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Stephan J. LaPointe, DPM, PhD, FACFAS

Blog

Blog

Tuesday, 14 November 2023 00:00

Diagnosing an Achilles Tendon Rupture

An Achilles tendon rupture often presents suddenly, typically accompanied by a sharp pain in the back of the leg and sometimes an audible snapping sound. Many people with this injury mistakenly believe they have been hit in the calf. When examining for an Achilles rupture, the presence of swelling and bruising varies and is not entirely reliable. The gap in the tendon that indicates a rupture is often not easily palpable due to local swelling. In terms of mobility, patients can usually still perform some active movement in the ankle because other tendons also connect the calf to the foot. Pain affects passive movement but does not always limit it. Despite a ruptured Achilles, those affected can often still walk and may even be able to stand on tiptoes when using both feet, though not on the injured limb alone. The Simmonds' calf squeeze test is a reliable way for podiatrists to check for an Achilles tendon rupture. The test is done by having the patient kneel or lie prone with dangling feet. The healthy calf is used to see the foot flex, while no movement on the injured side indicates a ruptured Achilles tendon. If you believe you may have injured your Achilles tendon, it is strongly suggested that you make an appointment with a podiatrist for a thorough evaluation, diagnosis, and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries
Friday, 10 November 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 07 November 2023 00:00

Types of Ankle Ligament Surgery

The ankle is a complex joint consisting of the subtalar joint, tibiotalar joint, and distal tibiofibular joint. It relies on ligaments to prevent excessive movement and ensure stability. When these ligaments become compromised, ankle surgery may be an option. In such cases, anatomical reconstruction is the preferred approach for repairing damaged ankle ligaments. This procedure aims to restore torn or stretched ligaments and can use either the patient's own tissue or a cadaver tendon, depending on the ligament's condition. During anatomical reconstruction, an ankle surgeon may also tighten the fibrous tissue band to improve ankle alignment and prevent future injuries. In contrast, peroneal substitution ligament reconstruction involves replacing the damaged ligament with another tendon harvested from the patient's ankle. While a viable option, it is generally considered less effective than anatomical reconstruction. Recovery times for both procedures are roughly six weeks, but it may be much longer before you can safely resume sports activities. The choice of surgery should be made in consultation with a podiatrist who is a qualified foot and ankle surgeon. This foot doctor will tailor the surgery to your specific needs and follow with thorough post-operative care and rehabilitation. If you have severely injured your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . 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 our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 31 October 2023 00:00

Reasons for Nighttime Foot Cramps

Nighttime foot cramps are a common and disruptive issue, affecting up to 60 percent of adults. They can be caused by inactivity, poor posture, and sleeping positions that restrict blood flow and compress nerves. Overexerting foot muscles through excessive activity or fatigue can lead to muscle cramping, as can wearing improper footwear or working on hard surfaces. Dehydration, often from inadequate water intake or illness, can result in foot muscle cramps due to electrolyte imbalances. Nutrient deficiencies, particularly in vitamins B-12, thiamin, folate, magnesium, and potassium, can lead to nerve damage and cause cramps. Excessive alcohol use may cause nerve damage and alcoholic neuropathy that may contribute to foot cramps. Pregnancy, especially in the later stages, can bring on leg and foot cramps, possibly due to increased weight and nutritional deficiencies. Certain health conditions like peripheral arterial disease, kidney disease, anemia, and diabetes can also be associated with nighttime foot cramps. If your foot cramps occur frequently and do not improve even after making adjustments to your routine, it is suggested that you make an appointment with a podiatrist. This specialist in foot and ankle care can perform a thorough evaluation, provide you with a proper diagnosis, and recommend treatment options to alleviate your discomfort. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor 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 office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 24 October 2023 00:00

Everyday Foot Care Tips for Healthy Feet

Our feet bear the brunt of our daily activities, making everyday foot care an essential part of maintaining overall well-being. There are several practical tips to ensure your feet stay healthy and pain-free. These can begin with washing your feet daily, ensuring to dry thoroughly, especially between the toes. Keeping your toenails trimmed straight across and not too short may help to prevent ingrown toenails. Choose comfortable, well-fitting shoes that provide proper arch support and cushioning. Additionally, it is beneficial to alternate your shoes to give them time to air out, reducing the risk of foot odor and fungal infections. Regularly moisturize your feet to prevent dry, cracked skin. Performing regular foot stretches and massages can help improve circulation and relieve tension. Be mindful of foot pain or discomfort, as early intervention can prevent more significant issues. Lastly, maintaining a healthy weight and staying active can reduce the strain on your feet. If you would like to have more information about everyday foot care tips, it is suggested that you confer with a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor 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 our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everyday Foot Care
Tuesday, 17 October 2023 00:00

