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Wednesday, 28 November 2018 19:07

What Launches Gout Attacks?

Tis the season for cocktail parties, festive dinners, celebratory eating and—gout. At Superior Foot & Ankle Care Center, we expect to see more patients coming to us with gout at this time of year. We’ll often hear how after a holiday party they went home to bed only to wake up in the middle of the night with severe pain in their big toe. Although the foot was fine when they went to sleep, when they awoke in pain, they noticed that it was now swollen, red and hot. These are symptoms of a classic gout attack scenario.

The connection between feasting and gout is that there are several foods frequently found on holiday menus—red meat, shellfish, rich sauces, red wine, beer, and brandy–that are high in a chemical known as purines. Purines are also found in the body. When they break down, they produce uric acid. When there is an overabundance of uric acid in the body, it builds up in the joints where it can crystallize and bring on a gout attack.

Who’s at Risk?

Of course, not everyone who eats a slice of rib roast or has a glass of red wine gets gout. There are some patients whose bodies overproduce purines or have difficulty eliminating. They are therefore more sensitive to new purines entering into the body. Men aged 40-60 are the most frequent victims of gout attacks. In addition to foods, there are other factors that can increase the likelihood of gout, including:

  • Heredity
  • Obesity
  • Stress
  • Surgery
  • Chemotherapy
  • High blood pressure
  • Diabetes
  • Certain medications and vitamins

If you have suffered what you think is a gout attack, you’ll want to make an appointment at our Long Beach office as soon as possible. Our podiatrists, Dr. Victoria Foley, and Dr. Constance Ornelas will examine your foot and get a medical history from you. In addition, the foot doctor may order laboratory tests or x-rays to confirm a gout diagnosis. In the initial stages, the podiatrist may prescribe medication to relieve gout symptoms and recommend that you drink plenty of fluids and keep your foot elevated as much as possible. If gout proves to be a recurring problem, prescribing maintenance medication may be an option. To learn more, contact us by calling: (562) 420-9800.

Tuesday, 20 November 2018 19:05

6 Shoe Tips for Holiday Shopping

It’s that time of year again—flyers are flooding your mailbox and ads on television are getting you primed for holiday bargains. At Superior Foot & Ankle Care Center we want to make sure that the money you save on holiday shopping isn’t at the expense of your feet and ankles. Your best defense against foot pain and injury is the shoes you wear. Below are 6 tips for choosing the best shoes for long shopping days:

  1. Go for fit first. Did you know that some studies estimate as many as 90% of people are wearing shoes that are too small for their feet? The longer you’re on your feet, the more your feet swell. If you are starting with shoes that are too small, your shopping day is going to be shortened because your feet will begin to hurt after just a couple of hours of power walking from store to store. It’s a good idea to get your feet professionally measured to ensure the proper size.
  2. Don’t wear a new pair of shoes. Even if they felt comfortable in the store, a new pair of shoes should be worn for short periods of time at first to make sure there is no rubbing or friction. A marathon shopping day is not the time to try them out. Wear a pair that you know to be comfortable.
  3. Be light on your feet. Choose a lighter weight pair of shoes for a long day of shopping. The heavier the shoes, the faster your feet will get tired out wearing them.
  4. Don’t forget your orthotics. If the foot doctor has prescribed a custom orthotic device to be worn in your shoes, it’s to keep your feet properly positioned to help correct a biomechanical problem and avoid foot pain.
  5. Choose a thick sole. Shock absorption is key to preventing foot pain. Gel insoles and cushioned midsoles can increase comfort by cushioning your steps to protect your feet.
  6. Prevent injury. High top shoes with solid ankle support and shoes with a grooved tread can help prevent slips and ankle twisting injuries which could bring bargain shopping to a screeching halt. If you do sustain an injury, don’t wait. Contact our Long Beach office (562-420-9800) so that our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas can examine your feet and determine the extent of your injury and the appropriate treatment.
Wednesday, 14 November 2018 19:03

Flatfeet: Tricky to Track Down and Treat

At Superior Foot & Ankle Care Center we see patients whose symptoms don’t immediately point to the cause of the problem. Flatfeet can be one of those conditions. Patients with flatfeet may experience one or all of the following symptoms:

  • Pain in the foot, ankle, heel and/or lower leg
  • Lack of flexibility in the foot
  • General aching or fatigue in the foot or leg
  • Swelling in the midfoot area
  • Overpronation
  • Shin splints
  • Lower back, knee or hip pain

Finding the Cause

There are several types of flatfeet. They share one defining characteristic: a partial or total collapse or loss of the arch of the foot. Some possible causes of flatfeet include:

  • Heredity
  • Abnormal development of the arch during childhood
  • Trauma or injury
  • A gradual loss of arch over time due to aging, weight gain or medical conditions such as arthritis

This deformity may be present in varying degrees and therefore result in varying severity and kinds of symptoms. If you are experiencing any of the above symptoms, it’s a good idea to make an appointment at our Long Beach office so that our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas can examine your foot.

