Podiatry Blog

6 tips to protect Chicago kids in fall sports

2011-09-19T17:39:00.000-07:00

Back-to-school sports season linked to ankle injuries

If your children are playing sports this fall, pay attention to five tips that could protect them from serious ankle injuries.

Every fall, Chicago foot and ankle surgeon Dr. Thomas Carr notices an increase in ankle injuries among young athletes. Football, soccer and basketball are the sports most likely to lead to sprains, broken bones and other problems, he says.

Dr. Carr's top recommendation is for parents is to get ankle injuries treated right away.

"What seems like a sprain is not always a sprain; in addition to cartilage injuries, your son or daughter might have injured other bones in the foot without knowing it. Have a qualified doctor examine the injury," says Dr. Carr. "The sooner rehabilitation starts, the sooner we can prevent long-term problems like instability or arthritis, and the sooner your child can get back into competition."

Dr. Carr says parents should also follow these additional tips from the American College of Foot and Ankle Surgeons' Web site, FootHealthFacts.org:

- Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child's previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition.

- Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn't mix baseball cleats with football shoes.

- Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can't lie flat.

- Check playing fields for dips, divots and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That's why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player's foot and throw them to the ground. Alert coaching officials to any irregularities.

- Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries.

Dr. Carr can be contacted at 312-337-9900 or at www.chicagopodiatry.com.

Women's feet hurt more in autumn

2011-09-13T13:13:00.000-07:00

Autumn is a painful time of year for many women. As they transition from open-toed sandals to closed-in boots and shoes, foot and ankle Dr. Thomas Carr, says he notices more women seeking relief for painful bunions. Dr. Carr has his office in Chicago. He says this trend plays out in the examining rooms of many foot and ankle surgeons every autumn.

"Some of my female bunion patients are in agony," says Dr. Carr. "They describe a constant, throbbing pain, even when they take their shoes off."

While the changing weather brings more bunion patients into his office, Dr. Carr says some women inquire about surgery in the fall because they're less busy than in summer months. Many are also closer to meeting their insurance deductibles.

Dr. Carr emphasizes that surgery is a last-resort treatment for women with painful bunions.

"For many women, simple changes like wearing shoes with wider toe boxes can significantly reduce bunion pain," he says. "Custom shoe inserts, gel- or foam-filled padding and anti-inflammatory medications may also provide pain relief."

When the pain of a bunion interferes with a woman's daily activities, it's time to discuss surgical options, according to the American College of Foot and Ankle Surgeons.

Dr. Carr can be contacted at 312-337-9900 or you can also conveniently schedule an appointment online at www.chicagopodiatry.com.

Is Your Foot Fracture an Early Sign of Osteoporosis?

2011-08-08T12:04:00.000-07:00

Local foot surgeon urges patients not to ignore foot pain

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

According to Chicago foot and ankle surgeon Dr. Thomas Carr, osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Carr, a member of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Carr. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. Carr. “The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”

Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. “This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians,” Dr. Carr explains.

If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.

If you are suffering from foot pain or suspect you may have osteoporosis, call Dr. Carr’s office at 312-337-9900 for an evaluation or schedule your appointment online at www.chicagopodiatry.com.

Keeping Deadly Clots at Bay After Foot Surgery

2011-07-25T10:14:00.000-07:00

Medication, movement can prevent DVT, pulmonary embolism

Each year in the United States, pulmonary embolisms (PE) kill more people than AIDS, breast cancer and motor vehicle crashes combined. According to Chicago foot and ankle surgeon Dr. Thomas Carr, this little known condition occurs when a blood clot in the leg travels to the lungs, blocking one or more arteries.

Most recently, news that tennis star Serena Williams suffered a PE after undergoing surgery is raising awareness about the condition, its risk factors and how to prevent the potentially deadly condition from occurring.

The blood clots that cause PE often originate in the deep veins of the leg, a condition called deep vein thrombosis or DVT.

Dr. Carr explains that women are at the highest risk for blood clots and pulmonary embolism as well as men and women who are overweight, smokers and those taking oral contraceptives. “Surgery is also one of the leading causes of blood clots in patients, which means those at highest risk need to be diligent in speaking to their surgeon about their elevated risks so preventive measures can be taken,” Dr. Carr said.

Patients facing surgery should take note, though, that blood clots in the leg are relatively rare after foot and ankle surgery, Dr. Carr said. In addition, the clots can be prevented with medication and exercise.

Depending on a patient’s risk factors, the surgeon may decide to prescribe an anti-clotting medication to prevent DVT. The most common medications are low-molecular weight heparins, which patients inject into their arm, leg or stomach for about two to three weeks after surgery.

Patients with confirmed DVT, which is diagnosed with an ultrasound, may be put on warfarin (Coumadin) for six months to a year to prevent new clots from forming.

Patients also would be advised to get up and move around after surgery — even if they are wearing a cast or using crutches.

“The biggest recommendation you see in the airline magazines when you’re flying is to move your legs to prevent DVT, because people who sit on a long flight have a high incidence of DVT,” Dr. Carr explained. “Similarly, if you’re sitting after surgery and the blood is not moving in the calf and you’re not exercising, you could end up with a clot in your calf. Surgeons have learned over the years that getting people moving after surgery will reduce the risk of a clot causing a pulmonary embolism.”

Symptoms of pulmonary embolisms vary and can mimic those of other conditions such as a heart attack. The most common signs include sudden, unexplained shortness of breath, chest pain and a cough that produces blood-tinged mucus. “Other symptoms may include wheezing, leg swelling, excessive sweating, rapid heartbeat and fainting,” adds Dr. Carr. “Pulmonary embolisms can occur quickly, and prompt medical attention is vital for recovery, so patients need to seek care if they are suffering from any of the symptoms associated with the condition.”

If you are suffering from foot or lower leg pain or have concerns about your foot health, call Dr. Carr’s office at 312-337-9900 for an evaluation or conveniently schedule your appointment online at www.chicagopodiatry.com.

Prevent your child from getting this painful foot problem

2011-03-28T12:02:00.001-07:00

Parents can prevent a common childhood foot problem by following some simple recommendations, according to a Chicago foot and ankle surgeon.

Chicago foot and ankle surgeon Dr. Thomas Carr, says ingrown toenails are one of the most frequent conditions he treats in children. Many kids hide their ingrown toenails from their parents, even though the condition can cause significant pain. An ingrown nail can break the skin and lead to dangerous infections.

Dr. Carr blames tight shoes, tight socks and incorrect nail trimming for most cases. In others, the children may inherit the tendency for nails to curve. Dr. Carr shares the following tips from the American College of Foot and Ankle Surgeons.

Teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don't cut them too short.

Make sure children's shoes fit. Shoe width is more important than length. Make sure that the widest part of the shoe matches the widest part of your child's foot.

If a child develops a painful ingrown toenail, reduce the inflammation by soaking the child's foot in room-temperature water and gently massaging the side of the nail fold.

The only proper way to treat a child's ingrown toenail is with a minor surgical procedure at a doctor's office. Parents should never try to dig the nail out or cut it off. These dangerous "bathroom surgeries" carry a high risk for infection. Dr. Carr says he may prescribe antibiotics to children with infected ingrown toenails.

For more information on pediatric foot problems such as ingrown toenails, contact Dr. Carr at 312-337-9900 or conveniently schedule an appointment online at www.chicagopodiatry.com.

Five Signs Your Child May Have a Foot Problem

2011-03-21T07:29:00.000-07:00

Foot and ankle problems in children often go unnoticed. Signs and symptoms can be subtle, and sometimes children can’t explain what’s wrong. But it’s important to protect growing feet and have problems checked out early.

Dr. Thomas Carr, a member of the American College of Foot and Ankle Surgeons, offers five warning signs parents should watch for.

1. Your Kids Can’t Keep Up with Their Peers
If children lag behind in sports or backyard play, it may be because their feet or legs are tired. Fatigue is common when children have flat feet. The muscles in the feet and legs tire easily because the feet are not functioning as well as they should.

2. Children Voluntarily Withdraw from Activities they Usually Enjoy
If they are reluctant to participate, it may be due to heel pain - a problem often seen in children between the ages of 8 and 14. Repetitive stress from sports may cause muscle strain and inflammation of the growth plate, a weak area at the back of a child’s heel.

3. They Don’t Want to Show You Their Feet
Children may feel pain or notice a change in the appearance of their feet or nails but don’t tell their parents because they fear a trip to the doctor’s office. Dr. Carr encourages parents to make a habit of inspecting their child’s feet starting at a young age. Look for any changes such as calluses, growths, skin discoloration, or redness and swelling around the toenails.

4. Your Child Often Trips and Falls
Repeated clumsiness may be a sign of in-toeing, balance problems or neuromuscular conditions.

5. The Child Complains of Pain
It is never normal for a child to have foot pain. Injuries may seem minor, but if pain or swelling last more than a few days, have your child’s foot examined.

If you've noticed any of these signs in your children, call Dr. Carr's office for an assessment or conveniently schedule your appointment online at www.chicagopodiatry.com.

Common Runners’ Injury: Stress Fractures of the Foot

2011-02-09T08:38:00.001-08:00

Repetitive impact on feet can increase risk of damage
Stress fractures of the foot are becoming more common in runners, especially first-time marathoners, according to Chicago foot and ankle surgeon Dr. Thomas Carr.
The growing popularity of marathons among beginning runners has contributed to the increase in repetitive stress injuries, including stress fractures of the foot, seen by Dr. Carr, a member of the American College of Foot and Ankle Surgeons. Often, first-time marathoners enter a race with little or improper long-distance training. The lack of experience coupled with the repetitive impact placed on the feet during the run can produce enough stress to cause hairline breaks in the bones of the foot.
“Runners who increase their mileage too quickly or change to a more intense phase of training may be more susceptible to a stress fracture due to the increased force placed on the bones,” says Dr. Carr. “A general rule of thumb for runners is to increase the mileage by no more than 10 percent each week. Runners who are training also need to have adequate rest time in between runs to help decrease the risk of a fracture.”
Runners at all levels of experience are also at higher risk for stress fractures if they wear improper shoes while running or training, suffer from flatfoot or other foot deformities, or have osteoporosis. Signs of a stress fracture can include pain, swelling, redness and possibly bruising of the area.
“Stress fractures can occur anywhere in the foot and can eventually lead to a complete break of the bone if left untreated,” Dr. Carr explained. “Early diagnosis and treatment are important to ensure proper healing.”
If a break is suspected, Dr. Carr advises runners to immediately follow the RICE protocol—Rest, Ice, Compression and Elevation. If pain and swelling last longer than a few days, an appointment for an x-ray and diagnosis is in order.
In most cases, treatment includes rest and immobilization with casting of the foot. Surgery may be required in certain instances to repair and stabilize a stress fracture that has progressed into a full fracture.
Runners can take action to prevent repetitive stress injuries in their feet by wearing supportive athletic shoes and slowly building up their activity levels according to their abilities. “If a runner suffers from abnormal mechanics in the foot, such as overpronation or hypermobility, custom orthotics can also be helpful to prevent these injuries,” Dr. Carr, adds.
If you suspect you have a foot injury or fracture, call Dr. Carr’s office at 312-337-9900 for an evaluation or conveniently schedule your appointment online at www.chicagopodiatry.com.

Don’t Ignore Flat Feet

2011-02-02T10:27:00.000-08:00

Study links this condition to painful foot maladies

Treatment and prevention of adult flatfoot can reduce the incidence of additional foot problems such as bunions, hammertoes, arthritis and calluses, and improve a person’s overall health, according to research published in the July/August Journal of Foot & Ankle Surgery.

Overweight males in white-collar jobs are most apt to suffer from adult flatfoot disorder, a progressive condition characterized by partial or total collapse of the arch, according to the research. FootHealthFacts.org, the consumer website of the American College of Foot and Ankle Surgeons, notes that symptoms of adult flatfoot include pain, swelling, flattening of the arch and an inward rolling of the ankle. But because flatfoot is a progressive disorder by nature, the study suggests that neglecting treatment or preventive care can lead to arthritis, loss of function of the foot and other painful foot disorders.

“Flatfoot disorder may gradually worsen to the point that many of the tendons and ligaments in the foot and ankle are simply overworking, often to the point where they tear and/or rupture,” says Chicago foot and ankle surgeon Dr. Thomas Carr.

In many cases, flatfoot can be treated with non-surgical approaches including orthotic devices or bracing, immobilization, physical therapy, medication and shoe modifications. “In some patients whose pain is not adequately relieved by conservative treatments, there are a variety of surgical techniques available to correct flatfoot and improve foot function,” Dr. Carr added.

“As in most progressive foot disorders, early treatment for flatfoot disorder is also the patient’s best route for optimal success in controlling symptoms and additional damage to the feet,” continued Dr. Carr. “The goal is to keep patients active, healthy and as pain free as possible.”

