not progress into something much worse. It is recommended that every diabetic who goes to a hospital asks to have their foot screened for diabetic foot. Many people who have the disease often aren’t aware of it. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky can provide the care you need to keep your pain free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. Diabetes can damage blood vessels in many parts of the body, including the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Read more about Diabetic Foot Care

Tuesday, 23 August 2016 00:05

Caring for Blisters

blisterBlisters are a fairly common foot condition that can be easily prevented with a few simple steps. The first step is to always ensure the feet or kept clean to prevent any germs or bacteria from penetrating the skin. Wearing the right pair of socks can also help support the feet and reduce friction, which can create blisters. Applying bandages or band aids to any already existing blisters can help reduce excess heat or additional friction that can exacerbate the blister.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky will assist you with all of your podiatric concerns.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions please contact our offices located in Louisville, KY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about blisters on the feet

Monday, 15 August 2016 17:08

Ways to Treat Bunions

bunion 2Hallux valgus, which is more commonly known as a bunion, is a deformity of the joint at the base of the big toe. Most people who have bunions develop them from wearing uncomfortable shoes for a long period of time. Women are more likely to have bunions compared to men because they often wear high heels. Bunions are not a life threatening condition; however they can negatively impact one’s quality of life. There are a few non-surgical options for those wishing to treat their bunions. Physiotherapy and the use of devices such as bunion splints and toe spacers can work to alleviate bunion pain; however they may not be effective in the long run.

Bunion surgery usually occurs after non-surgical methods have proved to be ineffective. If you have any concerns, contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky will assess your injury and provide you with quality treatment.

What is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs by the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why do Bunions Form?

  • Genetics – susceptibility to bunions are often hereditary
  • Stress on the feet – poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can cause bunions to form

How are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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


Read more about bunions.

Monday, 08 August 2016 17:21

Using RICE to Treat Ankle Sprains

ankle sprain 2The RICE method is commonly used to treat ankle sprains. The acronym “RICE” stands for rest, ice, compression, and elevation. However there has been some uncertainty about whether or not icing your sprained ankle will be beneficial in the healing process. Some athletic trainers believe that icing your injury will prevent blood flow to the area and delay healing. Nevertheless, icing will help numb the pain and reduce swelling in the injured area, but you should not place it directly on your skin. You should place a thin piece of cloth between the ice and your skin, and avoid icing for more than twenty minutes at a time in order to avoid frostbite.

Ankle sprains are common, but need immediate attention. If you have any concerns, contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky will assist you with all of your foot and ankle needs.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits can aid in prevention

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Read more about ankle sprains.

achilles tendon6Liverpool’s defender, Mamadou Sakho, is expected to be sidelined for a month due to an Achilles tendon injury. He is currently doing rehab assignments and will be reassessed to see when he can resume playing. Sakho was suspected of violating the league’s drug policy and missed a large chunk of last season. He was looking forward to play with his team again, but this injury serves as another setback for his return.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky will treat your foot and ankle needs.

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 cause severe 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 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 our office located in Louisville, KY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Achilles tendon injuries.

Monday, 01 August 2016 11:26

What are Achilles Tendon Injuries

The Achilles tendon is the strongest tendon in the human body. Its purpose is to connect the lower leg muscles and calf to the heel of the foot. This tendon is responsible for facilitating all types of movement, like walking and running. This tendon provides an enormous amount of mobility for the body. Any injuries inflicted to this tissue should be immediately brought up with a physician to prevent further damage.

The most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries. It can be recognized by the following symptoms: inflammation, dull to severe pain, an increased flow of blood to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.

An Achilles tendon rupture is trickier to heal, and is by far the most painful injury. It is caused by the tendon ripping or completely snapping. The results are immediate and absolutely devastating, and will render the patient immobile. If a rupture or tear occurs, operative and non-operative methods are available. Once the treatment begins, depending on the severity of the injury, recovery time for these types of issues can take up to a year.

Simple preventative measures can be taken as a means to avoid both injuries. Prior to any movement, taking a few minutes to stretch out the tendon is a great way to stimulate the tissue. Calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses are all suggested ways to help strengthen the lower legs and promote Achilles tendon health.

Many problems arise among athletes and people who overexert themselves while exercising. Problems can also happen among those who do not properly warm up before beginning an activity. Proper, comfortable shoes that fit correctly can also decrease tendon injuries. Some professionals also suggest that when exercising, you should make sure that the floor you are on is cushioned or has a mat. This will relieve pressure on the heels. A healthy diet will also increase tendon health.

It is very important to seek out a podiatrist if you believe you have an injury in the Achilles region. Further damage could result in severe complications that would make being mobile difficult, if not impossible.

Tuesday, 19 July 2016 13:58

Tai Chi May Help Improve Feet Health

elderly feet 2An 87-year-old man named Ned Martino has expressed his praise for the benefits Tai Chi provides. Martino states that Tai Chi has helped him improve his balance. An organization named “Stay On Your Feet” is scheduled to host Tai Chi sessions aimed to help people with arthritis. Tai Chi is an excellent way to improve balance, confidence, and muscular strength.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles contact Dr. Steven Shlonsky of Kentucky. Dr. Shlonsky can provide the care you need to keep your pain free and on your feet.

The Elderly and their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away.  Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.

Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.

Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:

Gouging toenails affecting nearby toe

Shoes that don’t fit properly

Pressure sores

Loss of circulation in legs & feet

Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Louisville, KY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Elderly and Feet

Tuesday, 19 July 2016 13:57

Elderly and their Feet

While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain conditions. The elderly should therefore be well informed about any problems that may arise and about what they can do to properly avoid or treat them.

Some of the most common foot problems seniors are susceptible to include foot ulcers, ingrown toenails, fallen arches, and fungal nails. A foot ulcer is an open sore on the foot and can be a result of diabetes and decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal nails is a condition that results in deformed and discolored toenails.

In order to avoid these conditions it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consult a podiatrist for diagnosis and information on treatment options.

Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems.  If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.

As people age, the fat present on your feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground. This also aids in giving the skin on the feet a certain amount of elasticity. This is one factor that causes elderly people to develop some serious foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this. However, water-based moisturizers do not work as well for elderly people as they do for the young. Instead, it is more effective to use an emollient instead. An emollient is effective because it binds the water in the foot, keeping it from becoming absorbed too readily which will result in dry skin. Emollients also have a special property called occlusion, which provides a layer of oil on the skin. This layer prevents the foot from drying up and can be very effective in treating dry skin disorders.  If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.

Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.

Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.

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Location & Hours

Louisville Podiatry Office
149 Thierman Ln
Louisville, KY 40207

Mon: 9:30 AM - 5:30 PM
Tues: 9:30 AM - 5:30 PM
Wed: 9:30 AM - 5:30 PM
Thur: 9:30 AM - 5:30 PM
Fri: 9:30 AM - 5:30 PM

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