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. 

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. 

Morton's Neuroma

Morton’s Neuroma is a condition that makes it feel like you are “walking on a marble.”  This condition usually forms between the third and fourth toes. It is caused by irritation, trauma or excessive pressure. Morton’s Neuroma is eight to ten times more likely to occur in women than men because of their shoe choices.

 

If you are suffering from Morton’s Neuroma, there are no outward symptoms such as a bump or bulge. Common symptoms include a burning pain in the ball of the foot, tingling or numbness sensation in the toes and a feeling of something inside the ball of the foot. The symptoms occur gradually and will intensify with overuse or improper footwear. You can temporarily diminish the pain by massaging the foot or by avoiding the activities that brought on the pain.

 

If symptoms persist or worsen over time, is might be time to visit us at Affiliated Ankle & Foot Care Center. Treatment can come in many forms, such as:

• Changes in footwear – avoiding high heels or tight shoes enables the bones to spread out and may reduce pressure on the nerve, giving it time to heal
• Custom orthotics – custom shoe inserts and pads can be prescribed to relieve irritation. The orthotics will lift and separate the bones, reducing pressure on the nerve
• Injections – Corticosteroid medication can be prescribed to reduce swelling and inflammation in the nerve

You can schedule an appointment with Dr. Harry Cotler at Affiliated Ankle & Foot Care Center in Soldotna, AK, by calling 907-260-3668 or visit us online at www.hcotler.com. 

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!

Metatarsalgia

Metatarsalgia is a condition that causes a burning, stabbing or aching pain in your foot, just beneath the toes in the metatarsal region of the foot. Metatarsalgia pain is often related overuse from walking or running. At Affiliated Ankle & Foot Care Center, we often see athletes who participate in high-impact sports suffering from this condition. In most cases, the pain occurs over a period of several months rather than suddenly.

 

Persistent stress can lead to chronic irritation and inflammation of the bone covering and adjacent to tissues. The following factors are said to contribute to metatarsalgia:

• High level of activity
• Improper biomechanics
• Unusual foot shape
• Tight Achilles tendon
• Hammertoe
• Bunions
• Ill-fitting footwear

This condition is possible to treat. Through regular icing and pressure bandages, metatarsalgia is reversible. Our team may also suggest that you not put any weight on your foot for a period of time. However, if your pain is severe or ongoing, it may be time to see us. Other treatment options include modification of footwear or insoles, use of metatarsal pads and arch supports.

 

Call our office in Soldotna, AK at (907) 260-3668 to schedule an appointment with Dr. Harry Cotler or visit www.hcotler.com for more information about Affiliated Ankle & Foot Care Center. 

Hammertoes

Hammertoe is a common podiatric issue that is characterized by the bending of the middle joint in the second, third or fourth toes. While hammertoes are still flexible when the condition first presents itself, if left untreated, they can become rigid, only treatable through surgery. If you have hammertoe, it is important to seek treatment immediately in order to avoid corns, calluses and discomfort, and Dr. Harry Cotler has the experience and expertise to provide effective treatment here in Soldotna, AK.

Hammertoes are commonly caused by wearing ill-fitting shoes or by a muscle imbalance in the foot in association with flat feet, injury or disease. Since muscles work in pairs to straighten and bend the toes, if the toe is bent and held in one position long enough, the muscles will tighten and be unable to stretch out. If left untreated, your toes can become rigid or develop open sores. The condition will not go away without treatment, and a visit to our office is imperative.  

At Affiliated Ankle and Foot Care, treatment for hammertoe usually starts with new shoes with soft and roomy toe boxes. Dr. Cotler may also prescribe exercises to do at home that stretch and strengthen the muscles, such as manually stretching the toes. In severe cases, surgery may be required, but only if conservative measures have already failed.

To schedule an appointment with our office, call 907-260-FOOT (3668). For more information, visit www.HCotler.com.