Posts for: April, 2020
- Running requires shoes with shock absorption. Your feet take on a lot of pressure and friction. Cushioning your shoes in the correct areas keeps you from feeling the pain.
- Traction is important in sports that need quick changes in direction and sprinting, like basketball. Traction should never be too high or low. The right shoes keep you from slipping on the floor while letting you move and pivot.
- Ankle support is a must. It limits the side-to-side movement that knocks your ankle out of alignment. This kind of support keeps ankle sprains at bay. For sports like basketball, hockey, skiing, and skating, make sure that your shoes aren’t too high. Otherwise, they will dig into your Achilles tendon. You can also wear soft ankle braces.
- Arch support varies for everyone. Your podiatrist can test your foot to determine your gait. Depending on the results, your podiatrist can recommend orthotics or special shoe inserts.
As you may already know two medications are repeatedly being mentioned when treating Covid-19. These medications called hydroxychlorquine (Plaquenil) and azythromycin (Z-pack) are being used in symptomatic patients. They are used for very sick patients who are in respiratory distress and require intubation, but are now being used more early in the infection treatment. Doctors are using cocktails of drugs, 2-3 medications simultaneously, to interrupt several infection processes. These vary widely and are not standardized. Colorado Foot and Ankle would like to educate our patients that these medication both are known to cause very small percentages of spontaneous tendon ruptures, usually in the lower extremity. The rates would be about one percent in previous studies. What we don’t know is if the two medications together increase the rates of injury but intuitively we are concerned. We do know that the risk of tendon injury does increase when using steroid (Prednisone, Medrol Dosepack) with an antibiotic like azythromycin so be aware. Some tips for our community, if you have had treatments with the above medications and have developed a sore region of you Foot or Ankle consider, Tendinopathy. Usually, we would see this as a spontaneous swelling in the foot or ankle, surprisingly, these do not always hurt. Rest, Ice, Compression, Elevation (RICE Regimen) generally helps. Don’t stop the medications for Covid-19 but consider an evaluation. We haven’t seen a rise in Tendinopathy that would reach statistical significance as of late April but if widespread use of hydroxychloroquine and azythromycin continue it will likely occur. Our thoughts for you and yours. Bryan Groth DPM
Azythromycin is commonly confused with Erythromycin.
Medication induced Tendinopathy usually has noticeable swelling and inflammation before rupturing so early detection is very helpful.
Plantar warts are tiny growths that typically form on the heels and other portions of the feet that usually bear weight. This pressure might likewise cause warts to form inward under the callus, which is a thick, rough skin layer. HPV causes plantar warts, and it can enter the body via small breaks or cuts on the bottom part of the feet.
That being said, most cases of plantar warts are not serious health issues and often go away with home treatments. However, those who have diabetes, are immuno-compromised or have recurring plantar warts despite diligent home treatments, should visit their podiatrist here at the Colorado Foot and Ankle Clinic.
During a consultation at one of our offices in Briargate Parkway or Pikes Peak Ave, Colorado Springs, Dr. Eric Gessner, Dr. Bryan Groth, or Dr. Jacob Fassman, will examine your plantar warts and take into account your specific circumstances to recommend the most suitable treatment options for you.
How Do I Know If I Have Plantar Warts?
Symptoms of plantar warts include the following:
- Tiny, grainy, and rough lesions or growths at the foot’s bottom part, typically on your heel’s forefoot and base of your toes
- Thickened, hard skin covering a defined spot where the plantar warts have formed inward
- Lesions that intrude on the normal ridges and lines on the foot’s bottom part
- Black pinpoints that look like tiny seeds, which are clotted blood vessels
- Tenderness or pain when standing or walking
How Do I Prevent Plantar Wart?
To minimize your risk of developing plantar warts, do the following precautions:
- Keep your feet dry and clean.
- Change your socks daily.
- Avoid contact with warts, even your own, and always wash your hands thoroughly after you’re touched a wart.
- Never scratch or pick at warts.
- Don’t walk barefoot in locker rooms and around swimming pools.
- Never use the same nail clipper, pumice stone, or emery board on your wart-free skin that you use on your warts.
When Should I See My Podiatrist?
Visit your podiatrist in our Briargate Parkway or Pikes Peak Ave, Colorado Springs, locations to get your plantar warts examined if:
- Your warts become painful, bleed, or has changed color or appearance
- You have tried wart medications, but your warts recur, multiply, or persist
- Your warts are affecting your daily activities
- You’re not 100% certain whether or not your lesions are plantar warts
- Your feet have reduced sensation
- You’re a diabetic
- You have a compromised immune system due to an immune system disorder like AIDS or are taking immunosuppressants
Need Help With Your Plantar Warts? Call Us
Dial (719) 475-8080 to reach Colorado Foot and Ankle and schedule your appointment with Dr. Eric Gessner, Dr. Bryan Groth, or Dr. Jacob Fassman, in our Pikes Peak Ave or Briargate Parkway, Colorado Springs, locations.
The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.
Arch Pain Causes
If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.
As a result, there are other factors that could also lead to further arch problems including:
- Being overweight or obese
- Plantar fasciitis
- Cavus foot
- Posterior tibial tendon dysfunction
It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.
This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.
This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.
Posterior tibial tendon dysfunction
The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.
If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.
Early April 2020
Update on COVID-19
From the Doctors and staff of Colorado Foot and Ankle
- We are constantly monitoring the status of the COVID-19 virus and its' impact on health care and our ability to safely provide evaluation, management, and treatment to our patients.
- We have remained OPEN and continuously evaluate and update our safety standards.
- We have already readjusted our schedules to ensure that our patients spend a minimal amount of time in our reception area. In addition, we have set up our schedule so that each patient is almost immediately taken from check-in and placed in an examination room. We feel this greatly reduces exposure to you and to others.
- We feel that if you are in pain, or feel that without treatment, you might be in pain, that a visit is essential. We are fortunate as foot and ankle specialists that we can safely execute our jobs at a safe distance from our patients.
- We do not want to see that ingrown painful nail turn into an infection, or that callus or blister, becoming an urgent event that requires hospitalization, as that will increase your risk to COVID-19 exposure.
- We also have split our doctors and staff into two different teams with each team working together, on different days, to minimize risk.
- Our addition of telemedicine has been a huge success with many patients being able to be evaluated, without leaving their home.
- Again, please understand that although we remain open, if you are feeling ill, if you have been traveling recently, or if you feel like you might have signs of the COVID-19 virus (fever, dry cough, sore throat, difficulty breathing), please stay home and consult with your Primary Care Physician.
- We will continue to keep you informed through these email bulletins as things evolve.
WE ARE ALL IN THIS TOGETHER SO BE SMART, STAY SAFE AND STAY HEALTHY.