Tuesday, September 18, 2012
MEDICARE DIABETIC SHOE PROGRAM
Monday, June 25, 2012
Vascular Testing, Ankle Brachial Index
WHAT IS P.A.D. ?
Peripheral Arterial Disease (P.A.D.) occurs when there is a build up of cholesterol and plaque in the arteries of the lower extremities, causing decreased blood flow to the legs and feet.
Friday, June 15, 2012
PLANTAR FASCIITIS
Tuesday, June 5, 2012
WARTS
A wart is an infection caused by a virus, which can enter your skin through small breaks or cuts. Warts
are one of several soft tissue conditions of the foot that can be quite painful. Over time, the wart
develops into a hard, rough growth on the surface of the skin.
Technically only those on the bottom of the foot are properly called plantar warts.
Children, especially teenagers, tend to be more susceptible to warts than adults; some people seem to be immune.
Identification Problems
Warts are generally harmless, even though they may be painful. Many times they are mistaken for corns or calluses—which are layers of dead skin that build up to protect an area which is being continuously rubbed. The wart, however, is a viral infection. If left untreated, warts can spread to other parts of the body, like the hands.
It is also possible for a variety of more serious lesions to appear on the foot, including malignant lesions such as carcinomas and melanomas. Although rare, these conditions can sometimes be misidentified as a wart. It is smart to consult a podiatric physician when any suspicious growth or eruption is noticed on the skin of the foot in order to ensure a correct treatment and diagnosis.
Plantar warts tend to be hard and flat, may appear spongy, with tiny red, brown or black spots, with a rough surface and well-defined boundaries; warts are generally raised and fleshier when they appear on the top of the foot or on the toes. They can grow up to an inch or more across, occurring alone or with smaller warts clustered nearby. It is important to note that warts can persist for years and recur in the same area.
Source of the Virus
The plantar wart is often acquired by walking barefoot on dirty surfaces. Avoid going barefoot in public places like showers, gyms, and locker rooms. Wear sandals on your feet. The causative virus thrives in warm, moist environments.
Occasionally, warts can spontaneously disappear after a short time, and, just as frequently, they can recur in the same location.
When plantar warts develop on the weight-bearing areas of the foot—the ball of the foot, or the heel, for example—they can be the source of sharp, burning pain. Pain occurs when weight is brought to bear directly on the wart, although pressure on the side of a wart can create equally intense pain.
Tips for Prevention
• Avoid walking barefoot, except on beaches.
• Change shoes and socks daily.
• Keep feet clean and dry.
• Check children's feet periodically.
• Avoid direct contact with warts.
• Do not ignore growths or changes in your skin.
• Visit your podiatric physician.
Self Treatment
Self treatment is generally not a good idea. Over-the-counter preparations contain acids or chemicals that destroy skin cells, and it takes a podiatric foot and ankle surgeon to destroy abnormal skin cells (warts) without also destroying surrounding healthy tissue. Self treatment with such medications especially should be avoided by people with diabetes and those with cardiovascular or circulatory disorders. Never use them in the presence of an active infection.
Professional Treatment
It is possible that your podiatric physician will prescribe and supervise your use of a wart-removal preparation. More likely, however, removal of warts by a simple surgical procedure, performed under local anesthetic, may be indicated. Lasers have become a common and effective treatment. A procedure known as CO2 laser cautery is performed under local anesthesia where the wart is vaporized using focused light energy in your podiatrist’s office surgical setting. The laser reduces post-treatment scarring and is a safe form for eliminating wart lesions.
Tips for Individuals with Warts
• Avoid over-the-counter preparations.
• Seek professional podiatric evaluation.
• Diabetics should be especially careful.
• Warts may spread and are catching.
Tuesday, May 29, 2012
FRACTURES, STRAINS AND SPRAINS
- Frequency (how often you exercise)
- Duration (how long you exercise)
- Intensity (your level of exertion)
Wear the proper shoes and change your environment
- Pain that starts at a low threshold and increases with physical activity, and lessens with rest
- Pain that becomes more serious and happens with regular, daily activities.
- Inflammation on the top part of the foot or the outside of the ankle.
- Touching the site is painful.
- Bruising.
FIRST VISIT
Tests
Stress fractures are almost impossible to locate on X-rays until they have actually started to heal. Your podiatrist may order a bone scan or a magnetic resonance imaging (MRI) scan, which are more sensitive than an X-ray and can show stress fractures early.How to Treat
Proper Footwear
To alleviate pressure on your lower extremities, your podiatrist will probably recommend wearing protective shoes. This may be a rigid-soled shoe or a removable short-leg fracture boot.
