The Ankle-Brachial Index (ABI) test is a screening measure that a podiatrist can use to determine a patient’s risk of having peripheral artery disease (PAD). As many as 50% of people who have PAD are asymptomatic. This makes screenings very important for detection, diagnosis, and treatment. During an ABI test, the doctor uses a blood pressure cuff or ultrasound to take your blood pressure at the brachial artery in both upper arms and at the anterior and posterior tibial arteries in both lower legs. The doctor then takes the higher of the two brachial blood pressures and the highest of the anterior or posterior tibial artery blood pressures and compares the two numbers to form a ratio. This ratio correlates to one’s risk of having PAD. A ratio of 1.0-1.4 is considered within the normal range, while a ratio below 0.90 is considered abnormal. It is said that the lower the ratio, the more severe the PAD. For more information about vascular testing, please consult with a podiatrist.
Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Michael D. Garvin from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Vascular Testing?
Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.
How Is it Conducted?
Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.
The most common tests include:
These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.
If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Neuropathy, a form of nerve damage, is known for causing a loss of feeling in the feet, and roughly half of all diabetic patients have some type of neuropathy. Because of this lack of feeling, many small problems with the feet may not be noticed and thus lead to the development of serious issues. To help avoid missing the small issues that can occur with the feet, there are some daily things that diabetic patients can do. Daily checks for cuts and wounds, regularly washing the feet, wearing shoes that fit right, and avoiding going barefoot are a few of the things that can be done to help care for the feet once they have lost some feeling. Along with regular checkups, diabetic patients should consult with a podiatrist if they notice a loss of sensation in the feet, a change in shape or color to the feet, or loss of hair on the feet.
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. Michael D. Garvin from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially 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
Patients with diabetes should have their doctor monitor their blood levels, as 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 our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Diabetic Foot Conditions
Bunions are bony protrusions at the base of the big toe which have developed over time. Repeated pressure on the toe can gradually shift it out of position and tilt towards the other toes. Bunions are also referred to as Hallux abductovalgus, Hallux valgus, HAV, and HV. It is believed that genetics and wearing high heels or narrow-toed footwear can increase the risk of developing this condition. Other conditions that may also contribute to bunions forming include certain types of arthritis, flat feet, and rare genetic bone disorders. Painful bunions can be treated by a podiatrist in a variety of ways from padding and taping, to custom orthotics, night-time splints, icing and other therapies, and by switching to proper footwear. In the most severe cases, a podiatric surgeon can remove the bunion and restore the natural position and beauty of the toe.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.Read more about What Are Bunions?
Sever’s disease is a common heel pain condition that often affects children between the ages of 9 and 13 who are particularly athletic and involved in sports like soccer, gymnastics, baseball, basketball, and football. It is a result of the bones in the calves growing faster than the Achilles tendon (which connects the calf muscle to the heel). When this happens, the tendon tightens, which can result in a sore or swollen heel. The most common sign of Sever’s disease is heel pain that develops slowly and gets worse with activity. The pain will usually subside with rest and it is not typically present during low impact sports like swimming or cycling. If your child complains of heel pain, consulting with a podiatrist for a proper diagnosis is suggested.
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.Read more about Sever's Disease
The ankle is designed to help move the foot in various directions as well as support the body. Many patients have ankle pain that is a result of a disease of the ankle joint, or from an injury that has occurred. A twisted ankle may be the result of unexpectedly stepping off of a curb which can affect the surrounding tendons and ligaments. Other medical conditions that can cause ankle pain include osteoporosis which may weaken the bones in the ankle leading to an increased risk of a fracture. If you have sprained or fractured your ankle, please speak with a podiatrist who can properly diagnose and treat your ankle injuries.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Michael D. Garvin from Florida. Our doctor 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?
Preventing a Sprain
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 offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Ankle Sprains
While onychomycosis (toenail fungus) is a common condition, it can be rare among infants and children. This is because children’s nails are smaller and grow faster—making their toenails less hospitable to the fungus. However, when pediatric onychomycosis occurs, it should be dealt with swiftly and properly, as it is not good for a child to have any type of infection. Of course, prevention is always the best option, and something that should be highlighted as most children contract onychomycosis from someone in their own home. Don’t share toenail clippers, soap, towels or other personal grooming items with your child. Encourage them to keep their feet clean and dry, and to always wear clean socks and shoes, as well as flip-flops in public showers, locker rooms and around pools. If your child does develop toenail fungus, understand that what may be appropriate treatment for an adult, may not be safe for a child. If your child’s nails are thickened, brittle, crumbling, or yellowish, bring them to a podiatrist to receive an accurate diagnosis and proper treatment.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Michael D. Garvin of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
If you have any questions, please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.Read more about What to Do to Keep Your Child’s Feet Healthy
Many patients with flat feet have found that frequently performing specific exercises may help their feet feel better. The pain from this condition is normally felt in the bottom of the foot, and it can make accomplishing daily activities difficult to complete. Flat feet, or fallen arches, can be a result of overstretched tissues which may lead to additional foot conditions. Stretching the heel can help the entire foot. This can be done by standing with your hands resting against a wall. As one leg is extended behind you, a gentle stretch can be felt in the Achilles tendon when the body is pushed toward the wall. Research has indicated that rolling the heel on a tennis ball can also help to strengthen the arch. If you have flat feet, please speak with a podiatrist to learn about what exercises and stretches may help your condition.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our offices located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Flatfoot
Cuboid syndrome is a condition in which the cuboid bone, located near the center of the foot, becomes displaced. If you’re a runner, this is a problem that you should watch out for. Your feet absorb shock up to two and a half times your body weight when you run. When all of the foot bones are properly aligned, your feet can absorb the shock without much discomfort. However, when the cuboid bone is displaced the feet can’t absorb shock as efficiently leading to foot pain, swelling, reduced range of motion, and difficulty bearing weight on the affected foot. Cuboid syndrome may occur in conjunction with an ankle sprain, or it can be caused by poor foot biomechanics or injury. If you are experiencing any foot pain please seek the care of a podiatrist.
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. Michael D. Garvin from Florida. Our doctor 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.
The most common causes of cuboid syndrome include:
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 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.
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
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