My Blog
By Affiliates in Podiatry
September 14, 2020
Category: Foot Issues
Common Foot and Ankle Injuries And How a Podiatrist Can HelpFoot and ankle injuries are fairly common and can happen to anyone, not just athletes. While minor strains and sprains can be nursed back to health by simply resting and icing your injury, it’s important to be able to discern when you need to see a podiatrist for care. Put your feet up and check out these signs that it might be time to schedule a podiatry appointment.

You are dealing with persistent heel pain

Heel pain is a common complaint and most often the result of an overuse injury such as plantar fasciitis or Achilles tendonitis. The good news is that heel pain will usually go away on its own with rest and home care; however, if the heel pain is severe or persists for weeks without getting better than it’s time to see a podiatrist and find out what’s going on.

You’re dealing with a sprained or fractured foot

If you are dealing with a new foot and ankle injury that you’ve never experienced before, then it’s a good idea to see a podiatrist who will be able to examine it to determine the extent and severity of the sprain or break. Since untreated or improperly treated injuries can lead to long-term foot and ankle pain and instability, it’s a good idea to get proper podiatry care when you sustain an injury.

You have been diagnosed with diabetes

People with diabetes know that they are also at an increased risk for other foot-related complications including neuropathy, ulcers, and infections. If you have been diagnosed with diabetes it’s a good idea to have a podiatrist that you can turn to for regular care, especially when problems arise. Even if you aren’t experiencing symptoms, you should still see your podiatrist once a year for a routine checkup.

You’re dealing with regular joint pain and stiffness

While there are many reasons why someone may deal with a bout of joint pain, if this is a persistent problem, you may be dealing with arthritis. Since arthritis is progressive, it’s important to diagnose this problem early when medications and treatments can help to slow the progression of joint damage.

If you are experiencing a foot or ankle injury or experiencing symptoms that have you concerned, it’s best to consult foot care professionals for comprehensive podiatry care.
By Affiliates in Podiatry
August 25, 2020
Category: Foot Care
Tags: Orthotics  
OrthoticsA healthy body starts with healthy, happy feet. After all, your feet have to do a lot of heavy lifting, providing your body with a sturdy foundation and support to walk, run, and climb stairs. Of course, many people will deal with biomechanical problems in their feet due to flat feet, high arches, or other structural abnormalities. The good news is that something as simple as custom orthotics can provide your feet with the support they need to both prevent and manage foot and leg pain and other problems.

What are orthotics?

These specialized shoe inserts are a little different from the ones you can find at your local drugstore. Orthotics are special, custom-made shoe inserts designed and fabricated by your podiatrist to specifically fit your foot and its unique needs. There are many reasons why a podiatrist may recommend orthotics.

Sometimes orthotics are used to alleviate symptoms and improve common foot, leg, or even back problems, while other times your podiatrist may recommend them to improve the support and health of your feet to prevent problems in the first place.

Do I need orthotics?

Orthotics is just one way to treat foot and leg problems and your doctor may recommend orthotics if you are dealing with,
Osteoarthritis or rheumatoid arthritis
  • Leg, hip, or back pain
  • Bursitis
  • Flat feet
  • High arches
  • Tendonitis
  • Plantar fasciitis
  • Bunions
  • Diabetes
  • Hammertoes
  • Certain injuries to the foot or ankle
While orthotics are typically not the sole treatment option, your podiatrist may prescribe orthotics along with other treatment options including stretching, pain-relieving medication, ice or heat therapy, and bracing or compression.

Orthotics can help people of all ages and backgrounds, from athletic kids and adults to those who are overweight and seniors. Feet continue to change as we get older, and as aches and pains set in, custom orthotics could be what you need to help make getting around as easy as it once was.

Types of Orthotics

There are many different kinds of materials that can be used to create orthotics. The type of condition you are dealing with will most likely help your podiatrist determine which material to use.

Orthotics range from soft and flexible to hard and rigid. Those with plantar fasciitis or diabetic feet are more likely to benefit from the cushioning and additional support of soft orthotics while athletes and those who often wear dress shoes are more likely to benefit from rigid orthotics.

