Unfortunately, neuropathy isn’t an easy cure type condition, which is why it is very important to visit your podiatrist as soon as you experience symptoms in order to prevent it from worsening. Fortunately, Dr. Harvey Danciger can assess your condition and provide the best treatment available to alleviate your discomfort.

The most effective treatments for neuropathy include:

• Controlling your blood sugar levels. Diabetes management is a lifestyle that can be attained through a healthy diet and enough exercise.  This can help keep your sugar levels in check, which will help tremendously for treating effects of painful neuropathy. Work with your medical care provider to develop a diabetes health plan to ensure your specific diabetes needs are met to work toward blood sugar control and management.
• Medication. If symptoms of neuropathy continue to be of discomfort, even with controlled blood sugar levels, pain medication can be prescribed to alleviate your discomfort. Certain creams made from chili peppers can be used and applied on the foot to desensitize them as well.
• Improve your circulation. Making sure enough blood flow is supplied to your feet can help prevent nerve damage symptoms from occurring. Exercise as simple as walking and massaging your feet can make a big difference to improve your foot circulation. Be sure to have a proper fit of shoe and sock to prevent decreased blood flow and other foot complications.

Don’t lose sleep over burning feet any longer. Contact our office right away to set up an appointment with Dr. Danciger to ensure your feet are properly taken care of in order to alleviate your discomfort.

The main benefit of stretching is gaining flexibility. Better flexibility means your joints will move through their full range of motion, which can lead to benefit both your physical performance and decrease your risk for injury. For example, by stretching your Achilles tendon, you are preventing the occurrence of tendinitis that is often caused by a decreased range of motion that results in overload and then injury. Stretching also reaps the benefits of increased circulation to your muscles and cartilage, which reduces muscle soreness and pain.

Although stretching can be performed anywhere and anytime, make sure you are doing it safely and effectively!  Incorrect stretching can do more harm than good. Before you take on stretching, Podiatrist Harvey Danciger recommends following these tips to make sure your stretching technique is the right one.  They include:

• Don’t consider stretching a warm-up. Stretching cold muscles can cause you to hurt yourself. Instead, warm up by walking or jogging at a low intensity for 5 to 10 minutes before you stretch. Or better yet, stretch after you exercise when your muscles are warmed up.
• Focus on major muscle groups. Focus on your calves, thighs, hips, lower back, your neck and shoulders while stretching and make sure to evenly stretch both sides.
• Don’t bounce. Bouncing while you stretch can create small tears in your muscle, which can leave scar tissue that causes your muscles to tighten, resulting in less flexibility and being more prone to pain. Be sure to hold a stretch for 30 seconds and to repeat three of four times.
• Don’t aim for pain. If you’re feeling pain instead of tension while you stretch, you’re pushing yourself too far. Back off to the point where you feel no pain and hold the stretch.
• Keep up with your stretching. You can achieve the best benefits by stretching regularly, at least two to three times per week.

Don’t let tight muscles cause you pain or injury. To find simple stretches you can use, visit our website or contact our office today.

Both humans and dogs are historically known to run. They both showed increased levels of chemical endorphins after training to run for a duration of 30 minutes, but not an increased level during their duration of walking. Not only did this tell researchers that humans are biologically made to enjoy running, but it proves the existence of the runner’s high as well.   A runner’s high is created by an increased level of endorphins and can alter one’s mood and euphoria.

Although our bodies are made to enjoy running, we still tend to find ways to avoid doing it. When biological factors aren’t enough to get you to lace up your running shoes, Podiatrist Harvey Danciger suggests these tips to keep you motivated to stay active.

• Run with friends. The social aspect of running is one of the main reasons people start and stick with running habits. Find a local running club or ask some friends or co-workers to join you in a running routine.
• Write it down. Keeping a training log or running blog about your running progress, details and how you felt after each run to help keep you motivated. Looking back at previous entries can remind you of how far you’ve come and give you incentive to get out there again to improve.
• Reward yourself. Every once and awhile, treat yourself for your hard work with new running gear or a massage. This will keep you energized and reinforce your commitment to your training.
• Don’t think “all or nothing.” If you don’t have time to complete an entire workout, don’t give up on doing one altogether. Instead, go for a quick run or use that time to focus on a different type of exercise. This way you won’t feel guilty for skipping an entire workout.
• Remember the health benefits. Remind yourself of the health improvements you’re making by checking your weight, getting your blood pressure tested and thinking about how you have a healthy way to relieve stress and the increased energy you have.

What motivation tips do you use to stay running? Please share by commenting below!

There are many ways in which you can recycle and energize your running habits while taking part in doing good for your earthly surroundings as well.  How do you do this?  Read on for more information!

• Use your running routine as means of transportation. Going to a gym and using a treadmill aren’t the only ways in which you can get a great run in. Save your gas and reduce car emissions by running to your gym workout and skip the treadmill once you get there!
• Buy green apparel. No we’re not talking about the color!  But there are many running shoes and workout clothes available today that use recycled or decomposable material.
• Deal with old shoes. Donate your old running shoes to charity, or to programs that will recycle them, like Nike’s Reuse-A-Shoe program or Dr. Danciger’s annual shoe drive!  Nike’s program reuses your shoe materials to resurface tracks and basketball courts across the country and Dr. Danciger donates the gently used shoes to individuals who can’t afford a new pair.  
• Care for your gear. Wash your work out apparel in cold water instead of hot and instead of using the energy for your dryer, hang your clothes to dry instead. Not only will this save energy and cut down your heating bill, but it will make your clothes last longer as well.
• Make a difference. There are many ways you can get involved with your community and their efforts to go green. Donate to organizations that create or promote new trails and running paths, volunteer to clean up a trail or road you like to run on, or even help organize a recycling drive.

Going green doesn’t have to be overwhelming or life altering. By changing little habits associated with your running regimens, you can contribute to making a difference for a better environment! Are there any simple ways in which you’ve changed your life to be greener? Please share by commenting below!

 Bariatric surgery is a procedure that is very expensive and requires a recovery span up to several months. Only patients with a body mass index of over 35 can be considered as a candidate for the surgery, but even then, extreme risks are involved that may include long term nutritional deficiencies, osteoporosis and even possible death.

Although surgery can help manage and possibly cure diabetes, it’s important to know that there are other standard methods of treatment used to successfully control your blood sugar levels and to help you maintain a healthy lifestyle. The following treatment and care options are important to know about so you can consider, along with your physician, the best treatment for your personal and unique care.  They include:

• Medication. Depending on your diabetes symptoms or complications, oral or injectable medication can be an important part of your treatment plan that will help regulate your blood sugar levels.
• Oral health and hygiene. Brushing up on your dental skills can not only keep your mouth healthy, but help control blood glucose as well.
• Lifestyle changes. Of all of the diabetes management options, diet and exercise are the most important to manage your blood sugar levels. Exercising daily and eating healthy foods will help your diabetes tremendously.

No matter what treatment options are available, it’s critical to talk to your doctor about the best treatment plan for your unique diabetes type and situation. With medical options and support, you can manage your diabetes. For more information, or to set up an appointment with Dr. Danciger, contact our office today!

The Barkley Marathons have changed their route, elevation and course throughout the park many times since its establishment in 1986, which leaves the selectively picked 35 participants each year running without any forewarning of what’s ahead. With no aid stations along the route, and the only directions being a map and a compass, it’s no surprise that less than one percent of participants have accomplished the 100 mile race.  The race is to be completed in 60 hours through Frozen Head Park. The Barkley Marathons are considered to be one of the most challenging ultra-marathons held in the United States and quite possibly even the world.

If you’re not quite up to the challenge of the Barkley 100 mile trail marathon, we understand. However, trail running in general can increase your risk for injury and foot complications if you aren’t mindful out on the trail. Podiatrist Harvey Danciger recommends these tips to ensure your trail running safety.

• Choose your trails wisely. Pick your trails based on your fitness training level. If you’re a beginner, don’t expect to tackle a mountain on your first run. Stick to more flat trails until you build up your endurance for more challenging hilly trails.
• Get the right footwear. Trail running shoes provide the traction and support needed to help keep your feet stable on uneven trail surfaces. Invest in a pair that fits your foot type and running style.
• Pay attention. Keep your head up and your eyes straight ahead on the trail in front of you so you can watch for obstacles, such as roots or rocks, which may cause you to trip or misstep.
• Think time, not distance. Trail running can double the normal amount of time it takes you to cover a mile due to the tough terrain. Consider the amount of time you want to be out running versus how many miles you want to cover.

By following these guidelines, you can keep your feet safe and build up your trail running endurance to possibly even take on the Barkley Marathon challenge! Are there any trail running tips you engage with? Please share by commenting below!

