Ankle sprains are a common injury that can interfere with daily tasks and impede
physical abilities. Whether resulting from a misstep on uneven terrain or sports-related
activities, it is essential to see an expert foot doctor in a timely manner to start the
treatment, rehabilitation process. One of the items used by foot doctors to treat the
recurrent ankle sprain are the foot braces, also referred to as ankle braces. These
devices are crucial in stabilizing the injured ankle, relieving discomfort, and warding off
additional injury of the tendons, ligaments. In this article, we will examine the
advantages of foot braces for ankle sprains and examine various types of braces to
assist you in the recovery process.

The Role of Foot Braces in Ankle Sprain Recovery

Ankle sprains occur when the ligaments surrounding the ankle joint are stretched or
torn. The severity of these injuries can range from mild to severe, and often cause pain,
swelling, and limited movement. Foot braces offer a valuable method of support and
safeguarding, facilitating the healing process and aiding in a quicker recovery.

Benefits of Foot Braces:

1. Stability and Support: Foot braces provide the essential stability needed for injured
   ankle. By restricting excessive motion and offering external support, these braces aid in
   preventing additional tension on the recovering ligaments.
2. Reduced Swelling: Foot braces often use compression elements to assist in reducing
   swelling and inflammation. This compression facilitates improved blood flow, reducing
   swelling in the affected area.
3. Pain Relief:Foot braces apply a gentle force that can relieve pain by decreasing
   discomfort associated with movement. Furthermore, specific braces may contain added
   padding or gel inserts to provide cushioning, ensuring a more pleasant and comfortable
   sensation.
4. Early Mobility:Braces facilitate regulated motion, which is crucial for avoiding rigidity
   and preserving joint flexibility. This regulated mobility aids in the gradual resumption of
   normal activities.
   Types of Foot Braces for Ankle Sprains:
5. Basic Ankle Brace: These braces are perfect for mild sprains or as a preventive
   measure during physical activities. They are comfortable to wear, providing a moderate
   level of compression and stability.
6. Stirrup Ankle Brace: This brace, with its figure-eight design, offers improved ankle
   support on both sides. It can be tightened for a snug fit and is appropriate for mild
   sprains.
7. Lace-Up Ankle Brace: These braces provide a lot of support and look like regular
   shoe laces. They can be adjusted to the tightness you prefer and are suitable for
   moderate to severe sprains.
8. Hinged Ankle Brace: These braces, which are advised for severe sprains, have
   hinged sides that allow for controlled movement. This movement speeds up healing and
   avoids overextension.
9. Air Cast Ankle Brace: You may customize the amount of support and compression
   with this brace based on preferences and comfort thanks to its inflatable air chambers.
   Flexibility and stability are balanced for maximum effect.
10. Compression Sleeve: Simpler still, compression sleeves offer fundamental support
    and compression. They are particularly helpful in controlling swelling in the early phases
    of recovery.

Ankle braces are an important part of the rehabilitation process. These braces play a
critical role in accelerating the healing of the tendons, tigaments by offering stability and
support, as well as helping to relieve pain and inhibit swelling. But keep in mind that
wearing foot braces should be a part of an all-encompassing strategy that also includes
expert advice, rest, appropriate rehabilitation exercises, and medical evaluation. For
advice on the best foot brace for ankle sprain and to guarantee a quick and safe
recovery, call us at 562-399-5252 to learn how we could help you,

For people with a variety of foot conditions, over-the-counter (OTC) orthotics have proven to be effective treatments. Utilizing these ready-made shoe inserts to treat arch pain, plantar fasciitis, and flat feet is practical and economical. OTC orthotics have become more popular because of their accessibility and potential advantages, even though custom orthotics continue to be the gold standard for personalized support. In this article, we delve into the world of over-the-counter orthotics and examine their benefits.

Understanding OTC Orthotics

The ready-made shoe inserts called over-the-counter orthotics are intended to cushion, support, and align the feet. OTC orthotics are available over-the-counter (OTC) and can be purchased from a variety of retail locations, including drugstores, shoe stores, and online marketplaces. In contrast to custom orthotics, which are custom-made based on a person's unique foot anatomy, OTC orthotics are not dependent on a prescription. To accommodate various foot types and conditions, they are available in a variety of sizes, styles, and materials.

Advantages of OTC Orthotics

1. Accessibility and affordability: These are two of the main benefits of over-the-counter orthotics. Without a prescription or a doctor's appointment, customers can easily find a range of options at nearby shops or online. Additionally, OTC orthotics are often less expensive than custom orthotics, making them a desirable option for people looking for economical solutions.
2. Immediate Relief: OTC orthotics offer a quick and practical way to relieve discomfort brought on by typical foot conditions. They can be bought easily, allowing customers to get relief without having to wait for specially made products.
3. General Support: Many over-the-counter orthotics offer all-around cushioning and arch support, which can be beneficial for people with mild to moderate foot discomfort. These inserts can help pressure to be distributed more evenly across the feet by reducing stress on specific areas and improving overall comfort.
4. Variety of Options: OTC orthotics are available in a wide variety of styles, materials, and designs to accommodate various foot conditions and shapes. Customers can select the inserts that best suit their needs and preferences thanks to the variety.
5. Temporary Solutions: Orthotics sold over-the-counter can act as short-term relief for people who occasionally experience foot pain or discomfort. When there aren't many options for custom orthotics or during periods of increased activity, they can offer relief.