If you suspect you have a flatfoot disorder or have foot discomfort, call Dr. Carr’s office at 312-337-9900 for an evaluation, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Five Tips for Healthy Holiday Feet

2011-01-17T09:28:00.001-08:00

Don’t let sore, achy feet ruin your holiday season. Chicago foot and ankle surgeon Dr. Thomas Carr, offers five tips to healthy holiday feet.
1. If the shoe fits, wear it—When hitting the dance floor or the shopping malls during the holiday season, don’t compromise comfort and safety when picking the right shoes to wear. Narrow shoes, overly-high-heeled ones or shoes that aren’t worn very often, such as dress shoes, can irritate feet and lead to blisters, calluses, swelling and even severe ankle injuries. “To ward off problems, choose a shoe that has a low heel and fits your foot in length, width and depth while you are standing,” says Dr. Carr, a member of the American College of Foot and Ankle Surgeons. “Be proactive, protective and preventive with your selection of appropriate shoes for the occasion.”
2. Don’t overindulge in holiday cheer— Did you know your feet can feel the effects of too much holiday cheer? Certain foods and beverages high in purines, such as shellfish, red meat, red wine and beer can trigger extremely painful gout attacks, a condition when uric acid builds up and crystallizes in and around your joints. “Oftentimes, it’s the big toe that is affected first since the toe is the coolest part of the body and uric acid is sensitive to temperature changes,” Dr. Carr, says.
3. Be pedicure-safety conscious—Before you head for your holiday pedicure, remember nail salons can be a breeding ground for bacteria, including MRSA. To reduce your risk of infection, choose a salon that follows proper sanitation practices and is licensed by the state. Consider also purchasing your own pedicure instruments to bring along to your appointment.
4. Watch for ice and snow—Holiday winter wonderlands can be beautiful but also dangerous. Use caution when traveling outdoors; watch for ice or snow patches along your trail. The ankle joint can be more vulnerable to serious injury from falling on ice. “Ice accelerates the fall and often causes more severe trauma, because the foot can move in any direction after it slips,” Dr. Carr explains. If you do experience a fall, take a break from activities until you can be seen by a foot and ankle surgeon. Use R.I.C.E. therapy (Rest, Ice, Compression, and Elevation) to help reduce the pain and control swelling around the injury.
5. “Listen” to your feet—Don’t let foot pain ruin your holiday fun; inspect your feet regularly for any evidence of ingrown toenails, bruising, swelling, blisters, dry skin or calluses. “If you notice any pain, swelling or signs of problems, make an appointment with your foot and ankle surgeon,” Dr. Carr says. “Often, especially for diabetics, what may seem like a simple issue can turn into a larger problem if medical care is delayed.”
If you are suffering from foot pain or have concerns about your foot health, call Dr. Carr’s office at 312-337-9900, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Keep Your Feet Safe at the Gym in the New Year

2011-01-10T08:15:00.000-08:00

Don’t let foot injuries keep you from your fitness resolutions

In the New Year, don’t forget to keep your feet in tip-top shape while following through with your resolutions to get fit. Chicago foot and ankle surgeon Dr. Thomas Carr, DPM, offers tips for foot safety while at the gym.

Start new workouts gradually— Increase your stamina and the length of your workouts gradually to avoid overuse injuries such as stress fractures or tendon strains and sprains. Stretching your muscles before and after workouts also helps prevent these types of injuries. “If you do feel you’ve sprained your ankle, be sure to seek treatment right away,” Dr. Carr, a member of the American College of Foot and Ankle Surgeons explains. “Untreated or repeated ankle sprains may lead to chronic ankle instability, a condition that causes persistent pain and a ‘giving way’ of the ankle.”

Wear the right shoe and sock—Wear well-fitting athletic shoes designed for the exercise or sport. According to Dr. Carr, shoes that don’t support the arch of the foot and provide cushion for the heel can cause heel pain (plantar fasciitis). Shoes that are too small can also cause a neuroma, or a thickening of the nerve tissue, in the foot and may require injections, medication or physical therapy. Wearing cotton or non-slip socks are also key to help avoid painful blisters, which can become infected and cause more serious issues.

Use good technique— Improper exercise techniques can result in injury to the tendons or ligaments in your feet and ankles. “Incorrect posture or misuse of exercise equipment can cause decreased stabilization in the foot and ankle, leading to joint sprains and muscle strains,” Dr. Carr says.

Gym Safety

Protect yourself from bacteria—Sweaty shoes, public showers, exercise equipment and the pool deck at the gym are breeding grounds for fungus, viruses and bacteria, including drug-resistant strains like MRSA (methicillin-resistant Staphylococcus aureus) which has become increasingly more common. Never go barefoot while in public areas; water shoes can provide a great barrier between your feet and the wet surfaces. “It’s also best to cover cuts and cracks in the skin or ingrown toenails since these minor tears in the skin’s surface can act as entry points for bacteria. If you have a cut or scrape that becomes red or swollen and is not healing in a timely manner, don’t hesitate to see a foot and ankle surgeon for an examination,” Dr. Carr says.

Above all, it’s important to listen to your body. If you experience an injury or pain, call Dr. Carr’s office at 312-337-9900 for an evaluation, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Fix feet for weight loss success

2010-12-09T12:46:00.000-08:00

Many of the estimated 70 million obese Americans are trapped in a life-threatening vicious cycle: Obesity aggravates foot problems, like heel pain and flat feet; sore feet make it hard to exercise and lose weight; and without exercise, obesity worsens and exacerbates progression of diabetes, heart disease and other serious health threats. Today, a Chicago foot and ankle surgeon urged obese adults to seek immediate treatment for chronic, activity-limiting foot and ankle problems to foster compliance with physician-directed exercise programs.“It’s unfortunate obese adults get caught up in the vicious cycle of avoiding physical activity due to foot or ankle pain, thereby permitting cardiovascular disease and other life-threatening conditions to worsen as a result,” says Dr. Thomas Carr, DPM, a member of the American College of Foot and Ankle Surgeons (ACFAS) in Chicago. “For example, in many cases, chronic heel pain occurs from carrying too much weight. Left untreated, it becomes an impediment to physical activity and meaningful weight loss.” Dr. Carr says there’s no reason foot or ankle pain should stop obese patients from exercising. The first step toward breaking that vicious cycle is an evaluation by a foot and ankle surgeon. According to the ACFAS consumer Web site, FootHealthFacts.org, many causes of foot pain can be relieved without surgery through stretching exercises, orthotics and athletic shoes with good shock absorption and support. If a bunion, heel pain or other condition requires surgery, patients can participate during their recovery in non-weight-bearing activities, such as riding a stationary bike, swimming or weight training. For those moderately to severely overweight, Dr. Carr says a thorough physical examination is mandatory before beginning an exercise program. “Once cleared by your physician to begin exercising, don’t try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity,” he says. “For example, I counsel overweight patients to avoid working out on treadmills or elliptical machines to minimize pounding and stress on their joints.” Shedding excess pounds helps diabetic patients control their disease, but Dr. Carr notes many who experience foot ulcerations and vascular problems caused by diabetes might think they shouldn’t exercise. “Every diabetes patient needs regular foot exams to check for possible sore spots and assess nerve sensation,” says Dr. Car. “And with proper diabetic foot care and the right footwear, most patients can follow an exercise regimen that is safe and appropriate for them.”For more information about ankle fractures and sprains or other foot and ankle problems, contact the Chicago Podiatric Surgeons office at 312-337-9900, or conveniently schedule your appointment online at www.chicagopodiatry.com.

For many, winter is fall season - Icy conditions cause falls and broken ankles

2010-12-06T14:53:00.000-08:00

With the hectic pace of the holidays, serious injuries from ice-related falls inevitably occur. A Chicago foot and ankle surgeon says falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.
Dr. Thomas Carr, DPM says the ankle joint is vulnerable to serious injury from hard falls on ice.
“Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping. In cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment. Never assume the ability to walk means your ankle isn’t broken or badly sprained. Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life." he says.
Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture.
“It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment,” says Dr. Carr. “If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.”
According to the ACFAS consumer Web site, FootPhysicans.com, even though symptoms of ankle sprains and fractures are similar, fractures are associated with:

Pain at the site of the fracture that can extend from the foot to the knee

Significant swelling

Blisters over the fracture site

Bruising soon after the injury

Bone protruding through the skin—a compound fracture, which requires immediate attention!

Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to
foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly.
Dr. Carr said newly designed surgical plates and screws allow repair of these injuries with less surgical trauma.
“With newer bone-fixation methods, there are smaller incisions to minimize tissue damage and bleeding and accelerate the healing process,” he says.
Dr. Carr recommends scheduling an appointment with his office if you have injured your ankle in any way.
“If you fall on an icy spot and hurt your ankle, the best advice is to seek medical attention immediately," he says. "This aids in early diagnosis and proper treatment of the ankle injury and reduces the risk of further damage.”
For further information about ankle fractures and sprains or other foot and ankle problems, contact the Chicago Podiatric Surgeons at 312-337-9900 or conveniently schedule your appointment online at www.chicagopodiatry.com.

Is Your Foot Fracture an Early Sign of Osteoporosis?

2010-11-11T10:35:00.001-08:00

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

Osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Carr, a member of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Carr. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. Carr. “The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”

Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. “This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians,” Dr. Carr explains.

If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.

If you are suffering from foot pain or suspect you may have osteoporosis, call Dr. Carr’s office at 312-337-9900 for an evaluation, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Five Tips for Healthy Holiday Feet

2010-11-09T13:29:00.000-08:00

Don’t let sore, achy feet ruin your holiday season. Here are five tips to healthy holiday feet from Chicago Podiatric Surgeons.

1. If the shoe fits, wear it—When hitting the dance floor or the shopping malls during the holiday season, don’t compromise comfort and safety when picking the right shoes to wear. Narrow shoes, overly-high-heeled ones or shoes that aren’t worn very often, such as dress shoes, can irritate feet and lead to blisters, calluses, swelling and even severe ankle injuries. “To ward off problems, choose a shoe that has a low heel and fits your foot in length, width and depth while you are standing,” says Dr. Carr, a member of the American College of Foot and Ankle Surgeons. “Be proactive, protective and preventive with your selection of appropriate shoes for the occasion.”

2. Don’t overindulge in holiday cheer— Did you know your feet can feel the effects of too much holiday cheer? Certain foods and beverages high in purines, such as shellfish, red meat, red wine and beer can trigger extremely painful gout attacks, a condition when uric acid builds up and crystallizes in and around your joints. “Oftentimes, it’s the big toe that is affected first since the toe is the coolest part of the body and uric acid is sensitive to temperature changes,” Dr. Carr says.

3. Be pedicure-safety conscious—Before you head for your holiday pedicure, remember nail salons can be a breeding ground for bacteria, including MRSA. To reduce your risk of infection, choose a salon that follows proper sanitation practices and is licensed by the state. Consider also purchasing your own pedicure instruments to bring along to your appointment.

4. Watch for ice and snow—Holiday winter wonderlands can be beautiful but also dangerous. Use caution when traveling outdoors; watch for ice or snow patches along your trail. The ankle joint can be more vulnerable to serious injury from falling on ice. “Ice accelerates the fall and often causes more severe trauma, because the foot can move in any direction after it slips,” Dr. Carr explains. If you do experience a fall, take a break from activities until you can be seen by a foot and ankle surgeon. Use R.I.C.E. therapy (Rest, Ice, Compression, and Elevation) to help reduce the pain and control swelling around the injury.

5. “Listen” to your feet—Don’t let foot pain ruin your holiday fun; inspect your feet regularly for any evidence of ingrown toenails, bruising, swelling, blisters, dry skin or calluses. “If you notice any pain, swelling or signs of problems, make an appointment with your foot and ankle surgeon,” Dr. Carr says. “Often, especially for diabetics, what may seem like a simple issue can turn into a larger problem if medical care is delayed.”

If you are suffering from foot pain or have concerns about your foot health, call Dr. Carr’s office at 312-337-9900 for an evaluation, or schedule your appointment online at www.chicagopodiatry.com.

6 tips to protect kids in fall sports

2010-09-29T15:47:00.000-07:00

Back-to-school sports season linked to ankle injuries

If your children are playing sports this fall, pay attention to five tips that could protect them from serious ankle injuries.

Every fall, Chicago foot and ankle surgeon Dr. Thomas Carr, notices an increase in ankle injuries among young athletes. Football, soccer and basketball are the sports most likely to lead to sprains, broken bones and other problems, he says.

Dr. Carr's top recommendation is for parents is to get ankle injuries treated right away.

"What seems like a sprain is not always a sprain; in addition to cartilage injuries, your son or daughter might have injured other bones in the foot without knowing it. Have a qualified doctor examine the injury," says Dr. Carr. "The sooner rehabilitation starts, the sooner we can prevent long-term problems like instability or arthritis, and the sooner your child can get back into competition."

Dr. Carr says parents should also follow these additional tips from the American College of Foot and Ankle Surgeons' Web site, FootHealthFacts.org:

--Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child's previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition.

--Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn't mix baseball cleats with football shoes.

--Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can't lie flat.

--Check playing fields for dips, divots and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That's why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player's foot and throw them to the ground. Alert coaching officials to any irregularities.

--Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries.

Dr. Carr can be contacted at 312-337-9900 or online at www.chicagopodiatry.com.

Women's feet hurt more in autumn

2010-09-27T08:14:00.000-07:00

Fall is a painful time of year for many women.

As they transition from open-toed sandals to closed-in boots and shoes, foot and ankle surgeon Dr. Thomas Carr, says he notices more women seeking relief for painful bunions. He says this trend plays out in the examining rooms of many foot and ankle surgeons every autumn.

