Harry Cotler DPM

Wednesday, May 28, 2014

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. 

Tuesday, May 20, 2014

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.

Wednesday, May 14, 2014

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. 

Thursday, May 8, 2014

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!

Wednesday, April 16, 2014

Posterior Tibial Tendon Dysfunction

Posterior Tibial Tendon Dysfunction
Posterior tibial tendon dysfunction is a common foot and ankle condition experienced by many people. One of the most important tendons in the leg, the posterior tibial tendon connects the calf muscle to the bones on the inside of the foot. Its main function is to support the arch of the foot while walking. Posterior tibial tendon dysfunction occurs when this tendon becomes inflamed or torn, which can decrease support for the arch of the foot, resulting in flat feet.
 
Symptoms of posterior tibial tendon dysfunction usually occur after activity that requires heavy use of the tendon, such as running, hiking, climbing or walking. Symptoms include pain, swelling, flattening of the arch and an inward roll of the ankle. This ailment is generally progressive, and if left untreated can get worse.
 
When posterior tibial tendon dysfunction develops, it starts with pain on the inside of the foot and ankle. In addition, the area may be red, warm or swollen as well. As the dysfunction progresses and the arch begins to flatten, the pain may stay, but the foot and toes will begin to turn outward. This means that the ankle will roll inward as you walk and cause pain on the outside of the foot and below the ankle. Once the condition has deteriorated this far, it indicates that the tendon has deteriorated considerable and arthritis is developing.
 
While surgery might be required for more serious causes, if you come to our office early on, we may be able to help with only mild correction. Dr. Harry Cotler provides both non-invasive and surgical treatment for a variety of foot conditions. To schedule an appointment with this Soldotna podiatrist, call (907) 260-3668. For more information, visit www.HCotler.com

Wednesday, April 9, 2014

Sesamoiditis

Sesamoiditis
While most bones in our body are connected to each other at joints, there are a few that are connected only to tendons or are embedded in muscle. These are called sesamoids. The largest one in the body is the patella (kneecap), but there are also two very small sesamoids in the feet. They are both found in the underside of the foot, with one behind the great toe and the other closer to the middle of the foot on the outside.
 
These sesamoids act as pulleys, providing a smooth surface for the tendons to slide over, which gives the tendons extra leverage and power. The sesamoids in the foot also elevate the bones of the great toe and assist in weight bearing. Without the sesamoids, the big toe loses some of its power and force.  
If the tendons that surround the sesamoids become irritated or inflamed, it is called sesamoiditis, which is a form of tendinitis common among ballet dancers, baseball catchers and runners. The most common symptom of sesamoiditis is pain underneath the big toe on the ball of the foot. This pain usually builds gradually over time and is accompanied by swelling and bruising. Symptoms are pressure related and are brought on by walking, running or jumping or when direct pressure is applied.
 
If you believe you have sesamoiditis in Soldotna, AK, schedule an appointment with our office for diagnosis. Dr. Harry Cotler can treat this condition in a variety of ways, from non-invasive to surgical. To schedule an appointment, call (907) 260-3668. For more information, visit www.HCotler.com

Thursday, April 3, 2014

Osteoarthritis

Osteoarthritis
There are more than 100 different types of arthritis, and the most common one is osteoarthritis. While all the different types involve inflammation and swelling in and around the joints, osteoarthritis is a degenerative joint disease that is caused by wear and tear as you age. Usually occurring in the weight-bearing joints, such as the hips, knee and spine, osteoarthritis can also affect your hands and feet.
 
The most common places for osteoarthritis to occur in the foot are where the ankle and shinbone meet, the heel, mid-foot and the big toe. Symptoms often develop gradually and include aching and soreness in the joint (especially after long uses), stiffness, swelling and fluid accumulation.
Women are more likely to develop osteoarthritis than men and in those older than 60. However, osteoarthritis has been diagnosed in much younger individuals in their 20s and 30s. Some factors increase an individual’s chance of developing the disease, including heredity, obesity and overuse of the joint.
 
There are several ways to treat osteoarthritis in the foot and ankle, including steroid injections, anti-inflammatory drugs, arch supports, canes, shoe inserts and more. If you are experiencing foot pain, schedule an appointment with our practice. We can help alleviate your pain and improve your quality of life. To schedule an appointment with Dr. Harry Cotler, call (907) 260-3668. For more information, visit www.HCotler.com