If you are interested in orthotics and how they could help you, talk with your podiatrist to learn more.
By Affiliates in Podiatry
August 10, 2020
Category: Foot Issues
Tags: Swollen Foot   Swollen Ankle  
Foot and Ankle SwellingThere are many reasons why someone may be dealing with swollen ankles or feet. The most common reason is an injury such as a sprained ankle; however, not all causes are as obvious. If you aren’t dealing with a foot or ankle injury, then you may be wondering what could be causing your swelling. Along with. determining the cause of your swelling it’s also important to recognize warning signs of a potentially serious health problem.

Here are some possible reasons why you may be dealing with foot and ankle swelling,

You’re pregnant

It’s normal for there to be a little bit of swelling in the ankles and feet due to extra fluid and pressure placed on the body from the developing uterus. This is more common for women in their third trimester, especially the weeks leading up to delivery, or during hotter months. However, it’s important to keep an eye on your swelling to make sure it’s not severe or appearing suddenly. If you notice significant swelling of the feet and ankles along with stomach pain, nausea, vomiting or headaches, call your doctor right away, as this could be a sign of high blood pressure (known as preeclampsia).

You have a foot or ankle injury

This is a common reason why people often turn to a podiatrist. Everything from strains to sprained ankles and fractured bones in the foot can lead to sudden swelling after an injury. It’s a good idea to ice the injury to help reduce swelling. If your swelling is accompanied by severe pain or trouble walking on the foot then you should see a podiatrist immediately.

You could have a blood clot

A blood clot in the leg, often known as deep vein thrombosis, can stop blood from flowing through the legs back to the heart. As a result of the blockage, this can lead to swelling in the ankles and the affected leg. Since a blood clot can be particularly dangerous it is important that you seek immediate medical attention if your swelling is accompanied by leg pain, fever, and any color changes in your leg.

You may have heart or kidney disease

It is possible that swelling in your feet or ankles could be warning us of problems with your kidneys, liver, or heart. If you find that your ankles start to swell at night, your body could be retaining both salt and water (a possible sign of heart failure). When kidneys don’t function properly excess fluid can accumulate within the body and lead to swelling. If you notice swelling along with weight gain, loss of appetite, and fatigue then you should talk with your doctor.

These are only some of the reasons why you may be dealing with foot and ankle swelling. Other causes could be,
  • Consuming too much salt
  • Sitting or standing for too long
  • Side effects from certain medications
  • An infection (more common in those with diabetic neuropathy)
  • Weak or damaged veins in the legs
If you are dealing with severe or recurring foot and ankle swelling, it’s important that you see a podiatrist right away to find out what’s going on and to catch potentially dangerous problems as soon as possible.
By Affiliates in Podiatry
August 05, 2020
Category: At-Home Treatment
Tags: Ingrown toenails  

Ingrown toenails can cause extensive discomfort and pain. Without treatment, an infection can develop and lead to further problems. Fortunately, several methods are available for treating ingrown toenails, many of which can be performed at home. The skilled podiatry team at Affiliates in Podiatry in Concord and Meredith NH can recommend specific ingrown toenail treatments that you can do at home.

Causes of Ingrown Toenails

An ingrown toenail occurs when the nail grows too close to the skin and presses against it. The pressure of the toenail squeezing against the skin can cause swelling, redness, and discomfort. It is more common for ingrown toenails to develop on the big toes rather than the smaller ones. Some common causes of ingrown toenails include:

  • Curving or angling the nails rather than trimming them straight across
  • Trimming the toenails too short or too close to the skin
  • Wearing shoes or socks that are too tight
  • A fungal infection on the toes or feet
  • An injury to the toes or feet

At-Home Treatments

There are several ways to treat Concord ingrown toenails at home. Some steps you can take to ease the discomfort of an ingrown toenail, prevent an infection from developing, or treat the ingrown nail include:

  • Taking over-the-counter pain relievers for pain or discomfort
  • Applying anti-fungal or antibiotic ointment to prevent infection
  • Soaking the feet in warm water several times a day to soften the nail so it can be trimmed away from the skin
  • Massaging the toenail while soaking in water to reduce inflammation
  • Placing cotton or waxed dental floss beneath the ingrown nail after soaking to help the nail grow above the skin
  • Wearing sandals or loose-fitting socks and shoes until the nail heals

At-home treatments can provide relief from the pain and discomfort of an ingrown toenail. However, if pain and inflammation persist even after implementing at-home remedies, see one of the skilled podiatrists at our office in Concord and Meredith NH. Various treatments for ingrown toenails can be discussed.