"Some of my female bunion patients are in agony," says Dr. Carr. "They describe a constant, throbbing pain, even when they take their shoes off."

While the changing weather brings more bunion patients into his office, Dr. Carr says some women inquire about surgery in the fall because they're less busy than in summer months. Many are also closer to meeting their insurance deductibles.

Dr. Carr emphasizes that surgery is a last-resort treatment for women with painful bunions.

"For many women, simple changes like wearing shoes with wider toe boxes can significantly reduce bunion pain," he says. "Custom shoe inserts, gel- or foam-filled padding and anti-inflammatory medications may also provide pain relief."

When the pain of a bunion interferes with a woman's daily activities, it's time to discuss surgical options, according to the American College of Foot and Ankle Surgeons.

The College provides answers to frequently asked questions about bunion surgery on its Web site, FootHealthFacts.org.

Dr. Carr can be contacted at 312-337-9900 or through his web site at www.chicagopodiatry.com.

Hikers and hunters: Long, vigorous hikes take toll on feet, ankles

2010-08-26T15:24:00.000-07:00

As brightly colored leaves dazzle the fall landscape, hikers and hunters nationwide will migrate to mountains, woods and fields, but many, unfortunately, are ill prepared for the beating their feet will take, warns a local foot and ankle surgeon.
“Hikers, hunters and others who love the outdoors often don’t realize how strenuous it can be to withstand constant, vigorous walking on uneven terrain,” said Dr. Carr, a member of the American College of Foot and Ankle Surgeons (ACFAS) located in Chicago. "Lax physical conditioning and inappropriate footwear bring scores of outdoor enthusiasts into our office each fall for treatment of foot and ankle problems such as chronic heel pain, ankle sprains, Achilles tendonitis, fungal infections and severe blisters."
“Walking up and down steep hillsides and tramping through wet, slippery fields and wooded areas puts stress on the muscles and tendons in the feet and ankles, especially if you haven’t conditioned properly before hitting the trail,” said Dr. Carr. “Also, many don’t realize that cross-training athletic shoes aren’t the best choice for extended hiking and hunting. Had some of my patients worn sturdy, well constructed hiking boots, they wouldn’t have suffered sprained ankles or strained Achilles tendons.”
Dr. Carr advises hikers and hunters to make the investment in top-quality hiking boots. He said strong, well insulated and moisture-proof boots with steel or graphite shanks offer excellent ankle and foot support that helps lessen stress and muscle fatigue to reduce injury risk. “The supportive shank decreases strain on the arch by allowing the boot to distribute impact as the foot moves forward. So if a boot bends in the middle, don’t buy it.”
In wet and cold weather, wearing the right socks can help prevent blisters, fungal infections and frostbite. Dr. Carr recommends synthetic socks as the first layer to keep the feet dry and reduce blister-causing friction. For the second layer, wool socks add warmth, absorb moisture away from the skin, and help make the hiking boot more comfortable. “Wool lets moisture evaporate more readily than cotton, so fewer blisters develop,” he added.
What happens if your feet or ankles hurt during a hike or hunt? Dr. Carr said pain usually occurs from overuse, even from just walking. “If you’re not accustomed to walking on sloped or uneven ground, your legs and feet will get tired and cause muscles and tendons to ache,” he explained. “To avoid a serious injury, such as a severe ankle sprain or an Achilles tendon rupture, rest for awhile if you start hurting.”
According to the ACFAS consumer website, FootHealthFacts.org, pain is a warning sign that something is wrong. “Serious injury risk escalates significantly if you continue hiking in pain.” He likened hiking to skiing, in that beginners should take on less difficult trails until they become better conditioned and more confident.

Evaluation by a foot and ankle surgeon is recommended if there is persistent pain following a hiking or hunting outing. “I’m most concerned about ankle instability and strained Achilles tendons. Inattention to these problems at their early stages may lead to a serious injury that will keep you off the trails for a long time,” Dr. Carr said.
Hikers and hunters seeking further information about ankle sprains, Achilles tendon injuries and other foot and ankle problems may contact Dr. Carr at 312-377-9900 or schedule an appointment online at www.chicagopodiatry.com.

Children's soccer linked to ingrown toenails

2010-08-24T14:47:00.000-07:00

Snug cleats, repeated kicking can contribute to a painful problem. Toes and feet can take a beating, especially from sports.
Foot and ankle surgeon Thomas Carr, DPM, says he treats many soccer-playing children for ingrown toenails. He blames improper toenail trimming, snug soccer cleats and repetitive kicking for creating this painful problem.
“Many kids wear hand-me-down cleats that don’t fit,” says Dr. Carr. “Older children like tighter cleats. They believe it gives them a better feel for the ball and the field.”
Dr. Carr has offices in Chicago and is a member of the American College of Foot and Ankle Surgeons. He says there are steps soccer moms and dads can take to prevent their children from suffering a painful ingrown toenail. First, teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don’t cut them too short. Second, make sure cleats fit properly.
“A child’s shoe size can change within a single soccer season,” Dr. Carr reminds parents.
If a child develops a painful ingrown toenail, soaking their foot in room-temperature water and gently massaging the side of the nail fold can reduce the inflammation. But Dr. Carr warns parents against home treatments, which can be dangerous. The American College of Foot and Ankle Surgeons lists myths about ingrown toenail home treatments on its Web site, FootHealthFacts.org.
“If your son’s or daughter’s ingrown toenails show signs of infection, it’s definitely time to seek medical care,” says Dr. Carr.
A foot and ankle surgeon can remove a child’s ingrown toenail, and prevent it from returning, with a simple, 10-minute surgical procedure. During the short procedure, the doctor numbs the toe and removes the ingrown portion of the nail. Various techniques can permanently remove part of a nail’s root too, preventing it from growing back.
“Most children experience very little pain afterwards,” says Dr. Carr, “and can resume normal activity the next day.”
For more information on ingrown toenails and other pediatric foot problems, contact Dr. Carr’s office at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com.

Be smart about back to school shoe fitting

2010-08-02T13:13:00.000-07:00

With kids soon back in school after a summer of bare feet and sandals, parents are shopping for shoes for feet that seem to have grown longer in just a few months. To help busy parents with shoe choices, a Chicago foot and ankle surgeon recommends some simple guidelines to prevent or minimize possible foot problems from inappropriate shoes, such as painful ingrown toenails, blisters, heel pain and flat feet.
“When choosing kids’ shoes, size and shock absorption are the key considerations, especially if your child has flat feet that can worsen from improper fitting or worn-out shoes,” says Dr. Thomas Carr, a member of the American College of Foot and Ankle Surgeons (ACFAS). “Also, a child’s foot can grow a size or two within six months, so it’s critical to allow room for growth in the toe box—about a finger’s width from the longest toe.”
Dr. Carr says snug shoes put pressure on the toes, causing ingrown nails.
“The nail compresses and grows down into the skin,” says Dr. Carr.
According to FootHealthFacts.org, the ACFAS consumer website, infection can occur when an ingrown nail breaks through the skin.
“If there’s pain, redness and fluid draining from the area, it’s probably infected,” he says. “The ingrown nail can be removed in a simple, in-office procedure. Don’t try to remove a child’s ingrown nail at home; this can cause the condition to worsen.”
Tight-fitting shoes also cause blisters, corns and calluses on the toes and blisters on the back of the heels.
“Never buy shoes that feel tight and uncomfortable in the store,” says Dr. Carr. “Don’t assume they will stretch or break in over time.”
Conversely, he notes that shoes that are too loose can cause problems, too.
“If a shoe is too loose, the foot slides forward and puts excessive pressure on the toes.”
Dr. Carr also recommends parents carefully inspect both new and old shoes to check for proper cushioning and arch support.
“Shoes lose their shock absorption over time, and wear and tear around the edges of the sole usually indicate it’s worn out and should be replaced," says Dr. Carr. "If a child keeps wearing worn-out or non-supportive dress or athletic shoes, it elevates the risk for developing heel pain, Achilles tendonitis and even ankle sprains and stress fractures.”
A good tip for parents when buying new shoes: The toe box should flex easily and the shoe shouldn’t bend in the middle of the sole.
For children with flat feet, Dr. Carr says parents should buy oxford, lace-up shoes that have enough depth for an orthotic insert, if necessary.
“Unfortunately, there isn’t much choice for kids with flat, wide feet. They need shoes with a wide toe box and maximum arch support and shock absorption,” he said. “Slip-on loafers aren’t right for them.”
For more information about childhood foot care, contact Dr. Carr at 312-337-9900 or schedule an appointment online at www.chicagopodiatry.com.

Foot injuries common after storms

2010-07-30T09:17:00.000-07:00

With summer storm and flood season officially underway, a Chicago foot and ankle surgeon reminds residents about the risk of serious foot injuries during disaster clean-up.
“In the aftermath of a storm, people just want to clean up the debris as fast as they can and get on with their lives,” says Dr. Thomas Carr, a foot and ankle surgeon with offices in Chicago. “By taking some simple precautions to protect their feet from injury, they can make the clean up go more quickly and more safely.”
Many storm survivors suffer puncture wounds on their feet. After Hurricanes Katrina and Rita, foot and ankle surgeons along the Gulf Coast reported treating patients who injured themselves wearing flip-flops and sandals during debris clean-up. Some patients developed bone infections from improperly treated puncture wounds caused by nails and other sharp objects.
According to the American College of Foot and Ankle Surgeons’ (ACFAS) FootHealthFacts.org Web site, puncture wounds require medical treatment within 24 hours to avoid infection and other complications from embedded foreign objects. Pieces of skin, sock and the shoe itself can be forced into the wound during a puncture, as well as dirt and debris from the object itself. If medical care is inaccessible, every hurricane survival kit should include first aid supplies.
“If you can’t get to a doctor, you can still irrigate the wound, apply a topical antibiotic, and a clean bandage,” says Dr. Carr. “Then see a doctor for follow- up care, including a tetanus shot if necessary.”
After initial treatment, the ACFAS recommends puncture wound victims see a foot and ankle surgeon for a thorough cleaning and careful follow-up to monitor the wound for infection and to prescribe antibiotics if necessary.
Other storm foot safety tips include:
Watch where you walk. Debris and murky floodwaters can conceal sharp objects. Be careful standing on unstable surfaces and piles of debris that can throw you off balance, causing ankle sprains or fractures.
Wear appropriate shoe gear, work boots if possible. Don’t go barefoot. Avoid open-toed footwear like sandals.
Take precautions when cutting down tree limbs. One hurricane victim broke several bones when sawing down a heavy tree limb that landed on her foot.
For treatment of puncture wounds or other foot or ankle trauma, contact Dr. Carr at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com.

Don’t Ignore Flat Feet

2010-07-26T12:19:00.001-07:00

Study links this condition to painful foot maladies

Treatment and prevention of adult flatfoot can reduce the incidence of additional foot problems such as bunions, hammertoes, arthritis and calluses, and improve a person’s overall health, according to research published in the July/August Journal of Foot & Ankle Surgery.

Overweight males in white-collar jobs are most apt to suffer from adult flatfoot disorder, a progressive condition characterized by partial or total collapse of the arch, according to the research. FootHealthFacts.org, the consumer website of the American College of Foot and Ankle Surgeons, notes that symptoms of adult flatfoot include pain, swelling, flattening of the arch and an inward rolling of the ankle. But because flatfoot is a progressive disorder by nature, the study suggests that neglecting treatment or preventive care can lead to arthritis, loss of function of the foot and other painful foot disorders.

“Flatfoot disorder may gradually worsen to the point that many of the tendons and ligaments in the foot and ankle are simply overworking, often to the point where they tear and/or rupture,” says Chicago foot and ankle surgeon Dr. Thomas Carr.
In many cases, flatfoot can be treated with non-surgical approaches including orthotic devices or bracing, immobilization, physical therapy, medication and shoe modifications. “In some patients whose pain is not adequately relieved by conservative treatments, there are a variety of surgical techniques available to correct flatfoot and improve foot function,” Dr. Carr added.

“As in most progressive foot disorders, early treatment for flatfoot disorder is also the patient’s best route for optimal success in controlling symptoms and additional damage to the feet,” continued Dr. Carr. “The goal is to keep patients active, healthy and as pain free as possible.”

If you suspect you have a flatfoot disorder or have foot discomfort, call Dr. Carr’s office at 312-337-9900 for an evaluation or schedule your appointment online at www.chicagopodiatry.com.

