Tuesday, 07 November 2023 00:00

Risk Factors for Foot Stress Fractures

Stress fractures, which are generally attributed to overuse, primarily affect weight-bearing bones and are often triggered by a sudden increase in physical activity. This serves as a significant risk factor for microscopic bone fractures in the feet. Embracing a new sport or intensifying exercise routines can elevate the likelihood of stress fractures. Biomechanical issues, such as abnormal gait patterns like flat feet or high arches and poor running form can also heighten the risk. Wearing inadequate footwear, including ill-fitting or worn-out shoes that offer insufficient support, places added stress on the foot bones. Nutritional deficiencies, particularly in calcium and vitamin D intake, weaken bones and make them more susceptible to such fractures. Hormonal changes, especially in women, like amenorrhea, can disrupt hormone balance and reduce bone density, which further increases the risk of stress fractures. Pain that starts during physical activity and worsens with continued exertion is a common symptom. Swelling in the affected area indicates inflammation, and tenderness of the bone to the slightest touch is another indicator. If these symptoms persist for about a week, it is suggested that you make an appointment with a podiatrist for a full exam, which may include imaging tests, as a foot stress fracture may not be visible on an X-ray. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stress Fractures of the Foot and Ankle
Tuesday, 07 November 2023 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Tuesday, 31 October 2023 00:00

Soccer and Foot and Ankle Injuries

Soccer is a physically demanding sport where foot and ankle injuries are prevalent. Three common injuries in soccer are plantar fasciitis, ankle sprains, and Achilles tendonitis. Plantar fasciitis is the inflammation of the plantar fascia, a tissue connecting the heel to the ball of the foot. It causes pain on the heel and along the arch of the foot and may result from playing on hard surfaces or due to anatomical factors like flat feet or weak muscles. Ankle sprains occur when the ankle ligaments are overstretched or torn. Symptoms can include pain, bruising, and swelling. These sprains are often caused by awkward landings or playing on uneven surfaces. Achilles tendonitis involves inflammation or rupture of the Achilles tendon, causing mild aches or stiffness in the leg. It can be triggered by a sudden change in exercise intensity or from wearing inappropriate footwear. If you or your child has an injured foot or ankle from playing soccer, it is suggested that you make an appointment with a podiatrist for a proper diagnosis, and treatment, in addition to learning about preventative measures that can be taken to make you more resilient against such injuries.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 31 October 2023 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.   

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

Tuesday, 24 October 2023 00:00

Common Reasons Behind Foot Swelling

Foot swelling, also known as edema, can be uncomfortable and concerning. Knowing what caused your feet to swell can help to address it effectively. One prevalent cause is standing or sitting for extended periods, which can impede blood circulation and lead to fluid accumulation in the feet and ankles. Additionally, injuries or strains can cause localized swelling, while sprains and fractures may result in more severe swelling. Certain medical conditions like deep vein thrombosis, hypertension, and heart disease can contribute to foot edema due to their impact on circulation. Hormonal changes during pregnancy can lead to fluid retention and swollen feet. In some cases, medications may have this side effect. Obesity is another significant factor, as excess weight can add pressure on the veins and lead to swelling. If you have swollen feet, it is strongly suggested that you visit a podiatrist who can determine the cause and provide treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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


 

Read more about Swelling of the Feet
Tuesday, 24 October 2023 00:00

Swelling of the Feet

There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.

Tuesday, 17 October 2023 00:00

Weight and Foot Problems

Many people are considered to be overweight or obese, which can negatively impact the feet in various ways. Carrying excess weight increases the load on the feet during weight bearing activities, and can lead to pain and injuries that discourage physical activity. Additionally, obesity may raise the risk of chronic diseases such as diabetes, which can harm peripheral circulation and nerve supply in the feet. This issue is not limited to adults. Childhood obesity is a growing concern, with structural and functional changes in the feet that can affect a child's current well being and may persist into adulthood. Common foot complaints related to increased weight include non specific foot pain, tendonitis, plantar fasciitis, and osteoarthritis. It is important to remember that obesity is a complex issue with various contributing factors, including genetics, lifestyle, and environmental influences. Blaming or stigmatizing individuals for their weight can be counterproductive and harmful. Instead, offering support, encouragement, and resources for maintaining a healthy lifestyle can be more effective in addressing both obesity and its related health concerns, including foot problems. If you are overweight and are experiencing foot consequences, it is suggested that you make an appointment with a compassionate podiatrist who can provide you with help in living a healthier lifestyle and relieving your foot pain.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Gregory Rorick, DPM from Rorick Podiatry, PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

If you have any questions please feel free to contact our office located in New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How Obesity Affects Your Feet
Tuesday, 17 October 2023 00:00

How Obesity Affects Your Feet

Gaining weight can happen suddenly and at any time. Usually you won’t notice the extra weight until your feet start hurting at the end of the day. This happens as your feet begin adjusting to carrying more weight. Foot swelling and pain are two of the biggest side effects of having gained weight.

Many foot-related problems can occur even after just putting on a few pounds. This includes the body ‘compensating’ by changing the way it moves. You may find yourself putting extra weight on the wrong parts of your feet and even leaning forward a bit. Your feet were designed to carry a healthy, normal body weight. Extra weight places undue stress on them.

Being overweight often causes the development of Type-2 diabetes, causing leg and foot pain. Older people who do not attempt to control their condition can even lose sensation and feeling in their legs and feet. This can lead to the development of small sores that can lead to serious infection.

Extra stress placed on the joints, tendons and muscles in the feet as a result of extra body weight may also cause heel spurs, or plantar fasciitis. Plantar fasciitis is an inflammation of the foot tissue, causing stiffness and pain when walking and climbing stairs. This can usually be relieved by foot stretches and custom made orthotic shoe-inserts.

Problems in the feet triggered by obesity can be treated by paying special attention to footwear. Proper support shoes that allow for good circulation, especially in the arch and ankle, are vital. A podiatrist can help you find what sort of shoe is most suitable for your feet. They can also measure you for special orthotics if necessary.

It could also be high time to start losing weight in order to treat and prevent diabetes as well as other life threatening diseases. Some methods include yoga and water aerobics, which benefit your entire body without placing stress on your feet. Don’t risk losing your feet by losing interest in them. Take care of your feet and your body, as they deserve the very best.

Tuesday, 10 October 2023 00:00

Morton’s Neuroma Symptoms and Treatment

A network of plantar digital nerves in the feet supply sensory signals to the forefoot and toes. Problems arise when these nerves encounter compression, which can occur when the toes are consistently pressed together, effectively obstructing the pathway for these nerves. Such compression often causes a condition known as Morton's neuroma. This may be the result of wearing high heels that force body weight onto the ball of the foot. When the plantar nerves become entrapped, their ability to efficiently transmit signals is affected. This leads to symptoms, including sharp, burning, or tingling sensations in the forefoot and toes. Individuals with Morton's neuroma may also experience numbness or the feeling of having a pebble or foreign object in their shoe. Morton's neuroma can be effectively managed in several ways. Start with footwear that has cushioning and provides adequate room for the toes. Custom orthotics can also help alleviate pressure on the affected area. In more severe cases, corticosteroid injections or surgical intervention may be recommended. If you suspect you are suffering from Morton's neuroma, it's suggested that you make an appointment with a podiatrist for a diagnosis and treatment plan tailored to your needs.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Gregory Rorick, DPM of Rorick Podiatry, PC. Our doctor 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 New York Mills, Utica, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma
Tuesday, 10 October 2023 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.

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