It’s important to inform Dr. Harvey Danciger if you have any of the following cardiovascular related conditions:

• Hypertension and/or cardiovascular disease. Examination can determine if there are lower than normal temperatures in your feet, abnormal foot skin color, or diminished pulse in your feet, which can be caused from decreased circulation due to hypertension. Occasional swelling in your feet is important to notice because it may mean that hypertension has contributed to heart disease.
• Rheumatic heart disease. It’s important to tell your podiatrist if you are taking medication for this condition to ensure that it does not conflict with any medications that may be prescribed for foot treatment.
• Diabetes. This disease often affects the feet with decreased circulation and sensation. Let your podiatrist know if you have been diagnosed with diabetes and if you are taking medication or insulin for the condition.
• Ulceration. Open sores that do not heal or heal very slowly, can be symptoms of anemia, hypertension or certain inflammatory conditions. Be sure to speak up if you have ever had this problem.
• Swollen feet. Persistent swelling of the feet may be due to heart, kidney or circulatory problems.
• Burning feet. A burning sensation in your feet is often caused by diminished circulation.

By letting Dr. Danciger know if you have been diagnosed with the above conditions or experienced any of the above symptoms, he can help provide you the service needed to control the problem. There are three major areas in which he can provide help:

• Detection. Taking your blood pressure can help determine if it is elevated.
• Treatment. After confirming that there is an elevation in blood pressure, Dr. Danciger may refer you to your primary care physician for evaluation, diagnosis and proper treatment.
• Long-term control. Dr. Danciger can facilitate long-term control of high blood pressure by encouraging adherence to treatment, and monitoring reductions of blood pressure and side effects to treatment.

Let us help you control your blood pressure by informing us if there are any existing cardiovascular conditions or

symptoms!

www.nlm.nih.gov/medlineplus/highbloodpressure.html

So what can you do if you’re suffering from capsulitis? Fortunately, Dr. Harvey Danciger can help! Noninvasive treatment including one or all of the following is recommended to relieve your painful condition.

• Avoid wearing high heels. High heels add stress and strain to your toes, which can worsen your capsulitis pain. Wear low-heeled shoes with firm soles that fit properly. Flat shoes are recommended best.
• Decrease or temporarily discontinue the activity responsible for your condition. If a certain physical activity creates the onset of inflammation, it is important to stop the activity to lessen symptoms and pain.
• Oral anti-inflammatory medication. Please consult your physician before taking any medications.
• Orthotic devices. Adding orthotics to your shoes can add extra padding, providing your feet and inflamed joints the support and relief they need.
• Cortisone injections. Cortisone treatment can help reduce inflammation and decrease pain.
• Surgery. If noninvasive treatment is not effective for treating your condition, surgery may be needed.

Contact our office to set up an appointment with Dr. Danciger to receive the best treatment specific to your capsulitis condition.  Icing the affected areas, elevating your feet, and resting are also great recommendations for home treatment as well.

Don’t ignore the warning signs of capsulitis! Let us help you alleviate your foot pain!

People that get capsulitis may report pain, swelling, redness and the ...

sportspodiatry.co.uk

Dr. Harvey Danciger recommends following these guidelines when it comes to including sweets into your diabetes-friendly diet:

• Hold back on the carbohydrates if you want dessert. Eating sweets adds extra carbohydrates to your regular diet. Try to avoid eating big portions of pasta, rice, or bread during your meal in order to save room for dessert.
• Add healthy fats to your dessert. Healthy fat sounds like an oxymoron, but certain fats can help slow down your digestive process and make blood sugar levels not spike as quickly. It all is in moderation, however, so don’t go reaching for the donuts. Instead, try foods that are filled with healthy fats such as yogurt or peanut butter.
• Eat sweets with a meal, rather than as an individual snack. If you eat sweets as a stand-alone snack, they can cause your blood sugar to spike. Eat them along with other healthy foods that are a part of your meal so your blood sugar won’t rise as quickly.
• Savor every bite of your dessert. Make your indulgence count by eating your sweet slowly. By taking your time, enjoying the flavor and richness, you’re less likely to overeat and overload on sugar.

For desserts that are just as healthy as they are delicious, check out: http://www.tasteofhome.com/Recipes/Healthy-Eating/Diabetic-Recipes/Diabetic-Desserts.

Although it’s alright to let yourself eat your favorite sweets in moderation, it’s important to try and cut out as much sugar in your diet in order to manage your diabetes and keep healthy. Try incorporating these tips to decrease your risk for a sugar level spike.

• Reduce soda or juice intake.
• Reduce the amount of sugar you add to recipes by ¼ to 1/3.
• Find healthy ways to satisfy your cravings. Instead of ice cream, try a smoothie or eat a piece of dark chocolate instead of the usual milk chocolate.
• Eat half of the dessert you normally eat and replace the other half with fruit.

Don’t deprive yourself of enjoying dessert now and then. With moderation, you can satisfy your sweet tooth cravings!

What healthy dessert recipes do you enjoy? Please share by commenting below!

Podiatrist Harvey Danciger strongly suggests incorporating these general foot care tips into your daily routine to meet the needs of your feet. They include:

• Check your feet daily. Don’t wait to pay attention to your feet until they begin to hurt. Spend a couple of minutes each day to look for cuts, sores, redness, swelling, or ingrown and infected toenails. Paying attention to your feet can help catch common problems before they develop into something more serious.
• Wash your feet daily. To prevent bacterial or fungal infection you should wash your feet with warm water thoroughly and pat dry - especially between your toes. Avoid soaking your feet for more than 10 minutes, as this may result in dry or cracked feet.
• Care for toenails and calluses regularly. Keep your toenails cut straight across and never shorter than the end of your toe. For calluses you should use a pumice stone gently while your feet are still wet.
• Keep your feet moisturized. Use lotion or oil on the top and bottoms of your feet if you experience dryness or cracked feet. Avoid applying lotion in between your toes to prevent possible infection.
• Wear the proper footwear. Foot problems can be created, or worsened, from shoes that don’t fit properly or don’t provide enough support. Invest in a proper form of shoe that fits your foot type.
• Wear the proper socks. Be sure to change your socks regularly to keep your feet dry. Avoid wearing socks with ridges or elastic at the tops, as they can irritate or restrict the circulation of blood flow to your feet.

If you notice abnormal foot occurrences, or are experiencing foot pain, contact our office to set up an appointment with Dr. Danciger today! Let us help you keep your feet healthy and fit regardless of your age!

Read below as Dr. Harvey Danciger gives insight to these burning feet causes so you can be informed of warning signs your feet may be giving you.  They include:

• Athlete’s foot. This fungal infection develops in moist areas and usually between your toes or other parts of your foot. Burning is a common symptom that occurs, along with itching, and stinging. Athlete’s foot is contagious and antifungal medication can be taken to treat the condition. Protect your feet from this fungal infection by washing your feet regularly and drying in between your toes thoroughly. Wear proper fitting shoes especially if you are using public facilities, such as showers or swimming pools, as they are prone to fungal growth.
• Vitamin deficiency anemia. A lack of healthy red blood cells due to decreased intake amount of folate, vitamin B-12, and vitamin C can result in vitamin deficiency anemia.  The sensation of your feet burning is often a symptom along with weakness and shortness of breath. Vitamin deficiency anemia can be corrected with vitamin supplements and changes to your diet.
• Tarsal tunnel syndrome. Pain, numbness and a burning sensation, along the inside of your ankle or foot, can be a result of compression on your posterior tibial nerve creating tarsal tunnel syndrome. Depending on the severity, medication, physical therapy, or orthotic devices are all treatment options that can help relieve symptoms.
• Diabetic neuropathy. If you have diabetes, nerve damage can occur in your legs and feet resulting in neuropathy. Symptoms include burning, painful, or numb feet and can even create greater problems with your digestive system, blood vessels and heart. Although diabetic neuropathy is a serious complication of diabetes, it is common and can be controlled with blood sugar control and a healthy lifestyle.

Don’t ignore the warning signs! If you are experiencing any of the above conditions, please contact our office to set up an appointment with Dr. Danciger for an evaluation.

Diabetes decreases circulation to the foot, which can cause skin to dry out and possible nerve damage to occur. It’s critical for people with diabetes to pay attention to their feet to ensure dryness, cracking or nerve damage doesn’t manifest into infection or even toe and foot amputation. By washing your feet thoroughly on a daily basis using the Blue Ridge Soap Shed diabetic foot soap, you can prevent foot complications from occurring due to combined ingredients in the soap bar. They include:

·         Shea and cocoa butter to set a moisturizing base.

·         Tea tree essential oil, which includes natural infection-fighting properties.

·         Ginger essential oil, which is known to stimulate circulation.

Visit www.soapshed.com if you’re interested in purchasing diabetic foot soap.   Although washing your feet with this foot soap can help fight against dryness or possible infection, it is important to include other diabetic foot care tips into your health regimen to ensure your feet stay fit and healthy.

Dr. Harvey Danciger recommends the following tips to incorporate into your routine.  They include:

·         Check both of your feet on a daily basis. Take the time to look over your feet and in between all your toes. It is common for blisters and infections to develop in between your toes and diabetic neuropathy can eliminate feeling, which won’t allow you to notice them until they become irritated or infected.