Common Runners’ Injury: Stress Fractures of the Foot

2010-07-19T15:11:00.000-07:00

Repetitive impact on feet can increase risk of damage

Stress fractures of the foot are becoming more common in runners, especially first-time marathoners, according to Chicago foot and ankle surgeon Dr. Thomas Carr.
The growing popularity of marathons among beginning runners has contributed to the increase in repetitive stress injuries, including stress fractures of the foot, seen by Dr. Carr, a member of the American College of Foot and Ankle Surgeons. Often, first-time marathoners enter a race with little or improper long-distance training. The lack of experience coupled with the repetitive impact placed on the feet during the run can produce enough stress to cause hairline breaks in the bones of the foot.
“Runners who increase their mileage too quickly or change to a more intense phase of training may be more susceptible to a stress fracture due to the increased force placed on the bones,” says Dr. Carr. “A general rule of thumb for runners is to increase the mileage by no more than 10 percent each week. Runners who are training also need to have adequate rest time in between runs to help decrease the risk of a fracture.”
Runners at all levels of experience are also at higher risk for stress fractures if they wear improper shoes while running or training, suffer from flatfoot or other foot deformities, or have osteoporosis. Signs of a stress fracture can include pain, swelling, redness and possibly bruising of the area.
“Stress fractures can occur anywhere in the foot and can eventually lead to a complete break of the bone if left untreated,” Dr. Carr explained. “Early diagnosis and treatment are important to ensure proper healing.”
If a break is suspected, Dr. Carr advises runners to immediately follow the RICE protocol—Rest, Ice, Compression and Elevation. If pain and swelling last longer than a few days, an appointment for an x-ray and diagnosis is in order.
In most cases, treatment includes rest and immobilization with casting of the foot. Surgery may be required in certain instances to repair and stabilize a stress fracture that has progressed into a full fracture.
Runners can take action to prevent repetitive stress injuries in their feet by wearing supportive athletic shoes and slowly building up their activity levels according to their abilities. “If a runner suffers from abnormal mechanics in the foot, such as overpronation or hypermobility, custom orthotics can also be helpful to prevent these injuries,” Dr. Carr, adds.
If you suspect you have a foot injury or fracture, call Dr. Carr’s office at 312-337-9900 for an evaluation or schedule your appointment online at www.chicagopodiatry.com.

Boomers not backing down from foot and ankle arthritis

2010-07-12T19:23:00.000-07:00

Surgical advances keeping them active, pain-free

They danced to the Beatles, the Rolling Stones and disco. They worked out with Jane Fonda and made jogging their national pastime.

Now approaching retirement, many members of the "Me Generation" aren't ready to slow down, even if their bodies are. Chicago foot and ankle surgeon Thomas Carr, DPM, says Baby Boomers are more likely than previous generations to seek care when arthritis develops in their toes, feet and ankles.

There are more than 100 different types of arthritis, including gout and rheumatoid arthritis. According to the American College of Foot and Ankle Surgeons (ACFAS), the most common forms to affect the feet are post-traumatic and osteoarthritis, especially in the big toe, ankle and midfoot joints.

Dr. Carr says many Boomers who seek treatment for arthritis assume they'll be able to resume activities such as running or playing sports. Seeking treatment early can improve the odds of preventing irreversible joint damage. For many patients with early-stage foot or ankle arthritis, changes in shoes or advanced custom orthotics can make a huge difference. While there is no fountain of youth for arthritis, (LASTNAME) says there are more medical options available to Baby Boomers than ever before.

Big toes

Baby Boomers are most likely to develop osteoarthritis in their big toe joint. During walking, the big toe absorbs forces equal to nearly twice a person's body weight. It plays an important role in stooping and standing. Some boomers start to develop big toe stiffness, a condition called hallux limitus, in their forties.

Better surgical procedures now offer improved pain relief and joint movement to Boomers with early stage arthritis at the big toe. Patients with advanced and severe arthritis may need to have the joint fused or replaced. But stronger screws and hardware are helping fusions last longer while slashing recovery times. A new generation of big toe joint replacements shows promise.

Ankles

Ankles are another prime spot for arthritis. Ankles are more likely to develop post-traumatic arthritis than osteoarthritis. For many Baby Boomers, the trauma was an ankle fracture or a bad sprain that may have happened in their teens or twenties. Innovative new surgical techniques allow foot and ankle surgeons to transplant small plugs of cartilage from one part of the ankle to another in some patients, slowing joint deterioration.

Ankle replacements, however, are not as durable as hip and knee replacements. The ankle is a more challenging joint to replace. It's smaller and moves in multiple directions. But better and promising ankle implants are hitting the market.

Contact Dr. Carr today if you have concerns about the health of your feet.

Sunscreen on Your Feet?

2010-06-14T10:03:00.000-07:00

Doctor urges sunscreen use and exams to prevent skin cancer on feet

When at the pool or lake we all lather up with sun screen to protect our skin from the harmful rays of the sun. But do we remember to apply sunscreen to our feet?

Many don’t realize skin cancer can occur on the feet from unprotected sun exposure, and overlook applying sunscreen to the area. But, Thomas Carr, DPM, warns skin cancer of the foot is prevalent and can even be fatal if not caught early.

While all types of skin cancer, including squamous cell and basal cell carcinoma, can be found on the foot, the most common is the most serious form, melanoma. Symptoms can be as subtle as an abnormal-looking mole or freckle found anywhere on the foot, and often go unnoticed without routine foot exams.

According to foot and ankle surgeon Dr. Carr early diagnosis is key to effective treatment for the condition. But because people aren’t looking for the early warning signs or taking the same precautions they do for other areas of the body, often times skin cancer in this region is not diagnosed until later stages.

“I advise my patients to regularly inspect their feet, including the soles, in between their toes and even under their toenails, for any changing moles or spots and to have any suspicious areas promptly examined by a foot and ankle specialist,” Dr. Carr explains.

For more information on skin cancer of the foot contact Dr. Carr at 312-337-9900 or visit his web site at www.chicagopodiatry.com

Healthy Feet Make the Best Dancing Feet

2010-05-28T09:55:00.001-07:00

Don’t ignore foot pain on the dance floor

Being ‘light on your feet’ when dancing is not entirely true; dancing the night away can take a toll on feet and ankles. Both professional and amateur dancers can suffer foot injuries that can stop the show, as witnessed this season on the popular reality-television show, Dancing with the Stars.

According to Chicago foot and ankle surgeon Thomas Carr, DPM, the most common types of dance-related foot and ankle problems are overuse injuries, which occur due to the repetitive movements in dance. "Over 50 percent of dance injuries occur in the foot and ankle. The severity of the damage is determined by a patient’s age, strength and flexibility and the type of shoes worn when dancing," said Dr. Carr.

Other common types of injuries related to dancing can include:
- stress fractures (hairline breaks in the bone) from repeated jumping and landing
- foot neuromas (thickening/irritation of the nerves in the ball of the foot) resulting from repetitive pivoting
- shin splints (pain and swelling in the front of the lower legs) which can be aggravated by recurring activities
- tendonitis (inflammation of the tendons in the foot) from over exertion
- corns, calluses or blisters—all painful skin irritations resulting from repeated rubbing of the skin on the feet.

With dancing being repetitively hard on the lower extremities, how can dancers of any level protect their feet and ankles? "The best defense to injury is prevention. Dancers should wear appropriate shoes to properly support their feet and ankles as well as perform dance moves with their individual skill levels in mind," Dr. Carr said
If you are suffering from foot or ankle pain, call Dr. Carr’s office at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com for an assessment.

Enjoy Pregnancy without Foot Pain

2010-05-23T14:01:00.000-07:00

Physician offers mothers-to-be remedies for aching feet
"Oh my aching feet" is a phrase you hear often from pregnant women. But, are sore feet a symptom they just must deal with during pregnancy? According to Chicago foot and ankle surgeon Thomas Carr, DPM, the answer is “no.” There are many remedies available to help alleviate foot pain.
Dr. Carr states women often experience foot pain during pregnancy because of increased weight, foot instability and swelling. “In the last five years, I’ve seen an increase in pregnant women with foot pain because more women than ever before are active, even running marathons, during their pregnancies,” Dr. Carr says. He recommends the following guidelines to help reduce foot pain during pregnancy.
Painful, Swollen Feet—Pregnant women often experience throbbing, swollen feet due to excess fluid build up (edema) in the feet from the weight and position of the baby. To reduce swelling, put feet up whenever possible, stretch legs frequently, wear wide comfortable shoes and don’t cross legs when sitting.
Arch Pain—Pain in the arch can be due to both arch fatigue or over pronation (or the flattening of the arch). Over pronation causes extreme stress to the ligament (the plantar fascia) that holds up the arch of the foot. The best way to prevent arch pain is to stretch daily in the morning and before and after any exercise, don’t go barefoot and wear supportive low-heeled shoes.
Ingrown Toenails—Excessive stress from tightly-fitting shoes causes painful ingrown toenails. Give your feet a break: wear wider shoes during the last trimester of pregnancy to avoid ingrown toenails. If you do experience an ingrown toenail, avoid attempting “bathroom surgery.” Repeated cutting of the nail can cause the condition to worsen over time. It is best to seek treatment with a foot and ankle surgeon.
It is also not uncommon for women to experience a change in their foot size during pregnancy. "A permanent growth in a women’s foot, up to half a size, can occur from the release of the same hormone, relaxin, that allows the pelvis to open to deliver the baby. It makes the ligaments in your feet more flexible, causing feet to spread wider and longer," Dr. Carr adds.
Pregnancy and pending motherhood should be a joy. If foot pain persists, call Dr. Carr’s office at 312-337-9900 or schedule an appointment online at www.chicagopodiatry.com. He can provide relief with conservative treatments such as physical therapy, foot orthotics, supportive shoes and minor toenail procedures.

Golfers: Don't be handicapped with foot pain

2010-05-05T14:55:00.000-07:00

As millions of avid golfers get ready for another season of pars and bogeys, they should be aware of potentially serious foot problems that can result from years of playing the game.
Although golf is not considered a rigorous sport, the physical act of repeatedly swinging a golf club in practice and on the links can lead to a condition known as hallux limitus, a jamming and deterioration of the big toe joint.
According to Thomas Carr, DPM, (FACFAS), the movement and weight transfer that occur during the swing’s follow through can cause this problem and other chronic foot ailments. Dr. Carr is a member of the American College of Foot and Ankle Surgeons with office in Chicago.
“When golfers follow through on their swing, they can overextend the big toe joint on the back foot,” says Dr. Carr. “Those who have played the game avidly for several years eventually can wear out the cartilage or jam the big toe joint. The likely outcome, if left untreated, is painful arthritis in the big toe, which would make it very difficult to continue playing golf.”
Golfers who have pain and swelling around the big toe joint or have less mobility in this area than other parts of the foot should visit a foot and ankle surgeon for an examination and appropriate treatment. A history of trauma to the big toe area and bone structure also can precipitate the condition. Individuals with a long first metatarsal bone (big toe), for example, are more susceptible to joint compression and hallux limitus.
“If golfers experience pain in the big toe area when playing, they should consider it a warning sign that intervention is necessary before the joint becomes arthritic,” says Dr. Carr. “In most situations, orthotics can be prescribed to provide relief, but others with advanced cases may require surgery.”
Another foot problem that is common in golfers is a neuroma or pinched nerve at the bottom of the foot. The weight transfer to the front foot that occurs in the follow through applies pressure that, over time, can cause a pinched nerve.
Dr. Carr also advises golfers not to wear shoes that have a spike located directly beneath the ball of the foot.
“The pressure from that single spike, magnified by the several thousand steps taken during an average round, can cause intense pain and swelling in the ball of the foot,” he says.
Dr. Carr says any pair of golf shoes can be made more foot friendly without sacrificing traction by removing the poorly located spikes.
For more information on foot conditions that affect athletes, contact Dr. Carr's office at 312-337-9900 , or visit the web site at www.chicagopodiatry.com.

Spring is ankle sprain season in Chicago

2010-04-23T07:30:00.000-07:00

Spring is sports season for many amateur athletes and weekend warriors in the Chicago area. It's also ankle sprain season for one area foot and ankle surgeon.
Thomas Carr, DPM, (FACFAS), a foot and ankle surgeon with offices in Chicago, says ankle sprains are one of the most common sports injuries he treats this time of year.
"As people emerge from their winter hibernation and start to get active again, they can injure their ankles playing sports such as basketball, baseball, tennis and soccer," he says.
Anyone who injures an ankle requires prompt medical treatment, whether it's their first sprain or their fifth. Rest, ice, compression and elevation (R.I.C.E.) can reduce swelling and pain until the ankle can be evaluated and treated by a foot and ankle surgeon. A sprain may not always be a sprain; the ankle could be fractured.
Dr. Carr notes that many athletes develop chronic ankle instability from repeated ankle sprains, causing their ankle to frequently "give way." In some cases these players may require surgery. Proper rehabilitation of an ankle sprain reduces the likelihood of developing chronic ankle instability.
Dr. Carr shares three spring ankle sprain prevention tips from FootHealthFacts.org:
1. Perform warm-up stretches and exercises before playing sports.
2. Wear the right shoes for the sport. For example, don't wear running shoes for sports that involve a lot of side-to-side movement, such as tennis and basketball.
3. Wear an ankle brace if you're recovering from an injury or have repeatedly sprained your ankle.

