Dr. Theall's Blog

There are a series of foot injuries that can develop from competing in sports and this is the time of year to be especially aware of them. With school back in session, sports like football, basketball, hockey, and field Hockey become regular parts of our and our children’s lives.

Various injuries include:

  • Shin splints – an inflammation of the shin area due to pounding on a hard surface
  • Turf toe – the inflammation of the big toe due to stress from artificial turf
  • Sprains – undue strain on the foot or ankle
  • Fractures – a breaking or cracking of the bone
  • Bunions – a bump on the outside of the big toe
  • Plantar fasciitis – an aggravation of the area that joins the toe bones with other foot bones
  • Heel spurs – a usually painful calcium deposit on the heel
  • Achilles tendonitis – the inflammation of the largest foot tendon, the Achilles tendon

It is very important to see your podiatrist as soon as possible. Your podiatrist may take an x-ray or ultrasound to locate the problem area.

Treatments may include:

  • Shin splints – R.I.C.E. rest, ice, compression, and elevation, change sports to one less physically stressful and anti-pain medications
  • Turf toe – RICE, pain medication, a foot cast or boot or surgery Sprains – RICE is usually applied as rest and ice will help a lot. You may need to use crutches or some other device to help take the weight off the sprained foot or ankle
  • Fractures – anti-pain medicine, cast or walking boot, RICE to allow the area to heal or surgery if the break is serious enough
  •  – change in footwear to something with more toe room, orthotics, lower heeled footwear or surgery to remove disjointed bone
  • Bunion – custom made orthotics, fitting footwear, anti-pain medication – acetaminophen or ibuprofen (use only as directed) or surgery
  • Plantar fasciitis – orthotics, pain medicines, steroid injections for pain,  therapy or surgery
  • Heel spurs – orthotics, RICE, cortisone injections, cushioned footwear or surgery
  • Achilles tendonitis – RICE, pain medicines, boot or cast to keep the tendon immobile to heal or surgery

If you believe you have or are developing any of the above or have any other concerns about your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and treat them appropriately. Our offices are located at 310 Central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com

September 17, 2019
Category: Orthotics
Tags: foot pain   Heel pain   orthotics   arch support  

One of the more common ways to treat a problem with your feet is with anWhat is an orthotic? An is a type of shoe insert that can either be bought over the counter or fashioned by your podiatrist. While over the counter orthotics, or shoe inserts, maybe less are also produced generically and may not be the best treatment for your feet. Over the counter, shoe Inserts are not made to correct foot problems while a doctor made is. Since everyone’s feet are different the problems associated with them are unique. Because of this, a custom made measured and fit to your specific feet is highly recommended.

Some of the conditions an  can treat includes:

 

  • Diabetes – Diabetes often makes it difficult for the patient to feel pain from blisters or infections. And can help correct this by taking the pressure off them
  • Plantar Fasciitis – Can cushion the sore area of the foot 
  • Arthritis – Also used to cushion
  • Flat feet – Can help support your feet to avoid surgery
  • High arches – Can provide support for stressed arches
  • Bursitis – Also used to cushion
  • Back pain – An can help with rolling arches which can cause back pain
  • Bunions – Orthotic with a large toe area important
  •  – Can help to ensure hammertoe will not worsen
  • Heel spurs – Painful condition which will require cushioning

 

To get the right size your podiatrist will have to measure your feet and watch how you walk. Orthotics should fit your feet and footwear comfortably. X-rays and an MRI or Magnetic Resonance Imagining scan - may also be needed.

Basic types of Orthotics include:

 

  • Rigid – usually made from more solid materials such as carbon fiber or plastic to provide solid support and to correct walking patterns or gait. Best for walking shoes.
  • Soft – More cushioning material to relieve pressure on sore areas of the foot

Not all conditions can be treated with just anThe most effective treatment may be a combination depending on what your podiatrist thinks is best for you.

If you believe you have any of the conditions above and may benefit from an or have any other concerns about your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and apply the most appropriate treatment. Our offices are located at 310 Central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com

There are many ways to treat various foot ailments. One of the latest techniques is something called Extracorporeal Shockwave therapy. Extracorporeal Shockwave Therapy, or ESWT, is the noninvasive use of sound waves to spur cell growth and healing. The application of sound waves was first used as a way to break up kidney stones in a treatment calledWhen doctors noticed bone and tissue growth as a result of, the same idea was applied to healing such conditions as plantar fasciitis and Achilles tendonitis.

How effective is ESWT? It has been reported that one group of patients treated for plantar fasciitis were healed 92% of the time after one treatment. Another study showed that pain reduction also dropped by 92% with an average pain rating of 7.7 before ESWT on a scale of 1 – 10 was 0.6 after. Your healing time may vary.

ESWT is usually only applied if other more conservative treatments have failed such as physical therapy, steroids, anti-inflammatory medications, stabilizing braces, ice or orthotics.

