Items filtered by date: July 2023

Peripheral artery disease, or PAD, results from a buildup of fatty deposits in the arteries that restrict blood supply to the lower extremities. As the blood vessels narrow, the feet are unable to receive the normal amount of oxygenated blood that is needed to keep them healthy, and studies show that people over the age of 60 have a significantly increased chance of developing PAD. Men are also more at risk than women. The most common risk factors for developing peripheral artery disease are smoking, excessive alcohol consumption, diabetes, and high cholesterol. Symptoms of peripheral artery disease include loss of hair on extremities, weakness in the legs, brittle toenails, and shiny skin. Certain lifestyle changes can help to reduce the effects of PAD. If left untreated, PAD also can lead to serious or life-threatening conditions, such as heart disease or stroke. If you notice a loss of sensation in the feet or legs, a burning or prickling feeling, or a change of color in the feet or toes, it is suggested that you make an appointment with a podiatrist for an exam and options for treatment. 

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 Jim Maxka, DPM from South Penn Foot & Ankle Associates. 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 our office located in Hanover, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A lateral ankle sprain is considered the most common type of ankle injury. This can happen when the ankle rolls inward and can affect the anterior talofibular and calcaneofibular ligaments. These ligaments are on the outside of the body and may become injured when the ankle moves past its normal range of motion. The common symptoms many people experience with an ankle sprain often include severe pain, swelling, and difficulty moving the ankle. It is beneficial to have a proper diagnosis performed, which consists of having an X-ray taken. This is successful in ruling out a fractured ankle, and treatment can begin for the sprained ankle. The affected ankle can be wrapped in an elastic bandage, and existing swelling may be reduced when the foot is elevated. If you have sprained your ankle, it is suggested that you confer with a podiatrist who can provide you with treatment options that are right for you.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

The available array of running shoes is a positive thing but can be daunting. It is not easy to determine the right pair of running shoes for your feet and your needs. The shoes must fit well and be comfortable. Running shoes have different purposes and are designed to fit the foot of the runner in specific ways. Slight variations can impact one's running experience. Trying them on later in the day, with socks and insoles that will be worn while running, can help ensure a proper fit. Everything above the sole of the running shoe should lay smooth and not bind, chafe, or bunch anywhere. The heel should not slip or irritate the back of the Achilles tendon but should allow for comfortable ankle movement. The way the shoes lace and support the arch should feel secure and allow for the natural doming of the arch while running. The toe box should be wide enough to allow the toes to spread naturally and should not rub against them in any way. The soles of the running shoes should match the running surface and be made of materials that provide traction, stability, and durability, without adding weight or stiffness. The proper shoes should flex or roll in the way the foot moves, be cushioned to personal comfort, and be of a height that feels right and reduces stress on weak parts of the feet. If overpronation is a problem, the shoes purchased should have more stabilization features. If you have questions about the right running shoes for you, it is suggested that you consult with a podiatrist for help in this area.

If you are a runner, wearing the right running shoe is essential. For more information, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

Practicing elderly foot care is one of the most important things seniors can do. The feet are the foundation of the body, and minor changes may gradually develop as the aging process occurs. Many elderly people enjoy getting pedicures, to make sure the toenails are being cut properly. Having regular pedicures also may help to soften the nails, which can make them easier to trim. It is beneficial to inspect the soles of the feet for any cuts that have developed. Many people choose to use a mirror to accomplish this, or to have a family member or caregiver help them. It is beneficial for seniors to wear shoes and socks that are comfortable, and this may help to prevent blisters and painful corns from developing. The feet can feel good when a moisturizer is applied to them, which may help to avoid cracked heels. If you would like to know more about practical elderly foot care tips, it is suggested that you confer with a podiatrist who can provide you with useful information.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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