Power Mowers Pose Danger to Feet

2010-04-21T12:47:00.000-07:00

Thousands of Foot Injuries Can be Prevented Each Year

Lawn care season is back and Chicago foot and ankle surgeon, Thomas Carr, DPM, (FACFAS) cautions homeowners to protect their feet and the feet of those around them when using rotary-blade lawnmowers.
Each year, some 25,000 Americans sustain injuries from power mowers, according to reports issued by the U.S. Consumer Products Safety Commission. “The blades whirl at 3,000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet, each year we continue to see patients who have been hurt while operating a lawnmower barefoot,” said Dr. Carr, a member of the American College of Foot and Ankle Surgeons.
Dr. Carr said children under the age of 14 and adults over the age of 44 are more likely to be injured from mowers than others. He advises anyone who operates a power mower to take a few simple precautions:

Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
Wear heavy shoes or work boots when mowing – no sneakers or sandals.
Don’t allow small children to ride on the lap of an adult on a lawn tractor. Children can be severely injured by the blades when getting on or off the machine.
Mow across slopes, never go up or down.
Never pull a running mower backwards.
Keep children away from the lawn when mowing.
Keep the clip bag attached when operating a power mower to prevent projectile injuries.
Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.

“If a mower accident occurs, immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection,” says Dr. Carr. “Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be surgically reattached unless toes have been amputated,” he adds.

Fix Feet for Weight Loss Success

2010-02-16T15:05:00.001-08:00

Many of the estimated 70 million obese Americans are trapped in a life-threatening vicious cycle: Obesity aggravates foot problems, like heel pain and flat feet; sore feet make it hard to exercise and lose weight; and without exercise, obesity worsens and exacerbates progression of diabetes, heart disease and other serious health threats. Today, a Chicago foot and ankle surgeon urged obese adults to seek immediate treatment for chronic, activity-limiting foot and ankle problems to foster compliance with physician-directed exercise programs.
“It’s unfortunate obese adults get caught up in the vicious cycle of avoiding physical activity due to foot or ankle pain, thereby permitting cardiovascular disease and other life-threatening conditions to worsen as a result,” says Dr. Thomas Carr, DPM, a member of the American College of Foot and Ankle Surgeons (ACFAS) in Chicago. “For example, in many cases, chronic heel pain occurs from carrying too much weight. Left untreated, it becomes an impediment to physical activity and meaningful weight loss.”
Dr. Carr says there’s no reason foot or ankle pain should stop obese patients from exercising. The first step toward breaking that vicious cycle is an evaluation by a foot and ankle surgeon.
According to the ACFAS consumer Web site, FootHealthFacts.org, many causes of foot pain can be relieved without surgery through stretching exercises, orthotics and athletic shoes with good shock absorption and support. If a bunion, heel pain or other condition requires surgery, patients can participate during their recovery in non-weight-bearing activities, such as riding a stationary bike, swimming or weight training.
For those moderately to severely overweight, Dr. Carr says a thorough physical examination is mandatory before beginning an exercise program.
“Once cleared by your physician to begin exercising, don’t try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity,” he says. “For example, I counsel overweight patients to avoid working out on treadmills or elliptical machines to minimize pounding and stress on their joints.”
Shedding excess pounds helps diabetic patients control their disease, but Dr. Carr notes many who experience foot ulcerations and vascular problems caused by diabetes might think they shouldn’t exercise.
“Every diabetes patient needs regular foot exams to check for possible sore spots and assess nerve sensation,” says Dr. Carr. “And with proper diabetic foot care and the right footwear, most patients can follow an exercise regimen that is safe and appropriate for them.”
For more information about ankle fractures and sprains or other foot and ankle problems, contact Dr. Carr's office at www.chicagopodiatry.com.

Icy Conditions Cause Falls and Broken Ankles

2010-02-08T08:47:00.000-08:00

With the hectic pace of the holidays, serious injuries from ice-related falls inevitably occur. A Chicago foot and ankle surgeon says falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.
Dr. Thomas Carr, DPM, says the ankle joint is vulnerable to serious injury from hard falls on ice.
“Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping," he says.
Dr. Carr is a member of the American College of Foot and Ankle Surgeons (ACFAS) with office in downtown Chicago. He adds that in cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment.
“Never assume the ability to walk means your ankle isn’t broken or badly sprained," he says. "Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life."
Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture.
“It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment,” says Dr. Carr. “If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.”
According to the ACFAS consumer Web site, FootPhysicans.com, even though symptoms of ankle sprains and fractures are similar, fractures are associated with:

Pain at the site of the fracture that can extend from the foot to the knee

Significant swelling

Blisters over the fracture site

Bruising soon after the injury

Bone protruding through the skin—a compound fracture, which requires immediate attention!

Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly.
Dr. Carr said newly designed surgical plates and screws allow repair of these injuries with less surgical trauma.
“With newer bone-fixation methods, there are smaller incisions to minimize tissue damage and bleeding and accelerate the healing process,” he says.
Dr. Carr recommends scheduling an appointment with his office if you have injured your ankle in any way.
“If you fall on an icy spot and hurt your ankle, the best advice is to seek medical attention immediately," he says. "This aids in early diagnosis and proper treatment of the ankle injury and reduces the risk of further damage.”
For further information about ankle fractures and sprains or other foot and ankle problems, contact Dr. Carr at www.chicagopodiatry.com.

Got gout? Holiday season triggers painful toes in Chicago

2010-01-22T15:35:00.000-08:00

Got gout? If so, a Chicago foot and ankle surgeon has a recommendation for surviving the holidays: Watch what you eat and drink.
Changes in diet, including overindulging in certain foods and beverages, can cause gout attacks this time of year, says Dr. Thomas Carr. Dr. Carr is a member of the American College of Foot and Ankle Surgeons (ACFAS) with office in Chicago.
Gout attacks are extremely painful. They are caused when uric acid accumulates in the tissues or a joint and crystallizes. This most commonly occurs in the big toe joint. Dr. Carr explains this is because the toe is the coolest part of the body and uric acid is sensitive to temperature changes.
He says foods that are high in purines contribute to uric acid build-up. He recommends that people prone to gout attacks avoid purine-rich items such as shellfish (shrimp, crab, etc.), organ meats (kidney, liver, etc.), red meat, red wine and beer.
Gout can be treated with medications, diet changes, increasing consumption of appropriate fluids, and immobilizing the foot. In some cases surgery is required to remove the uric acid crystals and repair the joint. For more information on gout, visit the ACFAS consumer Web site, FootHealthFacts.org, or contact Dr. Carr’s office at 312-337-9900 or on the web at www.chicagopodiatry.com.

Why High Heels are Bad for Your Health

2010-01-21T15:17:00.000-08:00

Watch how Dr. Carr from Chicago Podiatric Surgeons explains in a TV interview the dangers associated with wearing high heels.

6 Tips To Protect Kids in Fall Sports

2009-10-25T18:19:00.000-07:00

Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child's previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition.

Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn't mix baseball cleats with football shoes.

Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can't lie flat.

Check playing fields for dips, divots and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That's why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player's foot and throw them to the ground. Alert coaching officials to any irregularities.

Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries.

Dr. Carr can be contacted at www.chicagopodiatry.com.

Women's Feet Hurt More in Autumn

2009-10-19T17:48:00.000-07:00

Autumn is a painful time of year for many women.

As they transition from open-toed sandals to closed-in boots and shoes, foot and ankle surgeon Thomas Carr, DPM, says he notices more women seeking relief for painful bunions. Dr. Carr has office in Chicago. He says this trend plays out in the examining rooms of many foot and ankle surgeons every autumn.

"Some of my female bunion patients are in agony," says Dr. Carr. "They describe a constant, throbbing pain, even when they take their shoes off."

While the changing weather brings more bunion patients into his office, Dr. Carr says some women inquire about surgery in the fall because they're less busy than in summer months. Many are also closer to meeting their insurance deductibles.

Dr. Carr emphasizes that surgery is a last-resort treatment for women with painful bunions.

"For many women, simple changes like wearing shoes with wider toe boxes can significantly reduce bunion pain," he says. "Custom shoe inserts, gel- or foam-filled padding and anti-inflammatory medications may also provide pain relief."

When the pain of a bunion interferes with a woman's daily activities, it's time to discuss surgical options, according to the American College of Foot and Ankle Surgeons.

Dr. Carr can be contacted at www.chicagopodiatry.com.

Bunion Surgery Video

2009-10-02T17:07:00.000-07:00

A new video has just been posted on our web site. It shows a real bunion surgical procedure.

Fall Newsletter

2009-09-20T18:00:00.001-07:00

Fall podiatry newsletter has just been posted on our web site. Here are some highlights:

Start Back-To-School Shopping On The Right Foot
Orthotics 101: How They Can Help You
My Feet Are Tingling: Could It Be Neuropathy

You can download it for free directly from www.chicagopodiatry.com .

Podiatrist and Specialist Needed

2009-08-20T14:59:00.000-07:00

Chicago Podiatric Surgeons is currently looking to fill two vacancies: podiatrist and one specialist from the following fields: Plastic Surgeons, Extremity Orthopedics, Dermatology, Rheumatology, Gynecology and Physical Therapy. The specialist position is offered for the office space available in a prime Chicago downtown location.
For a tour of the facility or for more information go to www.chicagopodiatry.com , or call or email Ellen Carr, General Manager, Chicago Podiatric Surgeons, 312.337.9900, ellen@chicagopodiatry.com .

Foot Injuries Common After Storms and Tornadoes

2009-08-17T08:15:00.000-07:00

With storm and tornado season officially underway, a Chicago foot and ankle surgeon reminds
about the risk of serious foot injuries during disaster clean-up.

"In the aftermath of a storm, people just want to clean up the debris as fast as they can and get on with their lives," says Dr. Carr, DPM, FACFAS, a foot and ankle surgeon with offices in Chicago. "By taking some simple precautions to protect their feet from injury, they can make the clean up go more quickly and more safely."

Many tornado survivors suffer puncture wounds on their feet. After Hurricanes Katrina and Rita, foot and ankle surgeons along the Gulf Coast reported treating patients who injured themselves wearing flip-flops and sandals during debris clean-up. Some patients developed bone infections from improperly treated puncture wounds caused by nails and other sharp objects.

According to the American College of Foot and Ankle Surgeons’ (ACFAS) FootPhysicians.com Web site, puncture wounds require medical treatment within 24 hours to avoid infection and other complications from embedded foreign objects. Pieces of skin, sock and the shoe itself can be forced into the wound during a puncture, as well as dirt and debris from the object itself. If medical care is inaccessible, every hurricane survival kit should include first aid supplies.

"If you can’t get to a doctor, you can still irrigate the wound, apply a topical antibiotic, and a clean bandage,: says Dr. Carr. "Then see a doctor for follow- up care, including a tetanus shot if necessary."

After initial treatment, the ACFAS recommends puncture wound victims see a foot and ankle surgeon for a thorough cleaning and careful follow-up to monitor the wound for infection and to prescribe antibiotics if necessary.

Other storm foot safety tips include:

Watch where you walk. Debris and murky floodwaters can conceal sharp objects. Be careful standing on unstable surfaces and piles of debris that can throw you off balance, causing ankle sprains or fractures.

Wear appropriate shoe gear, work boots if possible. Don’t go barefoot. Avoid open-toed footwear like sandals.

Take precautions when cutting down tree limbs. One hurricane victim broke several bones when sawing down a heavy tree limb that landed on her foot.

For treatment of puncture wounds or other foot or ankle trauma, contact Dr. Carr at Chicago Podiatric Surgoens.

Your Feet at the Beach

2009-06-25T11:58:00.000-07:00

As millions of Americans hit the beach this summer, Dr. Thomas Carr, DPM, a foot and ankle surgeon in Chicago, shares these safety tips from the American College of Foot and Ankle Surgeons.

Puncture wounds and cuts: Wear shoes to protect your feet from puncture wounds and cuts caused by sea shells, broken glass and other sharp objects. Don’t go in the water if your skin gets cut – bacteria in oceans and lakes can cause infection. To avoid complications from a puncture wound, see a foot and ankle surgeon for treatment within 24 hours.

Jellyfish stings: Remember that a jellyfish washed up on the beach can still sting if you step on it. If their tentacles stick to the foot or ankle, remove them, but protect your hands from getting stung too. Vinegar, meat tenderizer or baking soda reduce pain and swelling. Most jellyfish stings heal within days, but if they don’t, medical treatment is required.

Sunburns: Feet get sunburn too. Rare but deadly skin cancers can occur on the foot. Don’t forget to apply sunscreen to the tops and bottoms of your feet.

Burns: Sand, sidewalks and paved surfaces get hot in the summer sun. Wear shoes to protect your soles from getting burned, especially if you have diabetes.

Ankle injuries, arch and heel pain: Walking, jogging and playing sports on soft, uneven surfaces like sand frequently leads to arch pain, heel pain, ankle sprains and other injuries. Athletic shoes provide the heel cushioning and arch support that flip-flops and sandals lack. If injuries occur, use rest, ice, compression and elevation to ease pain and swelling. Any injury that does not resolve within a few days should be examined by a foot and ankle surgeon.

Diabetes risks: The 20 million Americans with diabetes face serious foot safety risks at the beach. The disease causes poor blood circulation and numbness in the feet. A diabetic may not feel pain from a cut, puncture wound or burn. Any type of skin break on a diabetic foot has the potential to get infected and ulcerate if it isn’t noticed right away. Diabetics should always wear shoes to the beach, and remove them regularly to check for foreign objects like sand and shells that can cause sores, ulcers and infections.

For treatment of beach-related foot injuries, contact Dr. Thomas Carr at 312-337-9900 or request your appointment at www.chicagopodiatry.com.

