Obesity is a common problem among Americans, with obesity rates in adults climbing as much as 38 percent in 2013 to 2014, according to lead researcher Cynthia Ogden of the CDC’s National Center for Health Statistics. If obesity is not treated, this can lead to chronic diseases such as diabetes and heart disease. Obesity is defined by an adult’s body mass index (BMI), which can be calculated by body fat, height, and weight. Those who have BMIs of 30 or more are considered obese, and obesity rates can vary by sex, age, and race.

Any additional problems in the feet of those with obesity can be detrimental to foot health. To learn more, consult with Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor will provide you with quality foot and ankle information and treatment.

Obesity and your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Solutions

Footwear – Specially made footwear that supports your joints, arches, and ankles, and allows room for good circulation is a great option to mitigate pressure and pain. A podiatrist will help you decide what works best for your specific needs.

Exercise – Exercise will help alleviate the pain and give your feet the strength it needs to support your body. Exercise also increases blood flow to your feet, allowing them to remain healthy and strong.

Most importantly, seek the help of a podiatrist for foot care if something is wrong or doesn’t seem to be working. 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 Gaithersburg, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Maybe you have gained a few extra pounds over the past couple of years. It comes on slowly and you are not always aware of it until your feet start hurting at the end of the day. After all, they carry the weight of your whole body. Experiencing foot pain and swelling is one of the biggest side effects of being overweight.

Many problems that occur in the feet are directly related to carrying even a small amount of extra weight. If you are overweight, the body may try to compensate by changing the way it moves. You may lean forward a bit and put extra weight on the wrong part of the foot. Your feet were designed to carry a normal amount of body weight and any extra will put undue stress on them.

Many people who are overweight as adults develop type 2 diabetes and it is often the cause of leg and foot pain. This is very serious and often older people who do not control their condition may lose all feeling in their legs and feet. It is also possible to develop small sores on the feet, and when you have diabetes, these do not always heal properly which can lead to serious infection.

The extra pressure and stress placed on muscles, joints, and tendons in the feet by extra body weight can also trigger plantar fasciitis. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, and causes pain and stiffness when walking and climbing stairs. Pain caused by plantar fasciitis can be relieved by foot stretches and orthotics inserted into the shoe.

Foot problems triggered by excess body weight may be treated by special attention to footwear. Shoes that properly support the foot – especially the arch and ankle – and allow for good circulation are very important. A podiatrist can help you decide what kind of shoe is best for your feet. Orthotics – special inserts that can be inserted into shoes – can absorb shock, support the arches, and keep the feet properly aligned. These can be found in shoe stores or may be fitted by a podiatrist.

It may also be time to consider taking off a few pounds to prevent diabetes and other life threatening diseases. Your feet will certainly thank you for it and you will feel better in a short amount of time. A water aerobics class at a local gym is a way to get needed exercise without putting any stress on the feet or ankles. Yoga is also an activity that is beneficial both to your feet and your entire body. Don’t risk losing your freedom by ignoring foot pain. If you take care of your feet, you can keep your feet and your entire body feeling great.

Poor blood circulation in the feet and legs is often caused by peripheral artery disease (PAD), which is usually the result of a build up of plaque in the arteries. Plaque build up, or atherosclerosis, can be the result of excess calcium and cholesterol in the bloodstream, which restricts how much blood can flow through arteries. Reduced blood flow to a certain area of the body severely limits the amount of oxygen and nutrients that part of the body receives, causing degeneration in the muscles and other tissues. Sometimes, poor blood circulation in the feet and legs can be caused by other conditions, such as damage to or inflammation of blood vessels, known as vasculitis.

The lack of oxygen and nutrients caused by poor blood circulation can restrict muscle growth and development, as well as cause muscle pain and cramps, weakness, and stiffness. Other common symptoms include numbness in the legs and feet, skin discoloration in the affected limbs, slower nail and hair growth, and erectile dysfunction in men. In more severe cases of PAD, pain can be present even when a person isn’t exercising, and may range from mildly uncomfortable to completely debilitating.

Poor blood circulation in the feet and legs is more common in those who are overweight or obese, have diabetes, high blood pressure, high cholesterol, who smoke, or who have a family history of PAD or related conditions (heart attack, stroke, etc.). Diabetes and smoking place a person at greatest risk for developing poor blood circulation, although advanced age (over 50) can also increase risk.