·         Wear a proper fitted shoe. Shoes that create friction, or are too tight, can cause blisters which turn into sores and possible infection. Investing in a good pair of shoes that fit the shape of your foot are worth buying.

·         Never go barefoot. Exposing your bare feet increases the risk for infection to occur in any foot cut or crack you may have. Wear socks or shoes that provide enough support to cushion your feet and any possible calluses or sore spots.

·         Contact our office! Nerve damage in diabetic feet can be unpredictable. It’s important to tell your podiatrist about any changes or feelings you are noticing in your feet or toes. Speak up if you are experiencing pain, numbness, or a tingling feeling in your feet.

Let us help you maintain your foot health! Contact our office today at (760) 568-0108 to set up an appointment with Dr. Danciger!

It’s important not to wear unfit or worn shoes in order to protect your feet against painful problems such as blisters, calluses, or heel pain, which can develop from improper shoes. Wearing out a pair of shoes is inevitable and should be replaced.  Also, shoes such as flip-flops or running shoes should be considered for replacement each season of use.

If you do trade in your shoes to “Keeping Coachella Valley On Its Feet,” or notice your pair have some wear and tear, you should be prepared with the right shoe buying tips.  Dr.  Harvey Danciger recommends following these guidelinesfor your next shoe shopping experience. They include:

• Measure your feet. It’s important to measure your feet each time you are looking to buy a new pair of shoes, as feet can change in size.
• Determine your foot type. If you have flat feet or high arches, finding a shoe that is supportive of your specific type will help ensure foot safety tremendously.
• Test out the shoe. Be sure to walk around the store when trying on a new pair to make sure your feet can move freely with enough added support. If you’re trying on running shoes, testing out the shoe by running is a better option to truly see if a pair has the right fit for you.
• Don’t pick shoes based on looks. Although your eyes may be drawn to a pair of shoes that are fashionable or your type of style, make sure you keep proper fit a first based priority.

Make sure your next shoe purchase fits all of your foot needs so you can avoid complications.  Also, don’t forget to drop off your gently used or spare shoes to “Keeping Coachella Valley On Its Feet!”

For more tips, or to schedule an appointment with Dr. Danciger, call our officetoday.

Try incorporating the following six foods into your daily diet in order to maintain the energy and stamina you need for your running routine.

·         Complex carbs. Whole grains such as quinoa, oats and whole wheat are absorbed slowly, giving your body a steady energy supply that will help sustain energy and fuel intense running workouts. Since complex carbs take longer to digest, plan on eating them a few hours before a workout.

·         Bananas. Simple carbs like bananas, strawberries or grapes are a great way to obtain an energy pick-me-up. They are low in fibers and offer a small amount of sugar that can be eaten right before you head out the door.

·         Sweet potatoes. Filled with sources of manganese and copper nutrients, sweet potatoes are essential for muscle function. Prepare them any way you enjoy best and eat a few hours before a workout to fuel up or eat post-workout to replace lost electrolytes.

·         Beans. Lean proteins such as beans are a great way to consume a runner’s needed amount of protein. Add them to your salad, soup, or salsa to acquire your protein a few hours before a workout.

·         Nonfat Greek yogurt. Containing no fat or cholesterol, Greek yogurt is a great snack option post-workout to obtain protein that is essential for recovering from an intense run.

·         Flaxseed. Omega-3 fatty acids are proven to relieve joint pain and decrease inflammation in the body, which is just what runners need. Flaxseeds are great sources of omega-3s and also contain fiber, which can prevent digestive pains while running.

It’s important for runners to maintain a healthy diet.  By eating the appropriate types of food to give you proper nutrition, you can easily consume the needed amount of nutrients your body requires to gain the most out of your running workout!

What healthy foods to you eat to better your running routine? Please share by commenting below! Stay healthy and your feet will follow.

An ankle injury is defined by the kind of tissue that is damaged; the bone, ligament, or tendon. To make sense and decipher between the different types of ankle injuries, Dr. Harvey Danciger gives the correct injured ankle terminology for a step or landing gone wrong. 

·         A fracture occurs when there is an actual break in one or more of the bones.

·         A sprain describes the damaged ligaments that are stretched beyond their normal range of motion.

·         A strain refers to the damage done to muscles or tendons that are connected to bones or muscles, which result from being pulled or stretched too far.

·         Muscle strains can occur in two tendons of the ankle which stabilize and protect the ankle from damage. These tendons can become inflamed when overused or from trauma, which can result in tendonitis.

·         Acute tears result from trauma or repetitive activity where tendons can slip out of place, or create a condition called tendonosis from being overstretched.

Since ankle injuries are such a common occurrence, it’s important to keep foot care tips in mind. Use these tips to help lessen your risk of an ankle injury happening to you.

·         Wear supportive shoes. A proper fit shoe that provides your feet with support is critical to protect your ankles while doing any type of physical activity.

·         Spend time stretching your feet. Stretching to warm up your muscles is just as important to be applied on your feet in order to maintain flexibility and strengthen foot muscles as well.

·         Be cautious. Make sure you are aware where your feet are landing and be cautious not to outdo what your body is physically capable of.

Don’t let ankle injuries keep you off your feet! For more information, contact our office today to set up an appointment with Dr. Danciger. Let us help you protect and maintain your ankle and foot health.

Dr. Harvey Danciger recommends the following spring training tips to help you maintain healthy workout habits, which will keep you from risking a foot injury:

1.       Start slowly. Even though you may have been running miles at a time a few months ago, don’t expect to be able to pick up where you left off.  The best way to start training without risking exhaustion or injury is to start your workout slowly and gradually increase intensity and mileage.

2.       Find a routine you can stick with. In order to prevent boredom and lack of motivation for exercise, try something new. A new sport or activity will keep you interested and motivated to stick with a workout routine that you can follow.

3.       Pick the right workout gear. Investing in a good outfit and pair of shoes will not only provide inspiration to get moving, but will help keep you safe from injury as well. Make sure you have a proper fit of shoe that is designed for the activity you are participating in and is supportive for your feet.

4.       Keep hydration and diet in mind. Incorporate a healthy diet and plenty of hydration into your daily routine.  Doing this will help provide energy and stamina for getting back into your workout routine.

5.       Know your limits. Listening to what your body is telling you is key for starting up an exercise routine. Don’t ignore warning signs of pain or exhaustion as they may be a sign of injury.

Use these spring training tips to get back outside and stay fit in order to prevent foot injuries from occurring and derailing your workout routine. Contact our office to set up an appointment with Dr. Danciger if you are experiencing any foot injuries or complications.

What spring training tips do you use to get back into exercising? Please share by commenting below!

Dr. Harvey Danciger encourages you to look out for the following common physical signs of low blood sugar occurrence.  They include:

·         Cold, clammy skin. If your blood sugar drops abnormally low, your body will respond with a surge of hormones that will provoke multiple reactions throughout your body, including sweating on the surface of the skin.

·         Lack of focus or confusion. The brain is very sensitive to low blood sugar levels. With an insufficient amount of glucose, thinking functions begin to deteriorate, and confusion and lack of focus may result.

·         Speech difficulties. Low blood sugar levels can also trigger speech. With low sugar levels, difficulty forming thoughts or slurring your words can occur.

·         Increased heart rate. Your heart rate rapidly increases during an episode of low blood sugar, due to the surge of hormones, which causes your heart to beat faster and harder.

Incorporate the following natural tips to help prevent low blood sugar levels:

·         Never consume more than the prescribed dose of medication. Excessive use of medication can cause hypoglycemia.

·         Eat on time and never miss a meal. This will help control your glucose levels with a set routine.

·         Avoid consuming excessive amounts of alcohol. Alcohol can contribute to low blood sugar.

·         Keep track of what you eat in relation to how much you are exercising. Vigorous exercise without an adequate amount of food intake can cause hypoglycemia.

·         See your doctor. It’s critical to seek medical attention and advice if you experience episodes of low blood sugar in order to evaluate a healthy diet and exercise routine, and to be prescribed correct medication.

Be aware of the physical warning signs and prevention tips, and you can prevent low blood sugar from affecting your life! For more information, contact our office today!

Dr. Harvey Danciger shares other foot problems that can arise throughout your pregnancy along with the causes, treatments and prevention options.

·         Swollen feet, increased foot size, and color changes

o   Causes: An excess of fluid, called edema, collects in the foot tissue causing your feet to swell. Extra blood accumulation occurs in the lower extremities, usually during the third trimester, which cause a possible change of skin color on your feet. An increase in foot size is due to hormones used for flexibility of the birth canal.  Also, an increase in foot size may be permanent post pregnancy.

o   Treatments: Use waist-high maternity support stockings to prevent blood from pooling around your ankles.

o   Prevention: Wear comfortable shoes, put your feet up whenever you can, and be sure to uncross and stretch your legs and ankles while you are sitting.

·         Flat Feet

o   Causes: Foot arches fall flat due to weight gain or added stress on heel tissues in the foot.

o   Treatments: Orthotic inserts can be helpful to provide needed arch support.

o   Prevention: Choose footwear that is supportive and have extra shock absorption.

