Choosing the Right Cane or Walker to Prevent Falls
As people age, pain, weakness, and balance become important considerations, especially as it concerns falling. That being the case, it is only a matter of time before some type of walking aid may be needed to prevent falls. Selecting the right type of cane or walker is paramount, along with having them fitted correctly to your body. Whether you choose a cane or walker depends on how much support is needed. A cane supports about 25 percent of your weight, and a walker can support around half of your weight. Three types of canes are single-point for early balance problems, four-point for increased balance or stability concerns, or seat canes that allow you to rest. Types of walkers include a standard walker, which needs to be picked up as you move forward, and a front-wheeled walker that rolls along with each step. A four-wheeled walker offers more stability and can come with a seat and brakes. Depending on the type of walking aid, it should have non-skid rubber tips and foam or rubber grips for the hands. For the correct fitting of a cane or walker, it is suggested that you make an appointment with a podiatrist.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Falls Prevention
Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.
Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.
Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.
Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.
How Ingrown Toenails Can Develop
There are various reasons an ingrown toenail can develop. This painful foot condition is defined as the toenail growing into the skin instead of over it. Common reasons for an ingrown toenail to develop are trimming the toenails incorrectly, and wearing shoes that do not fit properly. Additionally, it may happen from having an abnormal foot structure, genetic reasons, or if a toe injury has occurred. Temporary relief may come from soaking the affected foot in warm water, followed by using a small piece of cotton to separate the nail from the skin. It can also help to wear wider shoes that can accommodate the affected toe, and the pain may be eased by taking over-the-counter medication. Permanent relief can be found when a podiatrist is contacted, who can perform minor surgery to correct this condition. If you have developed an ingrown toenail, it is strongly suggested that you speak to this type of doctor who can offer you treatment options that are best for you.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Who Is Prone to Getting Plantar Fasciitis?
An inflammatory foot condition that commonly affects the heel may be plantar fasciitis. The plantar fascia is found on the sole of the foot and connects the heel to the toes. Overusing the foot or enduring an injury can cause this tendon to become torn or irritated, and plantar fasciitis may result. This condition can cause severe pain and discomfort, and it is often difficult to walk. The heel and lower back of the leg are affected by plantar fasciitis, and the pain may be worse in the morning after sleeping. Plantar fasciitis may be more prevalent among older people. The fat pad in the heel may not absorb as much shock as it once did and can become thinner. The additional shock may damage the plantar fascia, and the heel may become swollen and bruised. Additionally, people who are overweight, have diabetes, or have flat feet may be more susceptible to developing plantar fasciitis. Stretching the heel and calves may provide mild relief. This can be done by standing on a step while lowering the heel one at a time until a gentle stretch is felt. If you have heel pain, it is strongly suggested that you visit a podiatrist who can effectively diagnose and treat plantar fasciitis.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Healing From a Broken Toe
It typically takes about six weeks to heal from a broken toe, but the actual time frame depends on the severity of the fracture, the age of the person, and pre-existing medical conditions. Symptoms of a broken toe include pain, swelling, and bruising, and it can be difficult to walk. Additionally, a bone may protrude through the skin and the toe may look deformed. Treatments involve taping the broken toe to the toe next to it which provides stability, splinting the toe, or surgery may be necessary for more severe breaks. Resting and elevating the affected foot will help reduce swelling and pain. Simple treatment usually suffices in the healing of a broken toe, however, it is important to seek treatment if pain is severe or walking becomes increasingly difficult. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for an examination and treatment recommendations.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
Various Reasons Why Stress Fractures Can Happen
Many people are aware when they have fractured a bone. The pain is sudden and often happens from an injury. This may not be true with stress fractures, as it develops over time. A stress fracture is considered to be a hairline fracture and is caused by repetitive movements. This is a common injury among people who enjoy running, or frequently participating in jumping activities. For example, osteoporosis can weaken the bones, which can make it easier for stress fractures to happen. Additionally, wearing shoes that do not fit correctly can gradually weaken the foot bones, possibly leading to developing a stress fracture. Mild relief may be found if sporting activities are temporarily stopped, and a supportive boot or cast is worn until complete healing has taken place. This can be followed by implementing specific stretches that can help to strengthen the foot. If you have a stress fracture, it is suggested that you confer with a podiatrist who can effectively diagnose and treat this foot condition.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Stress Fractures of the Foot and Ankle
Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.
The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.
Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.
Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.
It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture. Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.
The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.
Cracked Heels Treatment
Having dry skin on the heels is common. It can lead to a foot condition that is known as cracked heels, and be quite uncomfortable. Untreated cracks in the skin can develop into fissures, which may bleed and become infected. The feet do not have oil glands, and they can dry out quicker than other parts of the body. Cracked heels can be caused by weaning shoes that have an open back, such as flip-flops or sandals. These types of shoes may put additional pressure on the heels' fat pads, and the skin may dry out. There may be existing medical conditions that can lead to developing cracked heels. These can include psoriasis, eczema, diabetes, or thyroid disorders. Mild relief may be found when the feet are frequently soaked in warm water, followed by removing any dead skin, which is referred to as exfoliating. Additionally, applying a good moisturizer may help the skin to feel soft and cause any dead skin to naturally fall off. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you additional treatment methods.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
