Monthly Archives: April 2011

The “OUCH” Factor

040Neuroma imgDo you have burning, tingling pain in the ball of your foot? If so, it is possible you have neuroma.  Neuroma is when nerves on the bottom of the foot become overgrown. When you step down on the foot, the bones press on the swollen nerve, causing the waves of burning, tingling, pain.  Neuromas occur commonly in the ball of the foot between the third and fourth toes. This special case is referred to as Morton’s neuroma.

Dr. Reddy at First Coast Foot and Ankle Clinic has many different treatment options available for this problem:

  • Fabricate and apply padding to the foot to prevent the bones from squeezing the nerve.
  • Orthotics
  • Cortisone injections – this will reduce the inflammation.
  • Alcohol injections – if the above measures don’t work, this will destroy the bothersome nerve (neurolysis). Not 100% effective, though.
  • Surgery – to cut out the nerve manually, in severe cases.
  • Cryogenic neuroablation – a relatively new procedure with similar results to surgery but fewer complications and high patient satisfaction. Instead of destroying the nerve with chemicals, it is frozen.

High-heeled shoes aggravate neuromas. The toe box of a high-heeled shoe is usually tight, forcing all your weight down onto the ball of your foot. These two factors contribute to the swelling and irritation.  So ladies the next time you’re running aorund your office or in downtown Jacksonville with your girlfriends for a night out, if you start to feel a burning, tingling pain in your feeet you may want to consider different footwear.

Your Podiatrist Can $ave You Money

041cattails_2009_augsep_health_care_dollars_1imgrecent study by Thomson Reuters found if diabetic patients visited a podiatrist just once before complications from a diabetic foot ulcer set in, it would result in $3.5 billion in savings for the US health-care system in one year. Podiatrists like Dr. Vimal Reddy are well trained in the diagnosis and treatment of diabetic foot ulcers.  If caught early the disease process does not escalate like it otherwise would if the patient had not seen a podiatrist, equaling fewer health care dollars spent.

People with diabetes often lose feeling in their feet, known as neuropathy. As a result, an individual with diabetes is more at risk of injuring their feet without knowing so. For example: You decide to check out the Jacksonville Riverside Art Market on Saturday.  Unfortunately, you have a rock in your shoe and walk all day without knowing the rock is rubbing the same spot over and over again. By the time you get home to kick off your shoes, you discover the rock and a fresh new wound. Unfortunately, people with diabetes heal wounds more slowly, causing the wound to become infected more easily. Sadly, many patients can lose their feet as a result. Podiatrists are at the forefront in preventing these disasters, and the physical, emotional and financial savings are substantial.

This is an EXTREMELY big deal and here’s why:

  • As a nation, we are already in a cost-cutting mode
  • Finding ways to trim health care expenditures is important, and podiatrists can help
  • Jacksonville lies just outside the Diabetes Belt, and podiatrists like Dr. Reddy have an important role locally.

If you have diabetes, you have everything to gain from forming a good relationship with a podiatrist. So stop over to the First Coast Foot and Ankle Clinic near St. Luke’s Hospital, and learn how you can save both your feet and your money!

“Walk This Way”: In the Right Shoe for You

039brannock2Last night you may have been entertained by the fancy footwork of wrestlers such as John Cena, Randy Orton, Triple H and The Undertaker while watching WWE Wrestlemania 27.  Or perhaps you were engaged in the Country Music Awards admiring the couture of your favorite country music stars and taking pleasure in Steven Tyler and Carrie Underwood’s performance of “Walk This Way”.  When it comes to walking into a wrestling ring or strutting your stuff on a stage, many problems can arise in the foot as a result of not wearing the right shoes.  Today I would like to dispel a few myths about shoe sizing to help you find the right fit for your foot.

1. You don’t have a shoe size! – You have a foot size. Your foot size is measured in a Brannock device (pictured above).  In a perfect world, your shoe size and foot size would be a perfect match.  Unfortunately, in reality there are differences between brands and the only way to know which shoe fits best is to try them on!

2. Sizing shoes: Most clerks at shoe stores will measure your heel-to-toe length. While this is important for making your toes comfortable, the more important measure is your heel-to-ball length. You can measure your heel-to-ball length by using the pointer that slides along the side of your foot on the Brannock device.  Your foot size will be the larger of the heel-to-toe and heel-to-toe sizes. Dr. Reddycan give you a proper and accurate measurement at the First Coast Foot and Ankle Clinic.

The heel-to-ball measurement is important because your foot bends the most at the ball of your foot. When trying on a shoe:

  • Bend the shoe as if you were pushing the toes upward
  • Make sure the shoe bends around the same place as the ball bends
  • Lastly, if the shoe bends in a way that your foot does not then it won’t give you the support you need!

3. Size is just a number: Some patients are self-conscious if their feet measure larger then they would like. Just remember the feet you are born with are the only ones you will have.  So if you’re running around your office in Downtown Jacksonville, or taking a stroll by the St. Johns River, be happy, be comfortable, and wear a shoe that fits!