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Pes planus, commonly known as flatfoot, is a prevalent deformity characterized by the collapse of the midfoot arch during walking. This condition poses various risks, including bunions, tendinitis, plantar fasciitis, metatarsal pain, knee discomfort, and lower-back pain, particularly during prolonged uphill, downhill, and level walking. These issues can deter individuals from enjoying the physical and mental benefits of walking as an exercise. Using arch-support insoles can be beneficial as they contribute to a shorter stance time and enhance the generation of propulsion force, especially for the big toe during uphill and level walking and for metatarsals during level walking. These insoles help distribute contact areas more evenly across the midfoot, aiding in shock absorption during all types of walking. If you have flat feet and it is interfering with comfortable walking, it is suggested that you schedule an appointment with a podiatrist to address this condition. Appropriate support can improve comfort and reduce the risk of associated injuries, allowing individuals to enjoy the advantages of walking for their overall well-being.

If you have any concerns about your feet, contact one of our podiatrists from Grobowski Foot & Ankle. 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 one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 30 January 2024 00:00

How Podiatrists Manage Arthritis

Rheumatoid arthritis, or RA, is the most common form of inflammatory arthritis, and it often results in foot-related problems in up to 90 percent of those diagnosed. The foot can be an initial site for RA symptoms, with symptoms that include soreness, swelling, and joint erosion.  A podiatrist can identify, diagnose, and treat these foot-related challenges, with an aim to alleviate pain, enhance function, and protect overall foot health. Their palliative foot care includes addressing distorted or altered nails, hard skin, calluses, and corns. A podiatrist also specializes in wound management, offering timely interventions for wounds and ulcers on the feet as they develop. Custom orthotics, ranging from soft cushions to firmer devices, can improve foot alignment and function. A podiatrist can contribute to joint protection, manage inflamed joints, suggest appropriate exercises, and provide insights into surgical options when necessary. Their comprehensive care extends beyond immediate foot concerns, aiming to enhance overall foot health and contribute to the well-being of those navigating the challenges of rheumatoid arthritis. For more information about managing foot problems associated with RA, it is suggested that you include a podiatrist as a permanent member of your medical team.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact one of our podiatrists from Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

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Tuesday, 23 January 2024 00:00

Lymphoedema and Swelling of the Feet

Lymphoedema is a condition where the legs or feet swell due to fluid buildup because the body's lymphatic system, which functions similarly to veins, is struggling to remove it. This swelling is called edema and can happen when you do not move enough, such as after sitting for long periods during a flight. Persistent swelling of the feet, swelling that lasts over three months, is known as chronic edema, which suggests the beginning of lymphatic failure or early lymphoedema. If left untreated, chronic foot edema can cause skin changes, deeper tissue damage, and increase the risk of infections such as cellulitis. It is often associated with chronic venous insufficiency. Various factors can contribute to lymphoedema, including genetics, obesity, inactivity, vein problems, or damage from cancer treatments. Joint surgery may also impair lymphatic vessels, leading to lymphoedema. If you are experiencing swollen feet on a regular basis, it is suggested that you make an appointment with a podiatrist as quickly as possible to obtain treatment and prevent serious complications.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Tuesday, 16 January 2024 00:00

Distinguishing Turf Toe From Gout

Turf toe and gout, although both affecting the feet, originate from distinct causes and exhibit different symptoms. Turf toe, often associated with athletes and individuals engaging in activities that involve repetitive pushing off the toe, is essentially a sprain of the ligaments surrounding the big toe joint. It manifests as pain, swelling, and limited range of motion. Conversely, gout is a form of inflammatory arthritis resulting from the crystallization of uric acid in the joints, frequently the big toe. Gout attacks bring intense pain, swelling, and redness. While turf toe stems from mechanical stress, gout is closely linked to diet and metabolic factors. Understanding these disparities is pivotal for accurate diagnosis and tailored treatment. If you have toe pain, it is suggested that you consult a podiatrist who can diagnose and treat turf toe and gout.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain

Ensuring a safe and injury-free running experience involves adopting effective prevention techniques that prioritize the well-being of your muscles and joints. Start with a proper warm-up routine, incorporating dynamic stretches to prepare your body for the demands of running. Gradually increase the intensity and duration of your runs, allowing your muscles to adapt to the stress gradually. Invest in well-fitted running shoes that provide adequate support and cushioning, considering factors like arch type and pronation. Cross-training activities, such as strength training and flexibility exercises, play a critical role in enhancing overall muscle balance and resilience. Paying attention to your running form and maintaining a posture that minimizes impact on joints may help to reduce the risk of injury. Adequate rest and recovery are equally vital, and listening to your body allows it time to recuperate between runs. By adopting a holistic approach that encompasses warm-ups, proper gear, cross-training, form correction, and rest, you can significantly reduce the likelihood of running-related injuries and enjoy a sustained and fulfilling running journey. If you have sustained a foot or ankle injury from running, it is suggested that you speak to a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Prevent Running Injuries
Tuesday, 09 January 2024 00:00

How to Prevent Running Injuries

Overtraining and overusing the feet are the main causes of common running injuries. A number of these common injuries are caused by overrunning. Runner’s knee is a condition that is characterized by the back of the kneecap beginning to wear away and cause pain in the knee. This frequently occurs due to either a decrease in strength in the quadriceps muscles or ill-fitting shoes that are lacking in proper support for the inside of the forefoot. Strengthening exercises focusing on the quad muscle and sports orthotics are the usual treatments for those suffering from runner’s knee. Prevention of the condition lies in a focus on hip strengthening and quad-strengthening to keep the kneecap aligned. To help learn the best exercise to heal runner’s knee, one can also undergo physical therapy.