At ankle & Foot Care Center, we are experts at prescribing and recommending over-the-counter inserts that are efficient, reasonably priced, and long-lasting for our patients. So call 562-299-5252 right away to schedule an appointment.

Flatfoot, medically known as pes planus, is a common condition in which the arch of the foot collapses, causing the entire sole of the foot to come into contact with the ground. A patient could be born with this condition or may acquire it later in life due to various factors like injuries, or improper biomechanics. While some individuals with flatfoot may remain asymptomatic, others may experience pain, discomfort, and limitations in their daily activities. Flatfoot conditions affect both young and elderly alike as it is a common complaint among patients at our office. To allow patients to walk with stability, we outline the importance of the use of custom orthotics, which offers excellent solutions to this condition.. This article delves into the significance of custom orthotics for flat feet, exploring their role in enhancing mobility, comfort, and overall long-term health.

What causes flatfoot?

Flatfoot occurs when the natural arch of the foot fails to form or collapses. This leads to the entire foot touching the ground when standing or walking. Musculoskeletal issues can result from improper weight distribution and alignment. It is possible to experience flatfoot symptoms in the feet, ankles, knees, and lower back. The condition may worsen over time, leading to chronic pain and reduced quality of life.

What is the Role of Orthotics?

Orthotics are specialized shoe inserts or devices designed to provide support, alignment, and correction for various foot conditions. For those with flat feet, custom orthotics offer significant advantages over off-the-shelf orthotics found in drugstores and sports stores. Custom orthotics are specifically tailored to an individual's unique foot structure, taking into account their specific needs, gait pattern, and any existing biomechanical issues. As a result, they provide flatfoot-related problems with a more customized and precise solution.

What are some Advantages of Custom Orthotics for Flatfoot?

1. Enhanced Foot Arch Support

In order to provide adequate arch support for flatfooted individuals, custom orthotics are necessary. By creating a proper arch in the foot, these devices help distribute the body's weight more evenly across the foot's surface during movement. Consequently, the pressure on certain areas of the foot is reduced, which alleviates discomfort and improves the function of the feet as a whole.

2. Improved Foot Alignment

An ideal foot alignment can be achieved with custom orthotics. Misalignment in the flatfoot can result in overpronation (excessive inward foot rolling) or supination (insufficient inward foot rolling). Both of these conditions can put stress on the muscles and ligaments, which can result in discomfort and instability. Custom orthotics take care of these problems, reestablishing natural alignment and lowering the risk of injuries.

3. Alleviation of Pain and Discomfort

Because of the uneven pressure distribution caused by flatfoot, the feet, ankles, and lower limbs may experience pain and discomfort. To realign the foot and lessen excessive stress on particular areas, custom orthotics are used. This helps to lessen pain and improve mobility. With custom orthotics, people who experience pain from flatfeet can frequently experience significant relief.

4. Improved Mobility and Function

Custom orthotics can improve mobility and functional capacities by addressing biomechanical imbalances. Activities that require prolonged standing, walking, or running can be difficult for people with flat feet. These tasks are more comfortable and effective with the support that custom orthotics offer.

5. Prevention of Further Complications

Secondary complications like plantar fasciitis, shin splints, and knee pain can result from untreated flatfoot. By addressing the underlying cause of flatfoot and encouraging better foot mechanics, custom orthotics can aid in preventing these problems.

6. Customizable and Tailored to Individual Needs

Based on a person's foot impressions, measurements, and gait analysis, custom orthotics are made. Due to the perfect fit and individualized attention provided by this level of customization, orthotics are most effective at treating flatfoot.

Conclusion

Flatfoot is a condition that can greatly affect a person's ability to move and their overall quality of life. Custom orthotics are a valuable and effective solution for individuals with flatfoot, providing better arch support, improved foot alignment, pain relief, increased mobility, and the prevention of additional complications. If you experience flatfoot or similar symptoms, it is advisable to seek guidance from a podiatrist or orthopedic specialist to learn about the advantages of custom orthotics designed specifically for your foot structure. Embrace the benefits of personalized orthotic support to promote long-term foot health, comfort, and enhanced well-being.

Heel pain is a common condition that can cause significant discomfort and impede mobility.
Various issues such as plantar fasciitis, Achilles tendonitis, heel spurs, or general foot strain can
cause it. Fortunately, orthotics and custom-made shoe inserts are medical devices based on a
patient's foot impression and have proven to be an effective solution for managing and treating
heel pain. This article will explore some characteristics of custom orthotics aiming to improve
heel pain.

1. Proper Support and Stability:

Orthotics are an excellent solution for heel pain, offering foot support and stability. They are
designed to cradle the arches of the feet, helping to promote proper alignment of the foot and
ankle. This helps to distribute pressure evenly across the entire foot, reducing strain. By
supporting a correct posture, orthotics also reduces the risk of further injury or discomfort.