Monday, April 30, 2012
APOPHYSITIS
The Development of Heel Pain:
Symptoms of Heel Pain in the Child:
The Cause:
Treatments:
Monday, April 9, 2012
TAKE CARE OF YOUR FEET EVERY DAY
Ulcers are the most harmful problems to your feet. They are the cause of approximately 80,000 amputations of the diabetic feet every year. It is very important to catch an ulcer before it becomes a wound.
If you have an infrared thermometer you can measure the temperature of your feet, by measuring the heat on your feet, you can catch the 4 degree temperature difference before you get an ulcer and know to stay off your feet for a couple of days. No medication or surgery needed.
If you notice any changes on your feet you should call Cortese Foot and Ankle Clinic right away and make an appointment. We are board certified foot and ankle surgeons and specialists. This means we have the qualifications and the experience that you are looking for. We just see foot and ankle injuries. It doesn't matter what age you are, we can treat everyone.
Call if you have any questions or concerns at: (309) 452-3000.
Wednesday, March 28, 2012
NEUROPATHY
Neuropathy
Neuropathy is a condition in which the nerves in our body are damaged or not working correctly. There are several different types of neuropathies and many different ways to categorize. The type of nerve damage may distinguish different neuropathies, as well as, the cause of the nerve damage, or the pattern of nerve damage.Approximately 21 million Americans are affected by peripheral neuropathy. Altho ugh only 30% of neuropathy is caused by diabetes, diabetes still remains the leading cause of peripheral neuropathy. Please note that some form of neuropathies can be fatal.
Peripheral is a term used for the most distal (the nerves in your body, aside from your spinal cord and brain, further down) nerves in our body including those in our feet or hands.
A polyneuropathy is a neuropathy pattern, whereby the nerve damage initially starts in both feet and may progress to involve the feet, calves, and fingers/hands. Another word for this pattern is a Stocking and Glove Neuropathy. Many patients with polyneuropathy may not even have any symptoms; in this case the diagnosis is made by a physical examination or a laboratory test (electromyography (EMG) and nerve conduction velocity test (NCV)). Some patients with polyneuropathy have only numbness, “tingling,” and/or “pins and needles.” More often, unlucky patients with polyneuropathy experience some type of pain.
Signs & Symptoms
While every person’s experience with peripheral neuropathy can be as unique as the individual himself or herself, there are some common neuropathy signs and symptoms shared by most individuals. The symptoms of diabetic or peripheral neuropathy start in the toes and feet (right and left). In some patients the symptoms gradually rise up the calves and into the knees. This is called a stocking pattern. Then, in some the symptoms may also begin in the fingers and hands — causing a stocking and glove pattern. It cannot be predicted how any one’s symptoms will spread. In some patients, the pain does not spread beyond the toes or feet and there is no progression; in others, the progression to calves and hands occurs in months, rapidly; and yet in others the spread is very gradual, over many years. There are three categories of nerves and up to five specific peripheral nerves that may be affected, and symptoms depend on these nerves and their location:
Patients who develop pain with peripheral neuropathy describe the pain using a variety of words, including “burning,” “throbbing,” “deep ache”, “raw skin,” “skin sensitivity,” “tingling”, “sharp,” “electric-like,” “pins and needles,” “freezing cold,” “like walking on ground glass,” “itchy,” and others. Some patients say they don’t have pain but have unpleasant and irritating sensations (Allodynia), which may include “itching”, “buzzing,” “like bugs crawling,” “like leather or sand paper”, “hard ball on bottom of feet”, and “aching. Some people feel like they have socks on, even though they are barefoot. Over time, this feeling can spread to the legs and hands.
Patients may find it harder and harder to walk. Their legs feel heavy and they may have to drag them selves up the stairs. Some patients have constant pains, day and night, whereas others only have noticeable pain at bedtime. Often, patients may complain that the pain interferes with their sleep and they may develop Restless Leg Syndrome and or Insomnia (difficulty sleeping). As with all chronic pain, patients with painful peripheral neuropathy may also develop depression. Patients with advanced neuropathy may also have trouble with their sense of positioning; and therefore, have difficulty with their gait or balance.
Wednesday, March 7, 2012
ALEGRIA SHOES
Available at:
Engineered to roll naturally, Alegria’s rocker bottom out sole aims to induce natural walking motion to allow better posture, reduce stress on muscles, joints and back and to give you energy all day long.
