The doctors at CKPA offer the following advice to those who insist on wearing sky high heels. We suggest not wearing heels that are higher than 2 inches. It’s very difficult, not only on the foot, but the knees and low back. The way the shoes put pressure on the front part on your feet, it applies compression on your toes and irritation to the nerves in the toes.
The bones in the ball of the feet, called sesamoids, can be damaged or broken. Constant pressure on the feet can result in thickening of tissues around the nerves of the toes, called Morton’s Neuroma, causing pain, stinging or numbness in the toes.
Monday, April 19, 2010
Thursday, March 11, 2010
Comprehensive Diabetic Foot Exam
The American Diabetes Association's "2010 Standards of Medical Care in Diabetes" statement on diabetic foot care and the newly established Physician Quality Reporting Initative (PQRI) for the treatment of feet of patients with diabetes now requires an annual comprehensive diabetic foot examination to assess all lower extremity risk factors. We are requesting all of our patients with diabetes to schedule a Comprehensive Diabetic Foot Exam (CDFE) appointment if you have not already done so. This appointment should only take about 15 minutes of your time and will allow us to perform the necessary testing and examination to meet this new requirement. The exam may include the treatment of your nails, calluses, or corns.
THANK YOU Father H and Setter Foundation...
Your VERY GENEROUS $1000 donation has helped start CKPA Sock Tree 2010 on its way!! We are able to purchase several hundred pairs of brand new socks for all ages. We are asking everyone that has brand new socks that you may have laying around, or got for your Birthday, Christmas or just because to please donate them to CKPA Sock Tree 2010. Please donate them to US because we have many people right here in Wichita who need these socks. Our goal is 5000 pairs of socks to accompany every pair of shoes we give to charity. Come by and hang your BRAND NEW SOCKS on CKPA Sock Tree. We have decided to start 2010 on the right foot and what better way then with socks. All you have to do is bring us your new socks to our office at 933 N. Topeka. You can pick where you would like to hang the socks or we can do it for you. We welcome single pairs of socks and bulk packages. The socks can be your choice of style, color and age group but please just bring those brand new socks to us.
Monday, March 8, 2010
Mildred discusses Kansas Podiatrist Dr. Weaver's Diabetic Foot Care
Mildred has had lots of foot problems due to diabetes. She wanted you to know how great Dr. Ben Weaver's care has been. Take a look!
Monday, March 1, 2010
Foot Pain.…Make it STOP!!
Patients often ask, “How much pain will I have after surgery?” This is a very difficult question to answer because everyone experiences pain differently. This also makes testing someone for pain difficult. Everyone experiences pain at different levels and have different thresholds for tolerating pain. Pain is often difficult to locate. When our bodies experience a pain, it sends the signal through our brain through nerve fibers. Small nerve fibers called delta fibers send 90% of the pain signals to the brain to specific locations in the cortex of the brain. Testing these fibers shows us where the pain is coming from. Small nerve fiber testing is a painless test that can show where the pain is coming from in about 20 minutes. An EMG tests for nerve damage. Pain occurs before the nerve is damaged. By testing the small nerve fibers, it locates accurately with 95% sensitivity where the pain is before there is permanent damage. This leads to earlier and more effective treatment. If you are experiencing pain that is not responding to traditional treatment, consult with your physician to see if you are a candidate for small nerve fiber testing.
The Superbowl is Over. Your Next Stop…Podiatrist!
Now that you have seen the Superbowl, eaten chips, hot wings, pepperoni and cheese platter, where are you going now? To the podiatrist!!!
Some people, more often men, will experience terrible pain after a rich and high protein diet. This diet can consist of shellfish, oily fish, beef, pork, organ meats, cheese, and alcohol. The pain is usually in the big toe joint but it can be present throughout the lower extremity. This is a condition known as gout.
Gout is a systemic condition that patients will acquire after eating a rich diet consisting of proteins. Alcohol can precipitate a gouty attack. Even some medications can cause this painful condition.
