Tuesday, 13 August 2024 00:00

Foot and Ankle Edema in Pregnancy

During pregnancy, many women experience swelling, or edema, in their feet and ankles. This common issue is caused by the increased fluid retention in the body as it adjusts to support the growing baby. Gravity tends to pull these extra fluids down, leading to a noticeable buildup in the lower legs and feet. This usually starts between the 22nd and 27th weeks and continues until delivery. Swelling often worsens in the evenings and during warmer weather, which can make it tricky to wear your favorite shoes and may lead to aches and discomfort. To ease the swelling, try resting your feet, engaging in gentle exercises like walking or swimming, wearing comfy shoes, and staying well-hydrated. If you are experiencing swelling in the feet or ankles or would like personalized advice on keeping your feet and ankles in top shape throughout your pregnancy, it is suggested you make an appointment with a podiatrist.

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. Michael D. Garvin from Florida. Our doctor 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 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 Foot Care for Pregnant Women
Tuesday, 13 August 2024 00:00

Foot Care for Pregnant Women

The natural weight that pregnant women gain causes their center of gravity to be completely altered. This causes them to have a new weight-bearing stance which adds pressure to the knees and feet. As a result, pregnant women often experience severe foot pain. The two most common foot issues experienced by women in their pregnancies are edema and over-pronation. It is important for all pregnant women to learn more about how to take care of their feet so they are more comfortable during their pregnancy.

Over-pronation, which is commonly referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing. This causes the person’s feet to roll inward while walking. Pregnant women often experience this due to the sudden weight they gain.

Edema, also referred as swelling in the feet, typically occurs in the later part of the pregnancy. It is the result of the extra blood accumulated in the pregnant woman’s body. The enlarged uterus puts more pressure on the blood vessels in the pelvis which causes leg circulation to slow down. This causes blood to pool in the lower extremities.

Fortunately, there are ways to treat both edema and over-pronation. Edema can be treated by elevating the foot as often as possible. Wearing proper fitting footwear will also be helpful for those with edema. A treatment method for over-pronation could be orthotics. Orthotic inserts should be designed with appropriate arch support and medial rear foot for your foot.

It is best for pregnant women to buy new shoes during the day, because this is the time where swelling is at its peak. Pregnant women also shouldn’t rush when buying shoes. It is always advised that you make sure your shoes fit properly but this is especially important during pregnancy.

If you are a pregnant woman, you should consult with a podiatrist in order to make sure your feet are healthy throughout the entirety of your pregnancy.

Wednesday, 07 August 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 06 August 2024 00:00

Symptoms of Gout

Gout is a form of arthritis resulting in severe pain that can happen suddenly, along with swelling, and tenderness in joints, and often starts with the big toe. This condition occurs when urate crystals accumulate in the joints due to high levels of uric acid in the blood. The pain typically peaks within a few hours and can be accompanied by warmth and redness around the affected joint. Gout attacks can occur suddenly, often waking individuals from sleep with intense discomfort. Recurrent gout episodes can lead to joint damage and deformities, if left untreated. Besides the big toe, gout can affect other joints such as ankles, knees, elbows, wrists, and fingers. Managing gout involves lifestyle changes like reducing purine-rich foods and alcohol consumption, along with medications to lower uric acid levels and prevent future attacks. If you have excruciating pain in your big toe, it is strongly suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Michael D. Garvin from Florida. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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 Gout
Tuesday, 06 August 2024 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Tuesday, 30 July 2024 00:00

Facts About Ankle Replacement Surgery

Ankle replacement surgery, or ankle arthroplasty, is a surgical option for those with severe ankle joint damage, often resulting from osteoarthritis, rheumatoid arthritis, or significant fractures. This procedure involves replacing the damaged bones in the ankle joint with prosthetics, to restore function and reduce pain. Ankle replacement surgery includes making an incision to access the joint, repositioning blood vessels, nerves, and tendons, and then removing and reshaping the damaged bones to fit the artificial joint. Full recovery may take as long as six months. It begins by keeping the leg elevated and possibly remaining in the hospital for up to a week, as the healing process begins. Though the prognosis is generally positive, with many ankle replacements lasting over a decade, potential risks can include infection, blood clots, nerve damage, and prosthetic failure. If you have severe ankle problems, it is suggested that you schedule an appointment with a podiatrist to find out if ankle replacement is an option for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, 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 Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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 Joint Replacement Surgery
Tuesday, 30 July 2024 00:00

Joint Replacement Surgery

When conservative, noninvasive treatments prove unsuccessful, podiatrists will often turn to surgery as the last line of treatment for their patients. If patients are suffering from joint pain, issues in mobility, or are seeking to correct a deformity, joint replacement surgery is an effective option. Joint replacement surgery is also successful in treating arthritis, which is the most common cause of improperly working joints.

Patients with symptoms that include joint pain, stiffness, limping, muscle weakness, limited motion, and swelling are typically considered for joint replacement surgery. Range of motion and activity post-surgery will vary between patients and depending on the specific surgery performed, the affected joint, and the damage that will need to be repaired.

