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Monday, 29 January 2018 00:00

What is a Podiatrist?

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.

Monday, 29 January 2018 00:00

What is a Podiatrist?

The feet are the foundation of the body, and the health of your feet play an essential role in your overall well-being. Keeping the feet healthy is critical in maintaining an active lifestyle, so if foot ailments occur, it is advised to seek the medical attention of a podiatrist. These doctors specialize in treating all conditions concerning the foot, including injuries involving tendons and bones, issues caused by diabetes, and foot deformities. Other conditions that are typically treated by podiatrists are ingrown toenails, heel pain, and flat feet. When the disorder is diagnosed, proper treatment will be discussed for long term results, in addition to alleviating pain associated with the problem. Before your initial visit, you may want to comprise a list of concerns you have, as well as questions about the general health of your feet.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. James Longobardi from Absolute Foot Care. Our doctor 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 Chula Vista, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What is a Podiatrist?

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.

Monday, 22 January 2018 00:00

Causes of Corns

A small area of skin that appears thickened on the foot may be a condition referred to as a corn. The general reason behind the development of corns commonly revolves around shoes not fitting properly, therefore putting pressure on the feet. An example of this are high-heels, which typically squeeze the toes and cause friction. Corns can be painful and may affect the overall balance of the foot, often causing discomfort while walking or running. Treating the corn ideally involves removing the source of pressure and friction, allowing the foot to move with less constraint in the shoe. There are two types of corns that exist, and they can occur in different areas of the foot. Moisture that generates in between the toes may cause soft corns. Alternatively, hard corns are typically found on the pinky toe, caused by friction from ill-fitting shoes. If the corn becomes severe, a consultation with a podiatrist may be suggested for proper treatment of the condition.

If you have any concerns regarding your feet and ankles, contact Dr. James Longobardi of Absolute Foot Care. Our doctor will treat your foot and ankle needs.

Corns: What are they? And how do you get rid of them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

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

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor 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 Chula Vista, CA. 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
Monday, 15 January 2018 00:00

Heel Pain

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Monday, 15 January 2018 00:00

Why Does My Heel Hurt?

There are many types of heel pain, some of which are gradually felt, and some that are acute, typically caused by an injury. If pain under the heel is experienced, it may be a common condition referred to as plantar fasciitis. The pain is generally worse in the morning and may travel further down the foot. Having a bruised heel will begin as gradual pain occurring over a period of time, often affecting athletes due to the overuse of the plantar fascia tendon. Sever’s disease is characterized by pain in the back of the heel, often felt by young athletes. Swollen heels are another cause of heel pain and may be indicative of Achilles bursitis. A fracture may be possible if a fall was involved, often causing severe pain and making it difficult to walk. A consultation with a podiatrist is recommended if swelling, pain, or a "pins and needles" sensation is experienced in or around your feet.

Many people suffer from bouts of heel pain. For more information, contact Dr. James Longobardi of Absolute Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Chula Vista, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Wednesday, 10 January 2018 00:00

Before you start dancing...

 

Monday, 08 January 2018 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Monday, 08 January 2018 00:00

What Can Cause an Achilles Tendon Injury?

The purpose of the Achilles tendon is to connect the calf muscle to the heel bone. It is the longest tendon in the body, and walking or running would be impossible to accomplish without it. There are several causes for Achilles tendon pain, including inflammation of the tendon, known as tendonitis, or a tear occurring due to sudden movement, often causing severe pain. Surgery may be required to repair the tendon if the patient is unable to walk or stand. Other symptoms may include swelling, stiffness, and reduced strength in addition to experiencing a limited range of motion. There may be several factors which may increase the possibility of an Achilles tendon injury, including a change in the playing surface or an increase in training for athletes. If you think you may have this condition, a podiatrist will be able to help.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. James Longobardi of Absolute Foot Care. Our doctor 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 Chula Vista, CA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries
Tuesday, 02 January 2018 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the shifting of the big toe bone inward towards the other toes. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. However, even if you do not have a history of this in your family, you can still develop bunions if you are wearing improperly fitting shoes. This can happen as you try to cram your feet into high heels, or by running or walking in a way that causes too much stress on the feet. High heels are another major culprit in the formation of bunions. Not only do they push the big toe inward, but your body weight and center of gravity is shifted towards the edge of your feet and your toes, which can cause bone displacement.

Bunions are quickly and easily diagnosed by podiatrists. However, because of their nature, they can appear similar to arthritic conditions or gout. A blood test is sometimes required to fully diagnose a bunion. A full radiological or x-ray exam could also be done by a podiatrist to examine the bone structure of your feet. One thing that is looked for specifically is an enlargement of that base joint or evidence of the big toe bone being pushed inward.

One of the first things to do if you have bunions is to get a larger, wider shoe that can remove pressure from your toes. This usually means that high heels should be eliminated from use for a period of time to allow the bunion to heal. Eliminating the pressure placed on a bunion is often enough to eliminate the pain involved with them. However, pain can persist in some instances and anti-inflammatory drugs may be prescribed. If the pain is too severe, steroid injections near the bunion or even surgery may be required. Orthotics for shoes may also be prescribed which can alleviate the pain of bunions by removing pressure from them. However, these methods simply stop the pain of bunions but do not correct the problem at its source.

As previously mentioned, surgery may be an option to completely eliminate your bunions. Surgery is done to reposition the toe bones so that they no longer face inward. This can be done by removing a section of bone or by rearranging the ligaments and tendons in the toe to help them align properly. Even after the surgery, it may be necessary to wear protective shoes for a while to ensure that the bunions do not return.

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