My Blog
By Affiliates in Podiatry
June 12, 2020
Category: Foot Care
Tags: Diabetic foot care  
Keep Your Feet Healthy With DiabetesDiabetes is a chronic condition that affects how your body uses and processes blood sugar. One of the main symptoms of diabetes is nerve pain, creating numbness in the hands and feet (peripheral neuropathy). If you have diabetes, it’s important that you regularly see a podiatrist. The nerve damage prevents blood from reaching your feet, making it hard to notice when you have a foot injury. A podiatrist can help treat any injuries and foot conditions while also providing you with preventive care. 
 
Keep Track of Your Levels
Monitoring your blood sugar levels keeps both your feet and body healthy. High levels increase your risk of nerve damage. Besides taking your medication, try following a healthy diet and exercise regimen. Losing excess weight makes your diabetes easier to manage. 
 
Pay Attention to Your Feet
Your podiatrist recommends checking your feet every day for injuries or other issues. Be on the lookout for blisters, cuts, swelling, redness, or nail problems. These indicate a bigger issue at hand. Things like blisters or dry skin put you at risk of infection. If you notice anything out of the ordinary, see your podiatrist right away. 
 
Wear Shoes and Socks Daily
People with diabetes need to protect their feet at all costs. This means that they should never go barefoot. Always wear socks and preferably shoes. Choose cotton or wool socks that aren’t too tight. For shoes, you want a pair that fits properly, is insulated, and protects you from injuries. 
 
Toenail Maintenance
Your podiatrist suggests keeping your toenails trimmed and cleaned when you have diabetes. This prevents dangerous infections from ingrown toenails. When you do cut your nails, do so straight across. Don’t try curbing them or cutting the corners and cuticles. Have a loved one help you with your nails if you can’t reach them yourself. 
 
Washing Your Feet
Be extra cautious when washing your feet. Always wash them with lukewarm water, taking care to dry them carefully after. Use a soft washcloth or sponge to avoid injury. You should moisture them after they are dry, just avoid applying lotion between the toes. 
 
Talk to Your Podiatrist
It’s important to stay in contact with your podiatrist with regular appointments. They work with you to manage your diabetic symptoms in your feet. Remember to practice foot care every day to stay safe. 
By Affiliates in Podiatry
May 28, 2020
Category: Foot Care
Tags: Toenail Fungus  
Onychomycosis is the technical term for toenail fungus. It’s when fungus gets under the nail and causes an infection. You’ll notice that the nail changes color and starts emitting an odor. If left untreated, the infection can spread to the other toes and even the fingers. The best thing to do is to schedule an appointment with your local podiatrist. 
 
What Causes Toenail Fungus?
Your feet are vulnerable to fungi and bacteria due to their location on the body. This is especially true if you go barefoot in damp areas like locker rooms, showers, and swimming pools. Your feet come in direct contact with these pathogens. An injury to the nail bed also opens your body up to infection. Even the smallest cut provides an opening for bacteria. Other possible risk factors include pre-existing medical conditions like immune-deficiency, diabetes, circulatory problems, and other chronic illnesses. 
 
Podiatry Treatment for Toenail Fungus
Schedule an appointment with your podiatrist right away when you notice differences in the appearance of your toenail. This includes any thickening, discoloration, or deformity. Your podiatrist will first need to make a diagnosis before treatment starts. This is done through a simple lab test. 
 
The first line of treatment includes oral and topical antifungal. Topical antifungal medication or cream is applied directly to the nail. Oral antifungal is taken just like regular medication. These are also more effective. You will take the oral antifungal for approximately three months.
 
For severe cases, patients require surgery. That’s why it’s so important to seek treatment from your foot doctor right away. They can help you before it gets to this point. Otherwise, your podiatrist performs a temporary removal of the nail. This gives your doctor space to evenly apply the topical antifungal.  
 