Tips for a Safer Barefoot Summer

2009-06-21T19:19:00.000-07:00

Parents and families can prevent cuts, puncture wounds and other injuries from going barefoot by following some simple recommendations.

"Shoes are the best way to protect your family's feet from injuries," says Dr. Thomas Carr, DPM. "But if your summer just wouldn't be the same without kicking off your shoes or sandals, you can still make it a safe season."

Dr. Carr offers these tips for a safer barefoot summer:

--See a foot and ankle surgeon within 24 hours for a puncture wound.

Why: These injuries can embed unsterile foreign objects deep inside the foot. A puncture wound must be cleaned properly and monitored throughout the healing process. This will help to avoid complications, such as tissue and bone infections or damage to tendons and muscles in the foot. Foot and ankle surgeons are trained to properly care for these injuries.

--Make sure you've been vaccinated against tetanus. Experts recommend teens and adults get a booster shot every 10 years.

Why: Cuts and puncture wounds from sharp objects can lead to infections and illnesses such as tetanus.

--Apply sunscreen to the tops and bottoms of your feet.

Why: Feet get sunburn too. According to FootPhysicians.com, rare but deadly skin cancers can develop on the feet.

--Inspect your feet and your children's feet on a routine basis for skin problems such as warts, calluses, ingrown toenails and suspicious moles, spots or freckles.

Why: The earlier a skin condition is detected, the easier it is for your foot and ankle surgeon to treat it.

--Wear flip-flops or sandals around swimming pools, locker rooms and beaches.

Why: To avoid cuts and abrasions from rough anti-slip surfaces and sharp objects hidden beneath sandy beaches, and to prevent contact with bacteria and viruses that can cause athlete's foot, plantar warts, and other problems.

--Use common sense.

Why: Every year, people lose toes while mowing the lawn barefoot. Others suffer serious burns from accidentally stepping on stray campfire coals or fireworks. Murky rivers, lakes and ponds can conceal sharp objects underwater. People with diabetes should never go barefoot, even indoors, because their nervous system may not "feel" an injury and their circulatory system will struggle to heal breaks in the skin.

Dr. Carr is a member of the American College of Foot and Ankle Surgeons (ACFAS).

For more information on puncture wounds, plantar warts, diabetic foot care and other topics, visit the Chicago Podiatric Surgeons Web site, www.chicagopodiatry.com.

New Pair of Flip-Flops for the Summer?

2009-06-03T14:24:00.001-07:00

There are a few things one should know about flip-flops before spending the entire summer walking in this type of shoes. The American Podiatric Medical Association has just published a list of tips regarding do's and don'ts for wearing flip-flops. For instance, did you know what walking extended distances in flip-flops can be harmful? This and more on the APMA web site.

New Orthotics Pictures

2009-05-28T09:25:00.000-07:00

We have just uploaded a new set of orthotics pictures. Orthotics inserts are designed for just about any type of shoes including sports shoes and women dress shoes. Please check them out on our web site, but also at our Flickr account.

Some of our latest images will be used in the patient handouts for young athletes by the American Academy of Pediatrics.

Podiatry on YouTube

2009-03-31T22:26:00.000-07:00

The American College of Foot and Ankle Surgeons (ACFAS) now has its own account on the popular video sharing social networking site YouTube.com. Please check it out and watch some really interesting podiatry related interviews and short clips.

http://www.youtube.com/user/FootAndAnkleSurgeons

Heel Pain - Treatment

2009-03-20T16:20:00.000-07:00

Conservative treatment is over 90% effective and consists of:

Oral anti-inflammatory medicine or steroid injections.

Physical therapy

Functional orthotics (shoe inserts that maintain proper biomechanics)

Anti-inflammatory medication and orthotics are key to long-term successful treatment.

If conservative treatment does not provide relief from heel pain, surgery may be necessary.

The most common procedure is an endoscopic plantar fascia release, which reduces the pulling tension of the structures around the heel.

Unless very large and projecting downward, the spur usually does not need to be removed, since the tension on the plantar fascia, not the spur, causes the symptoms.

You can download our Podiatry-at-a-Glance newsletter that talks about heel pain from out website.

Ingrown Toenails - Treatment

2009-03-16T09:28:00.000-07:00

Treatment with over the counter products and topical or oral antibiotics is usually ineffective
since they do not address the ingrown nail itself. In order to resolve the condition the
offending nail border must be removed (Fig. 2).

If the nail is only minimally ingrown the offending border may be removed simply by
trimming the nail margin. This does not usually require use of a local anesthetic.
If the nail is significantly ingrown or an infection is present, removal of the offending
nail border and drainage of the infection usually requires local anasthesia and a more
aggressive nail border resection. Any hypertrophic granulation tissue is usually resected.
Antibiotics should be used appropriately.

In cases of reccurrent ingrown nails a matricectomy may be performed in which the
offending portion of the nail is permanently removed.
If an abnormality of the nail, soft tissue, or bone is present a more involved surgical
procedure may be needed to correct the condition and relieve the patient’s symptoms.

You can download our Podiatry-at-a-Glance newsletter that talks about ingrown toenails from our website.

Stress Fractures

2009-02-20T13:44:00.000-08:00

Stress fractures are a type of injury. These fractures which may be partial or complete, result from repetitive subthreshold loading that, exceeds the bone’s intrinsic ability to repair itself. The repetitive forces of running or jumping and even benign activities such as walking, can cause these injuries. Stress fractures can occur in any bone, but most often afflict the weight-bearing bones of the lower let and foot.

SYMPTOMS

Localized bone pain
Pain exacarbated with weight bearing
With or without localized edema

Stress fractures are notoriously under diagnosed and under treated. This injury carries the risk of complete fracture, displacement, nonunion, and avascular necrosis, and may result in chronic disability. R.I.C.E (Rest. Ice. Compression. Elevation.) is always a good first step.
If you think you may be having this condition, please contact your local podiatrist immediately. You can also look for futher information on our web site.

Lateral Ankle Instability

2009-02-16T15:29:00.000-08:00

The ankle is the most commonly injured joint in sports. Ankle sprains represent about 85% of all ankle injuries in the US. While an inversion ankle injury often involves injury to the lateral collateral ankle ligaments (Figure 1), other structures in this area may also be injured. These associated injuries may not be evident until weeks or months after the initial event, and may not present themselves until the patient attempts to return to full activity but is unable to because of persistent pain. Typical associated injuries include chronic lateral ankle instability, peroneal tendon damage, nerve injury, syndesmotic sprain or tear, and intraarticular cartilage damage. Although the injury may initially seem minor, a thorough evaluation and aggressive, conservative therapy is important in improving the outcome.
SYMPTOMS

Patients often complain that the affected ankle feels "unstable" or "gives out" frequently.
Patients typically feel unsteady when walking on uneven ground or sloped surfaces.
Repeated inversion injuries will occur with the slightest provocation.
Patients commonly report twisting or spraining ankles every few months with varying levels of severity.
Persistent swelling to the anterolateral aspect of the ankle
Bracing or taping may not provide adequate stability.

Initial treatment involves managing symptoms and biomechanical control. Non-steroidal anti-inflammatories or steroid injections, if used alone usually do not provide long term relief. If conservative treatment fails to provide relief or the ankle is too unstable to be controlled with bracing and orthotics, surgical treatment is warranted.

For a more thorough description of this condition please visit our web site and remember to always consult your local podiatris with any foot pain condition that you may be experiencing.

Morton's Neuroma

2009-01-29T12:18:00.000-08:00

Morton’s Neuroma is a term used to describe a benign enlargement of the third common digital branch of the medial plantar nerve located between the third and fourth metatarsal heads. Besides the third intermetatarsal space, a neuroma can develop in any area where a nerve becomes chronically irritated. A Morton’s neuroma is commonly due to specific anatomical and biomechanical relationships between the third common digital nerve, the third and fourth metatarsal heads, and the other structures in the third intermetatarsal space.

Some of the symptoms include:

One or more numb toes (usually the 3rd and 4th toes)
Feeling that something is between the toes or under the ball of the foot.
Sharp pain in the foot that radiates toward the toes or up the leg.
Early stage symptoms may be intermittent; however, late stage symptoms are constant.
Symptoms are almost always aggravated by shoes and frequently relieved by removing them and massaging the affected area.

Conservative treatment is usually effective but in certain cases a surgical intervention is necessary. It's always good to have your feet checked by your local podiatrist. And if you live in the Chicagoland area, Dr. Carr from the Chicago Podiatric Surgeons will be happy to schedule your visit.

New Doctor

2008-12-10T10:00:00.000-08:00

We are pleased to introduce the newest addition to our professional team of doctors - Dr. Ellen Rubin. Dr. Rubin is a native to the Chicago area where she finished her three year surgical residency program at Mount Sinai Hospital in Chicago in June of 2008. She received extensive training in reconstructive rearfoot and forefoot surgery. Her experience includes trauma services, sports medicine, diabetic foot care and pediatrics. To learn more about Dr. Rubin please visit our website.

Great Medical Website

2008-12-02T14:56:00.001-08:00

WebMD is becoming a leading provider of online health information. The vast archive includes a lot of useful articles, pictures and videos about podiatry disorders, some of them provided by the Chicago Podiatric Surgeons. Great, worth recommending resource:
http://www.webmd.com/

Podiatry Information in Spanish

2008-12-02T14:53:00.000-08:00

The American Podiatric Medical Association is providing a lot of valuable foot health information in Spanish now. You can download brochures about most commonly occuring disorders here.

Foot and ankle disorder pictures

2008-11-17T15:32:00.001-08:00

We have just upgraded our Flickr account to be able to post additional sets of podiatry related pictures. If you have any concerns or interest at all, reviewing such images can definitely help you in learning more about different conditions and possibly help you with diagnosing yours. You can find all of the pictures here.

Fall Newsletter

2008-10-23T15:21:00.001-07:00

The Fall Podiatry Newsletter is here. You can download it here in a PDF format. We hope you enjoy the reading. Here are some of the highlights:

You can avoid the 'shoe blues'
Arthritis needn't slow down boomers
Go easy on treat and vigilant on feet

The newsletter is provided as courtesy of the American College of Foot and Ankle Surgeons.

New videos

2008-10-08T14:55:00.000-07:00

Please check out some of the new videos that have been posted on our YouTube account. Here are the subjects covered:

We are also working on recording a surgery session. Hopefully that will be posted soon too.

Podiatry Newsletter Coming Up!

2008-07-29T20:38:00.000-07:00

Chicago Podiatric Surgeons Newsletter is published quarterly. It contains lots of easy to read foot health articles in a nicely designed format. You can download previous issues by going here. As we are preparing our upcoming issue, you can sign up for your copy by filling out this form. We are happy to announce that the latest issue will be 100% paper free. Chicago Podiatric Surgeons is going GREEN!

Children's healthy feet tips

2008-07-14T19:37:00.000-07:00

Problems noticed at birth will not disappear by themselves. You should not wait until the child begins walking to take care of a problem you've noticed earlier.

Remember that lack of complaint by a youngster is not a reliable sign. The bones of growing feet are so flexible that they can be twisted and distorted without the child being aware of it.
Walking is the best of all foot exercises, according to podiatrists. They also recommend that walking patterns be carefully observed. Does the child toe in or out, have knock knees, or other gait abnormalities? These problems can be corrected if they are detected early.
Going barefoot is a healthy activity for children under the right conditions. However, walking barefoot on dirty pavements exposes children's feet to the dangers of infection through accidental cuts and to severe contusions, sprains, or fractures. Another potential problem is plantar warts, a condition caused by a virus which invades the sole of the foot through cuts and breaks in the skin. They require protracted treatment and can keep children from school and other activities.
Be careful about applying home remedies to children's feet.
Preparations strong enough to kill certain types of fungus can harm the skin.

And as always, if you have any concerns at all, please consult your local podiatrist to treat the condition early.

Carbon Footprint

2008-06-30T23:32:00.000-07:00

What is a carbon footprint? According to Wikipedia a carbon footprint is a "measure of the impact human activities have on the environment in terms of the amount of greenhouse gases produced, measured in units of carbon dioxide". It is meant to be useful for individuals and organizations to conceptualize their personal (or organizational) impact in contributing to global warming.

So even though the name may suggest otherwise, it's one of those "foot" problems that no podiatrist can cure. We all have to deal with it ourselves and keep in mind that the smaller the footprint, the more we leave for our children and future generaions to enjoy.

Before and After Surgery Pictures

2008-06-16T19:27:00.000-07:00

At Chicago Podiatric Surgeons we document many of the cases of foot disorders. You can now preview the before and after surgery pictures on our website.

Sample pictures include the following disorders:

bunion,
hammertoe,
exsostosis,
syndacty.

Virtual Tour of Chicago Podiatric Surgeons

2008-06-10T22:03:00.000-07:00

Now, thanks to latest improvements and updates to our website you can get familiar with our office and clinic even before you come for your appointment. If for any reason you don't like browsing through pictures, you can simply click on the video and watch our short audio-visual presentation.

We hope you will enjoy the experince of visiting our site.

Online resources for doctors and health professionals

2008-05-31T15:20:00.000-07:00

At Chicago Podiatric Surgeons we not only provide services to patients that are in need, but we also constantly work on helping other medical practitioners to learn more about podiatry related disorders. Over the years we have combined quite a collection of specialized publications. One of them is Podiatry-At-A-Glance. It can be downloaded at our web site at:

http://chicagopodiatry.com/referring_podiatry.cfm.