To diagnose flatfoot, the foot and ankle surgeon will examine your foot and observe how the arch looks when you are standing and sitting. Most likely x-rays will be ordered to determine the severity of the deformity.

Treatment Options

How to best treat flatfoot will depend on how advanced your condition is and the symptoms you are experiencing. Some patients with flatfoot experience no symptoms and the foot doctor may just advise you on ways to prevent worsening of the flatfoot and what you can expect in the future. For those with symptoms, a number of non-invasive treatments exist including modifying your footwear, using custom orthotics, and physical therapy.

If you believe you may have flatfeet, contact us for an evaluation today by calling: (562) 420-9800.

Wednesday, 07 November 2018 19:01

Focus on Diabetic Foot Care

At Superior Foot & Ankle Care Center we treat many patients with diabetes. November is American Diabetes Month and a good opportunity for us to go over some care tactics for patients with this disease. Below are some key areas to focus on:

Your Daily Care Routine

Of course, a good foot care regimen is important for everyone, but for a diabetic patient, it is even more critical. Your daily care plan should include:

  • Washing your feet with warm water and a mild soap
  • Drying your feet completely, with extra care to ensure that the area between your toes is completely dry (this will help prevent fungal infections)
  • Checking toenails for jagged edges. Always trim nails straight across with no rounded edges. Do not cut too short and never cut the corners.
  • Inspect your feet from every angle. Look for changes in skin and nail color, rashes, flaking skin, bruises, swelling, any scratches or cuts. Report anything that concerns you to our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas to evaluate. It’s always better to be over cautious!

Your Shoes and Socks

Shoes should have wide, roomy toe boxes and be made of soft, flexible materials. Avoid heels higher than 2 inches. When buying new shoes, have your foot professionally measured. Run your hand around the inside of the shoe to make sure there are no rough spots or loose stitching. Wear new shoes for only a few hours at a time and examine your feet after wearing to make sure there are no red spots or blisters forming.

Socks should be the type that wick moisture away from your feet. If you sweat excessively, change your socks multiple times throughout the day. Avoid socks that have overly tight elastic on the tops and those with seams across the toes.

Your Lifestyle Choices

Eating an appropriate diet to help manage your blood sugar is essential. A regular exercise routine will help you maintain a good weight and also improve circulation. Don’t smoke because it has a negative impact on circulation. Follow all of your doctor’s recommendations for keeping your diabetes under control.

If you have questions or concerns about diabetes and your feet, contact our Long Beach office today by calling: (562) 420-9800.

Wednesday, 31 October 2018 18:57

Facts about Haglund’s Deformity

Are you familiar with the condition known as Haglund’s Deformity? At Superior Foot & Ankle Care Center we find that patients have some misconceptions about this disorder which affects the heel. Below are some facts to better familiarize you with this foot problem:

FACT: Haglund’s Deformity is a bony enlargement that develops on the back of your heel. Other signs of this condition are swelling and redness around the enlargement and pain where the Achilles tendon attaches to your heel bone.

FACT: Another name for Haglund’s Deformity is “pump bump.” That’s because pumps with their stiff backs hit the bony enlargement and irritate it, resulting in pain when walking and wearing shoes.

FACT: More women than men get Haglund’s Deformity.

FACT: Although pumps aggravate the bony enlargement, they are not the cause of Haglund’s Deformity. This condition is the result of structural defects, including overly high arches, the tendency to walk on the outside of your heel or a tight Achilles tendon.

FACT: Haglund’s Deformity can only be corrected by surgery. There are, however, a number of conservative measures that can be used to relieve pain and decrease pressure on the bony protrusion. After our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas, examine your heel and order x-rays or other imaging studies to confirm a diagnosis of Haglund’s Deformity a treatment plan can be determined.

FACT: Treatment for pump bump will depend in part on the cause. Heel pads, for example, may be recommended if the cause is high arches or stretching exercises for your calf if the source of the condition is a tight Achilles tendon. Custom orthotics can also be used to correct abnormal foot motion.

FACT: Pain from pump bump can be reduced by icing the bony enlargement. Apply an ice pack wrapped in a thin towel (do not apply ice directly to the skin) for 20 minutes at a time with a 40-minute break in between.

FACT: You can help prevent inflammation of the bony growth by wearing shoes with open backs or those made of soft materials. You should also avoid running on hard surfaces and up hills.

If you have additional concerns about Haglund’s Deformity, contact our Long Beach office by calling: (562) 420-9800.

Wednesday, 24 October 2018 18:55

Could You Have Metatarsalgia?