·         Plantar Fasciitis

o   Causes: Increased body weight and feet that roll inward while walking cause arches to flatten, creating inflammation on the plantar fascia, resulting in pain.

o   Treatment: Use shoe inserts to provide extra padding, or be fitted for orthotic inserts.

o   Prevention: Stretch and exercise daily while wearing strongly supportive shoes for your foot arches.

·         Foot or leg cramps

o   Causes: Increased levels of blood volume and hormones cause blood vessels to relax, resulting in decreased circulation that can create cramping in your feet or legs.

o   Treatment: Maintain a healthy diet and stretch your calves often.

o   Prevention: Increase your circulation by rotating your ankles a couple times to the right and to the left.

Don’t let foot problems damper your pregnancy experience. If you’re experiencing foot problems during your pregnancy, please contact the office to set up an appointment with Dr. Danciger.

So how can you prevent the occurrence of shin splints from ruining your running regimen? Yoga poses may be the answer to keep your muscles stretched properly. Incorporate these three poses into your stretching routine:

1.       Legs up the wall: Sit about six inches away from a wall with your left side facing it. Swing your legs onto the wall and keep your head and shoulders flat on the floor. Spend ten minutes in this position to help your lower leg muscles relax.

2.       Hero pose: Kneel on the floor so your feet are flat and your toes are pointing out behind you. Sit back on your heels to stretch your tibia muscles as well as the tops of your feet. Hold the pose for up to a minute.

3.       Tree pose: This single-legged balance pose can help avoid future shin splints and also build strength in your lower legs. Start with both feet on the floor about shoulder width apart. Shift your weight to your left foot, lifting your right leg. Then turn your right leg and place it against your left leg anywhere comfortable except against the knee. To help you balance, lift your arms upward. Keep this pose for about a minute and then try the opposite leg.

Even with ample preparation, shin splints and other aches and pains are inevitable with running. If rest, stretching, or a slower running exercises don’t help your shin splints, call the office to set up an appointment with Dr. Danciger.  He can evaluate your problem area and come up with a treatment plan.     Are there other yoga poses that you perform before running or other physical activity? Please comment below, we would love to hear your thoughts!

How do you know you have a broken toe?  

You will experience pain, swelling and stiffness following the injury.   Also, bruising may become noticeable as well and the toe may look deformed or even bent in shape. You will have difficulty putting weight on the foot and have a hard time wearing shoes.   If you are experiencing any of the symptoms listed, please contact our office immediately.  Acting on the problem will help prevent a toe break from becoming a more serious issue.

What are your treatments options?

Once you’ve called our office to schedule an appointment, Dr.  Harvey Danciger, can evaluate your injury and assess the specific treatment needed. Depending on the severity of the injury, casts or splints are commonly used on the foot to straighten and protect the healing toe. Pain medication can be prescribed for severe pain as well. However, the RICE method often is a good treatment option and involves resting, icing, compressing and elevating the area.  Keep in mind that full recovery can take anywhere between 6 and 10 weeks.

For more information, or to schedule an appointment, please call our office at (760) 568-0108.

Dr. Danciger recommends the following exercises:

·         Squats - this natural exercise mimics sitting and works your lower body as well as your core.

·         Pushups - the best exercise to strengthen your entire upper body.

·         Lunges - step forward with each foot and lower your body where your knee isn’t quite touching the floor. This will work your core, leg muscles, and glutes.

·         The plank - the best exercise to strengthen and define your core muscles.

·         Jumping jacks - help with quickness, increase bone density and is a great cardio warm-up.

·         Mountain climbers – alternate your knees toward your chest in a smooth motion.  It can decrease your heart rate, burn calories and is a great way to flatten your core muscles.

·         Bicycles - engages more muscles than the common crunch exercise by alternating your legs toward your head while lifting your head in a crunch-like motion. Bicycles require your abdomen to work its muscles thoroughly and will leave your abs with a great burn.

·         Kick downs - lie on your back and keep your legs together and lower them as close to the ground as possible. This exercise will strengthen your core, create a stronger back and can even lower your risk for injury.

Don’t let the lack of a gym membership or gym equipment become an excuse for your not exercising.  Use the recommended exercises to remain physically active. Results will follow.

Do you have an at-home fitness routine?  We would love to hear about it, please comment below!

Many patients don’t seek treatment because they don’t even realize that they have fungal toenails. If you have not examined your nails recently, you should do so to look for common signs of fungal toenails. You should call Dr. Danciger immediately with signs of a fungal nail. You can tell that a fungus is forming if you see a small white or yellow spot under the tip of the nail.

It’s important to know that you don’t have to live with nasty looking toenails.  There are treatment options available for you and our office will help you find the right treatment option for you. We provide many non-invasive treatment options for healing fungal toenails. Treatments include over the counter topical creams and liquids in less severe cases and sometimes oral or topical medications may be prescribed in more involved cases.

If the case is particularly bad, surgical removal of the toenail may be necessary in order to effectively remove the fungus. Removing the infected nail will prevent the return of the deformed nail.

The key is to keep your feet protected against environments where fungus can be easily contacted. We recommend the following for toenail fungus prevention:

·         Wear clean socks and change them often. Wash your feet every day and be sure to dry in between your toes.

·         Never go barefoot in public places. Public swimming pools and showers are breeding grounds for fungal growth. Be sure to wear shower shoes or sandals if you plan on using them.

By keeping your feet protected from fungus prone areas, and incorporating healthy feet regimens into your daily routine, you can help prevent toenail fungus from developing. Do you want more information about fungal toenail treatment? Call our office today to set up an appointment with Dr. Harvey Danciger.

Custom orthotics are highly recommended in some cases and they are quite common for anyone experiencing foot dysfunction that creates chronic pain, especially in athletes. Orthotics are designed to help keep your foot in proper position by supporting your natural gait that may otherwise cause fracture or strain to your foot. Orthotics control your movements and guide your feet so that joints, tendons and muscles are kept aligned and working properly during foot movements. 

With the added foot support from orthotic inserts, athletes can decrease their chances of a foot injury.  Orthotics can help avoid common foot problems such as bunions, tendonitis, heel spurs and even plantar fasciitis.

How can you go about getting orthotics? If you’re experiencing foot problems due to foot abnormalities from a sports activity, podiatrist Dr. Harvey Danciger can evaluate your overall foot movement and determine what orthotic appliance will be the most beneficial in alleviating your foot pain. Custom orthotics are made of flexible material that can be inserted into your shoe to be worn when you participate in order for your foot muscles and tendons to perform at their best.

To keep you safe from sports related foot injury and pain; consider being fitted for custom shoe orthotics. Call our office today to set up an appointment with Dr. Danciger and let us help keep you participating in the sports you love without suffering from foot pain or risk of injury!

Doctors at the American Academy of Orthopedic Surgeons convention received information about this question, when doctor Daniel Pereles presented his experimental findings. Testing this stretching theory, Pereles assigned almost 3,000 runners who ran more than ten miles each week into two separate groups; one that engaged in stretching for duration of 3-5 minutes before they ran, and one that did not. Runners who previously participated in stretching routinely were assigned to the non-stretching group, and runners who did not stretch were assigned to the stretching group. The groups were told to keep participating in any other warm-up routines before running, which they normally preformed besides stretching, such as walking before they ran. The study lasted for three months, in which participants recorded any type of injury occurrence that prevented them from running for at least a week such as stress fractures or muscle tears.

What did Pereles find? He found that both groups’ injury recordings compiled together resulted in a 16% injury rate for both the stretching group and the non-stretching group.  What Pereles found even more interesting was the injury rates based on who switched their routines. Each group had about a 23% increase in injury, whether they had switched from stretching, to not stretching, or vice versa. The results indicated that both experimental groups injury rates were the same. This was something Pereles couldn’t explain. However, he did conclude based on his study that the normal 5 minute stretching routine before running (usually recommended) doesn’t make any difference in injury rates.

Does this mean runners shouldn’t stretch? The question is still up for debate and hasn’t been medically peer reviewed. Although more doctors have researched the topic and have found that there may be some truth to Pereles’ experimental findings, most doctors can agree that participating in a type of warm-up before you go for a run is beneficial for your overall health.

There are other ways besides stretching that can help prevent injuries from occurring, specifically foot injuries. Make sure you have a correct fit of running shoe. Supportive shoes that are specified to your type of feet are worth investing in. Also, build up your running endurance as foot pain or injury can be avoided by slowly adding on more miles. And lastly - don’t overdo it!

Stretching may have come into questioning for preventing injury, but there are other beneficial ways to prevent injured feet and keep your feet healthy.

Want more tips on how to prevent foot injuries? Call our office today!