2. Correction of Abnormal Foot Mechanics:

Abnormal foot mechanics can lead to much pain and discomfort for those affected.
Overpronation, which is an excessive inward rolling of the foot, and supination, which is
insufficient inward rolling, are two examples of these abnormal foot mechanics. To correct these
issues, orthotics play a crucial role. Orthotics support the heel and surrounding tissues, reducing
the foot's stress. This helps to alleviate pain and discomfort caused by the abnormal foot
mechanics.

3. Reduction of Pressure and Strain on the Heel:

Orthotics are designed to reduce pressure on the heel, allowing for optimal pain management
and healing of soft tissue inflammation. The cushioning effect of orthotic inserts absorbs shock.
It minimizes the impact on the heel during activities such as walking, running, or standing for
extended periods. Two examples that come to my mind are using a deeper heel cup on custom
orthotics. This will lead to improved cushioning. This is better for patients on their feet for an
extended period. Another example of pressure relieving mechanisms we could use on custom
orthotics is offloading or relieving pressure from a sore spot, i.e., around the heel spur, painful
lesion, callus, or hardened area that causes discomfort. The unloading mechanism helps to
relieve pain and pressure-related thickening of the skin.

4. Enhanced Shock Absorption:

Heel pain can be aggravated by the repetitive impact experienced during daily activities.
Orthotics offer excellent shock absorption properties, reducing the forces transmitted to the
heels with each step. This feature is particularly beneficial for individuals engaged in high-
impact sports or occupations that involve prolonged standing or walking. By attenuating the
shock, orthotics provide a cushioning effect that minimizes discomfort, allowing individuals to
stay active and mobile without exacerbating their heel pain.

5. Improved Biomechanics and Foot Function:

Orthotics alleviate heel pain and improve overall biomechanics and foot function. The proper
alignment and support provided by orthotic inserts optimize the distribution of weight and
pressure throughout the foot, reducing excessive stress on the heels. This promotes a more
natural gait, enhances stability, and prevents the development of compensatory movement
patterns that can lead to further foot problems. By improving foot mechanics, orthotics help
restore proper function and prevent future heel pain.

6. Customization for Individual Needs:

One of the significant advantages of orthotics is the ability of the doctor to customize them
based on the patient. Each person's foot structure and mechanics are unique, and off-the-shelf
inserts may not adequately address these individual factors. For example, recently, I had a 31-
year-old patient, who is active, present to the clinic with heel pain. She weighs 125 pounds.
Upon examining and evaluating her, I noted that she is also flat-footed upon standing. She also
has pain in the heel area. I have decided to look at her feet. I have decided to pick a few items
for her custom device. For example, I have chosen to use the top cover made of poron, known
to withstand high compression and repeated use. I also would like a deep heel cup so she gets
support around the heel area as a schoolteacher. The patient's weight is essential to consider
because it will help me pick the material for the shell. If a patient is heavy, I will pick a shell
made of graphite. This would be semi-rigid, making it ideal for the patient. If the patient is not so
heavy, I will opt for semi-flexible shell material. The patient will not have an issue tolerating such
material. I would also have the lab apply a medial arch for support. She does not have an arch
when weight-bearing.

7. Versatility and Compatibility:

A custom insert could be swapped and used on other shoes when a patient gets a custom
insert. They should fit any closed-toed tennis shoes without any difficulty. Some patients may
opt for more pairs if swapping them for different shoes are cumbersome.

Conclusion:

Orthotics have proven to be valuable in managing and relieving heel pain. With their ability to
provide proper support, correct abnormal foot mechanics, and reduce pressure and strain on
the heel, orthotics offer significant benefits for individuals suffering from heel pain. The
customized nature of orthotic inserts ensures a personalized fit, enhancing their effectiveness
and promoting individual comfort. Orthotics are vital in alleviating heel pain and helping the
healing process by improving foot biomechanics, reducing shock impact, and optimizing foot
function. Incorporating orthotics into daily activities can lead to a pain-free and active lifestyle,
promoting overall foot health and well-being.

Generalized foot pain is a prevalent complaint at my office. Patients of all ages and occupations come in with this type of pain, which can be challenging to diagnose due to its widespread nature. They often don't know which physician to ask for help, which can be stressful. People usually try over-the-counter pain medication such as ibuprofen, which may provide temporary relief. To properly diagnose and treat generalized foot pain, patients should seek a podiatry specialist who can assess the underlying cause andprovide effective treatment. The podiatrist will take a comprehensive approach to the patient's medical history, physical exam, and necessary diagnostic tests. Patients can find relief and return to their daily activities with the right combination of treatments. With that said, let's look at the root causes of foot pain.

Causes of Generalized Foot Pain:

1. Overuse and Fatigue: Overuse and fatigue are two of the most frequent causes of nonspecific foot pain. Long periods of standing, walking, or strenuous exercise can strain the foot's muscles, tendons, and ligaments, causing pain and discomfort. My patients commonly bring this up. The majority spend a lot of time standing. Many of my patients, who work in restaurants, warehouses, delivery, and the construction industry, regularly come to our podiatry practice with foot discomfort.
2. Footwear Choices: Uncomfortable footwear, such as shoes with tight toe boxes or little arch support, can exacerbate foot pain. High heels, in particular, have the potential to put too much pressure on the forefoot and change the foot's normal position. Flexible footwear is rarely the best choice for alleviating generalized foot pain.
3. Plantar Fasciitis: When the thick tissue band (plantar fascia) between the heel and toes becomes irritated, plantar fasciitis develops. It frequently results in pain in the arch and heel, which may extend to the rest of the foot.
4. Arthritis: Numerous forms of arthritis, such as rheumatoid arthritis and osteoarthritis, can affect the feet resulting in widespread pain. Inflammation, joint stiffness, and discomfort are all symptoms of arthritic disorders. Severe arthritis frequently results in patients losing joint function.
5. Nerve Compression: The compression or irritation of nerves in the foot causes conditions like Morton's neuroma and tarsal tunnel syndrome, which can cause pain, tingling, or numbness throughout the foot. Also, having a herniated disk, pinched nerve in the spine, or other back problems can cause an abnormal sensation of numbness or loss of feeling in the feet.
6. Flat Feet or High Arches: Foot arch abnormalities such as flat feet and high arches can cause mechanical imbalances leading to pain throughout the foot. Flat feet can stress the arch and surrounding structures, and high arches can put undue pressure on the sides of the foot and ankle.

Symptoms of Generalized Foot Pain:

The symptoms of generalized foot pain vary depending on the underlying cause, but typical indicators include:

1. Aching or throbbing pain in multiple parts of the foot.
2. A sharp or shooting pain that worsens with activity.
3. Some tenderness to the touch.
4. Swelling in the foot or ankle.
5. Stiffness or a limited range of motion.
6. Numbness, tingling, or a pins-and-needles sensation.

Treatment Options for Generalized Foot Pain:

1. Rest and Ice: These are two of the most effective treatments for foot pain. Resting from activities aggravating the pain and applying ice can reduce inflammation and temporarily relieve symptoms. Rest and ice are easy to administer in various settings, from the comfort of home to outdoors. With ice, using a cold pack, ice pack, or a bag containing frozen vegetables wrapped in a thin towel is convenient. Concerning rest, minimizing or avoiding activities that stress the injured area is vital. That can range from taking a break from sports or exercise to avoiding specific postures or positions. Taking the necessary rest and using ice therapy can help reduce inflammation and relieve leg pain.
2. Proper Footwear: When it comes to appropriate footwear, wearing supportive and comfortable shoes with adequate cushioning and arch support is critical to relieving foot pain. As a physician, I often receive questions from my patients about the best shoes for them. To ensure they get the most out of their footwear, I always recommend something not too stiff or flexible. It's essential to find the middle ground. Those who suffer from osteoarthritis may find that stiff soled shoes are beneficial for protecting their joints from excessive movements. Shoes should be comfortable and provide adequate support to the feet to ensure the best protection. Additionally, replace shoes when necessary because worn-out shoes can cause more pain and discomfort.
3. Stretching and Strengthening Exercises: Gentle stretching exercises are essential to maintaining foot health. Calf stretches, toe curls, and other stretches can help improve flexibility and strengthen the foot muscles. By doing so, it can reduce pain and enhance foot function. Stretching these muscles is essential for avoiding pain and maintaining flexibility. It's also vital to remember that stretching is a gradual process. It would be best if you did it regularly to ensure the muscles remain flexible. When stretching, it is essential to move slowly and gently. That helps ensure that you extend the muscles properly and safely. It is also necessary to warm up the muscles with light activity before stretching. Doing so can help prevent injury. Overall, stretching is a key component of foot health. Regularly completing stretches can help reduce pain, improve flexibility, and strengthen the foot muscles.
4. Physical Therapy: Working with a physical therapist can effectively address foot pain and improve overall foot health. Physical therapists typically provide targeted exercises to strengthen the feet and reduce discomfort. They can also use manual therapy techniques such as massage, stretching, and joint mobilization to relieve tightness and increase the range of motion. Additionally, physical therapists can guide you through body mechanics to prevent further injury or pain. By taking advantage of physical therapy services, you can help to reduce your foot pain and improve your overall foot health.
5. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can relieve mild to moderate pain and reduce inflammation. Taking these medications according to the instructions on the label is usually safe and effective. Taking over-the-counter NSAIDs can be a safe and effective way to manage pain.
6. Foot Massage and Self-Care: Regular massages can help relieve muscle tension, promote relaxation, and improve overall foot health. You can use a tennis ball, massage roller, or a golf ball to massage your feet. Move in circular motions and apply pressure with your hands or a massage device when massaging. Doing this regularly can help reduce pain and discomfort, improve circulation, and reduce stress.
7. Assistive Devices: In some instances, doctors, physical therapists, or podiatrists may recommend assistive devices like walking boots, braces, or splints to provide support, immobilization, or correct foot alignment. I reserve these devices for patients with 9/10 pain when immobilization becomes crucial.
8. Surgery: It is normal to feel scared when considering surgery because it is costly and involves risks. Not all patients are suitable candidates for surgery, so it is essential to consider other treatment options. In my practice, I advise patients with generalized foot pain to continue conservative treatment for at least six months. If the pain does not reduce by 50% within that period, we may discuss the possibility of surgery. However, it is essential to remember that every surgery has risks and benefits, and it is important to weigh them carefully before deciding.

