Tag Archives: dr. vimal reddy

All shoes Are Not Created Equal

air-jordan-2011-dominate-another-day-rocket-shoes-video-commercial-600x338The 26.2 with Donna marathon runners had some stiff competition last weekend with Tesfaye Girmafrom Ethiopia finishing the race with a record time of 2:15:40. Most of us can only dream of running a marathon in that time or opt for rocket boosters on our shoes to do so.   When running in these races it is very important to have the right type of shoe.  When buying athletic shoes, may people are more worried about getting a particular brand name, or a style that is “in” or looks “cool”, than they are about whether or not the shoe actually fits their foot and is comfortable.  The truth is that all of these can be accomplished simultaneously if the correct considerations and evaluations are taken prior to shoe shopping.  These considerations are especially important in an active person, or athlete searching for the best athletic shoes.  To many people, shoe styles and materials may look the same, but all shoes are not created equal.

The first thing that anyone shopping for shoes should consider is what size they need, in length and in width.  This can be accomplished with a Brannock foot measuring device,available at many shoe stores.   This device has different measurements for both males and females, and not only measures the overall length and width of the entire foot, but also measures the arch length, the length from the heel to the ball of the foot.  This is important because shoes are designed to flex at the ball of the foot, and properly positioning the ball of the foot in the shoe can prevent toe crowding, pressure, and the general uncomfortable nature of an ill-fitting shoe.

Feet should be measured at the end of the day, after they have endured all of the day’s stresses and impact acting on them.  A proper fitting shoe should leave around a quarter inch between your longest toe and the end of the shoe.  If one size feels too small and the next size up feels too large, either try a different brand of shoe or choose the larger size.  Shoes that are too small or constricting can cause injury to the toes such as calluses, contractures, bruising, loss of the toenail, bunions, and can predispose toenails to nail fungus, called onychomycosis.

The best way to ensure that you get an athletic shoe that fits properly and is the perfect fit for your foot is to make an appointment with a podiatrist.  Here at First Coast Foot and Ankle Clinic, Dr. Reddy can evaluate your foot type to help you pick the right shoe for your foot.  He can also dispense items that help with shoe fit and function such as orthotics that are worn in shoes. Regardless of whether you decide to make an appointment before purchasing your new shoes, or bring them with you after, we look forward to helping you find that perfect fit.

The Road to Super Bowl XLVII

superbowl-1Unfortunately for Jacksonville football fans, the Jaguars did not make the postseason this year, however everyone should still be excited to watch the upcoming super bowl.  Throughout the long 17 week NFL regular season, and the 4 weeks of playoffs thereafter, the player’s bodies are exposed to non-stop, repetitive, strenuous activity that can put strain on muscles, tendons, ligaments and bones, the foot being no exception.  One of the most common chronic injuries to the feet of NFL players and older athletes are big toe joint injuries.  Some can be career altering such as the case with Deion Sanders when he was forced to retire from a “turf toe”injury in 2000.

Turf toe results from hyperextension of the big toe joint as the heel is raised off the ground.  An external force is place on the big toe and soft tissues that support the big toe on top are torn or ruptured.  In sports, especially football,a player whose foot is planted on the ground with the heel in the air is subjected to a force on the back of the foot thereby hyperextending the first MTP joint. The injury usually happens when a football player’s cleat is engaged with the turf and another player lands on the back of the heel.

There are also other conditions of the big toe joint that result out of abnormal wear and tear. Hallux limitus is a condition in which there is a significantly decreased amount of motion in the joint of the great toe, whereas in hallux rigidus there is no motion available at the great toe.  The diagnosis of Hallux Limitus can be made based on physical exam and x-rays that can be done here at the First Coast Foot and Ankle Clinic.

Hallux limitus can usually be treated conservatively in the office.  The first line of treatment would be functional foot orthotics that are to be worn in shoes.  These orthotics can provide a stiff surface for the inside of the foot and limit the pain associated with the decreased motion at the great toe joint.  The shoes can also be stretched so that no pressure or rubbing occurs around the joint.  In some more severe cases, surgery may be the best option to completely alleviate pain, and realign the joint.

