Ganglions

Ganglions are small, fluid-filled swellings of the joint and tendon that are located on the ankle or on top of the foot. They have the appearance of firm or spongy sacs of liquid and their insides consist of a sticky, clear, thick, jelly-like fluid. Typically they grow slowly and can cause severe irritation when they become too large.

 

The exact cause of ganglions is unknown, but some research has shown that they can form when trauma or repeated irritation weakens the joint or tendon lining. If you wear boots or other restrictive footwear, you may be more susceptible to this condition. Research has also shown that those with bone spurs may also find the pressure of the bony growth can also cause ganglions.

A ganglion usually appears as a smooth bump from 1 to 3 centimeters in diameter. It may disappear and reappear, may be soft or firm, and it may change size. In some cases, you might feel pain if the ganglion presses upon a nerve. If the ganglion is attached to a tendon, the affected area might feel weaker.

 

When it comes to treatment, Dr. Cotler will first complete a physical examination to determine the proper diagnosis. Ganglions often are mistaken for tumors, so visiting us at Affiliated Ankle & Foot Care Center will be extremely beneficial. Treatment methods range from pads placed around the ganglion to reduce pressure, fluid removal, icing and surgery. You can contact our podiatry professions to discuss your symptoms, receive a comprehensive diagnosis and discover the right treatment options. 

Heel Pain/Fasciitis

Heel pain has many causes, and depending on the affliction, can be extremely disruptive or even disabling. Heel pain is generally the caused by placing too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from an injury or a bruise caused by walking, running, or jumping on hard surfaces. It can also be caused by wearing poorly constructed footwear or being overweight.

 

If left untreated, heel pain can lead to further heel damage. Common heel conditions include:

• Heel spurs – bony growth on the underside of the heel bone
• Plantar Fasciitis – inflammation of the band of fibrous connective tissue running along the bottom of the foot
• Excessive pronation – normal, flexible motion and flattening of the arch
• Achilles tendinitis – inflammation of the Achilles tendon

Treatment for heel conditions such as plantar fasciitis or Achilles tendinitis is simple. At Affiliated Ankle & Foot Care Center, Dr. Cotler recommends patients participate in activities such as stretching, icing, footwear change and anti-inflammatory medications to help ease heel pain. If you are experiencing heel pain, visit with our Soldotna, AK to learn if you may be suffering from plantar fasciitis. 

Bunions

A bunion is a “bump” on the metatarsophalangeal (MTP) joint near the base of the big toe that forms when the bone or tissue at the big toe joint moves out of place. Because the MTP joint supports the body’s weight while walking, bunions can be extremely painful if left untreated. Bunions can also form on the outside of the foot along the little toe. Dr. Harry Cotler and his team here at Affiliated Ankle & Foot Care Center in Soldotna, AK treat this condition regularly.

 

There is evidence that shows that bunions are genetic and can be inherited, they can also result from various foot injuries or any birth deformities. Studies have also shown that bunions occur nearly 10 times more frequently in women. It has been suggested that wearing tight-fitting shoes, especially high-heel and narrow-toed shoes can greatly increase the risk of bunions. Some common symptoms of bunions include:

• Development of a firm  bump on the outside of the foot
• Thickening of the skin at the base of your big toe
• Persistent or intermittent pain
• Redness, swelling or pain at or near the MTP joint
• Corns or other irritations caused by the overlap of the first and second toes
• Restricted or painful motion of the big toe

Treatment for bunions varies depending on the type and severity of each individual case. If we are able to catch the bunion early enough, it can be treated with padding or medications but if it goes untreated it can result in surgery. Contact us at Affiliated Ankle & Foot Care Center today to begin the process of treating your bunions!

Diabetic Foot Care

Diabetes has many effects on feet, and it is extremely important that any diabetic seek podiatric care. Here at Affiliated Ankle & Foot Care Center, Dr. Cotler has a wealth of experience in assisting diabetic patients with their foot care.

 

Diabetes is a condition that affects many organs and systems in the body. Feet are the first place where effects of diabetes are seen, mainly because they are the furthest extremities from the heart. It is a well-known fact that one of the first systemic conditions that diabetes effects is the circulatory system. Dr. Cotler specializes in disorders of the foot and ankle and therefore is highly trained to examine for abnormalities of the lower extremity.