Conclusion:

Foot pain can wreak havoc on our daily lives if left unchecked. Understanding the potential causes, recognizing the symptoms, and seeking appropriate treatment to manage and alleviate foot pain is important. Taking proactive steps to address the issue is essential for improved foot health. Lifestyle changes, proper footwear, exercise, and professional interventions can help reduce foot pain's effects. With the right strategy, you can minimize discomfort and resume daily activities with minimal disruption. It is vital to address foot pain promptly and take preventive steps to mitigate the impact of foot pain on your life.

If you have foot pain, you don't have to suffer any longer. Our office is here to help. Give us a call at 562-399-5252. We can provide the assistance you need to find relief.

What are Bunions and What Causes Them?

Bunions are a common foot condition that affect millions of people around the world. They are
bony protrusions on the side of the big toe, which can cause pain and discomfort. In this article,
we will look at what causes bunions and how to treat them. We will also discuss some of the
common risk factors associated with bunions and how to prevent them from occurring in the first
place. Before we delve in, it is important to know that bunions do have a genetic predisposition,
meaning your chances of getting one are high if one of your parents had the condition. Some of
the risk factors for developing bunions are wearing high heel shoes, wearing shoes that are not
supportive, and wearing tight-fitting shoes that crowd the toes.

Common Symptoms of Bunions and When to See a Podiatrist

Bunions are a common foot deformity that can cause pain and discomfort. They are caused by an
imbalance of the muscles, tendons, and ligaments around the big toe joint. Common symptoms
of bunions include redness, swelling around the big toe joint, difficulty bending the big toe, and
pain when walking or standing for long periods of time. Often a bunion may present without any
pain; however, with any new activities or overuse, the pain may start and cause the patient to
suffer. In those cases a patient could treat the bunion conservatively so that the pain is controlled;
however, the deformity and the bump will continue to exist. Alternately, a surgical correction
where the bones are realigned and the prominent bump removed may allow the patient to fit into
normal shoes, walk without pain, and have improved stability. So to answer to the question of
when to see a podiatrist will depend on the severity of the patient’s bunion pain, how much the
pain is affecting his or her daily activity, and what the patient's goal is; in other words, what is
his or her expectation. Some patients may visit the podiatry office just to get temporary relief via
the conservative treatment such as receiving a cortisone injection in the joint, hoping that it will
get rid of the pain. Sometimes the cortisone shot could get rid of the pain.

Treatments for Bunions – Non-Surgical & Surgical Options

Bunions are a common foot condition that can cause pain and discomfort. Fortunately, there are
a variety of treatment options available for bunion sufferers, both surgical and non-surgical.
Surgical treatments have improved significantly in recent years: Patients now can return to
normal activities within a few weeks, whereas in the past, a patient had to be in a boot for 6
weeks or more to allow for the bone to heal. Thanks to new implants and improved research
involved in making the implants, surgical outcomes are more predictable and the recurrence rate
is smaller. One of the most common procedures for bunions that I like to perform on my patients
is called a Lapidus bunionectomy, which involves fusing the midfoot joints by removing the cartilage and using plates and screws. In my opinion, this procedure works better and the patient
outcome is better as well. Another recent improvement in surgery for bunions involves tri-planar
correction of a bunion since the deformity is present in all three planes and it's important to
correct the deformity in all three planes during the surgery. This procedure is becoming popular
among podiatrists because the implants are easy to use during the surgical procedure; in addition,
the patient will get better sooner because the implants are much stronger than previous ones, so
the patient could start walking again earlier. If you want to learn more about this procedure, you
could search online for "Lapiplasty”; the manufacturer’s website also has a lot of useful
information and videos.

How to Find the Right Podiatrist for Your Bunion Treatment

Finding the right podiatrist for bunion treatment is essential to ensure that you get the best
possible care. It is important to take some time to research and find a qualified podiatrist who has
experience in treating bunions. Not every podiatrist is trained to do bunion surgery. For example,
during my training in Northeastern Ohio, I was fortunate to learn about the Lapidus procedure
from one of the people who improved the technique and wrote many peer-reviewed articles in
podiatric literature. I have assisted on and performed surgical cases over the years where I
improved my skills. The more surgeries a doctor performs, the better he or she becomes. It's like
developing muscle memory. So if the patient wants to find the right podiatrist for surgery, he or
she needs to come to the office and ask any questions that he or she may have about the
experience, outcomes, post-operative steps, healing time, etc. Also, during the visit the patient
can confirm that the podiatrist he or she is seeing is competent, honest, and meets the patient's
expectations. Often visiting the provider's website and reading reviews from past patients can
guide the patient in the right direction.

Taking Care of Your Feet is Essential – Get Professional Help from a Podiatrist Today!

Taking care of your feet is essential for living a healthy and active life. Unfortunately, many
people neglect their feet until it’s too late and they are dealing with pain or injury. The best way
to prevent this from happening is to get professional help from a podiatrist. Podiatrists are trained
professionals that specialize in the diagnosis, treatment, and prevention of foot-related issues.
They can diagnose any underlying issues you may have and provide the necessary treatments to
keep your feet healthy. Don't wait until it's too late – get professional help by calling Ankle &
Foot Care Center, Inc today at 562-399-5252.

