Harry Cotler DPM

Wednesday, March 5, 2014

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  

Wednesday, February 26, 2014

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.

Monday, February 24, 2014

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.

Friday, February 21, 2014

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.

Wednesday, February 12, 2014

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. 

Thursday, February 6, 2014

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.

Saturday, January 4, 2014

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.