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6650 Frankford Ave
Philadelphia, PA 19135

November 2022

Tuesday, 29 November 2022 00:00

The Less Common High Ankle Sprain

A high ankle sprain involves the ligaments and shin bones, which are located above the ankle. It is defined as the tearing or stretching of these ligaments, and it can cause severe pain and discomfort. Additionally, ankle stability may be affected from potential damage that can happen to the surrounding tendons and muscles. An ankle sprain can occur as a result of twisting the ankle beyond its normal range of motion, which can happen from unexpectedly stepping off of a curb. People who have endured a high ankle sprain generally feel pain when the foot is flexed upward, such as in climbing the steps. The ankle can feel weak, and walking may be difficult. An X-ray is necessary to help determine if the ankle is sprained or fractured. The squeeze test is also an effective method of detecting a high ankle sprain, which is performed by squeezing the patient’s leg under the knee. If a high ankle sprain is present, it may cause pain to radiate down to the ankle. If you have experienced an ankle sprain, please contact a podiatrist who can begin an effective treatment method.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

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 Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Three Grades of Ankle Sprains
Tuesday, 22 November 2022 00:00

Foods That Cause or Worsen Gout

Gout is a type of inflammatory arthritis that results in swelling and severe pain in joints. It often shows itself in the big toe joint first. This condition comes on from having high uric acid levels in the blood and the formation of crystals in the joints. Uric acid is produced when purines, a naturally occurring substance in the body, are broken down and excess acid is not eliminated. Purines can also be found in certain foods, particularly red meats, seafood, high-sugar beverages, alcohol, and beer. It is important to limit the consumption of these foods if one is prone to gout. If you have pain in the joint of your big toe and you think it might be gout or have no idea what it could be from, see a podiatrist who can make an accurate diagnosis and provide treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact John M. Fanelly, DPM from Northeast Philadelphia. 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 Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Tuesday, 15 November 2022 00:00

Facts About Hammertoes

If you notice that your toe does not lie flat, but instead has formed a peak in the middle, it is likely that you have developed a hammertoe. Although a hammertoe may be congenital, most develop over time. The main culprits in the latter case are arthritis and ill-fitting footwear. A hammertoe develops when the muscles weaken enough to cause an imbalance in the middle joint of the toe. The muscles tighten and the joint pops up, most often in the 2nd, 3rd, and 4th toe. Women are at higher risk of hammertoes, especially if they frequently wear high heels with pointed toes. These shoes can force the feet into a fixed, flexed position. Other causes include a toe that is stubbed, jammed, or broken. A hammertoe can become painful as the raised part of the joint rubs against the inside of a shoe. Proper footwear is the number one way to prevent a hammertoe. Diagnosis of the severity of a hammertoe will determine the treatment options available to you. Please consult with a podiatrist for an examination and an appropriate treatment plan.    

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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 What Are Hammertoes?
Tuesday, 08 November 2022 00:00

Ankle Pain Without Injury

If you experience pain in your ankle and there is no obvious reason for it, you might feel perplexed. Among other things, ankle pain can result from arthritis, an autoimmune condition, fallen arches, or an underlying cause you are unaware of, or does not seem to be connected to the ankle. With osteoarthritis, the cartilage that cushions two bones erodes causing the bones to rub together. With rheumatoid arthritis, the body’s immune system attacks healthy tissue, including the lining of ankle joints. Reactive arthritis is when a bacterial infection in another part of the body triggers an arthritic response in other parts of the body, like the ankle. All types of arthritis can cause the ankle to feel painful, stiff, swollen, or tender. Fallen arches are when the tendons supporting the arches of the feet get damaged and can also cause ankle pain. The best treatment for unexplained ankle pain will be based on its root cause. Do not hesitate to reach out to a podiatrist for a proper diagnosis and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 Ankle Pain
Friday, 04 November 2022 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!

Tuesday, 01 November 2022 00:00

Why Does Pregnancy Cause Foot Pain?

One of the things many pregnant women complain about is foot pain. Foot pain often worsens as the pregnancy progresses, but this is quite common and normal. Swollen ankles are prevalent during pregnancy due to the extra fluid the body carries to support the baby. The blood becomes thicker, and the growing fetus will cause the glands to produce more hormones. The feet endure extra pressure as the mother’s weight increases, so it is suggested to elevate the legs as frequently as possible. This may help provide mild relief from foot pain. The arch may flatten as the feet endure the additional weight, which may put pressure on the plantar fascia. This is the band of tissue that connects the toes to the heels and when it becomes inflamed, plantar fasciitis could result. If you have foot pain and would like to learn more about various relief methods, please consult a podiatrist who can help you during your pregnancy.

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 John M. Fanelly, DPM from Northeast Philadelphia. 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 Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health
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