 

Many times podiatrists are the first doctors to diagnose vascular disease and neuropathy in the lower extremities. Diabetes can cause both of these systemic disorders and by seeing a podiatrist, the feet, which are most affected by diabetes, can be cared for on a regular basis. Often a small problem can be diagnosed and treated at an early stage and helps prevent the condition from progressing to a more serious disorder.

 

If you suffer from diabetes, it is crucial that you ensure foot health by working with a podiatrist. This will truly reduce the likelihood of an infection. Preventative care is the best step you could take if you have diabetes. 

Brachymetatarsia

Brachymetatarsia, also known as “short toe” is a condition where there is a growth disturbance to a bone in the foot, creating a short toe. If more than one of the long bones of the foot is affected, it is known as brachymetapody. A short fourth toe is most common, though it could affect any toe.  The toe itself is usually normal length, but the bone the toe attaches to in the arch (metatarsal bone) is short.  A really short toe can be described as a floating toe.

 

Patients who suffer from brachymetatarsia are often in considerable pain. The toe will sit higher up on the foot and can become irritated in shoes. Weight distribution of the ball of the foot is also altered with short toe, causing pain and pressure calluses. Patients suffering from this condition tend to hide their feet and avoid going barefoot.

 

There are treatment options available for those with pain or embarrassment caused by brachymetatarsia; both surgical and non-surgical options are offered. At Affiliated Ankle and Foot Care Center, we often start with custom orthotics may in order to properly distribute the weight across the foot while in motion. The surgical grafting of bone to lengthen the short toe may also be an option in some cases. Contact us today to learn how we can help you regain a greater sense of balance and a smoother range of motion.

 

Visit us online at www.hcotler.com or call our Soldotna, AK office at (907) 260-3668 to schedule an appointment with Dr. Harry Cotler! 

Sports Injuries

Here in Soldotna, AK, our podiatrist office sees many injuries of the feet and ankles, including sports injuries. Sports injuries can occur in many people, including students during practice or games, professional athletes during sporting events, or people who participate in fitness or sports as recreation.

 

Injuries of the feet and ankles are more common among athletes because they use these parts of their bodies so much, requiring the use of them for stability and movement and subjecting them to an overuse injury. It also makes it more important that they see us as soon as they notice signs of an injury.

 

Some of the more common sports injuries we see here in our podiatrist office include:

 

1. Hip stress fractures

2. Pulled hamstring

3. Shin splints

4. Achilles tendonitis

5. Sprains and strains

6. Arch pain

7. Plantar Fasciitis

8. Knee injuries

9. Swollen muscles

10. Shin bone pain

11. Fractures

12. Dislocations

 

As soon as our patients get an injury, we first encourage them to stop their sport or running activity, get rest, and schedule an appointment to be seen in our Soldotna, AK podiatrist office. The faster we can diagnose the problem, the sooner we treat it and enable our patients to get back to physical activities.

 

Contact podiatrist Dr. Harry Cotler today to get help with your sports injuries.

Running Injuries

Now that the weather is starting to get a little nicer, we thought we’d let you know about some common running injuries and how you can best prevent them this summer. Whether you are a professional athlete or just a weekend warrior, there is always the chance that you could get hurt. The best way to prevent injuries is to prepare, work smart and recover.

Running is a great way to release some endorphins, get outside and get healthy, but if you’re not properly preparing yourself, you could find yourself on a doctor’s table pretty quickly. The most common running-related foot injuries are:

• Shin Splints – pain that occurs in the front or inside of the lower leg along the shin bone. Treatment includes rest, stretching and a slow return to your normal level of activity
• Achilles Tendinitis – this inflammation occurs in the Achilles tendon and causes pain and stiffness in the area of the tendon. Treatment includes rest, cold compress on the afflicted area and calf stretches
• Plantar Fasciitis –inflammation in the plantar fascia tissue that causes a great deal of pain during physical activity. Treatment should include calf stretches, rest and cold compress to the afflicted area
• Blisters – these fluid filled sacks occur due to friction between shoes/socks and skin. If you have blister problems, consider getting new shoes, wearing socks with a double layer and apply petroleum jelly on areas prone to blisters

If you have suffered any running injuries, take a minute to think about how important your feet are to you and your daily life. If you are in pain and your home remedies are not working, schedule an appointment with us at Affiliated Ankle & Foot Care by calling (907) 260-3668. 