Are you experiencing acute pain in the ball of your foot? Is the pain more noticeable with increased activity or when you are walking barefoot? Have you noticed a callus beginning to form in the spot where the pain is? If you answered yes to one or more of these questions, you may be suffering from a condition we treat at Superior Foot & Ankle Care Center known as metatarsalgia.

Your metatarsal bones run down the middle of your foot from your ankle to each of your 5 toes. When the nerves between two of the metatarsals become inflamed, it causes pain, and this is known as metatarsalgia.

What’s Behind the Pain

Basically, metatarsalgia occurs when there is either too much pressure or an uneven pressure applied to the metatarsals. This can have a wide range of causes, however, including:

  • Overpronation
  • Arthritis
  • Foot injuries
  • Aging
  • Weight gain
  • Overuse from weight-bearing sports such as running
  • Foot deformities
  • Morton’s neuroma
  • Poorly fitting footwear
  • Standing for long periods on hard surfaces

Getting Relief

The treatment for metatarsalgia will depend on the cause. The first step is to have our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas examine your feet. The foot doctor will also want to get your medical history and ask about your recent activities. Once the reason behind the metatarsalgia has been found, the foot doctor may recommend one or more of the following:

  • Icing the area and taking over-the-counter anti-inflammatory medications to relieve pain and inflammation
  • Resting your feet from sports and physical activities that aggravate the ball of the foot
  • Custom orthotics to correct overpronation or other biomechanical issues
  • Wearing properly fitting, supportive shoes
  • Losing weight if you are overweight to reduce pressure on your feet

If you are experiencing pain or pressure in the ball of your foot, contact our Long Beach office today for an appointment by calling: (562) 420-9800.

It’s the time of year for fright fests, haunted houses and all kinds of scary attractions, but at Superior Foot & Ankle Care Center we believe the podiatrist’s office shouldn’t be one of them! Many times, patients may get a diagnosis that sounds scary. In most cases, however, the name of a disorder may sound more frightening than it is. The job of our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas is to make sure you understand a diagnosis and the treatment recommended for it. Your job as a patient is to ask questions until you feel confident that you comprehend your condition and treatment plan. Below are a few foot problems that illustrate our point.

Xerosis: while this may sound like a condition common to an ancient Greek god, it’s actually a term to describe very dry skin. Dry air, showering too frequently with very hot water or the soap you are using may all be the underlying cause. In some cases, dry skin can be a symptom of a systemic disorder. Usually, however, applying a super-rich moisturizer to your feet several times a day will eliminate xerosis.

Ganglions: you may be a little frightened when you start to experience numbness, tingling and pain in your feet for no apparent reason. Oftentimes, however, these symptoms are caused by small fluid-filled sacs that occur in the tendons or joints on the top of the feet or ankles. Repetitive stress to tendon linings and joints and shoes that constrict your feet are frequently the reason behind ganglions.

Brachymetatarsia: no, it’s not a pre-historic dinosaur. This term describes a defect in the growth of a toe bone that results in one of the metatarsals being shorter than the rest of the toe bones. It will commonly be seen in both feet. In some cases, this condition will not cause pain or discomfort, but it can affect balance so careful shoe selection will be necessary. For other patients, surgical remediation may be necessary.

Don’t hesitate seeking evaluation of foot or ankle symptoms. Putting off treatment is when foot conditions can truly become scary. Contact our Long Beach office today for an appointment by calling: (562) 420-9800.

Thursday, 11 October 2018 18:50

4 Ways to Prevent Achilles Tendonitis

At Superior Foot & Ankle Care Center a condition that we frequently see in both experienced athlete’s and “weekend warriors” is Achilles tendonitis. The Achilles tendon, also known as the heel cord, is a band of tissue that runs down the back of your lower leg, connecting your calf muscle to your heel bone. Although it is the strongest tendon in the body, it is also one of the most frequently injured. Inflammation of the Achilles tendon, known as Achilles tendonitis is an overuse injury which is caused by putting too much stress on the tendon too abruptly. If left untreated, the ongoing stress to the tendon prevents the body from repairing the injured tissue and the result is a continued pain. Below are some strategies for avoiding this common podiatric disorder:

  1. Slow and steady wins the race. And, it helps prevent Achilles tendonitis, too. If you have been inactive for a period of time and wish to resume or start a new exercise program, begin slowly. Gradually increase the length and intensity of your activity.
  2. Don’t choose pain before gain. Even experienced athletes can experience Achilles distress if they decide to significantly increase the difficulty of their workout. Running hills and stair climbing puts particular strain on the Achilles tendon and should not be suddenly increased.
  3. Stretch it out. One of the best ways for anyone to head off an Achilles tendon problem is by stretching. Exercises that specifically help to stretch and strengthen your calf muscles will help avoid tendonitis.
  4. Get some support. Patients with flat feet have a higher risk for Achilles tendonitis because as the arch flattens it increases the strain on the Achilles tendon and calf muscles. Be sure the shoes you wear (both on and off the field) have adequate arch support. Our podiatrists, Dr. Victoria Foley, and Dr. Constance Omelas may suggest a custom orthotic device to wear in your shoes for added support.