It does not take the amount of activity or training that an NFL player has to endure to develop big toe joint problems, and is also quite common in the normal population.  If you are experience pain in that area, or want to prevent future problems, make an appointment today.

Common Exercising Injuries

images[5]It’s a couple weeks into 2013 and many people are still very dedicated to their new year’s resolution of weight loss or a healthier lifestyle.  Some of these new exercisers are filling the gyms or enjoying the jogging paths in their new, hopefully perfectly fitted, athletic shoes, while still others are starting to develop pains and injuries.  There are many common injuries associated with running and new exercise routines, many treatable at home, while others require a visit to your podiatrist.

Many new exercisers start out in a very high intensity routine, almost guaranteeing themselves an injury from overuse.  The constant repetition of contraction and release of muscles that many exercises require can lead to muscle tears or ruptures.  Injuries can occur in all body parts including the knee, shin, ankle, and foot.

Pains that occur in the knee are commonly called runners knee and are caused by the foot rolling inward too much, called excessive pronation.  This can be treated and prevented by custom orthotics which can be prescribed by a podiatrist.  Orthotics can also be an effective treatment for another common injury that presents with a painful ache on the front and medial side of the leg caused by inflamed muscles, called shin splints.

heel pain

The left image shows a foot with a healthy arch: the plantar fascia is relaxed. The right image shows a flattened arch: the plantar fascia is stretched tight with inflammation at it’s heel attachment.

The foot can experience many different injuries from overuse.  A pain in the heel of the foot, called plantar fasciitis, is often caused by stress on the bottom of the foot.  This can be caused by excessive pronation, poor fitting shoes, and overtraining.  Heel pain can also be caused from pain and tightness in the large muscles of the leg from repetitive rising up on the toes that leads to achilles tendon inflammation and pain at the back of the heel.

Another common overtraining injury is a stress fracture.  This happens because of repetitive forces from the ground and body being applied to the bones in the foot.  This temporarily weakens the bone and without proper time to recover, commonly seen with overuse, the bone will eventually fracture. This could stop your activity altogether for 4-8 weeks wiping out the work you’ve done previously.

 Make an appointment with First Coast Foot and Ankle Clinic and let us help keep your new exercise routine going strong, and your feel feeling great.

Solution to Heel Pain After Too Much Holiday Shopping

007 ShopperIt’s finally cooling off in Jacksonville, FL, Thanksgiving has past and the Holiday Season is officially upon us, leaving many running for Black Friday and Cyber Monday deals.  While running is great cardio, it may not be so great for your feet due to obnoxious heel pain, also known as plantar fasciitis. From the weekend recreational runner, to professional athletes, and holiday shoppers making their way through the St. John’s Town Center or The Avenues Mall, heel pain is unbiased.

  • Where does plantar fasciitis cause pain? In the arch and heel of the foot.
  • Early stages: the pain is most severe when stepping down the first time in the morning and improves with walking.
  • As the condition progresses pain becomes present throughout the day – and can be quite disabling.
  • How do I get plantar fasciitis?  Inflammation of the large ligament running from the heel across the bottom of the foot to the ball of the foot.  The inflammation is caused by “overuse” of the ligament, which causes injury and tearing of some of the ligament fibers.

007 Heel PainThe kicker to this painful problem is it doesn’t generally hurt while exercising but exercising will make it worse, and there will be no relief until you allow a period of rest. There are several treatment options for plantar fasciitis.  Conservative treatments for heel pain include:

  1. Getting rid of inflammation by icing and stretching: As with any treatment plan, stretching techniques will be suggested and can be combined with icing to alleviate some of the discomfort by rolling/stretching your foot over a frozen water bottle.
  2. Anti-inflammatory: Always consult your physician before taking any medication, and to confirm that the condition is plantar fasciitis.
  3. Correct fitting shoes paired with custom orthotics:can help keep the pain at bay

For many people with mild or moderate plantar fasciitis these methods alone will bring relief.  Unfortunately for some cases of persistent or severe plantar fasciitis, a more direct treatment plan will be needed.