Fun Facts/Common Foot Disorders

Did you know that there are a quarter of all the body bones just in your feet? There are 52 bones, 66 joints, 214 ligaments and 38 muscles in both of your feet alone. When you compare that to the rest of your body, it’s kind of astounding. Think about how all of those parts work together to just take one step, in fact, every time your heel lifts off the ground it forces the toes to carry one half of your body weight.

 

The Institute for Preventative Foot Health did a study that showed nearly 80 percent of people ages 21 and older have had at least one foot related problem in their life. The study was conducted in 2012 and surveyed 1,456 people. Here are the top-5 biggest foot problems of the participants:

1. Athlete’s foot – nearly 25% of the people in the study said they have experienced athlete’s foot at least once in their life
2. Achy feet – 26% of those surveyed said they have trouble with sore, achy feet. This usually occurs with age and is treatable through Podiatry
3. Calluses – 27% reported issues with calluses. Calluses occur on the sole of the feet and is usually caused by friction
4. Blisters – 28% noted problems with blisters. Blisters also form from friction but often occur more frequently and are more like a wound
5. Ankle sprain – 31% of participants reported problems with sprained ankles. The American Academy of Orthopedic Surgeons reported that 25,000 Americans sprain an ankle every day

If you would like to read more about common foot problems, you can visit our website here. We have provided extensive information about common foot problems that are treated at Affiliated Ankle and Foot Care with Dr. Harry Cotler in Soldotna, AK.

Tendinitis

Your feet are one of the most important parts of your body, but are you taking care of the like you should? When your feet hit the ground in the morning, are you in pain? Do you experience pain when you walk, run or even just standing? Tendinitis is one of the most common foot conditions out there right now and if it’s treated properly, it can lead to very serious foot conditions. At Affiliated Ankle & Foot Care, we take pride in how we care for our patients so if you’re in pain, come in and we’ll take a look.

 

Tendinitis results from an injury, most likely sustained due to overuse. Improper stretching prior to exertion or incorrect form during physical activity can also contribute to this condition. Tendinitis mostly affects the tendons that connect your muscles to bone. In some cases, people suffer from Achilles tendinitis. This inflammation in the Achilles tendon is very painful and is very common amongst active adults.

 

If you are trying home remedies for the pain and it’s not working, it’s time to visit us. When you come in for your appointment, Dr. Cotler will complete a physical examination of your feet and ankles. If necessary, an X-ray will be taken in order to properly diagnose your condition. If inflammation is found, Dr. Cotler will devise a treatment plan that will include immobilization, cold compresses and even medication if necessary. 

Arch Disorders

Arch pain can be a crippling condition that makes even the simplest tasks almost impossible. Arch pain, often referred to as arch strain, is an inflammation and/or burning sensation at the arch of your foot. If you are currently having arch problems, it might be time to come in and get it checked out. At Affiliated Ankle & Foot Care, we take a proactive approach to healing your heal pain so it does not advance to a more painful condition down the road.

 

A factor in the early management of arch pain is receiving an accurate diagnosis from your podiatrist, Dr. Harry Cotler. If the symptoms are mild, Dr. Cotler may prescribe foot orthotics and stretching exercises to help the calf muscles and arch. If your symptoms are more severe, we may use tape to support the arch and restrict movement as well as prescribe an anti-inflammatory medication and possibly recommend the use of custom orthotics. If there is no relief from those treatments, further testing may be necessary to determine whether such conditions as arthritis or a more serious condition might form.