Alegria creates comfortable shoes with an anatomically correct patented interlocking foot bed system with arch support loaded with latex, memory foam & cork to yield a "perfect fit" every time by forming to the natural contours of the foot, giving each user their own customized fit. Foot bed is removable and available in medium and wide widths.
From brilliant patent finishes to metallic prints, from soft natural leather to funky artwork along with Alegria's signature butterfly logo, Alegria Shoes have a color for every mood.
WE LOVE THESE SHOES! THEY ARE SO COMFORTABLE! SO MANY STYLES AND COLORS TO CHOOSE FROM TOO. YOU HAVE GOT TO TRY THESE ON TO REALLY APPRECIATE THE GREAT FIT AND PILLOW-TOP INSERTS.
SOME OF THESE STYLES ARE ALSO AVAILABLE IN KIDS SIZES :)
Tuesday, February 21, 2012
Check Your Feet
Consult your physician before beginning any fitness program. This includes a complete physical and foot exam. This is especially important for those who are overweight, smoke, or haven't had a physical exam in a long time.
Proper fitness requires wearing the right clothes and shoes. Wear loose-fitting, light-colored and loosely woven clothing in hot weather and several layers of warm clothing in cold weather.
The American Podiatric Medical Association stresses the importance of foot care in exercising. People don't realize the tremendous pressure that is put on their feet while exercising. For example, a 150-pound jogger puts more than 150 tons runs of impact on his feet when running three miles.
Improper foot care during exercise is a contributing factor to some of the more than 300 foot ailments, according to the APMA.
The following are common ailments caused by improper foot care during exercise:
- Athlete's foot;
- Blisters;
- Corns and calluses; and
- Heel pain (including heel spurs).
Thursday, February 16, 2012
What is a Podiatrist?
What is a podiatrist?
A podiatrist at the Cortese Foot and Ankle Clinic is a foot and ankle surgeon and a doctor of podiatric medicine (DPM).Dr.'s Carl, Craig and Veronica are educated and trained to treat and diagnose ailments pertaining to the foot and ankle. Podiatrists are highly qualified foot and ankle specialists who treat foot and ankle conditions based on their experience, training and education.
What qualifications do podiatrists have?
Podiatrists are defined as physicians in most states and by the federal government. Doctors of Podiatric Medicine receive medical education and training equal to medical doctors, including (4) years of undergraduate education, (4) years of graduate education at one of the (8) accredited podiatric medical colleges and two or three years of hospital residency training. All within the realm of podiatry, practitioners can focus on many different specialty areas such as: surgery, sports medicine, bio-mechanics, geriatrics, pediatrics, or orthopedics.
What is Board Certification?
All of Cortese Foot and Ankle Podiatrists are board certified. Certification is considered to be an earned credential for those podiatric physicians who have achieved certain levels of skill and ability based upon completion of specific advanced training and clinical experience and examination. The (ABPOPPM) is the certifying board for the specialty areas of podiatric orthopedics and primary podiatric medicine. The (ABPS) American Board of Podiatric Surgery is the certifying board for the specialty area of foot and ankle surgery.Call Cortese Foot and Ankle Clinic today to schedule an appointment for your feet and ankles or come by to look at our shoes in the Sole Savers Shoe Store.
(309) 452-3000.
Tuesday, February 7, 2012
Naot Allure Boots-These Boots are made for walking!!
NAOT ALLURE BOOTS
The Allure is a knee-high boot with a faux buckle wrap around strap. This style has a heel cup for stability, an inside zipper & gore. This style features padded technical lining which provides warmth and absorbs moisture. The Allure has a 13.75" shaft. Naot's anatomic cork & latex footbed is wrapped in pampering suede and molds to the shape of the foot with wear. The Eden Collection features a 2.5" polyurethane sole with a metal shank. Narrow to medium fit.
they are made for women with wider calves
and the lining is very warm but not bulky.
Plus, they are NOT made in China :)
at Sole Savers Shoe Store, located inside Cortese Foot and Ankle Clinic. Normal, IL.
(309) 452-3000.
www.cortesefootandankle.com
Monday, January 30, 2012
DON'T FORGET YOUR ANNUAL DIABETIC FOOT EXAM
The feet is one area that many complications can take place. Ulcers happen in almost 1/4 of all diabetic patients. These occur because of a condition known as Neuropathy which is the loss of feeling in the feet and lower extremities. It is also called nerve damage.
Another common condition in diabetics is decreased blood flow, also known as P.A.D., Peripheral Arterial Disease. Because of decreased blood circulation, ulcers and wounds take much longer to heal and could get infected.