If you are experiencing poor blood circulation in the feet and legs caused by PAD, it is important to make changes to your lifestyle in order to reduce your risk of experiencing a heart attack or stroke caused by this condition. If you smoke, quit completely — this will increase the amount of oxygen in your bloodstream. Exercising and reducing the saturated fats in your diet (which come from fatty meats, fried foods, whole milk, etc.) can make a difference in improving blood circulation in feet. It is also important to avoid developing influenza and to carefully control your blood sugar if you have diabetes.

Your doctor may recommend combining lifestyle changes with a prescription medication regimen to improve blood circulation. The most commonly-used medications for PAD are called statins and work by blocking the amount of enzymes in your body that produce cholesterol. They are known by the brand names Zocor, Lipitor, Crestor, and others.

While cold feet are often known as poor blood circulation, the symptom may also be confused for other things. Some say cold feet can actually be signs for peripheral neuropathy, when the nerves have trouble transmitting impulses to and from the brain. Pain in the feet is more commonly known as poor blood circulation. In any case, both problems need immediate attention for relief.

Poor circulation is a serious condition and needs immediate medical attention. To learn more, consult with Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor will provide you with quality foot and ankle information and treatment.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.

It can also cause:

-muscle pain -numbness in legs

-cramps -skin discoloration

-weakness -slower nail & hair growth

-stiffness -erectile dysfunction

Those who have diabetes and or smoke are at greatest risk for poor circulation, or who are over 50.

If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always see a doctor as they will help try and fit a regime that suits you. A doctor will also prescribe you medication which will help for PAD.

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

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Many patients are under the impression that a majority of foot ailments such as bunions, plantar fasciitis, hammertoes, and foot pain can only be treated with surgery. Foot experts agree, however, that most foot problems can be treated with non-surgical procedures such as shockwave therapy , ultrasound-guided injections, insoles, or physical therapy. Orthopaedic surgeon Norman Turner stated, “I think people come in wanting surgery because they want a quick fix and want to be back to normal.”

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Dr. Jon M. Sherman of Kentlands Foot & Ankle Center . Our doctor will provide you with quality foot and ankle information and treatment.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, attacking the source of the problem so treatment lasts for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

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

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Shockwave therapy is a treatment option that helps to treat plantar fascia, which is a type of heel and foot inflammation that causes pain to the heel area. This type of injury is often caused by overworking and overusing the feet, and normally happens to people that exercise often such as runners, athletes, obese and overweight individuals, and individuals whose profession requires them to stand for long periods of time.

Since heel pain can be caused by a number of problems including poorly fitting shoes, exercise routines, work hazards, and many more, most plantar fascia treatments include very conservative techniques. Simple things like new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet can treat the problem. However, for the worst cases, using shockwave therapy is often the best treatment option.

For patients that have tried conventional treatment options, and failed at them, and who have been having heel pain for over six months, Shockwave treatment is often the next option. The concept behind this treatment is simple; shockwaves are generated from a device that delivers shockwaves to the outside of the patients body, and the shockwaves will cause the body’s repair mechanisms to work more efficiently and effectively, and in the end, start repairing the damage done to the heel area.

The goal of shockwave therapy is to eliminate the pain in the heel area, and this should happen because shockwaves trigger the body’s natural repair mechanisms. Basically, this therapy speeds up normal tissue healing in the body, and will also lead to a reduction in pain for the patient by working the pain transmission nerves located in the heel area.

The reason this treatment is gaining popularity is because it is less invasive than surgery, and eliminates the risk factors associated with surgery, such as anesthetic usage. Since this technique also works by helping the body to improve using natural healing techniques, the recovery time should be shorter than surgical processes.

This does not mean that there are not some discomfort issues that can arise out of this treatment for patients. Short term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. These side effects of shockwave therapy should be gone in a few days, giving the patient a fast recovery time which makes it easy to return to the routines of their daily life.

Like most types of treatments, surgeries, and medications, there are certain people that should not have shockwave therapy procedures performed on them. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would also be ineligible for this treatment option. And lastly, children and pregnant women should avoid this as well.

Overall, shockwave therapy could be a great option for heel pain because it is less invasive than surgery, helps to trigger the natural healing mechanisms of the body, and should be considered by people who have had long bouts of heel pain and have tried conventional treatment options that failed.