Below are some simple tips that can be used daily to prevent dry feet:

• Clean your feet carefully. It’s crucial to keep feet clean to prevent fungal conditions from developing. However, if you have diabetes, make sure you shower and cleanse in warm water as hot water can cause feet to dry out. Keep your bathing to once a day to avoid natural foot oils from being dried out. A soap that includes moisturizer can also beneficial for maintaining moist and soft feet.
• Avoid too much exfoliation. It is okay to use a washcloth to clean your feet while bathing, but be sure to use it gently. Also, pat your feet dry instead of rubbing them dry to help keep moisture intact.
• Moisturize! Generously apply rich moisturizing cream to your feet after washing. If you suffer from extremely dry feet, try using oil before putting on moisturizer. However, do not leave too much moisturizer. The spaces between your toes should still be dry so that fungus cannot grow easily.
• Stay hydrated. Drink lots of water to keep your body hydrated. Occasionally running a humidifier in your home can also help maintain moisture.

If you have diabetes remember that dry feet can be a common occurrence. Follow these tips to maintain moisturized feet to prevent further foot problems from happening to you! Want more tips to keep feet soft and healthy? Give our office a call today! If you don’t see improvement by using these solutions, be sure to call our office to set up an appointment to consult with Dr. Danciger about further treatment or more serious health conditions.

Follow this link and receive a FREE copy of Dr. Danciger’s book: Understanding Your Diabetic Feet.

The campaign was used to emphasize how consuming too much fast food or sugary sodas can lead to diabetes and the amputation of limbs. Berry was astonished to find the company had used Photoshop to crop out his right leg, making it look like he had an amputated leg. They had even added crutches in the background. Berry supported New York City’s efforts to educate people about the risk of developing diabetes, but he disagreed with the use of a manipulated picture of an able-bodied person, instead of a picture of a real victim suffering with diabetes.

A spokesman for the health department stated, “This issue isn’t about one actor but rather the 700,000 New Yorkers who struggle with diabetes, which kills 1,700 people a year and causes amputations in another 3,000. Advertising to warn the public about health concerns saves lives, and we will continue our efforts to warn New Yorkers about diabetes.”

Although the misunderstanding between Berry and the New York advertising company is complicated, the underlying purpose of the advertisement is true and beneficial for society to know about. Eating high calorie or high-sugar foods will increase your risk of developing diabetes. Obesity is a huge determining factor when it comes to the risk of developing type 2 diabetes. When you put your health at risk by consuming unhealthy foods, you also risk damage to your feet. Diabetics have poor circulation throughout their feet which is called neuropathy. This causes blockage of blood flow and circulation decreases to the point where amputation may be necessary.

To prevent this tragic end, make sure you maintain a healthy weight and diet, whether you have diabetes or to lower your risk of developing the disease. Over 25 million Americans have diabetes. By health departments spreading awareness of the risks and dangers of the disease, hopefully we can help prevent this number from increasing.

If you’d like to get more information about the risks and dangers of diabetes, please call our office.

Jerald Ingram, one of the Giants’ coaches adds, “The guy has an unbelievable threshold of pain. He has played with broken bones, cracked this, and cracked that. His game is football. That’s what he has been doing all his life. When he gets on the field, he is mean. He takes that pain.”

Bradshaw obviously has a high pain tolerance. Back in 2009, he played the season while suffering with two injured feet after having multiple surgeries to insert screws in his feet. This player knows pain, and seems to enjoy it. His teammates recall that his foot would be causing him so much pain during the week that he wouldn’t attend most practices, but come game day he seems to block out his discomfort and plays like a completely different person.

His toughness is what makes up his personality, what makes Bradshaw a great NFL player. No doubt he is inspiration to his team as well. Everyone would think twice about complaining when there is someone on your team playing with a broken foot? However, this decision made by Bradshaw to keep up his tough act and continue to play is most likely doing incredible amounts of consequential damage to his feet.

The fact that Bradshaw suffered serious foot injuries back in 2009, and keeps having issues almost every season since, is reason enough for why he shouldn’t ignore enduring foot pain. Playing any competitive sport, much less the NFL, when your foot injury is not fully healed will only worsen damage and make your foot more vulnerable to further injury, as in Bradshaw’s case. Be sure to get the okay from your podiatrist before participating in physical activity after recovering from a foot injury.

Ahmad Bradshaw may have the reputation of a tough NFL football player, but eventually his pain tolerance will give out. We hope it’s before his feet do.

There are many more ways you can reduce your chances of developing Type 2 diabetes. Staying physically fit is one of the most important factors. Incorporating daily exercise, even if it is only walking, can significantly decrease the chances of developing Type 2 diabetes. Eating healthy is also key. The less sugary or fatty foods you consume, the less chance your body has to develop problems digesting sugars.  Smoking can also affect a patient's chances of developing diabetes. Patients who smoke almost double their chances of developing the disease compared to non-smokers. Alcohol consumption comes into play as well. Drinking heavily causes inflammation of the pancreas which decreases the ability to secrete insulin, and therefore can result in diabetes. Reduce alcohol consumption to one or two drinks per day at the most to prevent your development of diabetes.

Researchers are constantly making new discoveries regarding diabetes prevention. Staying informed works in your advantage; diabetes prevention may be as easy as drinking coffee every morning!

Researchers from Yale University studied 15,000 kids (age groups between middle school and high school) with type 1 diabetes for a period of 14 years. The results from the study were very interesting and disturbing:

• The dropout rate for high school students with type 1 diabetes was 6% higher than the dropout rate for kids without diabetes.
• Adults with type 1 diabetes were 10% more likely to be unemployed by age 30.
• The patients who were employed made an average of $6,000 less than their peers without diabetes.

These facts are worrisome, but there may be a way for helping children with diabetes handle their illness in a more positive way. Sam Fuld, the Tampa Bay's outfielder, was diagnosed with type 1 diabetes when he was 10. He says that having someone to talk to about the disease who knows what it's like can be a great way to feel normal.

Fuld felt there was a need for a camp specifically for kids with type 1 diabetes which is why this summer at the University of South Florida, he's holding a sports camp for children in the area with type 1 diabetes. It's a great opportunity for kids to receive more education about their disease and to connect with children their age who are experiencing the same things.

"I got the message early on that (diabetes) is not a hindrance, as long as you stay on top of it and are conscientious with it," Fuld said.

Dealing with diabetes is something our country will have to get used to in the years to come. The number of children at risk for developing type 2 diabetes will continue to climb until healthy  lifestyles  becomes a priority in our country. Being educated on insulin and blood sugar levels will help the next generation be more aware of the consequences of unhealthy living.

Dr. Dancigerdeals with patients with type 2 diabetes on a regular basis. Foot complicationsare some of the more common side effects of diabetes.

Before resorting to surgery, most podiatrists will seek alternative treatments because surgery on flat feet is invasive and inconvenient for the patient. Some of the most common treatments include braces, physical therapy, medications, icing, supportive taping, and orthotics. A foot brace is a device that holds the foot in a set position to prevent the patient from putting excess weight on the already enflamed tendons. Anti-inflammatory medications and icing are both treatment methods that keeps swelling down and reduce inflammation. Orthotics are similar to bracing and taping except they're customized for your feet and they're much easier to use. Orthotics are simply inserts you place in your shoes that realign your feet to the position they should be in.

In the extreme case that none of these treatments work, surgery may be the only effective treatment left. It's recommended to only have one foot operated on at a time. Having both done at once will leave you crippled and dependent. There are different kinds of procedures for the surgery, but in each case, the doctor will go in and reconstruct the foot in a way so that the patient has an arch.

To read one woman's personal experience with flat feet surgery, click here.

Dr. Danciger is an excellent surgeon who is experienced and effective.

Tennis players like James Blake are gorgeous...except for those things in his tennis shoes. Bunioned, blistered, and callused, James Blake's feet are far from manicured. Many other players also suffer with toenail problems: cracked toenails, blackened toenails, ingrown toenails, missing toenails, the list goes on.

It makes sense when you think about the game of tennis. Players have to be quick on their feet, constantly changing direction, stopping and starting. Their toes are constantly being shoved into the front of their shoes. Jim Courier, a former world No. 1 (1991), could go through as many as 5 pairs of tennis shoes in a tournament. Foot pressure is a serious thing. Tennis matches nowadays are often delayed so trainers can reapply baby powder and adjust medical tape so players' feet can go another hour.

Foot pain doesn't just occur in tennis players though. If you engage in physical activities 2-3 times a week, your feet could quite possibly be subject to damaging pressure. Inspect your feet or have them examined by a podiatrist like Harvey Danciger.

Ladies: stop picking shoes based on style alone. There are plenty of shoes out there that are both stylish and healthy for your feet. High heeled shoes mold your foot into a position that encourages bunion growth, pointing the big toe toward the second toe. All shoes that have pointy, tight toes are less healthy for feet.

Surgery may fix bunions at first, but if your lifestyle does not change, the bunion will return. Before considering bunion surgery, the best thing to do is to make changes to your daily life and see if the symptoms from the bunion subside. It doesn't mean that you have to wear the big orthopedic shoes, it just means that you should find shoes that are more supportive of your feet, like tennis shoes or supportive sandals (not the plastic flip flops).

