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Tuesday, 20 September 2022 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Wednesday, 14 September 2022 00:00

Dealing With Corns on the Feet

Corns on the foot develop from friction, usually as a result of a toe rubbing against the inside of a shoe. A callus, or toughened skin, develops with a hardened kernel at its center, thus the name corn. Most corns can be treated with a series of foot care measures, but people with diabetes, poor circulation, or foot deformities are wise to seek immediate help from a podiatrist. The first and best defense against developing a corn is to wear shoes that fit properly and to wear socks that form a kind of cushion, lessening friction. A warm foot bath can help soften the callused area, and a pumice can help to reduce its size. Keeping the feet moisturized also can help prevent the formation of a corn. A number of types of foot pads are available to protect the toe from further friction. It is not wise to try to remove a corn yourself with any sharp object, as this may lead to an infection. If a corn does not go away or causes severe pain, it is a good idea to make an appointment with a podiatrist who can treat the problem safely.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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 Corns: What Are They, and How Do You Get Rid of Them

Corns are thickened areas on the skin’s surface, to the point of being irritating and sometimes painful. Commonly found on the feet, corns are circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.

Corns are often confused with a callus, but there is a difference between them. Corns can be raised bumps that are painful to the touch. They consist of a rough, thick area of skin that may be dry or waxy. Corns tend to be surrounded by skin that is inflamed, and are usually much smaller than calluses.

Removing the dead skin that has built up is the key in treating corns. Salicylic acid medication is most common in accomplishing this. The acid works by dissolving keratin, which is the protein that makes up the majority of corns. You can purchase salicylic acid over-the-counter in products such as wart removers. It comes in a variety of forms such as medicated pads, drops, or creams. However, people who are diabetic should not use salicylic acid, but should instead consult their doctor immediately.

According to the product directions, applying the medication directly onto the corn will treat it. The top layer of the corn will begin to turn white after use. When that occurs, the layers of skin can then be peeled away, making the corn smaller. Shaving off corns with razors or other pedicure equipment is never a good idea. This can lead to infection. If your corn gets infected, and is not treated immediately, a visit to the doctor will be necessary.

Another way to treat corns and help prevent their return is by using orthotic inserts, fitted by a podiatrist. Inserts fit right into your shoes and adjusts the way your foot fits into your shoes. This fixes the way you walk. This will lower your chances of getting corns, and eliminate current corns by reducing rubbing from friction.

Surgery is rarely used to treat corns, but does occur on occasion. Surgery actually deals with the underlying issue that causes corns. During surgery, the bone is shaved and any abnormalities are corrected, thus reducing the amount of friction that occurs during walking.

To prevent corns, the first step is reducing friction. Always wear shoes that fit well and don’t rub your feet. Pads can be purchased if you notice rubbing developing. These pads can be purchased over-the-counter, and can be simply placed on the irritated area. Wearing cushioned insoles in your shoes can always reduce the friction, and making sure to wear well-fitting shoes. This will ensure that your foot is not being squeezed awkwardly, and prevent corns from forming in the first place.

Wednesday, 07 September 2022 00:00

Preventing Heel Fissures

Cracked heels, or heel fissures, can look quite unattractive and can feel uncomfortable. This condition can affect a wide variety of individuals and it occurs when the skin on the back of the heels becomes so incredibly dry that the skin breaks or cracks. There are several steps that you might consider taking to prevent the onset of cracked heels. For example, you may try to keep your bare feet from being exposed to extreme hot or cold weather by covering your feet with appropriate dry socks and footwear. Additionally, to try to prevent cracked heels, one could be diligent about checking the ingredients in the soap used to clean one’s body, as soap can often dry out the skin. For instance, sodium lauryl sulfate and artificial fragrances are two main ingredients often used in soap products that can sometimes dry the skin out. Lastly, one could consider not using extremely hot water when taking a bath or shower. If you have heel fissures or are concerned about developing this condition, contact a podiatrist who can help you with this affliction. 

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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 Solutions for Cracked Heels
Tuesday, 16 August 2022 00:00

Edema During Pregnancy

The main issue of pregnancy affecting a woman’s feet and ankles is swelling or edema. Unfortunately, this is common and results due to hormonal changes, the production of extra blood during pregnancy, fluid retention, and circulation problems. The degree of swelling one will experience depends on various factors, such as the season of pregnancy, length of time spent on one’s feet, tightness of clothing or shoes, and time of day. Increases in progesterone slow down digestion which can lead to more fluid being absorbed in the large intestine and fluid retention. This hormone also slows down circulation and relaxes blood vessels making it easier for fluid to build up in the feet. Edema in pregnancy usually happens during the 3rd trimester, however, it can start earlier depending on the other factors discussed above. Often the swelling will continue until after birth and goes away within a few days or weeks after delivery. There is generally nothing to worry about with this type of swelling but sometimes it can signal more serious complications, like preeclampsia or deep vein thrombosis. If you have any questions as to what is normal with edema in the lower extremities during pregnancy, consult with a podiatrist who can diagnose any abnormal conditions or set your mind at ease.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Foot Care for Pregnant Women
Tuesday, 09 August 2022 00:00

What Causes Clammy Feet?