One common injury, called iliotibial band syndrome, is often caused by overtraining. This condition occurs when the iliotibial band gets irritated, creating pain and discomfort in the outside knee area. Plantar fasciitis, another common running injury, also occurs as a result of inflammation and irritation. Plantar fasciitis is an inflammation and irritation of the bone in the foot. A large amount of pain is often experienced due to plantar fasciitis. The condition can be caused by a high arch, improper footwear, tight muscles, or flat feet. It can best be avoided by stretching and wearing appropriate footwear that supports the foot.

Another common injury for runners is stress fractures. These injuries occur due to running style, overtraining, or a lack of calcium. Stress fractures most often occur in several locations in runners, including the inner bone of the leg, the thighbone, the bone at the base of the spine and the bones of the toes. Stress fractures are best prevented by wearing proper footwear and by running on flat and hard surfaces; this will absorb some of the shock created during running.

Aside from overtraining, other causes of common running injuries include ill-fitting footwear, a lack of flexibility and strength, and irregular biomechanics. The best way to avoid running injuries is to prevent them from even occurring. Both iliotibial band syndrome and stress fractures are preventable. The first step that should be taken to prevent running injuries is to only wear footwear that fits properly and that is appropriate for whatever activity you are doing. Running shoes are the only protective gear available to runners that can safeguard them from sustaining injuries. Choosing the right pair of shoes is therefore extremely important. While running shoes are an important factor, it is also important to consider other facets of your running routine such as training schedules, flexibility, and strengthening. These elements should be considered and altered according to your running needs to best maximize your run and minimize the possibility of injury. Careful stretching before and after a run should also be considered to help prevent running injuries. Stretching muscles enables greater flexibility and a lesser chance of sustaining injury.

Tuesday, 12 December 2023 00:00

Footcare and Overall Well Being

Proper foot care is essential for maintaining mobility and overall quality of life and becomes increasingly important with age. Foot issues can hinder everyday activities, such as walking, shopping, and exercising, leading to impaired mobility and a decreased quality of life. Pain or altered walking due to foot problems heightens the risk of falls, potentially impacting mental well being, social interaction, and increasing the likelihood of depression. In the workplace, foot pain can reduce productivity, affecting self esteem and effectiveness. Moreover, good foot health is vital for maintaining the ability to exercise, which in turn affects general health, weight management, and the risk of diabetes and heart disease. Surgery for foot issues may result in lasting mobility challenges, altering lifestyle and well-being. For those with diabetes, foot care is even more critical as high blood sugar can lead to circulation issues and nerve damage, increasing the risk of hard to treat infections. As part of your journey to improve your overall health and well being, it is suggested that you make an appointment with a podiatrist to have your feet examined, obtain any necessary treatment, and learn about effective foot care.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact one of our podiatrists from Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 05 December 2023 00:00

Causes of Sharp Pain in the Big Toe

Experiencing sharp pain in the big toe can be a perplexing and discomforting ordeal with diverse underlying causes. One common culprit is gout, a form of arthritis characterized by the buildup of urate crystals in the joints, leading to sudden and intense pain. Ingrown toenails, where the toenail grows into the surrounding skin, can cause sharp pain and inflammation. Another potential reason is a condition known as turf toe, often seen in athletes, where excessive bending of the big toe leads to sprains of the ligaments. Neuromas, benign growths of nerve tissue, can also result in sharp pain, particularly when wearing tight footwear. Arthritis affecting the big toe joint, often seen in conditions like osteoarthritis or rheumatoid arthritis, may contribute to persistent sharp pain. If you are experiencing pain in your big toe, it is strongly suggested that you are under the care of a podiatrist who can determine what the cause is, and offer correct treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Grobowski Foot & Ankle. our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 28 November 2023 00:00

Foot Pain From Prolonged Standing at Work

Foot pain from standing all day at work is a common complaint, and understanding its causes can be the first step toward relief. When you stand for extended periods, your body weight places significant pressure on your feet, leading to muscle fatigue. This can strain the arches, heel, and the entire foot structure. Wearing Inadequate footwear, such as shoes without proper arch support or cushioning, can further exacerbate the issue. Over time, poor ergonomics can lead to discomfort and pain. Moreover, the lack of movement reduces blood circulation, causing stagnant blood to pool in the feet, which can lead to swelling and discomfort. By understanding the reasons behind your foot pain, you can take proactive steps to prevent and manage it, ensuring a more comfortable workday. If you are experiencing foot pain during your work day, it is suggested that you speak with a podiatrist who can help you to find relief, in addition to effective prevention strategies.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Grobowski Foot & Ankle. our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 21 November 2023 00:00

Nerve Pain in the Feet

Nerve pain in the feet, manifesting as a burning, tingling, or electric shock-like sensation, can be debilitating and impede daily activities. It can emerge at night or during specific actions, often linked to conditions like Morton’s neuroma, which causes thickened tissue around nerves. It may also be indicative of tarsal tunnel syndrome, where nerve compression triggers sharp, shooting pains. Diabetic neuropathy begins with pain in the toes that can expand upwards. Causes for these nerve issues vary, including factors like wearing ill-fitting shoes, physical injuries, and systemic health issues like diabetes, obesity, or infections. Treatment strategies depend on the underlying cause. If you have nerve pain in your feet, it is suggested that you make an appointment with a podiatrist to obtain a diagnosis and treatment. This can help prevent the progression of potential conditions and enhance your quality of life.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Grobowski Foot & Ankle. our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Bellevue, Seattle, and Issaquah, WA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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