If you’re currently suffering from plantar fasciitis symptoms and other treatments have not been effective, you may be a good candidate for a non-invasive procedure called Extracorporeal Pulse Activation Technology, or EPAT.  EPAT was initially used to treat kidney stones before being approved for several musculoskeletal disorders, including plantar fasciitis.

How does it work?  EPAT works through pressure waves increasing the circulation and metabolism to an area, speeding up the healing process.  It offers more intense results to persistent pain without the risk and recovery time associated with surgery.   EPAT is not needed for every patient, but those who are candidates have experienced great results.

If you or someone you know is suffering from severe heel pain come see us at First Coast Foot and Ankle Clinic to get your feet free of pain.

November: Diabetes Awareness Month

010 awareness-monthNovember is Diabetes Awareness Month, and for many people feet are the last thing they think of when they hear the word diabetes.

Diabetic patients are at a higher risk of developing foot problems than those without diabetes, due to nerve damage and poor circulation associated with the disease.  60-70% of diabetics experience damage to nerves that diminish the pain sensation, this is called neuropathy.  The idea of less pain sounds great, but without normal pain sensation we become less aware when we injure ourselves.  Injuries such as scratches, blisters or sores can lead to an infection and if gone unnoticed become very serious.

Diabetics also have a lower immune system as well as decreases blood flow, thus significantly slowing the healing process.  Therefore an infection in a diabetic patient is much more serious than that of a non-diabetic because of the body’s ability to fight off the infection is weakened.  Due to a lower immune system and decreased blood flow, this once simple skin wound can spread to underlying muscle, and even into bone.  Infection in bone is called osteomyelitis and is a very serious condition that can quickly lead to loss of the toe, foot, or possibly the limb.

Due to the serious consequences that can come from even the smallest scratch in a patient with diabetes, it is recommended diabetic patients be seen by a podiatrist at least once a year. This significantly decreases the chances of small cuts or nicks going unnoticed and progressing into more serious situations.  This can and will save you unnecessary pain as well as money.  Even a minor injury to a diabetic patient is an emergency, and it is highly recommended to visit your podiatrist immediately if you experience any injury to your foot.

Together_187_StackedList of recommendations for keeping diabetic feet healthy:

  • Wash and fully dry feet daily making sure to inspect them for any injuries or nail problems
  • Be sure to inspect between the toes
  • Wear supportive shoes that fully cover the toes as well as the heel, even when around the house
  • Do not self-treat your calluses
  • Elevate your feel while sitting to increase circulation

The key to keeping a diabetic foot healthy is prevention and early detection.  If you or someone you know is diabetic and does not have a podiatrist please contact First Coast Foot & Ankle Clinic.

September is National P.A.D Month: Are You At Risk?

004 PAD_picBetween the changing of seasons bringing cooler temperatures, and events such as the 2012 First Coast Heart Walk, and Northeast Florida Beer Cup approaching, September is shaping up to be an exciting month in Jacksonville.

September is also P.A.D awareness month.  P.A.D stands for Peripheral Arterial Disease and currently affects around 8 million Americans.  People with PAD are at significantly increased risk for stroke and heart attack.  If caught early P.A.D is preventable and can be easily treated.

P.A.D occurs when arteries in the legs become clogged or blocked by fat deposits and cholesterol that stick to and accumulate on the walls of the artery. The more narrow and hard the artery is, the harder it is for blood to pass through, leading to decreased blood flow to the legs and feet that can result in a number of symptoms.

These symptoms include:  

  • Painful cramping in the legs while walking
  • Heaviness
  • Numbness and/or weakness of the lower extremity

Symptoms that occur later in the disease include: 

  • Pain or burning in the feet or toes while resting
  • Coolness and color changes of the skin
  • Loss of hair
  • Wounds of the feet or toes that do not heal

Risk factors include: 

  • Smoking
  • Hypertension
  • High cholesterol
  • Obesity
  • Sedentary lifestyle
  • Age greater than 50
  • Diabetes

Here at First Coast Foot Clinic, we use the reliable, non-invasive Ankle-Brachial Index (ABI) to test for P.A.D.  Blood pressures are taken on both the arm and the ankle, and are compared to each other.  The ankle blood pressure should be about the same as the arm blood pressure, in which normal values are 0.95-1.2.  If it is below this, a patient will be tested further for P.A.D.