Joint replacement surgery replaces the damaged cartilage and bone, the latter if required. The damaged cartilage is typically replaced with a prosthesis that is attached to the bone, allowing the implant to grow into the bone. Following surgery, the patient will typically undergo physical therapy to become familiar with movement using the replaced joint.

 

Incorporating targeted stretches and strengthening routines into your running regimen is a good way to maintain foot health and prevent injuries. Toe stretches involve gently pulling your toes back to stretch the muscles and ligaments along the sole of your foot and toes, promoting flexibility and reducing the risk of strains or cramps during runs. Plantar fascia stretching entails leaning forward to stretch the arch of your foot, to alleviate tension in the plantar fascia, which is a common source of heel pain in runners. Ankle alphabet exercises promote mobility and range of motion in the ankle joint by tracing the alphabet with your toes, helping to reduce the risk of ankle sprains or strains. The marble pickup exercise enhances the intrinsic muscles of the foot, improving their strength and coordination to prevent common running injuries such as metatarsalgia or Morton's neuroma. Incorporating these and other exercises into your routine strengthens your feet, reduces the risk of running-related injuries, and allows you to enjoy your runs with confidence and longevity. If you are experiencing persistent discomfort or have concerns about your foot health, it is suggested that you schedule an appointment with a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Michael D. Garvin of Florida. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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 Preventing Running Injuries
Tuesday, 23 July 2024 00:00

Preventing Running Injuries

Over half of all runners encounter at least one injury per year. The reason for this is because many runners do not train properly. Injuries are almost inevitable due to the physical stress that running causes. While our bodies are great at adapting to the stress, it can only handle it in small doses. Injuries occur when the stress is applied too quickly for the body to handle, causing something within it to break down. With each step you take, your leg is absorbing two or three times your body’s weight.

Some of the most popular running injuries are shin splints, plantar fasciitis, Achilles tendinitis, and stress fractures. Shin splints cause pain along the inside or outside of the shins, and this pain is usually felt at the beginning of a run. The condition itself is defined as an inflammation of the muscles or tendons located around the shinbone. To treat shin splints, it is advised that you ice the shin area and stretch the calf muscles. To prevent this injury, you should slowly increase the distance you plan on running, instead of jumping into a more strenuous routine.

Achilles tendinitis is another common injury and it feels like pain along the back of the leg, toward the heel. This condition is defined as an inflammation of the Achilles which is the largest tendon in the body. The Achilles is responsible for connecting your calf muscles to the heel bone and it is caused by tight calf muscles. If you want to treat this injury, you should take a break from running to cross train with a low-impact activity.

There are a lot of common mistakes runners make that are causing them to experience injury. One mistake is stretching too much prior to warming up. If you plan to go on a run, you should warm up with a gentle 3-5-minute walk followed by a 5-minute run-walk.  Another common mistake is jumping into a routine too quickly. Consequently, you should incorporate cross-training into your routine. If you are looking to get active, you should slowly weave running into an activity you are currently participating in. For example, you can try bike riding for 40 minutes followed by a 10-minute run.

Another way to prevent running injuries is to choose shoes that are appropriate for running. There are certain things you should look for when buying a new pair of running shoes. An important factor in these sneakers is flexibility. Running shoes should be capable of bending and flexing at the forefoot. However, you should not be able to bend the entire shoe in half with ease because this is a sign that the shoe does not have enough structure. Additionally, you should look for the fit of the running shoes you want to purchase. It is best to visit a specialty running shoe store to have your feet properly sized. Choosing shoes that fit properly can prevent many foot ailments.

If you are suffering from any pain from running injuries, you should make an appointment with your podiatrist to discover the underlying cause of your pain. He or she will be able to help treat your condition in the best way possible.

Tuesday, 16 July 2024 00:00

Plantar Fibroma Excision Surgery

A sign a plantar fibroma has developed is a noticeable lump in the arch of the foot. If it becomes painful or uncomfortable, surgery may be considered. In plantar fibroma excision surgery, managing postoperative healing is critical. Closed incision negative pressure therapy, or CINPT, and surgical drain placement are two techniques used for this purpose. CINPT involves applying a sealed dressing connected to a vacuum pump, which continuously removes fluid and reduces edema, promoting faster healing and minimizing infection risk. This method maintains a sterile environment and can improve wound outcomes. On the other hand, surgical drain placement involves inserting a tube into the surgical site to remove fluid buildup. While effective in preventing hematoma or seroma formation, it requires careful monitoring and regular emptying. Drains can sometimes increase the risk of infection and discomfort. Choosing between CINPT and surgical drains depends on the specific needs of the patient and the podiatric surgeon’s preference, with CINPT often providing a more advanced and less invasive option for optimal healing. If you have a plantar fibroma that is causing you pain and discomfort, it is suggested that you consult a podiatrist who can determine which type of surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Michael D. Garvin of Florida. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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 Foot and Ankle Surgery
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