 

Arch pain is most often caused by plantar fasciitis, which can affect the heel, arch, or both. Plantar fasciitis treatment is the same, regardless of the location of foot pain. If you are suffering from fasciitis or even fallen arches, try these home remedies:

• Rest/ice
• Medicate – non-steroidal anti inflammatory
• Shoe adjustments or custom orthotics
• Use a walking boot or brace

If you are experiencing any arch problems and have tried to manage the pain on your own, it might be time to consider visiting us at Affiliated Ankle & Foot Care. Our professional staff is here to get you back to feeling great!

Athlete's Foot

Athlete’s foot is one of the most common foot funguses in America. It is a very contagious condition that is often spread through walking barefoot on contaminated surfaces, it is mostly found in gym locker rooms. Some people are more likely than others to get athlete’s foot and there is really no explanation for this. It can be compared to the flu in that you can be a carrier of the fungus but not actually have symptoms. In these situations, the carrier can easily spread the fungus with no knowledge at all.

 

Traditionally, if you have athlete’s foot, the skin between your toes will burn and itch, the skin may peel and crack as well. There are three different types of athlete’s foot:

1. Toe-web infection – usually occurring between the fourth and fifth toes, the skin in this area will become scaly; it will also peel and crack.
2. Moccasin- type infection – your feet will become sore and the skin on the bottom of your foot can become thick and crack. In bad cases, the fungus will spread to the toenails, causing them to thicken, crumble or even fall out.
3. Vesicular type infection –a sudden outburst of fluid-filled blisters will break out under the skin. The blisters can appear anywhere on the feet. If it goes untreated, it can cause a bacterial infection.

Athlete’s foot is very treatable. Dr. Harry Cotler recommends treating the condition when you first see symptoms because the body can become vulnerable to other bacterial infections when large cracks occur in the skin. If you are experiencing any signs of athlete’s foot, schedule an appointment with Dr. Cotler today for effective treatment options. 

Common Foot Disorders

Did you know that there are a quarter of all the body bones just in your feet? There are 52 bones, 66 joints, 214 ligaments and 38 muscles in both of your feet alone. When you compare that to the rest of your body, it’s kind of astounding. Think about how all of those parts work together to just take one step, in fact, every time your heel lifts off the ground it forces the toes to carry one half of your body weight.

The Institute for Preventative Foot Health did a study that showed nearly 80 percent of people ages 21 and older have had at least one foot related problem in their life. The study was conducted in 2012 and surveyed 1,456 people. Here are the top-5 biggest foot problems of the participants:

1. Athlete’s foot – nearly 25% of the people in the study said they have experienced athlete’s foot at least once in their life
2. chy feet – 26% of those surveyed said they have trouble with sore, achy feet. This usually occurs with age and is treatable through Podiatry
3. Calluses – 27% reported issues with calluses. Calluses occur on the sole of the feet and is usually caused by friction
4. Blisters – 28% noted problems with blisters. Blisters also form from friction but often occur more frequently and are more like a wound
5. Ankle sprain – 31% of participants reported problems with sprained ankles. The American Academy of Orthopedic Surgeons reported that 25,000 Americans sprain an ankle every day

If you would like to read more about common foot problems, you can visit our website here. We have provided extensive information about common foot problems that are treated at Affiliated Ankle and Foot Care with Dr. Harry Cotler in Soldotna, AK.

Work-Related Foot Problems

When it comes to work-related foot injuries, it doesn’t matter what line of work you’re in, you are at risk of foot injuries. While most foot injuries occur off the job, there are a number of work-related factors that can lead to foot problems, especially in jobs that require long periods of standing.

 

The main thing to remember when you’re thinking about your foot health while working is choosing the right footwear. Poor footwear that does not fit properly heavily contributes to foot disorders. You should look for the following in a pair of work shoes:

• Flexibility – footwear should stretch and grow with your feet
• Comfort fit – sometimes feet are different sizes so make sure to measure both feet when shopping
• Timing – buy your new shoes in the late-afternoon when feet are swollen to their maximum size
• Shock-absorbing – if the shoes you’re looking at don’t have shock-absorbing qualities, buy insoles. Your feet will thank you if you’re walking around a lot as part of your job.

