Tuesday, 30 April 2024 00:00

Vascular Testing of the Feet

Vascular testing of the feet by podiatrists is a critical diagnostic tool in assessing blood flow and circulation, especially in patients with diabetes or peripheral artery disease. Podiatrists employ various techniques to evaluate vascular health, including ankle-brachial index, or ABI measurements, Doppler ultrasound, and toe pressure measurements. ABI compares blood pressure in the ankle to that in the arm, indicating potential arterial blockages. Doppler ultrasound assesses blood flow velocity and direction, identifying narrowing or blockages in arteries. Toe pressure measurements gauge the pressure in the toes, offering insight into distal circulation. Indicators for conducting vascular testing include symptoms like leg pain, wounds that do not heal, or changes in skin color or temperature. Obstacles to performing these tests may include time, limited access to equipment, or patient discomfort. If you notice discomfort in your feet and toes that may indicate a circulation issue, it is strongly suggested that you schedule an appointment with a podiatrist so that if vascular testing is needed, it is done so in a timely manner.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Charles Passet, DPM from Forest Hills. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

 

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Tuesday, 30 April 2024 00:00

Vascular Testing in Podiatry

In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.

Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.

Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.

Plantar fasciitis is a common foot condition characterized by inflammation or degeneration of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. It typically causes stabbing pain near the heel, especially with the first steps in the morning or after long periods of rest. This condition often occurs due to repetitive strain or overuse, leading to micro-tears in the plantar fascia. Estimates suggest that approximately ten percent of the population may experience plantar fasciitis at some point in their lives. Treatment under a podiatrist's care may involve a combination of strategies, including rest, stretching exercises, custom-made orthotic devices, wearing supportive footwear, and in some cases, corticosteroid injections. The approach may vary depending on the severity of symptoms and whether the condition is primarily inflammatory or degenerative. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan that is right for you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Charles Passet, DPM  from Forest Hills. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

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Tuesday, 23 April 2024 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Tuesday, 16 April 2024 00:00

Safeguarding Your Feet and Home

Preventing slips, trips, and falls is essential for avoiding injuries, including those that are foot-related. Falls account for nearly one-third of non-fatal injuries in the United States, highlighting the importance of proactive measures to mitigate risks. In the home, maintaining good housekeeping practices and promptly addressing spills or leaks can significantly reduce the likelihood of accidents. Proper maintenance of flooring and walking surfaces is also essential to prevent slips and trips. Differentiating between slip-resistant footwear for wet or slippery conditions and shoes with proper traction for outdoor activities can further enhance safety. By prioritizing preventive measures, individuals can safeguard against falls and protect their overall well-being. If you have sustained a foot-related injury from a slip, trip, or fall, it is suggested that you schedule an appointment with a podiatrist for treatment. This medical professional can provide valuable guidance on footwear selection and foot care practices to improve stability and reduce the risk of falls, especially for individuals with underlying foot conditions or mobility issues.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Charles Passet, DPM from Forest Hills. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

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Tuesday, 16 April 2024 00:00

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

Tuesday, 09 April 2024 00:00

Minimizing Fall-Related Foot Injuries

When facing a fall with foot injuries, adopting specific techniques can minimize the risk of worsening existing conditions or sustaining further harm. Leaning into the fall can help distribute impact and reduce strain on the feet and ankles. Falling to the side instead of forward or backward can protect the toes from direct trauma. Keeping the knees bent upon impact can absorb shock and prevent excessive strain on the lower limbs. In cases of foot injuries resulting from falls, it is suggested you consult a podiatrist for comprehensive evaluation and treatment. Podiatrists possess specialized knowledge in diagnosing and managing foot and ankle injuries. They can assess the extent of damage, and recommend appropriate interventions such as braces, orthotics, or even surgical procedures if necessary.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Charles Passet, DPM from Forest Hills. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Read more about Falls Prevention
Tuesday, 09 April 2024 00:00

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

Friday, 05 April 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 02 April 2024 00:00

When to Seek Care for Cracked Heels

Cracked heels are a common foot condition characterized by dry, fissured skin around the edges of the heels. Several factors contribute to their development, including prolonged standing, wearing open-back shoes, and dehydration. Certain medical conditions like diabetes and thyroid disorders can also contribute. Lack of moisture and inadequate foot care can exacerbate the problem, leading to discomfort and potential complications, such as infection. To manage cracked heels, it is important to maintain proper foot hygiene and hydration by regularly moisturizing the feet and avoiding harsh soaps. Exfoliating dead skin with a pumice stone or foot file can help smooth rough patches. Wearing supportive footwear and cushioned socks also aids in preventing further damage. If cracked heels persist or become painful, it is suggested that you seek help from a podiatrist. This type of doctor can assess the severity of the condition, provide specialized treatments such as prescription creams or debridement, and offer guidance on preventive measures to promote healing and prevent recurrence.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Charles Passet, DPM from Forest Hills. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

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