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Tuesday, 07 November 2023 00:00

Recognizing the Symptoms of Gout

Gout is a form of arthritis that can strike suddenly and inflict excruciating pain on its victims. Recognizing the symptoms is key to understanding and managing this condition effectively. The most distinctive sign of gout is the sudden onset of intense joint pain, often in the big toe. This pain can be so severe that even the lightest touch can be unbearable. In addition to pain, gout can cause swelling, redness, and warmth in the affected joint. Gout attacks are frequently accompanied by a feeling of tenderness, and the affected area can become so sensitive that even the weight of a bedsheet can cause discomfort. Gout sufferers may also experience limited joint mobility during an attack. Beyond physical symptoms, gout can lead to a diminished quality of life, making it vital to spot and address its signs promptly to minimize its impact on daily activities and overall well-being. If you have symptoms of gout, it is suggested that you consult a podiatrist who can properly diagnose and help you to manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Gout
Tuesday, 31 October 2023 00:00

An Overview of Heel Spurs

A heel spur is a common foot condition that is often discussed in the context of heel pain and discomfort. Despite their reputation, they are not actually sharp, pointy growths, as the term may imply. Instead, heel spurs are calcium deposits that form on the underside of the heel bone. These deposits often develop over an extended period of time due to chronic inflammation or stress on the plantar fascia, the band of tissue that connects the heel to the toes. The primary characteristic of heel spurs is the accompanying pain. This discomfort is often described as a sharp, stabbing sensation, particularly with the first steps in the morning or after prolonged periods of rest. It is important to note that not everyone with heel spurs experiences pain, as many people have them without any symptoms. The causes of heel spurs are diverse, with factors such as obesity, gait abnormalities, or wearing inadequate footwear contributing significantly. Heel spurs are a condition that is often linked to heel pain, but they are generally not the sole cause. If you are experiencing persistent heel pain, it is suggested that you consult a podiatrist, who can accurately diagnose and treat heel spurs if they are the culprit.

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

Cuboid syndrome is a relatively uncommon but painful condition that can affect athletes, particularly those engaged in sports that involve repetitive foot movements or sudden directional changes. It occurs when the cuboid bone in the foot becomes misaligned or irritated, leading to discomfort and limited mobility. Diagnosing cuboid syndrome can be challenging. The symptoms associated with this condition consist of pain along the outer edge of the foot, difficulty bearing weight, and a decreased range of motion and can resemble other foot and ankle injuries. A thorough physical examination, along with imaging studies such as X-rays or an MRI, may be required to confirm the diagnosis. Treatment for cuboid syndrome typically involves conservative approaches. Rest, compression, and elevation can help reduce pain and inflammation. Physical therapy exercises to strengthen foot muscles and improve joint stability are also beneficial. In some cases, manual manipulation by a podiatrist may be necessary to realign the cuboid bone. Athletes experiencing persistent foot pain should seek prompt evaluation and diagnosis, as early intervention can lead to quicker recovery. If you have lateral foot pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat cuboid syndrome.

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
Tuesday, 29 August 2023 00:00

Managing Foot Arthritis

Arthritis can affect the joints in the ankles, feet, and toes, leading to symptoms such as pain, swelling, and stiffness. It can also cause changes in the shape of the feet, making it challenging to find appropriate footwear. Some ways to manage foot arthritis include exercise to maintain joint mobility, weight management if necessary to help reduce pressure on the feet, and properly fitted and supportive footwear to protect the feet. There are various medical treatments available to manage arthritis-related foot pain and stiffness. These may include medications, heat and cold therapy, topical creams, and dietary supplements. If you have discomfort from foot arthritis, it is suggested that you make an appointment with a podiatrist for an examination and treatment options to help you get back to comfortable functioning as soon as possible.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best 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 care needs.