Dr. Danciger can answer any questions relating to bunions and analyze your bunion to determine whether or not surgery is the best treatment option.

For more information on bunion prevention or living with a bunion, visit our website here.

If you didn't get everything you dreamed of, it's okay. It's the thought that counts. But that doesn't mean that you can't have the left over things on your list, especially if those things are good for your feet. As a doctor, I'm justifying your purchase of that pair of shoes no one bothered to get you, or those inserts that help support your struggling arches. Is it worth waiting for your feet to get healthy?

If you know that you have unhealthy feet, here are some things to remind yourself to do in the upcoming year to ensure foot health:

1. Examine your feet regularly. Look for changes in color, texture, and temperature. Also any growth on the foot is not normal. Make to treat cuts or scrapes with disinfectant and bandages if necessary.

2. Clip toenails straight across. Aside from your inherited foot structure, poor trimming habits are the main cause of ingrown toenails.

3. Choose shoes for your feet. Lots of times we choose our shoes because of style. Do not compromise proper fit and support for style. Shoes come and go, but you're stuck with your feet. Also, when purchasing shoes do it in the middle of the day when your feet are the biggest.

4. Always be wearing something on your feet. Walking around barefoot makes your feet vulnerable to fungus, bacterial infections, cuts, and injuries.

Often times, bunions are an inheritedtrait; some foot types are more prone to develop bunions. Even though they are often inherited, there are still things that many people do every day to worsen the condition of their bunions. If you don't care about your feet at all, you wear whatever shoe you want--regardless of the effects they have on your feet. Women are at higher risk for developing bunions because of the types of shoes they often wear. High heels, for example, are some of the worst shoesyou can wear if you have a foot type that's at risk for developing bunions.

High heels create an unnatural angle for feet to rest at. They put all of the weight and pressure on the front of the foot so that the foot is shoved into the toes of the shoe. The toes of high heels are often pointed and narrow, which puts extra pressure on all areas--especially the bunion. High heels aggravate the bunion and wearing them repeatedly will result in  pain and swelling in the bunion.

If you think you need a bunion checked out by a professional, do not hesitate to call Dr. Danciger's office to schedule an appointment!

Diabetics: do not be fooled! Don't fall for the lie we tell ourselves, "Just one won't hurt anything...right?" By adopting this mentality, you're setting yourself up for failure. Be strong this season; remember: "Eat to Live," not "Live to Eat"--your feet depend on it.

Reader's Digest created a slideshow that explains 10 Super-foods for Diabetics. If you have diabetes and you're looking for some motivation, check out this slideshow.

Here's some tips for taking care of your feet this winter:

-Never walk barefoot, inside or outside.

-Keep your feet warm but don't put them next to a heater or a fireplace. Because of neuropathy, many diabetic patients have burned their feet without knowing it.

-Always wear clean and dry socks. This prevents infection and fungus.

-Wash your feet with warm soapy water every day.

-Eat the right foods this season. Even within good food groups, there are bad foods.

Call Dr. Danciger's office with any concerns about your feet this winter! Dr. Danciger is happy to help any patients with questions or concerns!

Every year, heart disease causes 25% of all deaths; it is the leading cause of deaths in the United States. Preventing the disease calls for lowering cholesterol and blood pressure. You can do this by monitoring your diet carefully and making heart healthy choices. Fat consumption should be the number one thing to watch for. There are good and bad sources of fat. Olive oil, canola oil and trans-fat free margarines are all better sources of fat than butter, lard, gravy, bacon grease, shortening, and cream sauce.

Even if you exercise regularly, you can still be at risk for heart attack, as evidenced by the tragedy in Philadelphia. Heart disease is mainly controlled by diet. Making heart-healthy choices regularly is a necessary step to preventing heart disease if you're at risk.

The Mayo-clinic has created 8 steps to follow in order to prevent heart disease: http://www.mayoclinic.com/health/heart-healthy-diet/NU00196

Source: http://www.cbsnews.com/8301-400_162-57328369/2-runners-die-during-philly-marathon/

Normal people are banding together this year to commit to making healthier choices this holiday season. Through New Year's Day, this band of people (anyone can join!) is committing to running a mile every day to fight off those holiday waist threats. Together, they are finding the motivation and discipline to make sure they put in that mile every day.

You can join the group too and read more about it by visiting http://trainingdaily.runnersworld.com/2011/11/17/announcing-the-inaugural-rw-holiday-running-streak/

If you still want to stay in shape this season, but you don't think running is your deal, there are some easy exercises you can do inside or in your garage.

1. Jumping Jacks: These can be made a little more challenging by holding weights, water bottles, cans of soup, or any other kind of weight you want to hold. Try to do 15 at a time and if you're comfortable with that, then try to do 3 repetitions.

2. Plank: This is a little more challenging but it's an excellent exercise for core strength. http://www.youtube.com/watch?feature=player_embedded&v=kiA9j-dR0oM

3. Push Ups: Drop and give me 10!

4. Jump rope: If you're worried about hurting your knees, avoid this exercise. However, jump rope is an excellent form of exercise if you don't have issues with your knees.  For more easy indoor exercises, visit http://slingingthebull.com/twelve-indoor-exercises-you-can-do-in-the-winter/

If you have diabetes, not only should you be taking special care of your feet, but you should also be carefully observing any changes in your feet. You might note swelling and discoloration, but you might also notice strange structural changes, like the breakdown of an arch.

Charcot Foot (pronounced shar-koh) is a condition where fractures occur in the foot without patients realizing it, so they continue to do their normal every-day things without getting treatment. This usually occurs in diabetic patients with neuropathy. The condition can lead to severe deformities in the foot and could also lead to infections and amputation; so it's very important to catch it early on.

One of the first signs of Charcot Foot is for a part of your foot to be warmer than the other parts and for there to be swelling and redness. Often times , the arch collapses in one of the feet (it can also happen in both feet, but if you think one foot is looking strange, it may be helpful to compare it to the other foot.) Because of the neuropathy, patients don't experience pain so they continue to walk on the injury which leads to ulcers and deformities.

See a doctor if you see these symptoms in your feet. To avoid Charcot foot, try to bear a limited amount of weight on your feet and rest often.

http://www.coachellavalleypodiatrist.com/library/3765/CharcotFoot.html

1. Posture. Do you have to work at a desk most of the day? Looking at a computer?  A lot of times we're hunched over and leaning in looking at our laptops. Try to sit in a spine-neutral position so there's less stress put on your neck and shoulders. You don't have to lean all the way back in your chair, just find a comfortable, upright position where your shoulders aren't slumped over. Extra tip for your eyes: The screen of your computer should be no closer than an arm's length away from you. Any closer puts too much stress on your eyes.

2. Sleep. Getting good sleep and enough sleep is important for your health. Your body heals itself while you sleep. Your mattress is an indicator of how well your spine is being supported. Ultimately, it's your preference whether you want a firm or soft mattress, but you want to make sure that it's not too soft because your spine needs support. Some mattress stores will let you try out a mattress for a couple week, which is a great way to find what you really like.

3. Exercise. By exercising regularly, you can actually reduce pain. Getting extra movement for your joints can be great for maintaining strength and mobility. Walking is an easy source of exercise, but make sure you're doing it right. Try taking longer strides. If you incorporate your arms while walking it adds momentum to your stride and you'll also ensure a full body movement.

http://www.webmd.com/parenting/healthy-family-choices-11/avoiding-pain?page=1

Injuries of the plantar fascia can be very painful. Plantar fasciitis (also known as a heel spur) is heel and arch pain on the bottom of the foot that results from overpronation of the connective tissue on the bottom of your foot.

There's a steps you can take do to avoid plantar fasciitis. 1) Stretch your plantar fascia before running or engaging in activities. Even if you're not going to do something strenuous, it's not a bad idea to stretch your feet periodically.  2) Wear shoes that support your arches or put  arch-supporting inserts in your shoes. Your shoes should cushion your feet and support your arch. Have you ever walked around all day in a pair of cheap flip flops? At the end of the day, the bottom of your feet feel like they've been pulled apart.  3) Ice if you need to. If the pain gets to be bad, take a break from being on your feet by icing them and maybe an ibuprofen to reduce swelling.

For more information on Plantar fasciitis, visit our plantar fasciitis webpage: http://www.coachellavalleypodiatrist.com/library/1915/PlantarFasciitis%28heelspur%29.html

For years, Drew Carey suffered from Type 2 diabetes, brought on by unhealthy lifestyle habits and depression. Type 2 diabetes is the type of diabetes that is usually brought on by poor choices for your health including  unhealthy eating and lack of exercise. In Carey's case, his choices were what brought on the disease. 

A tear of the Achilles tendon can occur if the tendon is tight and you start an explosive movement, like sprinting, before the tendon is warmed up.  There is a weaker area of the tendon, because of a poor blood supply, where the tendon usually tears.  This is very likely what happened to Alex that evening.

Sometimes conservative care with casting and non weight bearing can be can be a form of treatment, however surgery is at times needed.

