Podiatry Blog

Posts for category: Foot Care

By Affiliates in Podiatry
December 03, 2021
Category: Foot Care
Tags: Custom Orthotics   Orthotics  
Custom OrthoticsOur feet are often overworked and underappreciated. They do so much for us and yet we often take them for granted unless they start to cause us issues. Whether you’re looking for ways to prevent foot problems from happening in the first place or you’re already dealing with these issues, there are many reasons people are turning to their podiatrist for custom orthotics.

What are orthotics?

Sometimes known as arch support, custom orthotics give people the freedom to stand and move easier and more comfortably. Some people might opt for over-the-counter orthotics because of convenience; however, over-the-counter orthotics are not crafted uniquely to your feet, which often means that they won’t provide the relief you’re looking for from foot pain and other issues, and may even make problems worse. Instead, consider getting custom orthotics that are designed to correct your specific foot problems, ease symptoms, and make it easier for you to get back to your life.

Here are the types of custom orthotics that podiatrists often provide:

Rigid Orthotics

Rigid orthotics are often made from harder materials such as plastic or carbon fiber and are used to control function. They also help to control motion in the joints of the foot. They are most often used with walking shoes or dress shoes as they help with strains, aches and pains in the legs, thighs, and lower back.

Soft Orthotics

Just like the name states, soft orthotics are made out of more cushioned materials so they can act as shock absorbers, help with balance, and relieve pressure. They also cradle the soles of the foot and support everything from the heel and balls of your feet to the toes. Since soft orthotics help to absorb shock, they can be a good option for athletes and those with active lifestyles.

Semi-Rigid Orthotics

Semi-rigid orthotics can also be a great option for sports players as they provide a good balance. As the name implies, semi-rigid orthotics are made with layers of soft material that are backed by a rigid material. While this type is great for avid walkers and the like, semi-rigid orthotics are also prescribed to treat flatfoot and other foot disorders in children. If you’re planning on running a marathon this year and you’re experiencing foot pain, semi-rigid orthotics might help relieve some of the discomforts you’re feeling while training.

Are you interested in custom orthotics? If so, your podiatrist can chat more about orthotics and how they could benefit your feet based on your foot health, age, activities, and lifestyle.
By Affiliates in Podiatry
September 24, 2021
Category: Foot Care
High Blood Pressure and Your FeetWhether you are concerned about high blood pressure or you already have been diagnosed with this chronic condition you may be surprised to hear that it can also impact your feet. After all, your blood pressure affects your circulatory system, which in turn impacts the body as a whole. Since uncontrolled or improperly controlled hypertension can damage blood vessels of the feet, you must have a podiatrist you can turn to to make sure your condition is under control.

What problems does high blood pressure pose?

People with hypertension often deal with plaque buildup in the blood vessels. This is known as atherosclerosis. Plaque buildup also causes a decrease in circulation in the legs and feet. This can also increase your risk for peripheral artery disease (PAD). Over time, this decreased circulation can also lead to ulcers and, in more severe cases, amputation. This is why it’s incredibly important that you have a podiatrist that you turn to regularly for checkups and care if you have been diagnosed with hypertension.

What are the signs of poor circulation in the feet?
 

Wondering if you may already be dealing with poor circulation? Here are some of the telltale signs:

  • Your feet and legs cramp up, especially during physical activity
  • Color changes to the feet
  • Numbness or tingling
  • Temperature changes in your feet
  • Hair loss on the legs or feet
  • Sores
If you are dealing with any of these symptoms you must schedule an appointment with your podiatrist. Simple physical exams and non-invasive tests can be conducted to determine how much loss of circulation is occurring in the feet. Your podiatrist will work with your primary doctor to make sure that your current medication is properly controlling your blood pressure.

By getting your blood pressure under control we can also reduce your risk for developing PAD, heart disease, and other complications associated with hypertension. Some medications can be prescribed by your podiatrist to improve peripheral artery disease. Surgery may also be necessary to remove the blockage or widen the blood vessel to improve blood flow to the legs and feet.

If you are worried about your hypertension and how it may be impacting the health of your feet, there is never a better time to turn to a podiatrist for answers, support, and care.
By Affiliates in Podiatry
August 17, 2021
Category: Foot Care
Tags: Morton’s Neuroma  
Mortons NeuromaAre you experiencing a sharp, burning pain between your toes that gets worse when walking or standing? Do you notice tingling or numbness in the toes, or pain and swelling on the soles of the feet? If so, you could be dealing with a condition known as Morton’s neuroma that causes thickening of the nerves between the toes. If you suspect that you might have Morton’s neuroma, a podiatrist will be the ideal doctor to turn to for treatment.

Are neuromas dangerous?

It’s important not to confuse a neuroma with Morton’s neuroma. A neuroma is a benign growth that develops on the nerves; however, Morton’s neuroma is not a growth; it’s simply inflammation and swelling of the tissue around the nerves that lie between the toes (often between the third and fourth toes).

What causes Morton’s neuroma?

Any kind of intense pressure or compression placed on these toes can lead to inflammation of the tissue around the nerves. Some people are more at risk for developing Morton’s neuroma. Risk factors include:
  • Playing certain sports such as running or tennis, which puts pressure on the balls of the feet
  • Wearing high heels with a heel that’s more than 2 inches tall
  • Wearing narrow shoes or shoes with pointed toes
  • Certain foot conditions such as bunions or hammertoes
  • Flat feet or high arches (or other congenital foot problems)
What are the signs of Morton’s neuroma?