Ingrown toenails can be a real pain, both literally and figuratively. They occur when the
edge of the nail grows into the skin surrounding it, causing discomfort, tenderness, and
sometimes even infection. While there are several treatments available for ingrown
nails—including soaking your feet in warm water or using over-the-counter
medications—not all cases can be resolved without more invasive intervention. One
such treatment is called phenol matrixectomy - a permanent procedure that involves
removing part of the nail bed to prevent regrowth. But before you decide on this option,
it's important to know the 5 common questions most patients ask. In this post we'll
explore everything you need to know about permanent ingrown nail procedures so you
can make an informed decision about what's best for your feet!

What methods do you use to help patients who are afraid of needles?

Everyday, I am asked this query a minimum of five times, to which the response is a
resounding no. This is a basic process I carry out every day, either on the same day as
the appointment, if requested. These procedures are easy to perform and lead to better
outcomes. As a podiatrist, I have performed many such procedures and, the more I do,
the better I become at helping my patients reduce pain. It involves making them feel
less tense during the visit, injecting slowly to reduce pain, and using a smaller gauge
needle to reduce pain. When a patient comes in, I can anticipate if he or she is anxious,
and I try to talk to them about other subjects to get their mind off. Often, this helps.
However, on average, patients rate their experience as a 3 out of 10, which is not bad.

How long does a Permanent Ingrown Toenail Removal procedure take?

In the course of a week, I routinely carry out Permanent Ingrown Toenail Removal
procedures five to eight times a day. Generally, patients feel very little pain after the
process. It's typically sore for two or three days. Most people go back to school or work
the day after.

Initially, I utilize what's called a Digital Block to numb the painful toe. This requires
injecting a tiny amount of anesthetic to numb the toe, which entails two needle sticks
and can be somewhat uncomfortable. Afterward, I wait ten to fifteen minutes for the toe
to become fully numb. Then, I utilize a special clipper to cut and take away the ingrown
part of the nail, while leaving as much of the normal nail as possible. The permanent
part of the procedure involves applying a weakened chemical named Phenol to the nail
bed, which aids in cauterizing the nail bed and decreasing recurrence. Even though it is
known as permanent, these toenails may recur at times. The post-procedure care is
usually minimal.

What are the potential benefits of treating an ingrown nail with a podiatrist?

Ingrown toenails can be painful and difficult to treat, but the right podiatrist can help. In
this article, we will discuss the potential benefits of treating an ingrown nail with a
podiatrist, such as improved pain relief, reduced risk of infection, and improved healing
time.

Are there any risks associated with treating an ingrown nail?

Ingrown nails can be an uncomfortable and painful condition, particularly when left
untreated. It is important to seek the help of a podiatrist to diagnose and treat an
ingrown nail as soon as possible. While the procedure itself is relatively simple, there
are some complications that can arise from the procedure if not performed correctly.
Patients with poor circulation may have slow healing; a small number of patients may
experience infection or lack of healing. Additional procedures may be necessary, as
some patients may have had an allergic reaction to the local anesthetic; in those cases,
an alternative anesthetic may be needed. However, these circumstances are not always
the case.

Does my insurance policy cover the cost of the ingrown nail procedure?

If you are experiencing foot pain and believe you may need an ingrown nail procedure,
it is important to know whether or not your insurance policy covers the cost of this
procedure. Podiatrists are specialized medical professionals who treat conditions
related to the feet and ankles. They can perform a variety of procedures, including
ingrown nail removal, which may be covered by your insurance policy. When you make
an appointment at Ankle & Foot Care Center, Inc, our friendly staff will obtain your
insurance information to verify the benefits and will inform you about the coverage. If for
any reason, the insurance does not cover the cost, we are willing to work with patients
and even offer some discounts for cash pay so that the patient could get the treatment
they need.

Is your foot pain caused by an ingrown nail? Don't stress! At Ankle & Foot Care Center,
Inc., we can help you determine if your insurance policy covers the cost of a procedure.
Our team of experienced podiatrists are specialized in treating conditions related to the
feet and ankles, and they can perform a variety of procedures, including ingrown nail
removal. Make an appointment with us today and start feeling better soon!

What is an Ingrown Toenail and How Can a Podiatrist Help?

An ingrown nail is a frequent foot issue that occurs when the nail grows into the skin at
the side of the toe. This often causes pain, redness, swelling, and even infection. To
reduce swelling and ease any associated pain, soaking your feet in warm water for 10-
15 minutes can help. For serious pain and infection related to an ingrown nail, it is
essential to seek the advice of a podiatrist, as surgical treatment may be needed.

How to Properly Soak Your Feet for an Ingrown Nail Procedure?

Having a successful treatment of an ingrown nail can depend on properly soaking your
foot in warm water. Doing so helps soften the area surrounding the nail, allowing for a
simpler removal of the inflammation surrounding the ingrown nail. Additionally, soaking
can help decrease swelling and associated pain.

When is Surgery Necessary for an Ingrown Nail?

If suffering from pain and discomfort caused by an ingrown nail, it is critical to know
when surgery may be necessary. Surgery is usually the last option, but it is sometimes
necessary to provide relief from the pain and discomfort due to an ingrown nail.

The Different Types of Procedures for Treating an Ingrown Nail.