Benefits of ESWT include:

  • Unlike surgery, where an incision would have to be made, of sound waves is through the unbroken skin
  • A high rate of healing – good track record of success
  • Not usually a long-term treatment -  treatments can be as little as one or two sessions from 5 to 18 minutes long with a second treatment 10 to 12 weeks later
  • Does not require time off from work – no time needed to stay off your feet and
  • Little or no risk of further damage – treatments are applied to the area needed only

Your podiatrist will sit you down, make sure you’re comfortable, administer a local anesthetic and begin the treatment. The machine makes a clicking sound but is not painful. You may experience some soreness after, but it will go away. ESWT is not recommended for people with diabetes, are pregnant, have ulcers or sores, nerve damage in the affected area, have a heart condition or a history of seizures.

If you believe ESWT may benefit you or have any other concerns about the health of your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and apply the most appropriate treatment. Our offices are located at 310 Central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com.   

August 20, 2019
Category: Gout
Tags: foot pain   gout   healthy eating  

If you are suffering from extreme pain in your foot joints, especially your big toes or toes, you may have something called gout. What is gout? Gout is a very painful inflammatory condition that affects your joints, usually in your foot and specifically your big toe. Eating foods high in uric acid causes the acid to form into knife-like crystal which painfully imbed themselves into the soft parts of your joints. Pain is usually extreme feeling much like a pulsating broken bone.

Risk factors for gout include:

  • Obesity – the heavier you are the more uric acid you develop and the harder it is for the kidneys to push out
  • Poor diet – eating foods high in uric acid – organ meats, some seafood, gravy, etc.
  • Age and sex – men usually have higher uric acid levels earlier from ages 30 to 50. Women can increase the levels after menopause
  • Family history – can be passed down from member to member
  • Medical conditions – some conditions like untreated high blood pressure and diabetes can increase your chances of getting gout

Making sure your diet is correct is crucial. You need to make sure you avoid certain types of gout producing foods.

Foods to avoid:

  • Organ meats – kidneys, liver, heart, brain
  • Shellfish and seafood – sardines, anchovies, mussels, crab, lobster, and shrimp
  • Cauliflower – can contribute
  • Mushrooms – may have higher uric acid
  • Sweetbread – made with organ meats
  • Alcohol – can include beer, wine and other

Treatment for gout includes:

  • Better diet – avoid red meat, shellfish, other
  • Drink plenty of fluids – fluids will help push out uric acid
  • Avoid alcohol – reduce beer, wine and other
  • Pain meds – medicine with Ibuprofen can reduce swelling and pain but can also severely damage your organs if you do not take as prescribed. See your podiatrist for medicine
  • Colchicine – short term treatment
  • Allopurinol – long term treatment that reduces uric acid levels
  • Cherry juice – said to have anti-gout properties

If you believe you have or are developing gout or have any other concerns about the health of your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and apply the most appropriate treatment. Our offices are located at 310 central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com

It is quite common for most people to participate in some type of exercise. How many times do we drive our kids to soccer or baseball practice, or watch them play football, basketball, tennis or lacrosse on the weekend? In all these cases, one part of the body that takes a pounding is their feet. If we want them to do their best, we need to take care of our feet just like anything else we consider important for our sport.  

As baseball players routinely oil their gloves for softness and longevity, all athlete’s need to keep a special eye on their feet. One blister, one corn or one sprain can put them out of commission losing valuable time participating in something they enjoy.

Suggestions for maintaining healthy feet for an athlete include:

 

  • Regular foot checks – every time you put on your shoes and socks check to make sure all is well, meaning no corns, blisters, pain or protruding bones
  • Making sure you have well-fitted and proper footwear – footwear must be supportive and sport appropriate – don’t use basketball shoes for running, etc.
  • Keeping socks dry – keep an extra pair near to avoid the accumulation of fungus breeding bacteria
  • Stretching before and after activities – it is always a good idea to stretch muscles and ligaments, but do so gently
  • Wash feet with soap and water – keep your feet clean which also helps avoid fungal infections
  • Keep feet dry – prevents fungal infections too
  • Use lotion or anti-fungal powder – softens and protects the feet

Performing at your highest level requires dedication and hard work. Keeping your body in shape requires the same if you want to get the most out of you and your sport. Even for casual sports enthusiasts, these recommendations can be a big help as they will prevent unnecessary injuries. 

If you’re an athlete, budding or more or have any other concerns about the health of your feet, make an appointment with us here at Gentle Touch Footcare. Our doctors Bruce Theall, DPM and Priscilla Seshie, DPM will diagnose your feet and apply the most appropriate treatment. Our offices are located at 310 Central Avenue East, Orange, NJ, 07018. Our phone number is 973-673-3668 and our website is www.drtheall.com.   





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