Detrimental Effects of Wearing High Heels

High heels are a popular fashion choice, often adding a stylish touch to special occasions. However, one should be aware of the potential negative effects on foot health when worn regularly. High heels can lead to various foot problems, including bunions, blisters, corns, and calluses. One common side effect is lower back pain, as these shoes lack adequate foot support, causing an uneven weight distribution. Foot pain is prevalent due to circulation problems and metatarsalgia. Ankle sprains, broken ankles, and awkward spinal curvature may result from wearing high heels, especially on uneven surfaces. Furthermore, high heels can constrict blood vessels and hinder natural blood flow, potentially leading to varicose veins and deformities such as hammertoe. They can also weaken ligaments and increase pressure on the knee joint, possibly causing osteoarthritis. If you enjoy wearing high heels, it is suggested that you make an appointment with a podiatrist to discuss the frequency of wear and consider alternative footwear choices that may help prevent potential health issues.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Read more about Effect of High Heels on the Feet
Wednesday, 11 October 2023 00:00

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 10 October 2023 00:00

Fall Proof Your Home to Create a Safe Haven

As you age, ensuring your home is safe becomes increasingly important to prevent falls and injuries. Fall proofing your living space can significantly reduce the risk of accidents. This can begin by decluttering walkways and removing any potential tripping hazards, such as loose rugs or cords. Installing grab bars in bathrooms and railings on stairs can help to provide support. Adequate lighting throughout your home is essential, and well lit areas can help you see potential obstacles more clearly. Keep frequently used items within easy reach to prevent unnecessary stretching or bending. Consider non-slip mats in the bathroom and kitchen to avoid slipping on wet surfaces. Regularly inspect and maintain the condition of your floors, ensuring they are even and free of loose tiles or floorboards. If you would like to learn about how fall prevention techniques can protect the feet, it is suggested that you consult a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Read more about Falls Prevention
Tuesday, 03 October 2023 00:00

Symptoms of Arthritis in the Feet

Arthritis is a common condition that affects millions of people worldwide, and it can manifest in various parts of the body, including the feet and ankles. If you have been experiencing persistent discomfort or pain in your lower extremities, it is essential to understand the signs and symptoms of arthritis in the feet and ankles, and to seek timely treatment. One of the earliest symptoms is pain, often accompanied by stiffness in the affected joints. Arthritis can make simple activities such as walking or climbing stairs painful. Inflammation is common in patients who have arthritis, leading to noticeable swelling and redness around the affected joints, especially after prolonged periods of activity. Arthritis can also cause decreased flexibility and range of motion in the feet and ankles, making it difficult to move them as freely as before. In some cases, chronic arthritis can result in joint deformities, such as bunions or hammer toes. As arthritis progresses, it can significantly affect your ability to walk comfortably and may lead to limping. If you are experiencing any of these symptoms, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and tailored treatment plan. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Read more about How to Care for Your Arthritic Foot
Tuesday, 26 September 2023 00:00

Causes and Prevention of Athlete's Foot

Athlete's foot, medically known as tinea pedis, is a common fungal infection that primarily affects the feet. This condition is characterized by itching, burning, and peeling of the skin, often between the toes. It thrives in warm, moist environments, such as sweaty shoes and communal areas like locker rooms and swimming pools. The root cause of athlete's foot is a group of fungi called dermatophytes, which feed on the keratin found in our skin and nails. Athlete's foot is contagious, easily spreading through direct contact or contact with contaminated surfaces. Preventing athlete's foot begins with maintaining good foot hygiene. Ensure your feet are clean and dry, especially between the toes. Choosing moisture-wicking socks and breathable shoes may help to reduce sweat buildup. It is beneficial to avoid walking barefoot in public areas, and consider wearing flip flops in communal showers. Regularly change and clean your socks and shoes, and never share footwear with others. Additionally, over-the-counter antifungal powders or creams can be used for prevention if you are prone to the infection. If you would like more information about more advanced prevention techniques for athlete’s foot, it is suggested that you consult a podiatrist.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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

 

Read more about How to Deal with Athlete's Foot
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