Toenails that don’t respond to any treatment need permanent nail removal. This eliminates the fungal infection while getting rid of the damaged nail.
 
At-Home Solutions for Toenail Fungus
There are a few things you can do at home to help treat your toenail fungus. A strict cleaning regime can relieve mild infections. Patients have found success in filing off the white marks and then applying over-the-counter antifungal agents. These do not stop infections from coming back, which is why we encourage patients to seek treatment from a medical professional.
By Affiliates in Podiatry
May 20, 2020
Category: Foot Issues
Tags: Neuroma   Morton's Neuroma  
Morton's NeuromaA podiatrist can help you with a variety of conditions that affect the feet, including Morton’s neuroma. A neuroma is the thickening of nerve tissue in the body, with Morton's neuroma specifically happening in the ball of the foot. It’s caused by an irritation in the nerve between the third and fourth toes. Patients experience pain while walking, with a burning, tingling, or numbness. 
 
Developing Morton’s Neuroma
 
There isn’t any known cause for Morton’s neuroma. There are a few factors that can increase your risk though. These include: 
  • Trauma or injury to the foot, damaging the nerve and resulting in swelling.
  • Improper footwear, like shoes that squeeze the foot together. High heels also increase pressure on the vulnerable areas.
  • Recurring stress to the feet through repeated physical activities or exercise. This is common with patients who are constantly on their feet due to their job. 
  • Deformities of the foot, like a high arch or flat foot. These lead to instability throughout the foot. 
The most important thing that your podiatrist recommends is wearing comfortable shoes. You don’t want anything that squeezes or hurts. Always wear athletic shoes when engaging in any physical activity. 
 
How to Treat Morton’s Neuroma at Home
 
Start by finding shoes that give your toes lots of room and are easily adjustable. The soles need to be shock-absorbent and thick. This keeps the pressure off the feet. You should also invest in shoe inserts or soles recommended by your podiatrist. Lastly, pay attention to your feet and their pain levels. When your Morton’s neuroma starts to act up, take a minute to rest. Take off your shoe and massage the area. An ice pack brings down the swelling too. 
 
Talking to Your Podiatrist
 
You should schedule an appointment with your podiatrist as soon as you experience foot problems. Morton’s neuroma gets worse without treatment. Identifying the neuroma early on can prevent needing aggressive treatment options like surgery. 
 
For early forms of Morton’s neuroma, changing your shoes is enough to relieve your symptoms. Your podiatrist’s goal for early treatment is to relieve pressure from the affected area. After going through a physical examination and having X-rays done, your podiatrist creates a treatment plan that works for you. 
 
There are a few different options that can work for you:
  • Taping and padding: This is a special type of tape and bandages that you place on the bottom of the foot. This helps with your symptoms. 
  • Orthotics: These are the custom shoes that your podiatrist can create for you. 
  • Medication: Cortisone injections reduce the pain and inflammation in the foot. Anti-inflammatory drugs also reduce your swelling. 
  • Surgery is the last resort for treatment. The procedure is done on an outpatient basis. The injured nerve is removed and recovery takes a few weeks.
By Affiliates in Podiatry
May 07, 2020
Category: Foot Conditions
Tags: Heel Pain  

Protect your feet from heel pain by following these simple, everyday tips.

Heel pain is incredibly common, as most people will deal with this problem at some point during their lifetime. Fortunately, at Affiliates in Podiatry in Concord and Meredith, NH, we're here to help. Read on to learn of some ways to prevent heel pain from occurring to you.

Wear Properly Fitted and Appropriate Shoes

While you may love sporting high heels or whatever shoes are in season, the problem is that many dress shoes don’t provide feet with enough support. It’s important that you are shopping for the right shoes for your chosen sport or profession. For example, nurses and people who are on their feet most of the day need to wear shoes that provide ample cushioning and support. The type of sport you play will also determine the type of athletic footwear you’ll need to wear.