Most people experience sweaty feet from time to time, but excessive sweat under the feet can be a sign of plantar hyperhidrosis. Sweating is a part of our body’s way of cooling itself off and managing body temperature. Our feet have more sweat organs per inch than any other place in the body, and they can produce as much as half a quart of sweat per day. When it comes to controlling clammy feet, there are some things you can do for yourself and some things that might need medical attention. Cleanliness, shoes, socks, diet, and anxiety can influence how much your feet sweat. Hyperhidrosis is more common in men than women and in youth than grown-ups. If one has over the top sweating on their feet, it is likely that this happens to their palms as well. Feet that sweat too much may slip around inside of shoes. The feet might also have a whitish, wet appearance, and they may smell. These conditions are conducive to foot diseases, like a fungus. Adolescents are particularly sensitive about this ailment and the related foot odor at their age. To prevent sweaty feet, one should wash their feet regularly, dry them well, apply a moisturizer, and consider using antifungal powder or antiperspirant. Shoes should be rotated between use so that any moisture can dry out. Wearing shoes that are made of breathable material and fit well are imperative. Socks that wick moisture (cotton in warmer months and fleece or wool in cooler months) from the foot should be worn as well. Keep well hydrated. If regular foot care does not control your clammy feet, consult with a podiatrist who can provide additional suggestions for how to prevent and treat this annoying condition.

If you are suffering from hyperhidrosis contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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 Hyperhidrosis of the Feet
Tuesday, 02 August 2022 00:00

What Having Heel Spurs Feels Like

Heel spurs are bony outgrowths of calcium deposits that grow underneath your heel. Because they can potentially cause you discomfort and pain, it is important to know their symptoms. The heel spur grows toward the arch of the foot. In some cases, heel spurs can cause pain. Other patients with heel spurs, however, might not experience any pain. If you have heel spurs, you might exhibit inflammation in the foot or even swollen heels. Some patients with heel spurs may notice that the affected foot and area become hot to the touch. It is important to note that not all individuals with heel spurs can see the bony spur. Therefore, some patients with heel spurs might only be able to confirm their condition after undergoing an X-ray scan to examine the heel area. Of course, every individual is different, and not every person’s symptoms are the same. Regardless of what having heel spurs might feel like for you, you might be able to avoid the development of heel spurs by wearing supportive and well-fitting footwear. If you think that you might have heel spurs, see a podiatrist who can help. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Louisville, KY . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs
Tuesday, 26 July 2022 00:00

Injuries Common to Dancers

Many people do not realize that dancers are athletes, too. Their feet, which are involved in nearly every movement, take a great deal of pounding from jumps, leaps, and running – sometimes while wearing toe shoes. In addition, because of the nature of dancing, the ankles as well as the feet and toes are always at risk of injury. One of the common injuries is known as a dancer’s fracture, which affects the 5th metatarsal, and is caused by landing on the side of the foot or twisting an ankle. Landing awkwardly from a jump or leap also can cause a sprained ankle. Bunions and other toe deformities are common to dancers, exacerbated by wearing shoes that can be up to two sizes smaller than their feet. Wearing toe shoes also may aggravate the big toe joint and aid in bunion formation. Stress fractures of the feet are often the result of repetitive movements that can cause the bones to weaken. Anyone who spends a lot of time dancing may wish to have an ongoing relationship with a podiatrist who can examine, diagnose, and treat injuries related to their activity.   

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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 Foot and Ankle Trauma
Tuesday, 26 July 2022 00:00

Foot and Ankle Trauma

Broken Feet

A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.

Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.

Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.

When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones. 

Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sits directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activities. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

Tuesday, 19 July 2022 00:00

Where is the Cuboid Bone?

One of the stabilizer bones in the foot is referred to as the cuboid bone. It is shaped like a cube, and is located on the outside of the foot. It acts like a pulley, and is instrumental in helping the foot point downward. Cuboid syndrome is the partial dislocation of the cuboid bone where it connects to the heel. It can result from an ankle sprain, or from excessively rolling the foot inward, which can happen from participating in certain sporting activities. Common symptoms experienced with this ailment include pain on the outside of the foot, limited range of motion, and swelling. Treatment generally begins with elevating the affected foot, followed by wearing a supportive walking boot. Strengthening exercises may be performed that can benefit the entire foot, and leisure activities can gradually return to normal. If you have sustained an ankle injury, please speak with a podiatrist who can properly diagnose cuboid syndrome and recommend the correct treatment for you.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 Cuboid Syndrome
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Location & Hours

Louisville Podiatry Office
149 Thierman Ln
Louisville, KY 40207

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