Preventing Ingrown Toenails

There are some steps you can take to prevent ingrown toenails from developing. One of the best ways to prevent them is to trim the nails straight across. Giving toenails a rounded edge when trimming can cause them to grow too close to the skin on the sides of the toes. It is also best not to trim nails too short. When they are cut too close to the skin at the tops of the toes, the nails are more likely to grow back too close.

Wearing socks and shoes that fit properly and are not too tight is another easy way to prevent ingrown nails. Narrow or tight-fitting footwear can put pressure on the toes and cause the nails to become ingrown. Finally, since fungal infections can cause ingrown nails to develop, keeping the toes and feet clean and dry can prevent Concord ingrown toenails by reducing the risk of infection.

At-home treatments are quite effective in providing relief from the inflammation, pain, and discomfort associated with ingrown toenails. Professional treatments are also available when at-home remedies have not fully resolved the problem. For help treating and preventing ingrown toenails, call Affiliates in Podiatry in Concord NH at (603) 225-5281. Appointments are also available at our office in Meredith NH by calling (603) 279-0330.

By Affiliates in Podiatry
July 24, 2020
Category: Foot Conditions
Tags: Hammertoe   Footwear  
HammertoesWhile tight, cramped shoes and those towering high heels may not immediately show you the damage that’s being done to your feet, over time you will certainly notice changes in the structure and function of your feet. Along with bunions, a common foot deformity, hammertoes are another deformity that causes the toes to bend downward at the middle joint. If the problem isn’t corrected, this simple and rather uncomfortable deformity can become severe. Here’s how to determine whether you may have hammertoes and what you can do about it now to prevent it from getting worse.

Wear Appropriate Footwear
You need to make sure that any shoes you wear properly fit your feet. While this might sound silly, many people are guilty of wearing shoes that are too narrow and put too much pressure on the toes. Look for shoes with a wide toe box that allows your feet enough room to wiggle freely. If your toes are bunched up in any of the shoes you have (particularly high heels or shoes with pointed toes) then you will want to avoid these types of shoes whenever possible.

Consider Shoe Inserts
While it’s important to find shoes that cushion and support your foot structure, sometimes people with hammertoes, bunions, and other foot problems that can cause pain can benefit from prescription shoe inserts (also known as orthotics). Orthotics can be crafted to fit the shape of your feet and also to address the issues you’re having (aka alleviating pressure on the toes when standing or walking).

Apply Protective Padding
A hammertoe causes the toe to bend down like a claw. This means that the toe’s joint is sticking out. As you may already know, this causes shoes to rub against the joint, causing a callus to develop. One way to prevent this from happening is to apply a non-medicated pad over the toe joint before putting on shoes.

Practice Pain Management
If your hammertoe starts to ache or hurt, you may want to apply ice to the area throughout the day to help alleviate pain and swelling. If the pain is intense or persistent then you may want to consider taking a nonsteroidal anti-inflammatory medication such as ibuprofen, which can help with both pain and swelling; however, if your symptoms are severe, you must see a podiatrist about your hammertoe.

Do I need surgery for a hammertoe?
If the hammertoe is flexible (meaning that you can straighten the toe out) then you won’t need surgery; however, if the hammertoe becomes rigid and causes pain and problems with mobility then surgery is recommended.

If you are dealing with hammertoes or other foot problems, you must have a podiatrist that you can turn to for regular and immediate care.




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IF THIS IS AN URGENT REQUEST PLEASE CONTACT OUR OFFICE AT 603-225-5218. IF THIS IS A TRUE EMERGENCY PLEASE CONTACT 911.

Affiliates in Podiatry, PC

(603) 225-5281
248 Pleasant Street Suite 203 Concord, NH 03301

(603) 279-0330
169 Daniel Webster Highway Meredith, NH 03253
 
169 Daniel Webster Highway Meredith, NH 03253