Take time to truly find the right shoes for your lifestyle and activity level. Talk to a shoe specialist at your local shoe store, who can measure your feet and provide you with recommendations.

Consider Custom Orthotics

While finding the right shoes can provide your feet, particularly your heels, with support and cushioning, it’s also important to reduce shock absorption. Whether you are prone to heel pain or not, our Concord, NH, foot doctors can examine your feet and determine whether you could benefit from customized shoe inserts. These inserts are fashioned to your feet providing you with additional support and shock absorption to reduce your risk for plantar fasciitis.

Slowly Amp Up Workouts

If you run or workout, it’s particularly important that you are listening to your feet and not putting them through too much stress and abuse. That’s why it’s important to incorporate new workouts gradually, rather than immediately increasing miles, speed, or intensity. If you suddenly go from running on a treadmill to running outdoor trails, you will need to decrease your mileage until your feet become accustomed to the rocky, uneven terrain.

It’s also important to incorporate rest days into your weekly workout routine, especially if you’re someone who participates in high-impact or high-intensity sports. Cross-training is key to reducing heel pain and injury, so make sure that you are adding low-impact workouts such as swimming or biking into the mix.

Prioritize the Health of Your Feet
 

Our Concord and Meredith Meredith, NH, offices are now opened during the pandemic. The doctors are treating heel pain and providing comprehensive foot and ankle care at this time. Affiliates in Podiatry is also providing telemedicine visits, so patients can still get care from a medical professional without leaving the house. We also offer curbside pickup of supplies and orders. To schedule an appointment or telemedicine visit please call our Concord, NH, office at (603) 225-5281 or our Meredith office at (603) 279-0330

By Affiliates in Podiatry
April 29, 2020
Category: Foot Care
Tags: Shoes   Injuries  
The Right ShoesExercise is an important aspect of keeping our bodies healthy and happy. That’s why it’s so important to wear the correct shoes for certain activities. Whether you’re an athlete, workout buff, or enjoy walking and hiking, you need the proper footwear. It makes the difference between enjoying your favorite activities and sitting out with an avoidable injury. Talk to your podiatrist to have your feet evaluated for your future workout needs.
 
Essential Equipment
All exercise involves your feet, ankles, and knees. Placing pressure on them puts you at risk for strains, sprains, and wear-and-tear injuries. Find shoes made specifically for the activity you engage in while also providing a good fit. They should accommodate your body and activity level. 
 
Pay attention to the wear on your older shoes. The soles show where you need more support in the future. The right shoe also feels good from the start. Don’t believe the sentiment that a shoe needs to be broken in. This is not true and creates ongoing problems. 
 
Matching Your Shoe to Your Sport
Different types of exercise affect your feet in different ways. Your shoes need to support the high-risk areas. 
  • Running requires shoes with shock absorption. Your feet take on a lot of pressure and friction. Cushioning your shoes in the correct areas keeps you from feeling the pain. 
  • Traction is important in sports that need quick changes in direction and sprinting, like basketball. Traction should never be too high or low. The right shoes keep you from slipping on the floor while letting you move and pivot.
  • Ankle support is a must. It limits the side-to-side movement that knocks your ankle out of alignment. This kind of support keeps ankle sprains at bay. For sports like basketball, hockey, skiing, and skating, make sure that your shoes aren’t too high. Otherwise, they will dig into your Achilles tendon. You can also wear soft ankle braces.
  • Arch support varies for everyone. Your podiatrist can test your foot to determine your gait. Depending on the results, your podiatrist can recommend orthotics or special shoe inserts.
Remember to Replace Your Old Shoes
Pay attention to the state of your shoes to understand when to replace them. When the condition starts to decline, especially the arch support and sole, it’s time to go shopping. Start looking for a replacement when they become uncomfortable and wear differently. You don’t have to wear shoes for a long time for them to wear out either. If you are participating in sports or activity on an almost daily basis, your shoes are bound to wear out quickly. 




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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