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Steven Shlonsky, DPM
149 Thierman Ln
Louisville, KY 40207
(502) 897-6343 We make house calls
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Monday, 17 August 2020 00:00

Do I Have Morton’s Neuroma?

Morton’s neuroma can occur when nerve tissue swells or grows abnormally, causing damage to the nerves. Morton’s neuroma specifically affects the intermetatarsal plantar nerve found in the foot. Some symptoms of this condition may include a burning sensation in the ball of your foot and tingling, or a numbing feeling in your toes. The most popular symptom related to Morton’s neuroma is feeling as if a pebble is stuck in your shoe. For a proper diagnosis, please consult with a podiatrist if you believe you’re experiencing symptoms of Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 Morton's Neuroma
Monday, 17 August 2020 00:00

Morton's Neuroma

A neuroma is a thickening of nerve tissue and can develop throughout the body.  In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes.  The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.

Neuromas can be caused by anything that causes compression or irritation of the nerve.  A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes.  Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas.  Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.

Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up.  Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot.  An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.

Treatment for Morton’s neuroma can vary between patients and the severity of the condition.  For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed.  Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition.  The severity of your condition will determine the procedure performed and the length of recovery afterwards.

Monday, 10 August 2020 00:00

Foot Problem Prevention for Elders

Foot ailments can become more common as we age. To decrease the likelihood of developing various foot problems, it is important to take care of your feet. Wearing the right shoes is of the utmost importance. Shoes that are too tight can increase the risk of foot pain, hammertoes, bunions, and blisters, while shoes that are too loose can lead to a fall. It is recommended that you wear comfortable, properly fitted shoes that give your toes room to move. Keeping your feet well-moisturized can prevent corns and calluses, while cutting your toenails regularly can prevent ingrown nails. Another thing that you can do to benefit your feet is to stretch them. Flex and wiggle your toes and walk regularly to help maintain foot strength and flexibility. If you develop foot problems, it is recommended that you see a podiatrist, who can diagnose and treat your condition.

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 from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you 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-threatening 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 Taking Care of Elderly Feet
Monday, 10 August 2020 00:00

Taking Care of Elderly Feet

Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.

Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.

Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.

Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.

Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.

Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.

Monday, 03 August 2020 00:00

Various Types of Ankle Pain

An ankle sprain can cause severe pain and discomfort. It may affect the structures surrounding the ankle joint, and many patients have said they experience extreme swelling. Anterior ankle pain can involve damage that has occurred to the cartilage bone. This type of pain can happen as a result of participating in running and jumping activities. There may be a limited range of motion in the ankle and it may be difficult to walk. Ballet dancers may be susceptible to posterior ankle pain. This can occur from putting pressure on the ankle as various dance positions are perfected. If you have pain in any part of your ankle, it is strongly suggested that you speak to a podiatrist as quickly as possible who can properly diagnose and treat any type of ankle pain.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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 Ankle Pain
Monday, 03 August 2020 00:00

Ankle Pain

The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.

The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.

If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care for you. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.

Patients who have the medical condition that is known as plantar fasciitis are often familiar with the severe discomfort this ailment can cause. The pain that is associated with plantar fasciitis is felt in the heel and it can cause difficulty walking. Daily activities may be hard to complete as the day continues, and this can be a result of existing heel pain. This condition can gradually develop from standing for extended periods of time throughout the day, or from wearing shoes that do not fit properly. Moderate relief may be found when the affected foot is stretched. An effective stretch consists of rolling the sole of the foot on a golf ball, and this may help to alleviate a portion of the tension that is commonly associated with this type of foot pain. If you are experiencing any type of heel pain, it is suggested that you consult with a podiatrist as soon as possible who can properly diagnose plantar fasciitis and offer you the correct treatment options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 Plantar Fasciitis
Monday, 27 July 2020 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

The Achilles tendon, located just above the heel, is a band of tissue that connects the calf muscles to the heel bone. The Achilles tendon is particularly prone to injury from overuse. Common causes of Achilles tendon issues include over-training, excessively increasing the intensity or distance that you run or jog, lack of training variation, running on hills, and wearing shoes that do not sufficiently support your feet. You may also be at greater risk of injuring your Achilles tendons if you are male, 30 years of age or older, and have a higher body weight or diabetes. Weakness, poor endurance, or tightness in the calf muscles, poor muscular control of your lower limbs, and stiff ankle and foot joints can increase your risk as well. Consult with a podiatrist to discuss how you can continue to stay active while reducing your risk of Achilles tendon injuries. 

Achilles tendon injuries need immediate attention to avoid future complications. 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 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 create immense 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 injuries 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 tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries
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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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