Sometimes P.A.D can show no symptoms at all, so it is important to get tested if you are at risk.  So while you are enjoying the Northeast Florida Beer Cup, be aware of what puts you at risk and remember you can always walk off those extra beer calories at the First Coast Heart Walk and keep your lifestyle active.  September is going to be a great month here in Jacksonville, but try to stay aware of P.A.D and catch it early.

Don’t Hide Ugly, Thick, Discolored Toenails…. Treat Them!

002 Toe FungusIt’s hard to believe the 2012 Summer Olympics are over, the school year has started in Jacksonville, FL and Football Season is upon us. Although fall is right around the corner, we are still feeling summer temperature’s here on the First Coast, leaving many still showing off their toes in flip-flops or sandals.  For some this can be embarrassing if you have thick, yellow, cracking, brittle nails, which can be painful and hard to treat, could be fungus.  Nail polish can disguise the discoloration, but regular polish can also lock in the fungus, making it worse. Summer is more fun if you’re fungus free!

Toenail fungus, called onychomycosis, can start as a yellowing of the toenail but progress into a painful, thick nail with a foul odor.  Fungus thrives in hot, humid environments, making it an extremely common condition in Florida.  This contagious infection can be spread easily in moist environments such as public swimming pools, and gyms and can be difficult to get rid of.

It can be difficult to get rid of toenail fungus and recurrence is high, but a podiatristcan give you options that have the highest success with the particular kind of fungus you have:

  • Topical nonprescription creams
  • Oral Medications, which can have side effects
  • Surgical removal of the nail
  • Laser Therapy

First Coast Foot and Ankle Clinic makes sure to offer the most effective treatments available, from anti-fungal nail polish, to the most up-to date treatment tools.

002 rednailACurrently the Pinpointe FootLaser is one of the most effective treatments for nail fungus.  The procedure is quick, painless and does not have to be repeated.  The laser is able to go through the nail and destroy the fungus under it while leaving all other tissue unharmed.  The laser offers effective treatment without the side effects and prolonged treatments of many of the medications currently used, and without the pain and recovery associated with surgical removal of the nail.

The First Coast Foot and Ankle Clinics’ Four steps to Fabulous Fungus Free Feet:

  1. Rid yourself of any current fungus: Let us PinPointe the problem for you!
  2. Keep feet dry: Dry cotton socks and ventilated shoes are a good choice
  3. Don’t share: Tools such as nail clippers or files, and clothing can spread fungus
  4. Wear shoes in public facilities: showers, gyms and public pools

If you or someone you know may possibly be suffering from toenail fungus, request an appointment today to see what Dr. Vimal Reddy can do for you.

Set Your Sights on a Smoother Pregnancy

Pregnant and the Olympics are not two words most people would put in the same sentence; But at the 2012 London Olympics, Nur Suryani Mohd Taibi of Malaysia represented her country for the air rifle competition, eight months pregnant!

Just weeks away from her due date, Mohd Taibi reported “I only feel pain when I walk too much…  sometimes I forget that I’m pregnant.”  And though she not the most decorated Olympian like Michael Phelps, she now holds her own Olympic record as the most pregnant Olympian.  At eight months pregnant Mohd Taibi, like many current day mothers-to-be, does not have time to be slowed down by foot pain.

Many soon-to-be-moms are burdened by everything from back pain and cramping calves, to swollen ankles and sore feet.  Pregnancy hormones can wreak havoc on your body, and your feet are no exception.  Foot pain experienced during pregnancy is due to the increased hormone levels coupled with the extra weight of the baby.  Women may develop:

As the pregnancy progresses, the increasing weight may make the problem worse; Causing walking to be very painful, as well as other issues such as sore knees and back due to the added strain.  Our Olympian Mohd Taibi represents Malaysia where the warm humid conditions cause even further difficulties, such as increased swelling and risk of foot infections – both fungal and bacterial.  The Jacksonville area certainly competes with Malaysia in this regard this time of year.