Next time you have an appointment with Dr. Harry Cotler, tell him about your job and ask what types of shoes you should wear, he’s happy to help! We treat all types of foot pain, so if you aren’t sure what you have just call for an appointment. The most work-related pain we treat is:

• Bunions
• Hammertoe
• Arch disorders
• Heel spurs
• Corns and callouses
• Ingrown toenails  

Vascular Examination - PAD

Here at Affiliated Ankle and Foot care, we strive to be at the forefront of the podiatry profession. We do so through continuing education programs and keeping up with the latest technological advances. One of the technologies that we’re using at our Soldotna, AK practice is a vascular examination tool. This great device allows us to better diagnose Peripheral Arterial Disease (PAD).

 

PAD is a lower extremity disorder in which plaque builds up in the arteries that carry blood to the rest of your body. This plaque is made up of fat, cholesterol, calcium, fibrous tissue and other substances. When the plaque builds up in the body’s arteries, it can harden and narrow the arteries, limiting the flow of oxygen-rich blood to the other organs in your body, especially to the legs and feet. For those wondering what the symptoms of PAD are, patients often report the following:

• Cramping pains in the legs or hip muscles while walking
• Burning or aching in the feet and toes while at rest
• Cooling of the skin in specific areas of the legs or feet
• Color change in the skin
• Sores on the feet and toes
• No pulse in the feet

Our non-invasive vascular exam is a simple test. Dr. Harry Cotler will place blood pressure cuffs on your leg at different levels. This will measure your blood pressure and obtain an image of the pulse wave form. This will show Dr. Cotler whether or not there is evidence of PAD.

Soft tissue masses and tumors

Soft tissue masses and tumors

Soft tissue masses and tumors are diagnosed and treated here in our Affiliated Ankle and Foot Care office by our podiatrist Dr. Harry Cotler. These masses or tumors are identified as thickening and hardening of one part of skin, typically found under the ball of the foot.

 

Soft tissue masses and tumors can be caused by friction and pressure on that particular area. Many people find that they get these types of tissue masses from the shoes they wear, or because they have hammertoes or bunions. While complications from soft tissue masses and tumors aren’t entirely common, they can occur without proper treatment.

 

Before treating these masses, we must first diagnose them. If you show any of the following symptoms, now is a good time to visit us for an examination:

• Rough, thick and hardening of the skin
• Soreness, pain or tenderness in the area
• Redness around the lump
• A raised, hardened lump on the foot or toes
• Flaky and dry skin

The type of mass and how long the patient has had it determines the best treatment plan. We offer custom orthotics and shoe inserts if these soft tissue masses are caused by lack of shoe support, and we can also tape the foot if there is too much pain and pressure.

 

Visit our podiatrist Dr. Harry Cotler in Soldotna, AK to get started on your treatment for soft tissue masses and tumors.

Warts

Warts

We not only treat sprains and injuries, here in our Soldotna, AK, Affiliated Ankle and Foot Care podiatry office, but skin conditions of the foot as well.Warts are a common complaint among our patients, especially plantar warts. Plantar warts show up on the sole, ball, or heel of the foot as noncancerous growths. These types of warts can be yellow, gray, or brown and are spongy and rough to the touch.

 

The main cause of warts on the foot is the human papilloma virus (HPV), which can enter the body through cuts in the skin. Some individuals have a higher risk factor than others with getting plantar warts or other types of warts caused by the virus, especially when walking barefoot outdoors, in locker rooms or in common areas, as well as having a weakened immune system.

 

Plantar warts usually present as a lump on the foot, and are felt more easily while standing. They can grow in singular warts or clusters. We treat all types of warts on the foot after diagnosis, but also encourage prevention of the spreading of warts by always wearing shoes and changing the socks and shoes daily.

 

Call podiatrist Dr. Harry Cotler at 907-260-3668 to learn more about warts and the treatment options we offer.

Ankle Injuries

Ankle Injuries

Our Soldotna, AK podiatrist Dr. Harry Cotler sees patients for a variety of reasons, but all having to do with skin conditions, injuries, or pain pertaining to the feet or ankles. As it is a very common type of injury, he often sees patients who have suffered ankle injuries. The ankles and feet support the entire body, so it is no surprise that they are so easily injured. The recommended type of treatment for ankle injuries often depends on the cause and severity of the injury, which can be assessed right here in our podiatrist office.

