Items filtered by date: December 2020
Learning About Biomechanics of the Feet
Your feet and ankles are very important for how you move. Imagine them like the strong base of a building. They help you stand up straight and walk around without falling over. But did you know they do even more? They also help you push against things when you move. For instance, you push against the ground when you run or jump. But if your feet and ankles don't move the right way, it can cause problems. You might feel pain or get hurt. The muscles, bones, ligaments, and tendons in your feet and ankles all work together to keep you safe and moving. Learning about how your feet and ankles work helps you understand why they're so special and how we can take care of them. If you would like to learn more about how the feet and ankles work together to support your body or you have sustained an injury to these parts of your lower extremities, it is suggested that you make an appointment with a podiatrist for treatment.
If you have any concerns about your feet, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Surgery for Plantar Fasciitis
Plantar fasciitis is characterized by inflammation of the plantar fascia in the feet, leading to extreme pain and limiting daily activities. When conservative treatments fail to provide adequate relief, surgical intervention may become an option. Surgery for plantar fasciitis involves partial release of the plantar fascia from tension and may include removal of heel bone spurs. This procedure is often performed under local anesthesia, with same-day discharge. Post-surgery, patients will undergo a strict recovery regimen. Refraining from strenuous activities for the first month and using supportive footwear and aids such as air casts and crutches may be prescribed by a podiatrist. Regularly changing the dressing is vital to prevent infection. A gradual return to activities may begin after a month, and certain exercises can help to restore foot movements and muscle strength. While tissues may heal within weeks, full recovery from plantar fasciitis surgery typically takes several months. To find out whether surgery for plantar fasciitis is an option for you, it is suggested that you schedule an appointment with a podiatrist to assess treatment choices.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. 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 office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
What Are Bunions?
Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.
The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.
Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.
Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.
Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.
If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.
Non-Surgical Treatments for Bunions
Non-surgical treatments for bunions focus on relieving pain and discomfort, as well as slowing down the progression of the condition. Treatments include wearing comfortable shoes with a wide toe box to reduce pressure on the bunion, using padded inserts or orthotic devices to provide support and cushioning, and resting the foot to reduce swelling and inflammation. Toe spacers or splints may be used to help realign the toes gradually. Stretching and strengthening exercises for the foot and toe muscles can also improve flexibility and stability. While these treatments may not correct the bunion entirely, they can alleviate symptoms and improve quality of life for individuals with bunions who wish to avoid surgery. If you have a bunion that is causing discomfort, it is suggested that you visit a podiatrist regularly to track its progression, and adjust treatment as needed.
If you are suffering from bunions, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sesamoiditis
Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.
Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.
To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.
Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.
If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.
Understanding the Role of Sesamoid Bones and Sesamoiditis in the Feet
Sesamoid bones are small, specialized bones embedded within tendons, and play a critical role in the function of the feet. Positioned beneath the first metatarsal head, sesamoid bones provide leverage and support to the big toe, facilitating smooth movement and weight distribution during activities such as walking, running, and jumping. Despite their importance, sesamoid bones are prone to injury and inflammation, a condition known as sesamoiditis. Sesamoiditis typically occurs due to repetitive stress or trauma to the sesamoid bones, commonly seen in athletes engaging in activities that involve high-impact forces on the feet. Improper footwear, excessive pressure on the ball of the foot, and sudden increases in physical activity can also contribute to sesamoiditis. Symptoms of sesamoiditis include localized pain, swelling, and difficulty bearing weight on the affected foot. Recognizing the function of sesamoid bones and understanding the causes of sesamoiditis is essential for preventing and managing this painful condition. If you have any of the above symptoms, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat sesamoiditis.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Care for Diabetic Foot
Millions of people are affected by diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy, or nerve damage. Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of. Otherwise, the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.
It is very important to always wash and dry the feet thoroughly, especially in between the toes, if you’re a diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain. You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the dye. Well-fitting socks are also highly recommended.
A diabetic’s physician should always monitor their blood levels to test how well blood sugars are being maintained. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with the diabetic patient’s neuropathy. It is also advised to see a podiatrist if experiencing any feet conditions. Toenails may also need to be taken care of by a podiatrist. This prevents patients from cutting too deeply around their cuticles, which can lead to infection.
A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. Proceed with caution when using tools to remove calluses, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to contact a podiatrist.
On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound becomes too severe to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.
The Importance of Podiatric Examinations for Diabetic Patients
For individuals with diabetes, proper foot care is essential to prevent complications arising from nerve damage, circulation issues, and infections. Regular check-ups with a podiatrist are vital to maintain healthy feet. Managing diabetes and adopting a healthy lifestyle are key factors in ensuring foot health, including regular podiatric exams, daily blood sugar monitoring, engaging in regular exercise, and maintaining a balanced diet rich in fruits and vegetables. Daily foot care routines are equally important and include inspecting the feet thoroughly, washing them daily with mild soap, drying them well, and moisturizing dry skin. Healthy foot habits encompass avoiding antiseptic solutions, and heating pads, walking barefoot, and attempting to remove foot lesions independently. Proper toenail care is important but should be done safely, especially if there are visual or circulatory issues in the feet. Footwear choices are critical, and it is essential to wear comfortable, well-fitting shoes with ample toe room, avoid materials that do not breathe, and inspect the inside of shoes regularly. To recognize early signs of foot problems, if you have diabetes, it is strongly suggested that you schedule regular appointments with a podiatrist.
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 Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. 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
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
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 office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