When managing an ingrown nail, it is important to assess its severity and determine the
best method of treatment. Generally, there are two types of treatments for ingrown nails - conservative treatment and the removal of the offending nail border. Conservative
treatment includes cleaning and soaking the affected area, trimming the nail, and
applying antiseptic ointments. In cases where other treatments fail, removal of the ⅛
portion of the offending nail may be recommended. This method involves using a local
anesthetic to numb up the toe and then remove the border.

What Pain Relief Options are Available After Treatment?

Post-operative pain relief is crucial for successful healing. After undergoing any
treatment for an ingrown nail, such as removal surgery, it is necessary to take the steps
to minimize pain and ensure a quick recovery. Taking ibuprofen will help to reduce pain
and improve inflammation.

Am I Able to do normal activities after ingrown nail procedure?

If you have recently gone through an ingrown nail procedure, you may be wondering if it
is safe to continue with normal activities. The answer is yes - as long as you take a few
precautions, most activities can be done after an ingrown nail procedure. However, the time needed to recover may vary depending on the severity of the condition and the
type of procedure elected for treatment. Generally, wearing open toed shoes and
keeping the toe covered with a band-aid is recommended as it helps keep the area
clean.

What is the normal healing time after the ingrown nail procedure?

After undergoing a procedure for an ingrown nail, you may expect a period of 7-10 days
for the initial stages of healing. While the affected area may form some scabs at first,
they will eventually start to flake away. To ensure a successful recovery, it is essential
to keep the area around the toe dry and clean. Betadine is an excellent antiseptic to
prevent infection and should be used around the area to aid the healing process.

When the toe begins to heal, will I experience pain?

The answer depends on the individual, as pain is a personal experience. However, it is
likely that one's discomfort will lessen, as the toe's associated inflammation and
infection are improving.

When can I use normal shoes?

After two weeks of healing from surgery, the patient can put on a closed toed shoe.
Although this is a suggestion and not a requirement, one is also able to wear a normal
shoe as long as the toe is covered with a band-aid if they feel comfortable.

When it comes to shoes, there are usually two types of people: those who buy too many pairs and those who avoid buying shoes at all costs. But did you know that shoes are not just about looks – the shoes you choose can have a huge impact on the health of your feet. How?

Each time you move or walk, your legs will carry twice your total body weight with each step you take. The right shoes will provide your feet with the necessary cushioning and support and at the same time they will be comfortable. On the other hand, shoes that do not fit properly can contribute to injuries such as shin splints and Achilles tendon pain, corns, ingrown nails, or posture problems and low back pain.

Our podiatrist have the following tips to keep in mind when buying new shoes:

1. Have adequate space

Make sure there is a gap of 1.5 cm between the toe and the toe of the shoe. Wrap your toes to make sure they have enough room to move – they may not feel pinched. In some cases (for example, if your shoes are leather) it may take a long time for the shoes to take off, but in general, the shoes should be comfortable, even if they are new.

2. Test shoes before buying

Trying on shoes is important, especially if we have access to an online store these days. We can order shoes based on our normal size from online, although it should be noted that not all brands make the same size. So it’s important to physically go to the store and choose the shoes you like and try them on.Before wearing shoes regularly, try them on different surfaces to see how they feel when walking. Put on your new pair of shoes at home for a shorter period of time than you put on for a longer period of time. 

3. Shop in the afternoon

Did you know that at the end of the day, your legs are bigger than in the morning? Buying shoes later gives your feet plenty of time to expand naturally and you will find a pair that fits you. As we age, our arteries become incompetent, which means they can no longer carry fluid in the circulation, causing fluid to build up in the feet. Many elderly patients with swollen feet and ankles can often benefit from buying shoes when their feet are more swollen. The foot fits so well in the shoe and the patient will not feel uncomfortable when they are tight.

4. Get Proper fitting

The easiest way to find out if a shoe is too big or too small is to find out how big the toe is. There should be a gap about the width of a toe between the toe and the toe of the shoe.

Another way to check this is to slip your toe between the heel of the foot and the heel of the shoe. There should be enough space on your finger to fit properly. If your finger slides quickly into the left area, you should drop half the size, while if it clicks firmly, go half up.

If your shoes are too tight, they are likely to scrub and this friction can cause blisters, so it’s best to have some room to move. The ball of your foot should fit snugly against the widest part of the shoe and the heel should allow the heel to slip slightly. Slipping on the heels will not cause blisters if you break the shoe slowly.

If a pair of shoes seems too tight, try half the size of the shoes, because you won’t have to buy new shoes in the hope that they will last longer over time.

Shoe sizes may vary by brand and style, so you may need to change your shoe size from time to time. If you try on the shoes and they fit well, then the size of the label theoretically does not matter. If your shoes are obviously too big, then you should not wear them, because bad shoes can lead to foot problems, as we mean, and it is important to take care of your feet.

5. Make sure your feet are supported

The inserts help provide extra cushioning and support and add strength. It can also help alleviate back and hip problems. inserts can be used to reduce unnecessary knee movement and more effective shock absorption. ​​One of the most common painful conditions the inserts help alleviate is the plantar fasciitis. 

There are several types of over-the-counter inserts. They are available at a retail pharmacy. Some over-the-counter orthoses are made of soft materials that immediately dissipate when you step on them – you want to avoid them. Instead, use those that are made of polymer plastic or hard plastic because they are stiffer and offer more support underfoot. 