Other factors will also increase risk levels such as, eye sight, kidney function, raised blood glucose level, foot and toe deformities and smoking.
The up side to all of this is through early detection most complications can be avoided. This is why you should have a Diabetic Foot Evaluation at least once a year.
What you should expect at your Diabetic Foot Evaluation.
Your visit will be performed by our Board Certified Podiatrists who are also Foot and Ankle Surgeons. He or she will ask about your history and what ailments you have.
Do you smoke? Do you have pain in the feet or legs? Is your vision okay? This detailed information will help your podiatrist formulate a treatment plan.
Are you wearing the proper size shoes and socks?
Your podiatrist will check your feet for hot spots, blisters and any irritations that may be caused by your shoes and socks. He or she will direct you to the proper size and fit. Our podiatrists at Cortese Foot and Ankle Clinic also participate in the Diabetic Shoe Program. You can pick out your new shoes in our Sole Savers Shoe Store located inside our office.
Annual Diabetic Shoe Evaluation.
(309) 452-3000.
Monday, January 23, 2012
CORTESE FOOT AND ANKLE CARRIES DR.'S REMEDY NAIL POLISH
Discover the healthy, doctor-formulated alternative to traditional polishes.
HOW? Dr.'s Remedy Nail Polish doesn't have any toxic ingredients and is enriched with naturally-occurring elements-like tea tree oil and garlic bulb extract, wheat proteins and vitamins C and E. These ingredients work together to strengthen and protect your nails against fungus, discoloration, cracking and brittleness-problems that can be caused by chemicals found in the commercial nail polish containing formaldehyde, toluene.
We also have the hydration which is a natural nail conditioner infused with the key additive Pentavitin, which helps deliver and retain moisture to dry, brittle nails. Also enriched with naturally occurring anti-fungals, whole wheat protein and 4 major vitamins, the formula is designed to provide the moisture balance necessary to have flexible nails and prevent breakage. Use alone or as a basecoat.
We also have topcoat and remedy remover, an acetone free, healthier alternative to traditional nail polish removers. Remedy remover contains natural anti fungal ingredients.
DO SOMETHING GOOD FOR YOUR NAILS, EVEN WHEN TAKING THE POLISH OFF!
Wednesday, January 18, 2012
Fall Prevention Brace at Cortese Foot and Ankle Clinic
1. Falls are the leading cause of accidental deaths in the elderly.
2. 3 out 10 Senior Citizens will experience a fall each year.
3. Half of the seniors that fall will fall again.
4. Most fractures among older adults are caused by falls.
5. In 2007 over 18,000 seniors died from unintentional falls.
2. Stabilizes the foot and ankle.
3. Stimulates skin receptors providing feedback to the brain.
4. Improves foot clearance reducing the risk of tripping.
5. Can help reduce the risk of falling by 30-60%.
2. No laces or buckles.
3. No hard surfaces
4. Arch Support.
5. Custom made to maximize sensory feedback.
6. Eliminates abnormal motion and weakness around the ankle.
Call or Visit us today! www.cortesefootandankle.com
1607 Visa Drive, Suite 5B
Normal, Illinois 61761
(309) 452-3000
Thursday, January 12, 2012
FUNNY FACTS YOU NEED TO KNOW
Here are some fun facts that we tell people at our office:
1. When you buy shoes at our Sole Savers Shoe Store we will measure your feet and watch the way you walk to check your gait. We will encourage you to buy for the longer foot, lots of people have one foot that is larger than the other. Also, the second toe may be your longest toe. Be sure you are wearing the right size socks too, it matters! Try not to get cotton socks, you need a material that will wick away moisture like our Dr. Comfort Bamboo Charcoal socks.
2. If you have stinky feet go ahead and use your underarm deodorant on the bottoms of your feet. It works!
3. Be careful when getting a pedicure, we use one-time use water bath trays and no piped water. We also have sterilized instruments. You will be seated in your own private room.
4. Crest Pads, Bunion and Toe Separators, are only going to give you temporary relief, they are not going to fix the problem!
5. Everyone loves the Flip-Flop. It you must wear one please consider our Dr. Comfort flip-flop with the built-in orthotic.
6. Store bought inserts are really not that great! They are alright if you want extra padding and a little arch support but custom molded orthotics actually are made to correct the way you walk and fix your gait. They should be firm and not soft and squishy.
Call us today for an appointment at (309) 452-3000 or visit us on the web: www.cortesefootandankle.com