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November 2023

Tuesday, 28 November 2023 00:00

Symptoms of Morton’s Neuroma

Morton’s neuroma is a painful and often underestimated condition that affects the ball of the foot, specifically targeting the web space between the third and fourth toes. More prevalent in middle-aged women, this condition can be debilitating, impacting one's daily activities. The discomfort of Morton’s neuroma may start as a subtle ache after walking, standing, or engaging in impact activities, but eventually it becomes more consistent and intense. Morton’s neuroma primarily targets the interdigital nerve, leading to swelling and thickening of the fibrous tissue surrounding the nerve. This compression can result in numbness or a pins and needles sensation in the forefoot. As it progresses, the pain may extend beyond the web space and radiate into the metatarsals. Patients often describe feeling as if there is a pebble or stone in their shoe. This unique sensation is a result of increased swelling and fibrotic thickening around the neuroma, causing an enlargement of the affected area. If you suspect you are experiencing symptoms of Morton's neuroma, it is suggested that you make an appointment with a podiatrist for a thorough evaluation and a personalized treatment plan.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. 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 one of our offices located in Brighton and Greece of Rochester, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What is Morton's Neuroma?
Tuesday, 21 November 2023 00:00

Is It a Good Idea to Run In Walking Shoes?

Many people wonder whether it is acceptable to run in walking shoes. While walking shoes are designed for a different purpose than running shoes, the answer is not always a straightforward yes or no. Walking shoes are generally built with a focus on providing comfort, stability, and support during low-impact activities like walking. They often have less cushioning and flexibility compared to running shoes, which are designed to absorb the higher impact forces generated during running. For short, light jogging or occasional runs, walking shoes may suffice, especially if you do not experience discomfort or pain. However, if you plan to run regularly or for longer distances, investing in running-specific footwear is recommended. Running shoes offer the necessary cushioning, shock absorption, and flexibility designed to protect your feet and joints from the impact of running. Ultimately, choosing the right footwear depends on your activity level and goals. If you are serious about running, it is best to invest in a proper pair of running shoes to reduce the risk of injury and enhance your performance. If you would like additional information about walking and running shoes, it is suggested that you confer with a podiatrist who can provide you with the knowledge you are seeking.

For more information about walking shoes versus running shoes, consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact one of our offices located in Brighton and Greece of Rochester, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 14 November 2023 00:00

Symptoms of Peripheral Artery Disease

Peripheral artery disease, or PAD, is a condition where fatty deposits build up in the arteries, restricting blood flow to muscles and organs. This poor circulation affects about 6.5 million Americans over 40 years of age. During physical activities such as walking or climbing stairs, muscles need more blood and oxygen. If arteries are clogged due to PAD, these muscles may hurt because they are not getting what they need, but the pain typically subsides with rest. However, PAD is more than just about muscle pain during activity. It can affect the overall quality and length of life, limiting how far or long one can walk, and it may increase the risk for heart attack and stroke. Despite its seriousness, PAD often goes unrecognized. People at risk for PAD typically include those who have leg pain, individuals over 70 years of age, and those over 50 years old who have diabetes, or a history of smoking. Recognizing and getting treatment for PAD is crucial for maintaining health and preventing more serious complications. If you have any of the aforementioned symptoms, or belong to a high-risk group, it is strongly suggested that you make an appointment with a podiatrist as soon as possible for a proper diagnosis and treatment plan.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact one of our offices located in Brighton and Greece of Rochester, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 07 November 2023 00:00

Symptoms and Treatment of Freiberg's Disease

Freiberg's disease, a condition affecting the bones in the ball of the foot, often near the base of the big toe, can cause substantial pain and discomfort. It is more apt to affect runners, dancers, and women who wear high heels. Freiberg's disease sometimes affects people with a short big toe and a longer second toe. It is characterized by the death of tissue in the foot's bones, primarily the second metatarsal head. Symptoms can include persistent pain, described as a sharp, aching discomfort. Swelling and stiffness in the affected joint can hinder mobility. The pain worsens during weight-bearing activities, especially when pushing off of the foot and wearing high-heeled shoes. Freiberg's disease is more prevalent in adolescent girls experiencing rapid growth, or people with specific bone structure issues. Diagnosis by a podiatrist involves taking X-rays to confirm and assess the condition's severity. Treatment options include corticosteroid injections to help manage pain and inflammation during flare-ups. Footwear modifications, including low-heeled shoes with thicker soles and rounded heels, can help redistribute pressure across the foot. Custom orthotics also can relieve pressure on affected joints. Surgery, which is rarely required, may involve removing the second metatarsal bone for unmanageable, persistent pain. If you suspect you may be suffering from Freiberg's disease, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and personalized treatment plan. 

Some foot conditions may require additional professional care. If you have any concerns, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact one of our offices located in Brighton and Greece of Rochester, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Friday, 03 November 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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