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Using Foot Biomechanics to Diagnose Problems

There is a complex interplay of structures in the feet that provide stability, balance, and propulsion during walking and other activities. Bones, muscles, ligaments, and tendons work together in the feet to move the body biomechanically. Assessing normal foot biomechanics helps podiatrists, or foot doctors, diagnose and treat various foot issues. By using their knowledge of normal foot biomechanics, podiatrists can identify abnormalities or dysfunctions that may contribute to foot problems, such as flat feet, high arches, bunions, or plantar fasciitis. Podiatrists may analyze a patient's gait, foot structure, and range of motion. This allows them to develop personalized treatment plans that may include orthotic devices, exercises, footwear modifications, or other interventions to address underlying biomechanical issues. If you are suffering with abnormalities in gait, range of motion, or the feet in general, it is suggested that you make an appointment with a podiatrist for a personalized treatment plan. 

If you have any concerns about your feet, contact one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Who Gets Foot Pain

Foot pain can affect anyone, regardless of age or activity level, and can stem from various causes. Plantar fasciitis, the inflammation of the tissue connecting the heel bone to the toes, often results from overuse or improper foot mechanics, leading to stabbing pain in the heel. Bunions, bony bumps that form at the base of the big toe, can cause discomfort and difficulty walking due to pressure on the joint. Turf toe, an injury to the ligaments surrounding the big toe, commonly affects athletes and results from hyperextension during activities like running or jumping. Treatment for foot pain typically involves rest, stretching exercises, and wearing supportive footwear. In severe cases, custom orthotic devices or surgical intervention may be necessary. Podiatrists specialize in diagnosing and treating foot ailments, offering personalized care plans tailored to each patient's needs. If you want to alleviate existing foot pain, correct foot deformities, or prevent future injuries, it is suggested that you schedule an appointment with a podiatrist to help you restore and maintain foot health.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Choosing the Right Running Shoe

Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.

Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.

When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns.  Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.

Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.

Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.

Considerations for Choosing Running Shoes

Selecting the right running shoe involves considering several factors to ensure optimal support, comfort, and injury prevention. The first is your foot type, such as flat feet, high arches, or normal arches. You may also have a certain gait pattern, which is how your foot moves when you walk or run. Some people have feet that roll to the outside or inside, and certain shoes address this. Another consideration in choosing running shoes is the type of running you'll be doing. The right shoe should provide adequate cushioning to absorb impact, support tailored to your foot's arch type, and a comfortable fit for natural foot movement. Podiatrists can help you to understand all of the factors in this selection process. With their expertise in foot mechanics and conditions, podiatrists can perform a comprehensive evaluation of your feet to recommend shoes that match your needs. For example, they can conduct a gait analysis to recommend the right shoes for the way you walk. They can also identify any underlying issues that might affect your choice, such as pronation concerns or the need for custom orthotics. If you are in the market for new running shoes, it is suggested that you consult a podiatrist to find shoes that will maintain your foot health and optimize your running performance.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

If you have any questions please feel free to contact our our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Joint Replacement Surgery

When conservative, noninvasive treatments prove unsuccessful, podiatrists will often turn to surgery as the last line of treatment for their patients. If patients are suffering from joint pain, issues in mobility, or are seeking to correct a deformity, joint replacement surgery is an effective option. Joint replacement surgery is also successful in treating arthritis, which is the most common cause of improperly working joints.

Patients with symptoms that include joint pain, stiffness, limping, muscle weakness, limited motion, and swelling are typically considered for joint replacement surgery. Range of motion and activity post-surgery will vary between patients and depending on the specific surgery performed, the affected joint, and the damage that will need to be repaired.

Joint replacement surgery replaces the damaged cartilage and bone, the latter if required. The damaged cartilage is typically replaced with a prosthesis that is attached to the bone, allowing the implant to grow into the bone. Following surgery, the patient will typically undergo physical therapy to become familiar with movement using the replaced joint.

 

Ankle Joint Replacement Surgery for Arthritis Relief

Joint replacement for ankle arthritis is a surgical option for those suffering from severe arthritis in their ankle. The point of the replacement surgery is to relieve pain and restore the function of the ankle. Arthritis is characterized by the breakdown of cartilage that cushions the ends of the bones, leading to pain, stiffness, and reduced mobility. During ankle joint replacement surgery, also known as ankle arthroplasty, the damaged parts of the ankle bones are removed and replaced with artificial components. These components mimic the natural movement of the ankle, offering patients the chance to regain mobility. This procedure is considered when less invasive treatments have failed to provide relief. It is also considered mostly for older, less active patients. Joint replacement can significantly reduce pain and improve the ankle's function, making it a valuable treatment option for those with advanced ankle arthritis. If you are suffering from arthritis in the ankle, it is suggested that you schedule an appointment with a podiatrist to discuss whether ankle replacement surgery is right for you. 

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Limb Salvage

Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes, peripheral vascular disease, neuropathy, cancer, and severe crush injury. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.

The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If the bone is removed, it is then replaced with prostheses, synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.

Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.

Surgical Debridement in Saving a Limb

Surgical debridement is a critical  procedure in foot wound care, involving the removal of dead, damaged, or infected tissue to promote healing. It is commonly used for severe wounds, ulcers, and burns where other methods may not be effective. During the procedure, a podiatrist uses surgical tools to carefully remove the affected tissue, ensuring that healthy tissue remains intact. This process helps to eliminate sources of infection and encourages the growth of new tissue. Surgical debridement can be performed in various settings, including hospitals, clinics, and specialized wound care centers. Depending on the extent of the wound, anesthesia may be necessary to minimize discomfort. After debridement, the wound is typically cleaned and dressed to prevent infection and support the healing process. Proper wound care and follow-up are essential for optimal outcomes following surgical debridement. If you have problematic foot wounds, it is strongly suggested that you schedule an appointment with a podiatrist to see if you can benefit from surgical debridement.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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