Tuesday, 18 June 2024 00:00

Symptoms and Causes of Ankle Bursitis

Ankle bursitis occurs when the bursae sacs in the ankle become inflamed, causing significant discomfort and mobility issues. Bursae are small, fluid-filled sacs that act as cushions between bones, tendons, and muscles, reducing friction and facilitating smooth joint movement. These sacs can become irritated or inflamed, typically due to overuse, trauma, infection, or medical conditions like gout or rheumatoid arthritis. Common symptoms of ankle bursitis include pain and tenderness in the ankle, swelling, stiffness, warmth, or redness around the affected area. Aching or throbbing pain also can occur, especially when pressure is applied. Overuse from activities like running or dancing, trauma from injuries, or wearing poorly fitting shoes are frequent causes. Proper diagnosis may include imaging tests like X-rays or MRIs to rule out other conditions. In some cases, fluid from the bursae might be tested for infections. If you're experiencing symptoms of ankle bursitis, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Joshua David Scoll from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Tuesday, 18 June 2024 00:00

Ankle Pain

Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.

Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.

Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections. 

Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.

Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.

Tuesday, 11 June 2024 00:00

Lupus and the Feet

Lupus, an autoimmune disease, can significantly affect the bones, joints, and muscles in the feet, leading to various complications. This condition causes the immune system to attack healthy tissues, resulting in inflammation and damage. In the feet, lupus commonly leads to arthritis, causing joint pain, swelling, and stiffness. Tendonitis, an inflammation of the tendons, is also frequent, causing pain and difficulty in movement. Additionally, tendon laxity, or the loosening of tendons, can occur, causing instability and increasing the risk of sprains. One severe complication of lupus is avascular necrosis, where reduced blood flow to the bones leads to bone tissue death. This condition can cause severe pain and lead to bone collapse if untreated. Managing lupus symptoms requires early intervention and proper care. If you have this disease and are experiencing foot-related issues, it is strongly suggested that you schedule an appointment with a podiatrist for personalized treatment and to address your specific problems.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 11 June 2024 00:00

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 04 June 2024 00:00

Surgical Excision of a Plantar Fibroma

Plantar fibromas are benign growths that develop in the arch of the foot, often causing discomfort and difficulty with walking. When conservative treatments fail to provide relief, foot surgery may be necessary to alleviate symptoms and restore mobility. During the procedure, the patient is typically placed under local anesthesia, numbing the foot to minimize pain. The surgeon then makes an incision in the skin, carefully dissecting the fibroma from surrounding tissues and nerves. Once the fibroma is removed, the incision is closed with sutures, and a dressing is applied to promote healing. Recovery time varies, depending on the size of the fibroma and the individual's ability to heal, but most patients can expect to resume normal activities within a few weeks. While surgical plantar fibroma excision offers a permanent solution, it is essential to discuss the risks and benefits with a podiatrist. If you have a plantar fibroma that is causing you pain, it is suggested that you make an appointment with a podiatrist who can determine if this surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 04 June 2024 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Tuesday, 28 May 2024 00:00

Why Some People Get Hammertoes

Hammertoes are a deformity where the toe bends at the middle joint, causing the tip to curl downward, resembling a hammer. This condition can affect any of the smaller toes and is categorized into flexible hammertoes, which are still movable at the joint. Rigid hammertoes are defined as tight tendons causing the joint to become misaligned and immobile. Hammertoes develop over time, often due to wearing ill-fitting shoes that squeeze the toes or cause them to bend. High heels or narrow shoes are common culprits. Genetics, certain diseases like arthritis, and trauma can also contribute to their formation. People with unusually long toes, flat feet, or high arches are more susceptible. Diagnosis typically involves a physical examination, and in some cases, X-rays to assess the extent of the deformity. Treatment options range from changes in footwear and custom orthotic devices to surgery in severe cases. If you have a hammertoe that is causing you discomfort, it is suggested that you visit a podiatrist for an accurate diagnosis and treatment options.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 28 May 2024 00:00

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

Tuesday, 21 May 2024 00:00

Essential Insights to Know about Gout

Gout, often termed the disease of kings, is a form of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints, leading to intense pain and swelling. Contrary to popular belief, gout can affect anyone, regardless of social status or dietary habits. The condition typically manifests in sudden, severe attacks, commonly affecting the big toe. Factors contributing to gout include genetics, a diet rich in purines that are found in red meat, seafood, and alcohol, obesity, and certain medical conditions like hypertension or kidney disease. Despite its historical association with indulgence, gout is a legitimate medical concern that requires proper management and treatment. Without intervention, recurrent gout attacks can lead to joint damage and chronic pain, significantly impacting one's quality of life. If you have severe pain in your big toe and surrounding areas, it is strongly suggested that you seek advice from a podiatrist who can help you find relief and management methods.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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