The ‘Stay Strong, Stay Steady’ Manchester campaign set off in October to raise awareness in both the young and the old of actions that can prevent falls in the elderly. A third of people aged 65 and older are affected by falls, and they are the largest cause of accidental death for older people. Dr. Emma Stanmore from the University of Manchester shared, “With some simple methods such as helping more older people to undertake regular strength and balance exercises, safety checking their homes, or getting an eyesight and medication check, over a million falls could be prevented each year.”

Proper foot care is something many older adults forget to consider. For more information, consult with Dr. Jon M. Sherman of Kentlands Foot and Ankle Center . Our doctor will assist you with all of your podiatric concerns.

The Elderly and their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions

Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.

Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.

Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:

Gouging toenails affecting nearby toe

Shoes that don’t fit properly

Pressure sores

Loss of circulation in legs & feet

Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Gaithersburg, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain conditions and should therefore be well informed about problems that may arise and what they can do to properly avoid or treat them.

Some of the most common problems are foot ulcers, ingrown toenails, fallen arches, and fungal infection. A foot ulcer is an open sore on the foot and can be a result of decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal infection is a condition that results in deformed and discolored toenails.

In order to avoid these conditions it is recommended that the feet be inspected on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that you consult a doctor for diagnosis and information on treatment options.

Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems. If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections. If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.

Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.

Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.

Similar to well known nerve disorders in the hands, such as carpal tunnel syndrome, nerve disorders that affect the foot and ankle occur in patients for reasons ranging from stress to genetics. Nerve disorders of the foot should be addressed right away because they may be immobilizing in serious cases. Two of the most common nerve disorders of the foot and ankle are Interdigital Neuroma and Tarsal Tunnel Syndrome.

Interdigital Neuroma is caused by localized inflammation of one of the nerves that controls toe sensitivity in the frontal area of the foot. This inflammation is generally only found in the second or third interspace, and any other symptoms similar to Neuroma on other digits should be checked against other disorders. Symptoms include chronic burning or tingling sensations between the affected toes which can, at times, migrate to the toes themselves. This pain is often increased by walking, running, or by wearing shoes that compress the toes, such as high heels. A doctor should be consulted if this pain is chronic and if the symptoms get worse.

Typical examinations to determine the presence of Neuroma include radiographs, MRIs, and even bone scans of the affected area. Bone scans are only required if degeneration of bone is suspected, however. Surgery is often not required to alleviate the symptoms of Neuroma, and in many cases functional orthotics can be used to alleviate the stress of constant weight on the affected toes. Surgery is recommended for those patients that suffer from symptoms for 6 months or more, so reporting symptoms early can increase the rate of non-surgical recovery.

Tarsal Tunnel Syndrome, a condition that is less common than Interdigital Neuroma, is similar to Carpal Tunnel Syndrome in that it is caused by a compression of the nerve caused by any number of factors (mostly associated with excess pronation). Typically seen in those that have either flatfeet or valgus heel positions, Tarsal Tunnel Syndrome has patients complaining of moderate to severe ankle pain that starts along the bottom of the foot and often proceeds to the calf. Some more extreme cases occur with partial numbness and even atrophy of the foot and surrounding muscles.

If there is a good chance that someone has Tarsal Tunnel Syndrome, an EMG test is often used to diagnose the condition. If the diagnosis is positive, an MRI can be used to identify the compression of the nerve. Treatment with NSAIDS, functional orthotics, and rest off of the feet is often prescribed, but again, long standing symptoms require surgery, as do exacerbated symptoms caused by lesions present between nerves.

New research will create greater understanding of the underlying molecular mechanisms of peripheral neuropathy and hopefully lead to new treatments, Medical News Today reports. The new discovery involves the activity of the brain’s anterior cingulate cortex (ACC), thought to be the area often involved in pain processing. In peripheral neuropathy, the damaged nerve fibers have a heightened response to normal singers and send incorrect messages to pain centers in the brain. In diabetic neuropathy, one of the most common forms of peripheral neuropathy, pain often begins in the feet before moving up the legs.

Nerve disorders of the feet and ankles can become very cumbersome. If you have any concerns about your feet and ankles contact Dr. Jon M. Sherman of Kentlands Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

Nerve Disorders of the Foot and Ankle

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are cau sed by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf. In other instances one may encounter partial numbness and atrophy if the cases are extreme.

If you have any questions please feel free to contact our office located in Gaithersburg, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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