In order for the inserts to really help with your foot pain, you need to provide strong support that adapts to the contours of your feet. It starts by determining the height of your arch. You want different top cover thicknesses depending on whether you prefer thick removable insoles along their entire length, thin removable insoles along their entire length or no distortion eliminated.

The most important thing for foot care is to find the right solution for you – if you get the right product, you will know! Simply adjusting your slippers can change how your feet feel after a long day of standing and walking for hours.

​​Meet our podiatrists, who can help you find shoes that suit your type of foot and your daily activities. We can also perform biomechanical analysis of gait and also make custom orthoses based on your foot type to provide you with the support you need for pain free walking. We have two offices conveniently located in Whittier and Bellflower. An appointment is usually also available on the same day.

Some foot problems are more common than others– learning about the signs and reasons for those conditions allows you to keep away from doing extra damage on your feet as you grow old.

Here are 5 not unusual foot issues for the ones over 60 and a way to treat them.

Plantar Fasciitis

Plantar fasciitis is the condition where the pain is present at the heel bone and often extends up to and around the arch.  It happens due to inflammation at the junction of the bone and soft tissue interface.  Also occurs due to repetitive motion, starting new activities, and recent weight gain.  Most plantar fascia pain is self-resolving, meaning patients should feel relief with home remedies and some conservative treatments such as icing, stretching, changes in shoewear, use of NSAIDs, etc. A cortisone injection into the fascia may be required to relieve inflammation and pain and allow the patient to resume normal activities. When pain does not improve, we must consider alternative options, such as extracorporeal shock wave therapy, which includes the use of high-energy sound waves to target the tender area under the foot. The high frequency of sound waves generates an area where the inflammation can begin to heal. This method has the advantage of requiring no incisions and having a very high patient satisfaction rate. This method has the advantage of requiring no incisions and patients could start walking immediately. Another treatment option for non-healing plantar fasciitis pain is fasciotomy, which involves making a small incision and cutting the fascia’s most medial band. This approach has a rapid recovery time and a high success rate, however, the patient is expected to be non-weight bearing in a cast for a few weeks. 

Bunions

Bunions arise when the joint of your big toe shifts out of place due to pressure, resulting in a bulging, bony bump on the big toe. Small bunions, known as bunionettes, can form on the fifth toe, even though they are most common on the big toe joint. You’ll know if you have a bunion because you’ll see (and feel!) swelling, redness, or discomfort around your big toe joint, thickened skin underneath your big toe, and calluses on your second toe as a result of overlapping and persistent foot pain. Treatments such as over-the-counter pain relievers and anti-inflammatories, bunion pads and splints, and comfortable shoes can help in the short term, but If bunions are uncomfortable, the only method to get rid of them is to get surgery. Bunions do not always require surgery. Patients who have continuous discomfort that interferes with their day-to-day activities are more likely to require surgery.

Corns and Calluses

Corns and calluses are often used interchangeably, but there is a distinction between the two. A corn is a thickened skin circle that appears on the toes, between the toes, and on the tips of the toes. A callus is a hard, scaly area of skin that grows on the balls of the foot or the back of the heel and is usually yellow. 

Improperly fitting shoes are the most common cause of corns and calluses. Shoes that are too tight can pinch the foot; shoes that are too big can rub the foot; and some styles, particularly high heels, can put excessive strain on certain areas of the foot. If over-the-counter creams and treatments don’t work, consult your podiatrist, who can safely remove a corn or callus (don’t try to shave it off yourself!).

Osteoarthritis

It is sometimes known as “wear and tear arthritis,” the most common type of arthritis, characterized by the loss of cartilage in joints. It can strike anyone at any age, but it is more common in women, those over forty, and those who have suffered serious joint injuries. Swelling, discomfort, and stiffness in the joint, as well as difficulty walking or bending the joint, are all indications of osteoarthritis. As far as the foot and ankle are concerned, the most common location of arthritis is the big toe joint, ankle joint, and subtalar joint.  Often the arthritis is so advanced that the patient is not able to achieve the normal range of motion due to a loss of cartilage.  When that occurs pain becomes persistent.  Anti-inflammatory medicines are usually the first line of defense, but custom orthotics (shoe inserts) and physical therapy may be required in some cases. In severe circumstances, surgery may be required.

Achilles Tendinitis

This inflammatory condition causes intense pain in the tendon that links the heel to the calf and is most usually caused by overuse of the leg muscles. Often a tight heel cord is responsible for many other foot problems. Patients with Achilles tendonitis will present with discomfort or swelling in the back of their heel, tight calf muscles, and difficulty walking are all symptoms. Patients may also present with a prominent bony growth at the back of the heel which causes pain when wearing shoes. Your doctor will gently touch the affected area during the physical exam to assess the location of pain, soreness, or swelling. He or she will also assess your foot and ankle’s flexibility, alignment, range of motion, and reflexes. Tendinitis is a condition that normally responds well to self-care. Your doctor may recommend different treatment options if your signs and symptoms are severe or persistent. Anti-inflammatory medications, physical therapy, and avoiding activities that irritate the condition may be recommended. If the pain persists after six months, surgery to repair the tendon and possibly stretch the calf muscle may be necessary.