If you are experiencing soreness, aching or stiffness anywhere along your Achilles tendon, contact our Long Beach office (562-420-9800) to get it evaluated.

Wednesday, 03 October 2018 18:49

Eat This Not That for Less Joint Pain

World Arthritis Day takes place in October and here at Superior Foot & Ankle Care Center, we’d like to take this opportunity to explore the relationship between food and joint health. Overall, we know that maintaining an appropriate weight greatly reduces the strain on your joints (and the rest of your feet), lowering your risk for arthritis and other foot problems. Below are some foods to choose or stay away from if you suffer from arthritis or other joint conditions:

Eat These:

Fish high in omega-3 fatty acids. These include salmon, sardines, tuna, anchovies, scallops and other cold-water fish. Omega 3’s have inflammation-fighting properties and research has shown that people who consume the highest amounts of them have the lowest levels of two inflammatory proteins in their bodies. If you can’t stand fish, take a fish oil supplement. A recent study found that 600-1,000 mg per day could ease joint swelling and pain and reduce the duration of morning stiffness in rheumatoid arthritis sufferers.

Fruits and Vegetables. Eating a rainbow of produce will give you many nutrients and antioxidants. Among the heavy hitters for reducing inflammation are: citrus fruits, red and purple fruits such as blueberries, strawberries and cherries and dark greens like spinach, kale and broccoli.

Good oils. Of course, all oil should be used in moderation but 2-3 tablespoons of olive oil a day can help reduce joint pain because it contains a compound that has properties similar to that of nonsteroidal, anti-inflammatory medications. Other “good oils” include safflower and avocado oil and also walnut oil which is high in omega 3’s.

Skip These:

Sugar. Foods with processed sugars (cakes, cookies, candy bars, sodas and fruit juices) release messengers called cytokines that actually create an inflammatory response in the body. Read labels because sugar has many names. Anything ending in “ose” is usually a sugar.

Saturated and Trans Fats. These trigger fat tissue inflammation which not only worsens arthritis but is an indicator of heart disease too.

Mono-sodium glutamate (MSG). Although most often found in prepared Asian foods and soy sauce, MSG is also added to many fast foods, soup mixes, salad dressings and deli meats. MSG opens 2 pathways to chronic inflammation.

Food is just one way to help control arthritis. If you are experiencing pain, stiffness and/or swelling of the joints in your feet and ankles, contact our Long Beach office by calling: (562) 420-9800. Our podiatrists, Dr. Victoria Foley or Dr. Constance Omelas will examine your feet and help develop a plan to best deal with your joint issues.

At Superior Foot & Ankle Care Center we treat many conditions that are made worse by the patient being overweight. The risk and severity of arthritis in the feet and ankles, metatarsalgia and flat feet, for example, are all increased by obesity. In addition, being obese increases the risk for diseases like diabetes and hypertension, which also have serious health consequences for your feet. September is National Childhood Obesity Awareness Month. Studies have shown that obese children tend to continue to be obese as adults. For that reason, it’s important to foster healthy lifestyle habits during childhood. Below are some do’s and don’ts to help your child maintain a healthy weight:

Do: strive to have your child spend at least 60 minutes a day being physically active. Encourage them to participate in a wide variety of activities to be sure they get exercise that is aerobic, muscle and bone strengthening. Not all activities have to be organized. Just playing in the yard children are likely to run, jump and climb which will give them all the types of exercise they need.

Don’t: force your child to be active if they complain of foot or ankle pain. If you suspect a podiatric problem is sidelining your child from being physically active, contact our Long Beach office (562-420-9800) for an appointment. Our podiatrists, Dr. Victoria Foley and Dr. Constance Omelas will examine your child’s feet to determine if there is an injury or other disorder that is causing them pain.

Don’t: allow unlimited amounts of time spent in front of a screen. If your child has full-time access to cell phone, television, computer and video games they are less likely to engage in physical activities.

Do: make changes in your family’s eating habits. Increase the number of fruits and vegetables in your menus, replace sugary drinks with water and have healthy snacks readily available. Involve your children in menu planning and grocery shopping and teach them how to make good food choices.

Do: set a regular bedtime for your child or teen that allows them to get enough sleep. Depending on your child’s age, they may need between 8 and 12 hours of sleep per night. Studies show that lack of sleep increases the risk of obesity.

Approximately 1 in 5 children today are obese. Working together, families and communities can help greatly reduce this number with lifestyle choices that will make for healthier children and, ultimately, healthier adults.

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