Ammunition to keep your baby-bump bliss right on target:

  • Aim at taking time off your feet: Taking time to rest and elevate your legs will help reduce swelling
  • Choose correct footwear for your pregnant feet: Feet change size throughout your pregnancy so have them measured accordingly
  • Custom made Orthotics can control or prevent the over-pronation which leads to other body aches

Jump the gun on foot pain and make an appointment before pregnancy related foot problems become more advanced and difficult to treat.  Come see us at First Coast Foot and Ankle Clinic for assistance to prevent expected pregnancy-related foot problems and for expert treatment of any problems you may already b experiencing.

This will be the straightest shot at keeping your feet healthy during your pregnancy.

Solution for That Toenail Fungus

shutterstock_80839891 4x6-2Do you have thick, yellow, discolored toenails?

Are you embarrassed to wear your open toed sandals in public?

Chances are you have fungal toenails, a condition also known as onychomycosis.

It is estimated world wide that over 30 million people have onychomycosis, and it is especially a problem in warm weather climates like Florida.

Fungal toenails are caused by an organism that grows on top and under the nail.  The fungus likes to grow in warm, most places, like your shoes.  Many patients pick up fungal toenail infections, in the gym locker room, from a nail salon, wet shoes, or even from trauma.  Fungus can stay in the nail for many years and spread very quickly.  There are currently three treatment modalities for this condition.  They include; topical medications, oral medications, which can have some serious side e ffects, and the newest modality, which is laser therapy.

At First Coast Foot and Ankle Clinic we use the first FDA cleared laser, which focuses a concentrated beam of laser light through the nail, to eradicate the fungus living under and in the nail.  The procedure is preformed right in my office, requires no anesthesia and is painless.  Most patients require only one or two treatments and can once again enjoy the satisfaction of wearing open toed shoes.

So, if you are tired of looking as those unsightly nails, please contact my office to determine if you are a candidate for laser therapy.

Wedding Season is Here: Pretty Toes a Must!

remedyStop the presses!  Brad Pitt and Angelina Jolie are engaged!  And with wedding season well underway here on the First Coast, many of us will be slipping into strappy sandals, peep toe heels and cute flip-flops for upcoming nuptials in Jacksonville, Ponte Vedra Beach or St. Augustine Florida.  For the confidence to show off those toes with and pride… It’s trivia time!

Question:

What product was created by two board-certified podiatric physicians, has the ability to treat nail fungus and yellow nails without any harsh chemicals, is fully endorsed by the American Podiatric Medical Association(APMA), and can make you look like a million bucks???

Answer:  

Dr.’s REMEDY enriched, anti-fungal, non-toxic nail polish!

Commercial nail polishes are often formulated with Dibutyl Phthalate a/k/a DBP (banned throughout the European Union), toluene, and formaldehyde – each linked to a wide variety of health risks including, but not limited to, cancer, infertility, and birth defects. Why should looking good involve such extreme risks? With Dr.’s REMEDY polish, it doesn’t have to!

Dr.’s REMEDY line of nail care products are formulated with non-toxic, natural ingredients that help – not hurt – your nails, such as:

  • Tea Tree Oil:  Found to have antiseptic and antifungal effects
  • Garlic Bulb Extract:  Contains a powerful antibacterial, antifungal, and antiviral agent that helps kill harmful germs
  • Vitamins C & E:  Improves the health of skin and nails
  • Wheat Protein:  A vegetable-derived, high quality protein that contains moisture-binding capabilities and naturally increases shine

Dr.’s REMEDY polish is allergen friendly for those sensitive to ingredients in commercial nail polish. And it’s a vegan product!  Add these healthy benefits to a long-lasting coat of color (over 30 available) and you have a recipe for a great polish.

Don’t bother looking around the mall for Dr.’s REMEDY products. You can find them at First Coast Foot & Ankle Clinicin Jacksonville. If you have any questions or concerns about your foot, ankle or toenail needs request an appointment.