If you suspect an injury to the Achilles tendon, see your podiatrist immediately.

Most people do not equate skin cancer with the feet.  Most people think that skin cancer occurs on parts of the body that are exposed to the sun’s harmful rays.  This is not true when it comes to the feet.  Cancers of the skin on the feet are most often related to viruses, exposure to chemicals, chronic inflammation or irritation, or inherited traits.

Most of the skin cancers of the feet have some common features.  Many of them are painless.  People relate a history of bleeding, cracking or ulceration to the area as another sign.

A Basal Cell Carcinoma is a type of skin cancer that is very often seen on sun-exposed parts of the foot.  The tops of the feet can be sites of this type of cancer, especially in warmer climates where people wear sandals, flip flops and have their feet exposed to the sun’s rays.  This type of cancer is one of the least aggressive types.  There are many different ways this cancer can appear, and they often look like non-cancerous types of lesions or ulcers.

Squamous Cell Carcinoma, the most common form of skin cancer on the feet, usually does not spread.  The cancer is typically confined to the skin.  This type usually starts as a plaque or a small bump which has scales.  It may look like the area is inflamed.  Often they are painless, but you may notice they itch.  They can be confused with a plantar wart, fungus, ulcer as well as other skin problems.

Malignant Melanoma can be deadly.  Nonsurgical treatments are not typically effective.  Due to this being one of the deadliest types of skin cancers, early detection is important to help with patient survival.  These types of cancerous lesions can occur on both the top and bottoms of the feet as well as under a toenail.  There are many different appearances to this cancer, however they usually will demonstrate irregular borders, asymmetry, different colors and are usually larger than 6 mm in diameter.

If you notice a spot on your foot that doesn't look right to you, call and visit your Podiatrist.  We will perform a biopsy and based on the results of that biopsy, determine the necessary treatment. You may need to be referred you to an oncologist if necessary. Watch your feet for suspicious spots that could be cancer. If caught early, you may be able to save your foot--and even your life. 

Why does my butt, hip, thigh hurt when I walk?  Why do I feel numbness, tingling, aching or pain in these areas when I walk, but it is relieved by rest?  Why do I get fatigue with walking?

Does this sound like you?  If it does you may be suffering from Peripheral Arterial Disease, PAD for short.  PAD affects millions of Americans.  Many people have no symptoms yet but have PAD. 

Why is this important?  Persons with PAD have a two – six fold increase in developing a heart attack or stroke.  This can be devastating.  That is why it is important to tell your doctor if you have any symptoms of peripheral arterial disease, or if there is a family history of this disorder.

If you have a history of smoking, high blood pressure, heart disease, high cholesterol you are at increased risk for PAD.  Diabetics are more prone to develop PAD as well.

Simple, non invasive testing can be done in our office to determine if there is PAD involved.  The sooner you find out if you have PAD, especially in the early stages, the better off you are. 

Golfers can end up having pain in the feet in many places.  The more common areas are:

1.  The big toe joint.  This is because of the foot motion during the golf swing.  There is increased pressure noted in the big to joint, putting extra stress on this area.  If there are any arthritic changes in the joint, this increased pressure can cause pain.  Over time, bone spurs can form restricting motion further at the big toe joint making normal ambulation painful and at times trying to move the big toe very painful as well.  The golf swing will then exacerbate the problem.
    
2. Heel Pain.  Many golfers experience heel pain.  The motion of the foot during the golf swing can put increased pressure and pulling of the plantar fascia.  This can result in pain overt time.  The plantar fascia is the tight band going from the heel to the ball of the foot.  After playing a round of golf, patients relate increased pain later that night of the next day.
    
3. Toe Pain.  Hammertoes, or the contracture of the toe, can cause pain in golf shoes or other shoes.  There is friction and pressure to the toes causing redness and inflammation.  Corns, or thickening of the skin, can develop and cause pain.

These problems are very common with golfers.  There is no need to suffer; podiatrists can keep you playing golf for many years without pain.   See them early on for the best treatment options.

What is the growth plate?  The long bones in the body grow, become larger over time as the kids grow.  The growth plate is at the end of the bone and allows this growth to occur until maturity when the growth plate is now incorporated into the bone and growth ceases.  During the growth period, this area of the bone is softer than regular bone and can become injured.

Injuries and accidents happen in children.  This can cause a separation, compression, deformity or angulation of the growth plate.  This can result in growth disturbances as the child grows.  That is why it is important to have your kids evaluated and treated.   Left untreated, this can cause an abnormality in the length or angulation of the bone growing and cause the child problems for the rest of their life.  The changes which occur due to an injury can be subtle and need the expertise of your podiatrist. 

Have you known anyone who said they had their foot collapse overnight?  They woke up and their foot was flat.  They had pain on the inside arch area when they tried to stand and walk.  Looking at the other foot, it appears normal.

This is a condition which could be caused by a dysfunction of the posterior tibial tendon (PT) or rupture of this tendon.  This tendon runs along the inside of the ankle and into the medial or inside of the arch area of the foot.  The PT tendon can be under repetitive stress with normal ambulation, if there are deformities in the foot which cause the foot to pronate (roll inward) excessively.  Over time, the posterior tibial tendon can weaken and or tear, causing a collapse of the foot and arch.

Many times if the person tries to rise up on their toes, one leg at a time, they are unable to do this on the affected side and foot.

Ultrasonography and MRI can view the tendon and determine any tears or inflammation.  Treatment is aimed at eliminating the pain and can be conservative with orthotics, physical therapy and or bracing.  Surgery is sometimes needed if conservative measures are not enough relief.  The sooner treatment is sought, the better the chance of success.  Dr. Danciger has helped many patients with this condition.

Do you notice that your toe is lifting up off the ground all of a sudden?  Do you have pain under the ball of the foot?  This may indicate a problem with the plantar palate.  The plantar plate is a ligamentous like structure which is located under the metatarsal phalangeal joint, (MPJ.)  If this structure gets injured or tears, the stability of the MP joint is compromised.  This can allow the toe to move medially (inward) or laterally (outward) on the metatarsal head.  It can also allow the toe bone to lose its stability at the joint and starts to move upwards off the ground.

You can tell if you have this problem by palpating the area.  If the plantar plate is injured, you will have pain on the underside of the toe near the ball of the foot.   A tuning fork can reveal pain in this area.

The podiatrist may try a maneuver to move the toe up and down to evaluate the looseness in the area.  This may cause pain indicating a tear in the plantar plate.

Treatment can be started conservatively with many patients getting better.  Splinting the toe down to relieve stress, using pads to the area, and functional orthotics has been successful for many patients.  Surgery can be done if the above measures fail.  Seeing your podiatrist early for a definitive diagnosis is very important.  X-rays, ultrasonography can be used to help diagnose the problem. 

A health study was done by Dr. Dariush Mozaffarian, of Harvard School of Public Health, which measured the toxin levels in many thousands of toenail clippings.  They found out that eating fish and the mercury content did not raise the risk of people developing either heart disease or stroke.

Health experts have long told us that eating fish was good for us to lower heart risks, however they were concerned about the mercury levels in certain fish might counter-act the benefits.

This unusual study, funded by the government, measured the mercury found in toenails, which is a very good gauge of the long term exposure of mercury from fish consumption.

The study found that there were no differences in the rates of stroke or heart risks in those with the highest concentrations of mercury compared to the people with the lowest concentrations.

The conclusion was that people should eat fish as part of their healthy diet and not worry about any ill heart effects. 

Tuesday, March 22, 2011 is the 23^rdannual American Diabetes Association Alert Day.  This is a day to wake up and “Join the Million Challenge” by finding out if you are at risk for developing type 2 diabetes by taking the diabetes risk test. 

Diabetes affects nearly 26 million Americans.  Almost 25% of these people are unaware that they have they disease.  This needs to be changed.  Persons with pre-diabetes, blood sugar levels are elevated but not high enough to classify them as diabetic, account for 1 in 3 American adults.  If left untreated, these people have a greater risk of developing type 2 diabetes and the resultant complications from diabetes.

Type 2 diabetics often live without any knowledge they have the disease because they have no symptoms.  Not until they develop a complication, like kidney disease, heart attack, stroke, peripheral vascular disease, nerve damage and or eye damage, do they find out they have diabetes.

The Diabetes Risk Test helps determine if you are at risk.  By answering questions about  your weight, age, family history and other risk factors, you can become better aware of the chances of developing type 2 diabetes.

Take the FREE test at www.stopdiabetes.com, or call 1-800-342-2383.  Your loved ones will thank you. 

Peripheral arterial disease, (PAD), is a disease where fatty deposits can build up on the inside linings of the arteries.  This causes a restriction or decrease of blood flow to the various organs and muscles of the body.   Especially vulnerable are the stomach, kidneys, arms, legs and feet.

Did you know that this disease, PAD, accounts for nearly 50% of all the amputations which occur in diabetics!  It is also a major cause of amputations in the non-diabetic population as well.