Read more about How to Care for Your Arthritic Foot

Many athletes, such as runners, and dancers, experience a condition known as sesamoiditis. This is an inflammation of the tendons of two tiny sesamoid bones that lie under the big toe joint. Any activity that transfers weight to the ball of the foot can cause sesamoiditis. Runners with this condition may need help in finding the proper shoes to accommodate this overuse injury. Such a shoe would likely have a wide toe box that allows the toes to spread wider than the ball of the foot. Secondly, it would include what is termed by experts as a zero heel-to-toe drop. In effect, the ball of the foot and heel would be aligned on the same plane. Lastly, the shoe should not have an elevation of the toe box above the ground, which is termed a toe spring. The current industry toe spring standard is 15 degrees. This can increase pressure on the ball of the foot. While it may be difficult to adjust to this type of minimalist running shoe, some people may wish to ease into the change with transition shoes. If you have any questions on how to deal with sesamoiditis and find the shoe that can keep you running, it is suggested that you make an appointment with a podiatrist.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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 Sesamoiditis
Tuesday, 01 August 2023 00:00

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.

Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.

To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.

Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.

If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.

Tuesday, 25 July 2023 00:00

Causes of Big Toe Joint Pain

Big toe joint pain can be caused by various conditions, like arthritis, bunions, gout, sesamoiditis, or turf toe. These conditions can lead to stiffness, swelling, and a grinding sensation. Even though the toe joints are small, they support a significant amount of body weight and play a crucial role in foot function. The most common form of arthritis affecting the big toe is osteoarthritis, which results from tissue erosion between bones and joints. It makes it difficult to straighten the toe and causes pain while standing or walking. Bone spurs can also develop on the top of the big toe, leading to pain, particularly when wearing shoes. Bunions, characterized by a large bump on the joint of the big toe, are deformities that cause the toe to shift towards the smaller toes. They can be caused by things such as genetics, tight shoes, or rheumatoid arthritis. Finding comfortable shoes becomes challenging, and wearing them can be painful. Bunions result in redness, irritation, and swelling on the side of the big toe. Gout, another type of arthritis, occurs when uric acid builds up in the blood, forming crystals that deposit into a joint, often affecting the big toe joint. Uric acid is a waste product that accumulates when purines, found in certain foods like red meat, seafood, and alcohol, are broken down. Failure to eliminate uric acid through the kidneys can lead to gout, causing intense pain, swelling, redness, and heat in the joint. Since big toe pain can have various causes, it is suggested that you consult a podiatrist for an examination, a diagnosis, and the appropriate treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Read more about Toe Pain
Tuesday, 04 July 2023 00:00

Ways to Strengthen Ankle Ligaments

Because ankle injuries are commonly caused by sprained ligaments, it is a good idea to know what to do when a sprain occurs. The importance of full recovery from an ankle sprain cannot be emphasized enough. Experts suggest a number of actions that can help to restore ankle strength and stability. Rest the injured ankle, keep it elevated at a 45-degree angle as much as possible, and stay off it until it heals. Wrap the ankle to keep it stabilized and to prevent swelling, but avoid making it so tight that it cuts off blood flow to the feet. After the ankle heals, performing a few simple exercises can help strengthen the injured ligament. Pointing and flexing your toes about five to 10 times is one such exercise, and another is performing heel raises. This should be done while holding onto a chair for balance. A third is slowly going up and down stairs, which has the added benefit of burning calories and strengthening the thigh muscles. Before starting any type of ankle exercise after being injured, it is suggested that you check in with a podiatrist for an evaluation and further guidance.  

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

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

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 and ankle needs.

Read more about Three Grades of Ankle Sprains
Tuesday, 04 July 2023 00:00

Three Grades of Ankle Sprains

An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.

Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.

Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all. 

To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary. 

It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.

Tuesday, 06 June 2023 00:00

Various Branches of Podiatry

The field of medicine that is called podiatry treats conditions of the feet, ankles, and lower legs. The feet are considered to be the foundation of the body, and foot pain can wreak havoc on an individual’s quality of life. Foot pain can range from wearing shoes that do not fit correctly to enduring a traumatic or sudden foot injury. There are several branches of podiatry, consisting of sports medicine, forensic podiatry, and onco-podiatry, and qualified students can choose which one is best for them after completing an extensive education. This can begin with earning a bachelor’s degree, followed by pursuing a Doctor of Podiatric Medicine (DPM) program that will take four years. A surgery residency program begins at this time, which typically takes place in a hospital or clinic setting. Podiatrists can choose to have a private or group practice, work in extended care facilities, or practice in various health departments. If you are interested in pursuing a career as a podiatrist, it is suggested that you speak to this type of doctor who can address any concerns and answer any questions you may have. 

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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 What is a Podiatrist?
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Louisville Podiatry Office
149 Thierman Ln
Louisville, KY 40207

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