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6650 Frankford Ave
Philadelphia, PA 19135

January 2021

Monday, 25 January 2021 00:00

Three Considerations for Elderly Foot Care

The elderly are especially vulnerable to foot problems, as they may have difficulty caring for their own feet. If you are a caregiver to an elderly person, you should be aware of proper foot care practices. Examining the feet regularly for wounds, cuts, scrapes, sores, swelling, or discoloration, as well as asking your loved one if they are experiencing any foot pain, is vital for prevention and early detection of potentially serious foot problems. It is also important to help your loved one maintain good hygiene in regards to their feet. This can be accomplished by washing the feet and then thoroughly drying them on a daily basis. Elderly people may be prone to ingrown toenails. To prevent this, it is suggested that you trim the toenails regularly, cutting straight across and keeping the length to approximately the tips of the toes. To learn more about how you can help a loved one care for their feet, please consult with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact John M. Fanelly, DPM from Northeast Philadelphia. 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 Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Taking Care of Elderly Feet

A total ankle replacement surgery is a procedure that can help those who have severe pain in the ankle joint, which is typically caused by arthritis. During the surgery, the surgeon removes the lower part of the shin bone and the top part of the foot bone, and the ankle is replaced with plastic or metal pieces. Following the surgery, you may have to wear a cast, boot, or splint to stabilize the ankle and will likely be unable to bear weight on the ankle for a period of time. You may also experience mild pain and swelling. As with any major surgery, it is important to follow your doctor’s orders to facilitate a full recovery. For information about total ankle replacement, please consult with a podiatrist.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

Read more about Joint Replacement Surgery
Wednesday, 13 January 2021 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!

Monday, 11 January 2021 00:00

What Is the Most Common Cause of Heel Pain?

The most common cause of heel pain centers around an inflamed plantar fascia which is the band of tissue that connects the heel to the toes. This condition is known as plantar fasciitis. Patients may notice that the pain is more severe in the morning after rising, and it is often difficult to walk. Additional causes of heel pain can include stress fractures and Sever’s disease. Obesity may significantly contribute to heel pain as well. Relief may be found when gentle stretches are frequently performed, and the affected foot is rested. If you are suffering from heel pain, it is suggested that you consult with a podiatrist who can effectively diagnose and treat this condition.

Many people suffer from bouts of heel pain. For more information, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Read more about Heel Pain
Monday, 04 January 2021 00:00

Ingrown Toenails 101

An ingrown toenail occurs when the toenail curls and grows into the skin surrounding the nail. Ingrown toenails usually become painful, red and swollen, and if left untreated, they can become infected. Common situations that cause ingrown toenails include wearing tight fitting shoes, improperly cutting the toenails, having sweaty feet, or sustaining a toe injury. If you are struggling with an ingrown toenail, soaking the feet in warm water for 15-20 minutes, 3-4 times a day is recommended. However, if the ingrown toenail persists, it is important to have it checked by a podiatrist in order to prevent an infection. In severe cases, a podiatrist may need to remove the nail via surgery.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenails
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