This condition is cause by an elevation of uric acid, which is a by-product of protein breakdown. This “by-product” can precipitate in cold joints like the big toe joint, ankles, knees, elbows, and ear lobes. It analogous to pouring sugar into cold water and the sugar does not dissolve. Well, the uric acids are crystals that can invade the big toe joint and the body will react to it like a foreign body. By the same token, the joint will become very hot and swollen. Also, it will become very painful to the point that bed sheets cannot be tolerated.
The patient usually presents in the office with a severe limp and pain. Upon examination, the toe joint cannot be touched. Some patients will say they injured it with no recollection of trauma. Also, some will say it is an infection. An x-ray is taken to make sure there is no trauma or infection.
Treatments for this condition are oral and injectible steroids, aspiration of the joint fluid for lab analysis for gout. In addition, blood work is a good diagnostic indicator for uric acid levels; however, this should be done within the first 24 hours of the attack. Oral medications are used for the acute gouty attack and anti-inflammatory or pain medications. Recommendations are for follow-up with the primary care doctor for medications to prevent reoccurrence.
Elevated uric acid levels do not cause gout but can initiate the processes. Many patients will go untreated and this is bad. The crystals can cause “tophi” which are crystals that will present beneath the skin like a cheesy substance and this can present everywhere. Also, gout can cause kidney stones and cause damage. Gout should be addressed by a podiatrist for acute symptoms and the family doctor for systemic symptoms. The systemic symptoms can be genetic where the factor or enzyme that breaks the uric acid down may be missing.
So, if you get that severe pain after that seafood, beefy treat and then washing it all down with a cold brewski, chances are it is GOUT.
Now that you have seen the Superbowl, eaten chips, hot wings, pepperoni and cheese platter, where are you going now? To the podiatrist!!!
Some people, more often men, will experience terrible pain after a rich and high protein diet. This diet can consist of shellfish, oily fish, beef, pork, organ meats, cheese, and alcohol. The pain is usually in the big toe joint but it can be present throughout the lower extremity. This is a condition known as gout.
Gout is a systemic condition that patients will acquire after eating a rich diet consisting of proteins. Alcohol can precipitate a gouty attack. Even some medications can cause this painful condition.
This condition is cause by an elevation of uric acid, which is a by-product of protein breakdown. This “by-product” can precipitate in cold joints like the big toe joint, ankles, knees, elbows, and ear lobes. It analogous to pouring sugar into cold water and the sugar does not dissolve. Well, the uric acids are crystals that can invade the big toe joint and the body will react to it like a foreign body. By the same token, the joint will become very hot and swollen. Also, it will become very painful to the point that bed sheets cannot be tolerated.
The patient usually presents in the office with a severe limp and pain. Upon examination, the toe joint cannot be touched. Some patients will say they injured it with no recollection of trauma. Also, some will say it is an infection. An x-ray is taken to make sure there is no trauma or infection.
Treatments for this condition are oral and injectible steroids, aspiration of the joint fluid for lab analysis for gout. In addition, blood work is a good diagnostic indicator for uric acid levels; however, this should be done within the first 24 hours of the attack. Oral medications are used for the acute gouty attack and anti-inflammatory or pain medications. Recommendations are for follow-up with the primary care doctor for medications to prevent reoccurrence.
Elevated uric acid levels do not cause gout but can initiate the processes. Many patients will go untreated and this is bad. The crystals can cause “tophi” which are crystals that will present beneath the skin like a cheesy substance and this can present everywhere. Also, gout can cause kidney stones and cause damage. Gout should be addressed by a podiatrist for acute symptoms and the family doctor for systemic symptoms. The systemic symptoms can be genetic where the factor or enzyme that breaks the uric acid down may be missing.
So, if you get that severe pain after that seafood, beefy treat and then washing it all down with a cold brewski, chances are it is GOUT.
Tuesday, February 9, 2010
Dwight Freeney was sent out to play in the Super Bowl with a ankle ligament rupture/sprain.