Since this condition involves inflamed tissue, you won’t notice a growth or bump in the area; however, you may simply experience pain that is gradual and minor at first and is alleviated by not wearing shoes. Symptoms often get worse with time and result in:
  • Swelling between the toes
  • A sharp burning pain between the toes that gets worse with activity
  • Tingling or numbness in the foot
  • Feeling like there is a pebble or stone in your shoe (often at the balls of the feet)
  • Pain that’s intensified by standing on your tiptoes or wearing high heels or pointed-toe shoes
How is this foot problem treated?

Most people can alleviate their symptoms through simple lifestyle modifications including:
  • Icing
  • Rest
  • Massaging your feet
  • Shoe pads
  • Custom shoe inserts (that a podiatrist can craft just for you)
  • Supportive footwear that offers shock-absorption
  • Non-steroid anti-inflammatory drugs
  • Steroid injections
  • Local anesthetic injections
Any persistent or severe foot pain or swelling, along with numbness or tingling, should be addressed right away by a podiatrist. There are many conditions, some serious, that can cause a lot of these same symptoms and a podiatrist will be able to provide an immediate and accurate diagnosis for your symptoms.
By Affiliates in Podiatry
August 03, 2021
Category: Foot Care
Tags: Ingrown toenails  

Affiliates in Podiatry in Meredith, NH, or Concord, NH are here to help when you have ingrown toenails. Our podiatrists Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller are skilled in diagnosing and treating every kind of foot ailment. If you are prone to ingrown toenails or have one right now, keep reading for tips on preventing them and come see us.

Ingrown toenails

An ingrown toenail happens when the side of a toenail digs into the skin of the toe. It becomes red, inflamed, and can be very painful. Ingrown toenails can easily become infected and require surgery if left untreated.

Some people inherit the tendency to develop ingrown toenails, but they can happen to anyone. Ingrown toenails most often happen when a toenail has been cut too short, especially against footwear that is too tight.

How to prevent ingrown toenails

The most common cause of ingrown toenails is trimming them too short, so you need to be careful when trimming your toenails. Make sure they are trimmed straight across without rounded edges. When the corners are rounded or they are cut too short, it's easier for the nail to start to grow into the skin.

Comfortable and supportive footwear is another important step to preventing ingrown toenails. This means shoes that support your arch and give your toes room to wiggle. Socks should be fitted but not tight. Tight socks and shoes can encourage or aggravate ingrown toenails.

You can also practice some basic foot care to be extra careful of ingrown toenails. Wearing clean socks and washing your feet every day helps prevent fungal infections which increase the chance of developing ingrown nails. It's best to rotate shoes so they have a chance to completely dry out between wears and keep your feet clean and dry.

When you have ingrown toenails in Meredith, NH, or Concord, NH, come to Affiliates in Podiatry. Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller can help treat and prevent future ingrown toenails. Contact us for an appointment in Concord at (603)-225-5281, and in Meredith at (603)-279-0330.

By Affiliates in Podiatry
July 28, 2021
Category: Foot Care
Tags: Shoes   Footwear  
The Right ShoesWhen was the last time you bought new shoes? When was the last time you threw out shoes that were old and worn out? We often keep shoes long past the point where we should have retired them. Of course, other factors such as our age also play a role in the health of our feet, including our risk factors for developing certain conditions and also our footcare needs. Our feet have different needs and require different care as we get older. Here’s how to choose the appropriate shoes for all stages of life:
 
How Your Feet Change Over the Years

As we age, our feet will change shape and size, which can also predispose them to certain problems. This also means that your foot needs will change, particularly concerning footwear. Here’s how your feet will change:
  • Loss of fat pads
  • Dry, cracked skin
  • The development or worsening of certain deformities such as hammertoes or bunions
  • Widening or lengthening of the feet
  • Loss of bone density (which can increase your risk for fracture)
  • Changes in gait due to certain conditions such as neuropathy or arthritis
  • Diabetic-related foot problems
  • Issues with balance
Everyday Footwear for Aging Feet

You must look for shoes that provide proper cushioning and supportive insoles so that your feet can tackle the day-to-day activities. If you have foot problems or issues with gait, then you’ll want to turn to a podiatrist for an evaluation. Together, you can decide the proper footwear and whether prescription orthotics can also provide your feet with additional support and cushioning that footwear alone can’t.

You should turn to a specialty shoe store where they can analyze your gait, properly measure your feet, and determine whether the shoes you’re getting may require additional modifications including orthotics. For example, some shoes and brands adjust to foot swelling throughout the day, while others provide enough space to place orthotics.
 
There are also certain types of shoes that aging feet should avoid. Those include:
  • Any shoes with pointed toes
  • Shoes with heels over 2 inches
  • Shoes that aren’t non-slip
  • Sandals or flip-flops
  • Shoes that don’t have a firm sole (including your slippers)
  • Old, worn shoes (that simply need to be tossed)
  • Shoes with rocker soles (particularly if you have gait problems)
If you are having trouble finding the right shoes to fit your needs, or if you are interested in learning more about custom orthotics and how it could provide additional support for your feet, turn to your podiatrist today for the care your feet deserve.


Contact Us

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