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Stephan J. LaPointe, DPM, PhD, FACFAS

March 2020

Monday, 30 March 2020 00:00

Have I Developed Cuboid Syndrome?

There is a small bone that can be found on the outside, near the middle of the foot. This is referred to as the cuboid bone, which is attached to the heel bone by ligaments. If the tissues surrounding the cuboid bone become injured, the medical condition that is known as cuboid syndrome may develop. A common symptom that is generally associated with this condition may consist of pain and discomfort on the outside of the foot, which may then spread to the toes. The affected area may become swollen, and make it difficult to walk on uneven surfaces. Additionally, limping may become a natural method of dispersing some of the body’s weight. This condition may be caused by enduring an ankle injury, or if the patient has flat feet. Moderate relief may be found if the affected foot is elevated, as this may help to reduce a portion of the swelling. If you have these types of symptoms, it is strongly suggested that you consult with a podiatrist who can properly treat this condition.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 All About Cuboid Syndrome
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Thursday, 26 March 2020 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!

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If you notice a hardened area of skin on the bottom or side of your foot, you may have developed a foot condition that is known as a corn. Corns, often confused with calluses, are rounder and incredibly sensitive to the touch when pressure is applied. Corns may develop due to an intense amount of friction between the skin on your feet and tightly worn shoes, for example high heels. Some patients have found mild relief from the discomfort by using apple cider vinegar and castor oil, vitamin E, lemon peels, and Epsom salts. If you would like to safely remove your corn, and get advice on how to best treat this condition, it is suggested that you seek the counsel of a podiatrist.

If you have any concerns about your feet, 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.

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 office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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If you feel a tingling, burning, or numbing sensation in your feet, you may be experiencing symptoms related to a foot condition known as tarsal tunnel syndrome. With this condition, pain is typically felt in the sole, heel, and arch areas of the foot. Some patients who have had this condition also say they experienced a sensation that feels like pins and needles in the feet. Tarsal tunnel syndrome may develop when the posterior tibial nerve becomes compressed or pinched. Other reasons for its development may include osteoarthritis, rheumatoid arthritis, and diabetes. To help alleviate pain, it may be beneficial to perform light stretches that focus on strengthening the calf muscles. For more advice on how to treat this ailment, it’s suggested that you speak with a podiatrist for a proper diagnosis and professional care.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

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Monday, 09 March 2020 00:00

Possible Causes of Cracked Heels

The medical condition that is known as cracked heels is defined as splits in the skin that may gradually develop into deep fissures. This may cause pain and discomfort, and in severe cases, the skin may begin to bleed. Common symptoms that are associated with this ailment can include hardened and itchy skin, and it may be difficult to walk. This condition may develop from standing for extended periods of time throughout the day, or from frequently wearing shoes that have an open back. Some patients have found mild relief when the feet are washed and dried, followed by using a good moisturizer. Additionally, it may be beneficial to drink plenty of water on a daily basis, and to implement a gentle exercise routine. If you are afflicted with cracked heels, it is strongly advised that you speak with a podiatrist who can properly treat this condition.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

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Monday, 02 March 2020 00:00

The Importance of Elderly Foot Care

One of the most important things elderly people can do is to properly care for their feet. Many seniors can experience uncomfortable foot conditions as a result of a loss of cushioning as the aging process occurs. Research has indicated that one of the most favorable things seniors can do for their feet is wear shoes that fit correctly. The feet will feel better when there is adequate room for the toes to move freely in, and this may be helpful in preventing corns and bunions from developing. Additionally, washing and drying the feet daily followed by using a good moisturizer may be beneficial in preventing cracked heels. If you would like additional information about how elderly patients can care for their feet, please consult with a podiatrist. 

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

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