When browsing through our web site, please don't miss our latest addition.
We now have a new online Appointment Registration form. Patients can conveniently request their preferred date and time of the appointment online. Please check it out at:

http://chicagopodiatry.com/appointment.cfm

A picture is worth a thousand words

2008-05-28T11:50:00.000-07:00

Over the years Chicago Podiatric Surgeons has built up quite a collection of podiatry related pictures. For many of our future patients that's how they start doing something about the health of their feet, by comparing their own problems with professionally taken images.

Below is a list of some of the usefull resources that we provide. If you have any concerns about the health of your feet, whether its a small reoccuring pain or something more serious, remember, we are alwasy there to help.

Online podiatry images collection at Flickr.com:
http://flickr.com/photos/chicagopodiatry/

Before and after the surgery images:
http://www.chicagopodiatry.com/education_before.cfm

General podiatry information and images:
www.epodiatry.org

Ankle Injuries

2008-05-14T08:19:00.001-07:00

The ankle is the most commonly injured joint in sports. Ankle sprains represent about 85% of all ankle
injuries in the US. While an inversion ankle injury often involves injury to the lateral collateral ankle
ligaments, other structures in this area may also be injured. These associated injuries may not
be evident until weeks or months after the initial event, and may not present themselves until the patient
attempts to return to full activity but is unable to because of persistent pain. Typical associated injuries
include chronic lateral ankle instability, peroneal tendon damage, nerve injury, syndesmotic sprain or tear,
and intraarticular cartilage damage. Although the injury may initially seem minor, a thorough evaluation and aggressive, conservative therapy is important in improving the outcome.

Symptoms

Patients often complain that the affected ankle feels “unstable” or “gives out” frequently

Patients typically feel unsteady when walking on uneven ground or sloped surfaces

Repeated inversion injuries will occur with the slightest provocation

Patients commonly report twisting or spraining ankles every few months with varying levels of severity

Persistent swelling to the anterolateral aspect of the ankle

Bracing or taping may not provide adequate stability

To learn more about this condition and to schedule a convenient appointment online please visit us at www.chicagopodiatry.com.

Hallux Limitus/Rigidus

2008-05-08T10:04:00.000-07:00

Hallux Limitus is a term used to describe a first metatarsophalangeal joint (MTPJ) that has developeda painful limitation in motion secondary to an acquired arthritic condition. This limitation in motion is progressive and may lead to a condition termed Hallux Rigidus, in which there is an absence of motion. During normal gait the first MTPJ dorsiflexes 50-75 degrees, and requires stability of proximal bones and joints to function properly. Abnormalities such as pronation, trauma, neuromuscular disease, arthritic conditions, or variations in bone structure can interfere with normal first MTPJ function and lead to a decrease in motion.

Symptoms

Joint pain and stiffness at the first MTPJ

The joint may feel like it "locks up" at a certain point due to articular cartilage damage

Pain on the top or bottom of the first metatarsal head

Difficulty with certain activities like running, squatting, or walking up an incline

Difficulty wearing shoes due to the excessive pressure on the body prominences

Swelling and erythema

To learn more about this condition and to schedule a convenient appointment please visit us at www.chicagopodiatry.com

Sports Related Injuries

2008-04-30T15:43:00.000-07:00

Biomechanics are the basis of virtually all lower extremity sports related injuries. Dr. Carr is a member of the American Academy of Podiatric Sports Medicine, and is considered a leading expert in the treatment of sports related injuries. In many instances the treatment of sports related injuries begins with understanding the underlying biomechanics of their cause.
There is such an array of these injuries that space does not permit outlining all of them. The more common injuries include:

shin splints

arch pain

heel pain

Achilles tendonitis

ankle injuries

stress fractures

tendon injuries about the ankle and rear foot

toenail injuries

nerve injuries

blistering of the skin

Our advice to all athletes is to incorporate a rigorous stretching program into your workout. The adage of "no pain, no gain" could not be further from the truth. Pain is a warning sign; and if the pain is recurrent and ignored, then the amateur athlete is asking for trouble and, possibly, significant down time from his or her sport or exercise program.

For more information about sports related injuries or to schedule an appointment online please visit us at www.chicagopodiatry.com

What Are Orthotics?

2008-04-25T14:04:00.000-07:00

Orthotics are shoe inserts that are intended to correct an abnormal, or irregular, walking pattern. Orthotics are not truly or solely “arch supports,” although some people use those words to describe them, and they perhaps can best be understood with those words in mind. They perform functions that make standing, walking, and running more comfortable and efficient by altering slightly the angles at which the foot strikes a walking or running surface.
Doctors of podiatric medicine prescribe orthotics as a conservative approach to many foot problems or as a method of control after certain types of foot surgery; their use is a highly successful, practical treatment form.
Orthotics take various forms and are constructed of various materials. All are concerned with improving foot function and minimizing stress forces that could ultimately cause foot deformity and pain.

Foot orthotics fall into three broad categories: those that primarily attempt to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.

Rigid Orthotics

Soft Orthotics

Semirigid Orthotic

Orthotics for Children

Orthotic Tips

Wear shoes that work well with your orthotics.

Bring your orthotics with you whenever you purchase a new pair of shoes.

Wear socks or stockings similar to those that you plan on wearing when you shop for new shoes.

Return as directed for follow-up evaluation of the functioning of your orthotics. This is important for making certain that your feet and orthotics are functioning properly together.

For more information about orthotics of if you are interested in scheduling a visit at a podiatry office, please visit our website at www.chicagopodiatry.com.

Children and Baby’s Feet

2008-04-17T16:04:00.000-07:00

You worry about your children’s teeth, eyes, and other parts of the body. You teach washing, brushing, and grooming, but what do you do about your child’s feet–those still-developing feet which have to carry the entire weight of the body through a lifetime?
Many adult foot ailments, like other bodily ills, have their origins in childhood and are present at birth. Periodic professional attention and regular foot care can minimize these problems in later life.
Neglecting foot health invites problems in other parts of the body, such as the legs and back. There can also be undesirable personality effects. The youngster with troublesome feet walks awkwardly and usually has poor general posture. As a result, the growing child may become shy, introverted, and avoid athletics and social functions. Consultation between the podiatrist, pediatrician, and other medical specialists helps to resolve these related problems.

Your Baby’s Feet

The human foot–one of the most complicated parts of the body–has 26 bones, and is laced with ligaments, muscles, blood vessels, and nerves. Because the feet of young children are soft and pliable, abnormal pressure can easily cause deformities.
A child’s feet grow rapidly during the first year, reaching almost half their adult foot size. This is why foot specialists consider the first year to be the most important in the development of the feet.
Here are some suggestions to help you assure that this development proceeds normally:

Look carefully at your baby’s feet. If you notice something that does not look normal to you, seek professional care immediately. Deformities will not be outgrown by themselves.
Cover baby’s feet loosely. Tight covers restrict movement and can retard normal development.
Provide an opportunity for exercising the feet. Lying uncovered enables the baby to kick and perform other related motions which prepare the feet for weightbearing.
Change the baby’s position several times a day. Lying too long in one spot, especially on the stomach, can put excessive strain on the feet and legs.

Content courtesy of the American Podiatric Medical Association. If you have any concerns about the health of your children’s feet and would like to consult a specialist, please visit us at www.chicagopodiatry.com for detailed contact information.

Aging and Foot Health

2008-03-30T15:02:00.000-07:00

Medicine and health awareness have progressed so rapidly since 1900 that life expectancy of the average American has increased by about 30 years. Older persons have become an increasingly significant proportion of our total population — and their numbers are growing rapidly. In 1900, for example, there were three million Americans aged 65 or older. In the year 2000, older people outnumber children for the first time in history.

If older people are to live useful, satisfying lives, they must be able to move about. Mobility is a vital ingredient of the independence that is cherished by our aging population, and foot ailments make it difficult or impossible for them to work or to participate in social activities.

According to the US National Center for Health Statistics, impairment of the lower extremities is a leading cause of activity limitation in older people. As if foot problems weren’t enough of a nuisance, they can also lead to knee, hip, and lower back pain that undermine mobility just as effectively. The NCHS says one-fourth of all nursing home patients cannot walk at all and another one-sixth can walk only with assistance.

Mirror of Health

The human foot has been called the “mirror of health.” Foot doctors, or doctors of podiatric medicine (DPMs), are often the first doctors to see signs of such systemic conditions as diabetes, arthritis, and circulatory disease in the foot. Among these signs are dry skin, brittle nails, burning and tingling sensations, feelings of cold, numbness, and discoloration. Always seek professional care when these signs appear.

Content courtesy of the American Podiatric Medical Association.

Proper Footwear

2008-03-26T15:32:00.000-07:00

Buying Tips

Have your feet measured while you’re standing.
Always try on both shoes, and walk around the store.
Always buy for the larger foot; feet are seldom precisely the same size.
Don’t buy shoes that need a “break-in” period; shoes should be comfortable immediately.
Don’t rely on the size of your last pair of shoes. Your feet do get larger, and lasts (shoemakers’ sizing molds) also vary.
Shop for shoes later in the day; feet tend to swell during the day, and it’s best to be fitted while they are in that state.
Be sure that shoes fit well—front, back, and sides—to distribute weight. It sounds elementary, but be sure the widest part of your foot corresponds to the widest part of the shoe.
Select a shoe with a leather upper, stiff heel counter, appropriate cushioning, and flexibility at the ball of the foot.
Buy shoes that don’t pinch your toes, either at the tips, or across the toe box.
Try on shoes while you’re wearing the same type of socks or stockings you expect to wear with the shoes.
If you wear prescription orthotics—biomechanical inserts prescribed by a podiatric physician—you should take them along to shoe fittings.

Tips come from the American Podiatric Medical Association

Before and after photos.

2008-03-13T12:03:00.000-07:00

A picture can say a thousand words. This is just one example of what modern podiatry can acomplish.

Before:

After:

For more before and after photos please visit our website at www.chicagopodiatry.com

Meet Chicago Leading Podiatry Doctor

2008-03-01T13:44:00.000-08:00

Dr. Thomas C. Carr is a board certified Podiatrist who has been in private practice in Chicago, Illinois since 1992. He specializes in Podiatric Surgery and Sports Medicine, but his practice includes all ages and pathologies related to the foot or ankle. He has performed over 10,000 surgical procedures ranging from routine elective foot surgery to major reconstructive surgery.

Dr. Carr earned his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in 1988. He then completed three years of advanced training in Reconstructive Surgery of the foot and ankle at Lakeside Hospital and Edgewater Medical Center, Chicago, where he served as chief resident.

Dr. Carr has shared his expertise in podiatric surgery by teaching state-of-the-art techniques to surgical residents who now practice all over the country. He has also taught continuing medical education courses at the nations largest podiatric conference.

To learn more about Dr. Carr and Chicago Podiatric Surgeons please visit us at www.chicagopodiatry.com

Podiatry resources

2008-02-23T18:09:00.000-08:00

Here is a short list of useful online podiatry resources

American Podiatric Medical Association
American Board of Podiatric Surgery
American Diabetes Association
American College of Foot and Ankle Surgeons
The Journal of Foot and Ankle Surgery
FootPhysicians.com
American Academy of Podiatric Sports Medicine
National Library of Medicine
ePodiatry.org

And always for detailed information about specific foot disorders you can visit us at Chicago Podiatric Surgeons

High Arch & Low Arch Feet

2008-02-06T18:19:00.000-08:00

Pes cavus and pes planus are the scientific terms that describe high arch feet and low arch or “flat” feet. As Podiatric physicians, we are very interested not only in structure but also in function of the feet. While very few people have 20-20 vision, it is also true that very few people have perfect arch structure. High and low arch feet are just the two ends of the spectrum of foot structure. The more deviation from what is considered perfect, the worse the function becomes. We describe deviation from “the ideal” as imbalance in structure. It is the imbalance in structure that leads to abnormal function. Abnormal function causes pain and/or deformity. Deformity can manifest itself in a variety of foot problems such as bunions or hammertoes. Likewise, pain can manifest itself in a variety of ways such as heel pain (plantar fasciitis or heel spur), corns or calluses, metatarsalgia or pain in the ball of the foot (neuromas, stress fractures, or tendonitis), or even in pediatric problems.

Invariably, we can treat most foot imbalance or biomechanical insufficiencies with orthotic therapy.
Visit our web site to learn more about these disorders and recommended treatments.

Diabetes and Foot Problems

2008-01-29T19:09:00.000-08:00

Diabetic patients are particularly at risk for significant foot problems that can lead to the loss of their feet or legs. The most common cause of hospitalization for the diabetic patient is foot infections. Foot related problems for the diabetic patient are responsible for significant time off work. Foot ulcerations can take weeks or months to heal.
There are two conditions that are associated with diabetes that put the patient at risk. The first is called neuropathy, which is a nerve condition that frequently affects the feet. There is a gradual loss in the patient's ability to perceive the protective sensations. The protective sensations are the ability to feel pain, to feel the difference between hot and cold, sharp and dull, vibration, and excessive pressure. This loss of sensation can become quite profound. Patients can step on sharp objects or cut themselves and not feel pain. They may burn themselves with scalding water and not be aware of it, and they can develop pressure sores and infections and experience little or no pain.