 

Ankle injuries can be caused by athletic sports or recreational activities, running and other fitness, or from labor-intensive jobs. Tripping or falling over can also cause an ankle injury.

Symptoms of ankle injuries include a red, warm ankle, swelling, bruising, limited range of motion, and/or pain. If you have any of these symptoms we recommend visiting our Soldotna, AK Affiliated Ankle and Foot Care office for an examination.

 

Some common treatment options for ankle injuries include icing and applying heat, putting on a cast or brace, or providing stretching exercises to help improve the range of motion of the ankle. We look for non-surgical treatments first, before recommending surgery. Surgery is usually only needed for severe ankle injuries.

 

Call us at 907-260-3668 to schedule a consultation with our podiatrist Dr. Harry Cotler for your ankle injury. 

Soft tissue masses and tumors

Soft tissue masses and tumors

Soft tissue masses and tumors are diagnosed and treated here in our Affiliated Ankle and Foot Care office by our podiatrist Dr. Harry Cotler. These masses or tumors are identified as thickening and hardening of one part of skin, typically found under the ball of the foot.

 

Soft tissue masses and tumors can be caused by friction and pressure on that particular area. Many people find that they get these types of tissue masses from the shoes they wear, or because they have hammertoes or bunions. While complications from soft tissue masses and tumors aren’t entirely common, they can occur without proper treatment.

 

Before treating these masses, we must first diagnose them. If you show any of the following symptoms, now is a good time to visit us for an examination:

• Rough, thick and hardening of the skin
• Soreness, pain or tenderness in the area
• Redness around the lump
• A raised, hardened lump on the foot or toes
• Flaky and dry skin

The type of mass and how long the patient has had it determines the best treatment plan. We offer custom orthotics and shoe inserts if these soft tissue masses are caused by lack of shoe support, and we can also tape the foot if there is too much pain and pressure.

 

Visit our podiatrist Dr. Harry Cotler in Soldotna, AK to get started on your treatment for soft tissue masses and tumors.

Neuropathic Pain

Neuropathy in the feet causes a variety of side effects, including burning, achiness and redness. This can be caused by diabetes, having dermatitis, Athlete’s feet or overexertion without wearing the proper footwear. Here at our podiatry office, we offer burning and neuropathic pain treatments in the form of diabetic foot care, necessary surgical procedures, treating infections and treating the exact cause of the burning pain. Physical therapy and rehabilitation treatments are highly effective with this type of foot problem.

Patients who experience the following symptoms are encouraged to consider podiatry care for their burning foot pain:

• Diabetes patients with any type of foot pain.


• Burning pain in one or both feet.


• Foot pain severe enough to affect sleep.


• Patients who want to find alternatives for their foot pain.


• Being unsteady while walking.


• Previously having a fall due to the pain in the foot.

Our treatment plans deal with short-term pain relief and long-term solutions. This is why we incorporate physical therapy as part of the treatment for burning and neuropathic pain of the feet.

Call Dr. Harry Cotler at 907-260-3668 (FOOT) to schedule an appointment if you are experiencing burning or neuropathic pain in your feet.

Infections and Ulcerations

Infections and ulcerations are a common foot condition we see in our podiatry office. Whether from diabetes or conditions that make patients prone to infection, our goal is to treat the foot as quickly and painlessly as possible.  

Foot infections and ulcerations tend to be more common in our diabetic patients, as patients with uncontrolled diabetes are prone to ulcers that can lead to infections if they are left untreated. The ulcer occurs when the skin of the foot breaks down and reveals the tissue underneath. Because it is an open sore, it can lead to infection.

To treat infections and ulcerations, Dr. Harry Cotler begins by covering the ulcer with a dressing if it is caught before an infection occurs. It must be cleaned and dressed regularly to avoid infection. Special shoes may also need to be worn and patients are asked to be careful with their foot and avoid strenuous activities that can worsen the condition. If the ulcer is infected, the infected tissue may need to be removed, the pus may need to be drained, and antibiotics are typically prescribed. If you suspect you have an ulcer or infection of the foot, visit our office in Soldotna, AK right away to receive important treatment.