The question asked is how good will he be in his performance at the Super Bowl? Ankle sprains are a common injury for many athletes who participate in sports that require a lot of running or jumping. Simply engaging yourself in physical activities can cause injury. An injury such as an ankle sprain can be caused by an underlying medical conditions, poor weight distribution, weak or over used muscles, and/or the wrong footwear
Many professional athletes play with sprains and strains because it is part of the "job" that they live for, but it may be doing more damage than they realize. How do you know when enough is enough? For example the Indianapolis Colts, defensive end, Dwight Freeney, missed two consecutive practices before Sunday's big game with a sprained right ankle. Coach Jim Caldwell said Freeney was “coming along” in his recovery. Team president Bill Polian had stated Freeney would play in the Super Bowl. Freeney sprained his right ankle late in the AFC championship game against the New York Jets. It is important for Freeney to be 100% because he will be counted on to try to slow Drew Brees and the lethal New Orleans attack.
It goes to show even if we are in great shape, one awkward step can cause a nasty ankle sprain. The healing process after an ankle sprain happens immediately. Swelling is usually one of the first symptoms noticed along with pain. Swelling or inflammation is your body’s reaction to the injury to help bring nutrients to the area to speed the healing process. RICE (rest, ice, compression, elevation) is the term used to treat sprains for acute injuries. It is also important to strengthen the ankle muscles to prevent from further sprains during the rehabilitative process. Avoiding constant re-injury is critical. Obviously, it delays the healing process, but even worse, every re-injury and additional healing cycle means increased scar tissue build-up in the soft tissue.
Scar tissue is hard, inflexible, and tough to get rid of. As scar tissue develops, you lose the range of motion for that ankle/foot. Also, the more scar tissue, the more likely you will suffer from chronic pain or arthritis later on. Scar tissue means that your ankle does not perform as well as it once did and it makes it prone to injury again and again. If you have an injured ankle, it’s very important to heal it quickly and completely. Incomplete healing means it may curse you forever.
If you experience any type of ankle/foot pain, don't wait to call us because you are only slowing down your foot from getting back to normal healthy activity. You should always seek medical assistance as soon as possible to prevent further damage from occurring. Here at CKPA we specialize in the foot and ankle so call us and we will get you in right away.
The question asked is how good will he be in his performance at the Super Bowl? Ankle sprains are a common injury for many athletes who participate in sports that require a lot of running or jumping. Simply engaging yourself in physical activities can cause injury. An injury such as an ankle sprain can be caused by an underlying medical conditions, poor weight distribution, weak or over used muscles, and/or the wrong footwear
Many professional athletes play with sprains and strains because it is part of the "job" that they live for, but it may be doing more damage than they realize. How do you know when enough is enough? For example the Indianapolis Colts, defensive end, Dwight Freeney, missed two consecutive practices before Sunday's big game with a sprained right ankle. Coach Jim Caldwell said Freeney was “coming along” in his recovery. Team president Bill Polian had stated Freeney would play in the Super Bowl. Freeney sprained his right ankle late in the AFC championship game against the New York Jets. It is important for Freeney to be 100% because he will be counted on to try to slow Drew Brees and the lethal New Orleans attack.
It goes to show even if we are in great shape, one awkward step can cause a nasty ankle sprain. The healing process after an ankle sprain happens immediately. Swelling is usually one of the first symptoms noticed along with pain. Swelling or inflammation is your body’s reaction to the injury to help bring nutrients to the area to speed the healing process. RICE (rest, ice, compression, elevation) is the term used to treat sprains for acute injuries. It is also important to strengthen the ankle muscles to prevent from further sprains during the rehabilitative process. Avoiding constant re-injury is critical. Obviously, it delays the healing process, but even worse, every re-injury and additional healing cycle means increased scar tissue build-up in the soft tissue.
Scar tissue is hard, inflexible, and tough to get rid of. As scar tissue develops, you lose the range of motion for that ankle/foot. Also, the more scar tissue, the more likely you will suffer from chronic pain or arthritis later on. Scar tissue means that your ankle does not perform as well as it once did and it makes it prone to injury again and again. If you have an injured ankle, it’s very important to heal it quickly and completely. Incomplete healing means it may curse you forever.
If you experience any type of ankle/foot pain, don't wait to call us because you are only slowing down your foot from getting back to normal healthy activity. You should always seek medical assistance as soon as possible to prevent further damage from occurring. Here at CKPA we specialize in the foot and ankle so call us and we will get you in right away.
Subscribe to:
Posts (Atom)
