Human Papilloma Virus, or HPV, is a large family of viruses, with over 150 types, and it is common for individuals to contract at least one type during their lifetime. Symptoms vary depending on the HPV strain, and while approximately 75 percent of HPV types cause common warts, others lead to more serious conditions. Often, HPV shows no symptoms, making some of its effects silent. For instance, plantar warts are a lesser known manifestation of HPV. They develop under the pressure points of the feet, such as the heels or the balls of the feet, and can be identified by their hard, grainy texture. Although they can be painful due to their location, some individuals may not notice them if they are not causing discomfort. It is advisable to examine your feet regularly, checking for any new growths or changes, including warts, as they could indicate an HPV infection. If you find you have a wart on your foot, it is suggested that you make an appointment with a podiatrist to have it examined and treated as necessary.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Various foot conditions can make movement difficult. Chief among them is cracked heels. As one ages, skin becomes thinner and dryer and the skin on the heels can form calluses, or dead skin, and can develop cracks. This often happens because the heels endure a lot of pressure from walking and the skin is dry. Cracked heels can become painful and make walking difficult. If they get bad enough, fissures can develop and the cracks deepen, can bleed, and be a breeding ground for infection. If one has diabetes, peripheral artery disease, or poor circulation, cracked heels can become serious foot wounds that are difficult to heal. Hydration and moisturizing the feet can help with cracked heels, as can wearing socks with cushioned shoes and temporarily cutting down on activities that put pressure on the heels. If you have cracked heels and the condition is causing you discomfort or it is worsening, it is strongly suggested that you make an appointment with a podiatrist who can make sure that is what you are dealing with and provide treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

The majority of people who are affected by gout are men. However, it can also happen to women who are past menopausal age and may result due to a lack of estrogen. Gout is caused by excess uric acid levels in the body, which may increase after a woman reaches menopause. Many people associate gout with eating foods that have high levels of purines. These foods include shellfish, red meat, and drinks containing large amounts of sugar. Gout has been known to be a man’s disease as they had these types of eating habits centuries ago. Over the years, women have kept their gout attacks hidden from society, possibly from fear of being labeled as indulging in excess food and drink. Gout can cause severe pain and discomfort and generally affects the big toe. Uric acid will cause crystals to form in the joints of the big toe, which may result in extreme pain, redness, and swelling. Gout patients require the expertise of a podiatrist, and it is suggested this type of doctor be contacted to provide the correct treatment options for you.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

The entire body changes during pregnancy, and the feet are no exception. Many women notice their feet have grown, which may be attributed to pregnancy hormones the body produces. As the pregnancy progresses, the feet may become swollen, and the arches may flatten as additional weight is gained. Relief may be found when shoes that are worn have a low heel and healthy foods are consumed. It is helpful to refrain from eating salty foods, and frequently elevating the feet may reduce the swelling. Swollen feet may also be a symptom of poor circulation, which may happen from the body recirculating extra fluid that is needed by the growing fetus. It is beneficial to stay as active as possible, drink plenty of water daily, and sleep on the left side. If you have additional questions about how pregnancy can affect the feet, it is suggested that you consult with a podiatrist who can address any concerns you may have.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

A small hardened lump on the outside of the big toe may indicate a bunion has formed. It can grow in size if treatment is not sought, and can cause the other toes to shift toward each other. Bunions form as a result of genetic factors, or they may happen from wearing shoes that do not have adequate room for the toes to move in freely. It is considered to be a deformity and may be painful, often causing difficulty in walking. Some patients notice there is redness and swelling surrounding the bunion, and it may reduce range of motion in the big toe. Relief may be found when the correct size shoes are worn, with enough room for the toes to move in. Additionally, orthotics may be worn which may improve comfort and foot alignment. Corns may form on top of the bunion, where it rubs against the shoe, and wearing a protective pad over the bunion may temporarily provide relief. If you have a bunion, it is suggested that you consult with a podiatrist who can offer you treatment solutions, which may include minor surgery for permanent removal.

If you are suffering from bunions, contact Jim Maxka, DPM of South Penn Foot & Ankle Associates. 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 Hanover, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When you are ready to buy new shoes, it is important to keep function and comfort in mind. Fashion should be secondary. Tips for helping to pick out the right shoes for you include shopping for shoes later in the day as the feet expand as the day wears on, measuring your feet, and trusting your comfort level at the time of trying on the shoes. Well-fitting shoes will not need a break-in period to feel comfortable. Furthermore, bring the foot coverings you plan to wear with the new shoes to the store, make sure there is at least a half-inch between the longest toe and the end of the shoe, and pay attention to the width as well as the length of the shoes. If you have additional questions about purchasing the right shoes for your feet, it is suggested that you consult with a podiatrist who can best direct you.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

People who have foot or ankle pain are typically treated by a podiatrist. These are doctors that specialize in ailments that occur in these parts of the body, and many podiatrists can perform surgery. There are several years of mandatory education required to become a Doctor of Podiatric Medicine, or DPM. This begins with obtaining a bachelor's degree, followed by enrolling in podiatry school. Oftentimes podiatrists obtain a Bachelor of Science degree. Medical school will focus on the feet and ankles, and it is helpful to pursue volunteer work and internships. This is a four-year program, and education continues with a residency program, totaling seven years after obtaining a BS. A residency involves working in a hospital or clinic setting, which must be completed before working independently. If you are interested in pursuing podiatry as a career, please plan to spend some time conferring with this type of doctor who can answer any questions you may have.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to 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.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• Physical therapy
• Drugs
• Orthotic inserts or soles
• Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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.

Flat feet is a condition that is common among babies and not so much among adults. Most babies are born with flat feet and the arch generally develops during the teenage years. Adults who retain this condition may have been born with an abnormal foot structure or possibly endured a foot injury. Some people have pain from having flat feet which can begin in the arch or heel and radiate to the leg. Additionally, shoes can wear unevenly, and the feet may become swollen and stiff. It is easy to notice as the foot lies completely flat on the floor while standing. When custom-made orthotics are worn, the feet may benefit from the cushioning these devices provide. Existing medical conditions may increase the risk of getting flat feet. These can consist of having diabetes or rheumatoid arthritis, in addition to being overweight. If you have flat feet, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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.

People who experience corns are aware of how painful they can be. A corn can develop in several places on the feet, including the pinky toe, the sole of the foot, or between the toes. It is a hardened area of skin that happens in response to pressure that is exerted in a particular place on the foot. They gradually form as a result of excessive friction that generally comes from wearing shoes and socks that do not fit correctly. Corns are divided into three categories, and this is based on where they develop. A soft corn is found between the toes and is named because of the constant moisture that is found in this area. Smaller corns are known as seed corns and are found on the bottom of the foot. They can be painful from the pressure that is exerted on this part of the foot. The top of the toes may produce hard corns and can be equally as painful. If you have a corn on your foot, it is suggested that you speak to a podiatrist who can bring you relief with appropriate treatments. 

If you have any concerns regarding your feet and ankles, contact Jim Maxka, DPM of South Penn Foot & Ankle Associates. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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.