Learn more about Diabetes and Foot Problems

Hammertoes

2008-01-21T10:47:00.000-08:00

A hammertoe is a term used to describe a crooked, deviated, or contracted toe. Contrary to popular belief, hammertoes are usually not caused by ill or tight fitting shoe gear but by an imbalance in the way the bones of the foot are aligned. Over a period of years, the tendons that move the toe up and down begin to pull the toe with unequal tension, and the toe then begins to buckle or become contracted. Normally hammertoes by themselves are not painful, but with shoe gear the prominent knuckle of the toe rubs the shoe, producing an area of irritation which eventually forms a corn.

Conservative care may include padding, wider shoes, thicker socks, or orthotics to try to correct the underlying imbalance. If the problem cannot be managed and produces continual pain, then surgical correction is recommended.If you suspect you have this condition and would like to learn more about it or you are ready to schedule a consultation please visit us at www.chicagopodiatry.com

Bunions

2008-01-11T07:28:00.000-08:00

A bunion is a deviation of the long bone behind the big toe producing a bump on the side of the foot. Bunions can occur on one or both feet. They tend to be hereditary but can occur without a family history. They are not caused by shoes but are often aggravated by shoe gear. Abnormal movement of the joints just below the ankle joint causes the deformity. This results in the front portion of the foot splaying or widening. As a result the big toe starts to drift toward the second toe and the long bone behind the big toe starts to drift outward.

This deformity gradually gets worse with time, making it more painful and difficult to wear shoes. Because the bunion deformity is progressive, it should be evaluated early. Treatment options range from a recommendation on shoes, and possibly inserts for shoes called orthotics, which are used to control the cause of the bunion and halt its progression. In many instances surgery is recommended.

If you suspect this condition and would like to learn more about it or are ready to schedule an appointment, please visit us at www.chicagopodiatry.com

Happy New Year!

2007-12-31T15:54:00.000-08:00

We wish all our patients, friends, readers and visitors best of everything for the New Year, so that you can all enjoy each day in comfort and health!

Chicago Podiatric Surgeons

Corns, Calluses & Warts

2007-12-30T11:39:00.000-08:00

Corns, calluses and warts are areas of thickened skin irritations that can occur on the foot. Calluses are thick, painful skin irritations that can occur on the bottom of the foot. If the thickened area is on top of the toes, we call it a corn. Corns are usually caused by shoes pressing against the toes. They are made worse if the toe is crooked or contracted (hammertoe). These areas generally represent areas of excessive pressure or friction in shoes or while walking on hard surfaces. Caution should be used whenever using any type of corn or callus removers because these medications contain acids that burn the thickened skin off. If you have diabetes, you should never use these medications without a physician's guidance. These irritations will generally reoccur after use of these medications because the source of irritation is still present. Home remedies might include shoe cushions or pads, and if they are between the toes, pads might be used. Warm water soaks and then buffing with a pumice stone may help. Creams and lotions may be of some temporary help. If none of this helps it's best to consult a specialis.

Chicago Podiatric Surgeons on video

2007-12-17T07:56:00.000-08:00

Weak Ankles Lead to Chronic Injuries

2007-12-04T19:29:00.000-08:00

Do you suffer from frequent ankle sprains or feel like your ankle is going to give out? Do you feel unstable on uneven or sloped surfaces? If so, you may have chronic ankle instability. Ankle sprains represent about 85% of all ankle injuries
in the U.S. While ankle sprains often involve injury to the ligaments of the ankle, other structures in this area may also be damaged, including tendons, nerves, or cartilage. The full extent of the damage may not be apparent for weeks or even months after the initial injury or as you attempt to return to full activity.
Chronic ankle instability is characterized by a recurring “giving way” of the ankle. In addition to the swelling and pain associated with ankle sprains, structural changes of the ankle may occur, including arthritis. Many athletes suffer from chronic ankle instability due to repetitive injuries. If you suffer from frequent ankle sprains or feel you have “weak” ankles, this is a serious condition that needs to be evaluated.

R.I.C.E. - Rest, Ice, Compression, Elevation

2007-11-19T12:01:00.000-08:00

When it comes to tendon, ligament and muscle injuries, R.I.C.E. is important First Aid. R.I.C.E. stands for Rest, Ice, Compression, and Elevation. Resting the injured areas gives them time to heal without risking re-injury. Ice is used to reduce pain and swelling. It is needed for the first 48 hours (20 minutes on / 20 minutes off) as long as there is swelling present. Wrap the ice in a thin towel so it doesn’t come into direct contact with the skin. Compression is accomplished by wrapping an injured area with an Ace, or elastic bandage. Compressing an injury helps lessen internal bleeding, and decreases bruising and swelling. Elevating the injured area allows accumulated fluids to drain from the area, thus reducing swelling.
More about injury prevention at www.chicagopodiatry.com

Chicago Podiatric Surgeons on YouTube

2007-11-14T15:24:00.000-08:00

Chicago Podiatric Surgeons now has a YouTube presence. We invite you to visit our account for a quick tour of the facility.

We also invite you to visit ePodiatry.org. We decided to create this web site in response to a growing number of visitors to our web site (www.chicagopodiatry.com) looking for general podiatric information. Please refer to ePodiatry.org for the latest about treatment, prevention and locating a reliable podiatric clinic in your local neighborhood.

Avoiding Athlete's Feet

2007-11-08T08:06:00.000-08:00

Athlete’s foot is caused by a fungus that produces skin rashes, typically on the soles of the feet and between the toes. It usually appears as itchy, red patches of skin that burn, blister, flake or crack.
Since the fungus spreads in areas that are damp and sweaty, you should keep your feet clean and dry. Always wear socks, and look for all-natural fibers that absorb sweat. Also choose shoes that are well ventilated, such as those with small holes or mesh.
Athlete’s foot is easily spread, and is often found in public locker rooms, pool areas, and showers. To avoid contracting the fungus in these areas, always wear flip flops or some other type of shoe.
Treatment typically involves an overthe-counter antifungal cream or spray, which can clear up the fungus in a few weeks. If athlete’s foot doesn’t clear up or recurs, you should consult about a stronger treatment.

Areas of concern in pediatric podiatry

2007-10-30T14:03:00.000-07:00

Childhood foot and ankle disorders are a common area of concern for parents. The problems range widely and while most are not serious some do require intervention. From time to time we will use this space to answer some common questions about pediatric podiatry. Is heel pain a normal sign of growing pains? Occasional heel pain is common in children, but that doesn’t mean it is normal. In children, the heel bone (calcaneus) is not fully developed until around ages 14 to 16. Until the heel bone is completely fused, new bone forms at the growth plate (physis), an area located at the back of the heel. Calcaneal Apophysitis, also known as Sever’s Disease, is the most common cause of heel pain in children ages 10 to 14. It is an inflammation (not really a disease) of the growth plate in the heel due to muscle strain and repetitive stress, especially in children who are very active or overweight. This condition causes pain and tenderness in the back and side of the heel, and may be painful when touched. Pain usually decreases when activity is reduced. The condition may recur off and on for several years until the growth plate closes. This type of “growing” pain should be professionally treated. Some simple but effective treatments can reduce pain and keep your child active. Can the right shoes affect these problems? Many adult foot problems can have their origins in childhood, so attention to footwear in children can minimize the risk of these problems in adults. Poorly fitting children’s shoes can lead to a number of problems in adulthood. Given the high level of pain and discomfort that these problems can cause, it is obviously logical to attempt to prevent these problems by ensuring that the child’s shoe is fitted appropriately. Foot problems in children are often preventable by properly fitting footwear.

You can learn more about pediatric podiatry at www.chicagopodiatry.com.

How to "read" your footprints

2007-10-25T09:51:00.000-07:00

When you take a step, your foot typically hits the ground heel first and rolls toward your toes, flattening the arch slightly. As you push off the ball of your foot, your arch springs back and does not touch the ground. That’s how normal feet are supposed to work. Unfortunately, many feet aren’t normal. If your foot rolls too much toward the inside, it’s called over-pronation. This leads to arch strain and pain on the inside of the knee. If your foot rolls too much to the outside, that’s under-pronation, and you’re more susceptible to ankle sprains and stress fractures. You can remedy foot pain by compensating for these tendencies, but first you need to determine which way your feet roll. Try this simple test:
Put your feet into a bucket of water, then make footprints on a piece of brown paper. What do your footprints tell you? If your footprint looks like an oblong pancake with toes, you pronate excessively or have flat feet. Try molded-leather arch supports off the pharmacy shelf. And when shopping for athletic shoes, ask for styles with “control” features — soles designed to halt that rolling-in motion. If arch supports or sports shoes don’t help, see a foot specialist about custom-molded orthotic shoe inserts. If there’s little or no connection in your footprint between the front part of the foot and the heel, you under-pronate or have a high arch. This means alot of your weight is landing on the outside edge of your foot. Ask for “stability” athletic shoes, which are built with extra cushioning to remedy this problem. And if you are prone to ankle sprains, wear high-top athletic shoes that cover the foot and ankle snugly to minimize damage from twists.
Learn more about this at www.chicagopodiatry.com

Connect with us online at chicagopodiatry.com

2007-10-22T07:08:00.000-07:00

We would like to give you a taste of what we have to offer online at http://www.chicagopodiatry.com/. Not only will you find there all of our patient newsletters archived, but there is also information on specific foot and ankle problems, things to look out for, before and after photos, and helpful links to other organizations. The site also has valuable background information on our doctors and therapists, directions to the office and a tour of our facilities. Please note that patients now have the ability to request appointments online and fill out new patient information forms on our secure server. It’s fast, convenient and secure.

Welcome!

2007-10-22T06:53:00.000-07:00

Welcome to our blog! The foot and ankle are amazingly complex. A sophisticated network of muscles, ligaments, blood vessels, and nerves, as well as over 25% of the bones in the human body are contained in the feet, so the range of potential problems is enormous. Nearly 80% of people will experience foot problems at some time in their life, and about 20% of them are experiencing it right now.
With this blog we will try to bring some insights to the treatment and preveniton of foot problems. We hope you will find our postings useful and practical. Should you ever have any concerns about your health, we will be happy to see you in our clinic.

Staff of the Chicago Podiatric Surgeons

Podiatry Blog

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Women's feet hurt more in autumn

Is Your Foot Fracture an Early Sign of Osteoporosis?

Keeping Deadly Clots at Bay After Foot Surgery

Prevent your child from getting this painful foot problem

Five Signs Your Child May Have a Foot Problem

Common Runners’ Injury: Stress Fractures of the Foot

Don’t Ignore Flat Feet

Five Tips for Healthy Holiday Feet

Keep Your Feet Safe at the Gym in the New Year

Fix feet for weight loss success

For many, winter is fall season - Icy conditions cause falls and broken ankles

Is Your Foot Fracture an Early Sign of Osteoporosis?

Five Tips for Healthy Holiday Feet

6 tips to protect kids in fall sports

Women's feet hurt more in autumn

Hikers and hunters: Long, vigorous hikes take toll on feet, ankles

Children's soccer linked to ingrown toenails

Be smart about back to school shoe fitting

Foot injuries common after storms

Don’t Ignore Flat Feet

Common Runners’ Injury: Stress Fractures of the Foot

Boomers not backing down from foot and ankle arthritis

Sunscreen on Your Feet?

Healthy Feet Make the Best Dancing Feet

Enjoy Pregnancy without Foot Pain

Popular sandals causing foot problems in men?

Golfers: Don't be handicapped with foot pain

Spring is ankle sprain season in Chicago

Power Mowers Pose Danger to Feet

Fix Feet for Weight Loss Success

Icy Conditions Cause Falls and Broken Ankles

Got gout? Holiday season triggers painful toes in Chicago

Why High Heels are Bad for Your Health

6 Tips To Protect Kids in Fall Sports

Women's Feet Hurt More in Autumn

Bunion Surgery Video

Fall Newsletter

Podiatrist and Specialist Needed

Foot Injuries Common After Storms and Tornadoes

Your Feet at the Beach

Tips for a Safer Barefoot Summer

New Pair of Flip-Flops for the Summer?

New Orthotics Pictures

Podiatry on YouTube

Heel Pain - Treatment

Ingrown Toenails - Treatment

Stress Fractures

Lateral Ankle Instability

Morton's Neuroma

New Doctor

Great Medical Website

Podiatry Information in Spanish

Foot and ankle disorder pictures

Fall Newsletter

New videos

Podiatry Newsletter Coming Up!

Children's healthy feet tips

Carbon Footprint

Before and After Surgery Pictures

Virtual Tour of Chicago Podiatric Surgeons

Online resources for doctors and health professionals

A picture is worth a thousand words

Ankle Injuries

Hallux Limitus/Rigidus

Sports Related Injuries

What Are Orthotics?

Children and Baby’s Feet

Aging and Foot Health

Proper Footwear

Before and after photos.

Meet Chicago Leading Podiatry Doctor

Podiatry resources

High Arch & Low Arch Feet

Diabetes and Foot Problems

Hammertoes

Bunions

Happy New Year!

Corns, Calluses & Warts