PAD affects 12-20% of the people in the United States who are age 65 years or older.  Diabetics over the age of 50 have a 3 times greater risk of developing PAD than non-diabetics.  The reason this is important is that PAD carries with it a five year mortality rate of 30%.

If this is not enough of a concern; a patient with PAD faces a six to seven fold increase in risk of having a heart attack or stroke.

Not every person with peripheral arterial disease will have symptoms.  Diabetics, because of neuropathy, may not have any symptoms but have advanced stages of PAD.  The neuropathy is masking the symptoms normally associated with PAD.  Pain in the legs, thighs, or buttocks when walking; and is relieved by rest, is a symptom of PAD.  Pain in the legs or feet while lying in bed, that is relieved by hanging the feet down or getting up and standing is another symptom.

Early detection of peripheral arterial disease is important to helping you maintain a healthy, active lifestyle and decrease the above risks associated with PAD.  Your podiatrist is often the first doctor to diagnose PAD as we are aware of subtle changes which occur in the lower extremities which can indicate the disease process.   If you have any symptoms of PAD, see your podiatrist for further evaluation.

Jennifer Grey, the reigning champ from Dancing with the Stars, recently had surgery for her neuroma. She had continued pain throughout the contest and eventually needed surgery. High heels and tight shoes can aggravate the problem causing increasing symptoms. Many times the person takes their shoe off and rubs the foot to relieve symptoms. X-rays may be taken to rule out any bone problem. Ultrasound can be used to visualize the neuroma.

Do you have pain in the ball of your foot? Do your toes cramp up when in a shoe? Do you have an electric shock which radiates into the adjacent toes? If you answered yes to any of these questions, you may have a neuroma.

What is a neuroma? A neuroma is and enlarged nerve which can occur in the foot. There can be inflammation of the nerve also. When this occurs, pressure from the metatarsal bones, the long bones behind the toes, can cause further irritation to the nerve and pain.

Treatment can consist of wearing wider shoes, insoles, functional orthosis, injections, anti-inflammatory medications. If these forms of care are not enough, then surgery may be necessary.

Patients will come into the office concerned about a growth or lump on the bottom of their foot. They cannot remember anything which could have caused this to appear. No injury that they remember. They typically tell me that while they were in the shower, they noticed something when they were washing the foot. They don't know when it first appeared, only that it is there now. Many of them state there is no pain involved, but they are concerned since it is there. Some patients have pain when they walk because of the pressure of the growth.

These growths are called fibromas or plantar fibromatosis.

Most often the growth feels like a hard nodule, sometimes the size of a pea, sometimes larger. It often forms in the medial or inside slip of the plantar fascia, the band of tissue that attaches from the heel to the ball of the foot. If examined closely, there are oftentimes other nodules present. Ultrasonography can be done in the office to get a clear picture of the growth and determine the size.

Treatment can range from watching the growths to see if there is any change in size, (if it is not painful), or attempting to decrease the size of the lesion, or surgery to remove the growth. For some people, massaging the growth twice a day can soften and decrease the size over time. Sometimes an injection into the lesion can accomplish the same result. Orthosis can sometimes be utilized an the treatment as well. If conservative measures are not enough to alleviate the symptoms, surgery is sometimes necessary.

Athlete's foot, or tinea pedis, can cause the above symptoms; however, the itching occurs all day not mostly at night. This is an infection caused by a fungus which can produce dry, scaly, red skin and can also cause maceration between the toes. It may occur on a specific area of the foot, both feet and between the toes. Keeping the feet clean and dry and using antifungal powders in the shoes along with topical antifungal medication may eradicate the problem. If this is not satisfactory, your podiatrist can prescribe medication that will take care of the problem.

Xerosis, or dry skin, can cause itching in the feet. Once you scratch the area, histamine is released which causes more itching and the cycle to continue. Hydrating the skin is very beneficial and can get rid of the itching. Start using a moisturizer three times a day on your feet and when under control switch to two times daily.

Another problem is called contact dermatitis. This is a condition when a material or chemical, very often ones in shoes, come in contact with an area of the foot and causes a skin reaction which can cause itching. Many times one can see the areas of contact when the shoe or sandal is worn. It is usually confined to the areas which touch the shoe and can occur on both feet. Finding out what the chemical in the shoe or material used will help prevent future outbreaks. Hydrocortisone cream is often used to relieve the symptoms.

There has been much talk from companies that manufacture "toning shoes" about how they will help you burn more calories during your normal activities. Many people have believed this to be true and have purchased such shoes. When they start to wear them, many have noticed they are getting pains in the Achilles tendon and back of the legs. Why is this?

These shoes can cause the center of gravity of your body to be towards the heel. This causes increased stress and stretch to the Achilles tendon causing pain from overuse during walking, running and activities. This is why many of my patients are coming into the office with leg and Achilles tendon pain after they started wearing these shoes. They are getting more stress to the Achilles tendon with each step causing injury.

Studies have not shown any increased calories being burned during activity with these shoes. What is happening is causing the person to use muscles at different times during the gait cycle due to the imbalance these shoes allow. That is why some people feel their muscles getting tighter.

These types of shoes may be beneficial for people with arthritis in the feet, who walk with a very slow gait because it will help them rock forward during ambulation.

A final word of warning! Be careful if using these shoes and be aware of any pains in the back of the legs and Achilles tendon. If you notice these symptoms, see your Podiatrist for care.

Do you feel stressed during this time of year around the holidays? Do you feel that you have to go shopping, buy many gifts, and then carry them around while you do more shopping? This is what many people do which is vastly different from their everyday activities.

This puts them at a greater risk of developing a stress fracture in their foot. When activity levels increase rapidly, or carrying more weight for periods of time, can cause increase stress and forces to the bones in the foot and may weaken them. This causes them to fracture or break, which will result in the foot swelling and there being pain noted on weight bearing. Often times the foot is not swollen in the morning, however, it becomes more swollen and painful as the day progresses and you are on your foot. Day by day the foot gets worse, both swelling and with pain.

If you have to do a lot of shopping, wear good supportive shoes and take breaks periodically. Try and have a cart to carry the purchases so you are not adding extra weight that your body has to support. Take it easy the next day to help relieve the stress.

If this is happening to you, see your podiatrist for care. The earlier treatment is started, the quicker you will be back on the road to recovery.

Do you experience heel pain? Does the pain seem to hurt the most as soon as you step out of bed first thing in the morning? If you feel a sharp, stabbing, achy pain on the bottom of your heel as soon as you take the first step in the morning or even after long periods of sitting, you may be experiencing "plantar fasciitis" or also referred to as "plantar fasciosis."

Every time you step down and put weight on your feet, your feet adapts to the surface by flattening out. This motion causes the fibers on the bottom of your feet to stretch out and it pulls onto your heel bone, or calcaneus, causing an inflammatory reaction that your mind perceives as pain. After long periods of inactivity, such as during sleep, these fibers stay contracted until you take your first step out of bed. This morning pain is referred to as "post-static dyskinesia," roughly translated to be "after immobilization movement." So after a period of not moving, the pain is incited once you move.

The most common cause of heel pain is generally irritation to the plantar fascia but other causes such as stress, trauma, a cyst, tendon injury, or arthritis may also cause heel pain. All have a slightly different characteristic so it is important to be able to describe your pain to your physician. Your doctors may also order x-rays to rule out a more serious condition or use ultrasound to help diagnose the problem.

Almost anyone can get plantar fasciitis and it worsens in people with a high body mass index. With more weight being exerted on the feet, the fascia continues to stretch and overtime it becomes irritated and inflamed much like overstretching a muscle. With early diagnosis, the majority of cases can be treated without surgery.

Many patients come into the office with painful toenails that grow into the side of the skin. The pressure from the nail causes pain. Redness and swelling in the area are dead giveaways. It is very common to have ingrown nails in the big toes but it can also occur in the little toes too. When patients come seeking medical care for ingrown nails, the solution is very simple. Depending on the severity of the pain we can easily remove a wedge of the nail that is piercing the skin. This will provide temporary relief and will be the treatment of choice for many. Since the nail grows slowly at a rate of 0.1mm per day, many will choose to have frequent visits to their podiatrist to take care of the ingrown nail.

The problem with ingrown nails is when care is delayed and the skin becomes infected. Whenever there is a break in the skin, bacteria can crawl into that space and cause an uncomfortable infection. If there is some yellow colored discharge coming from the site of the ingrown nail that is how you know it is infected. Some people will experience multiple infections every few months when the nail grows back into the skin. One way to solve this problem is to remove the wedge of nail. Removing the source of the problem, the nail, should be sufficient to allow the infection to go away in a few days. Also, soaking the feet into salt water will help with the drainage too. This is often recommended when patients have had permanent nail removal. The salt soak will also help with the healing process.

If ingrown nails are especially bothersome and are chronic, permanent nail removal is an option. There are many ways to permanently remove the nail, either partial removal of the border or complete removal of the entire toenail. This procedure can be performed in the office allowing you to go about your day afterwards. However, it is important to discuss with your podiatrist what technique they are using and the rate of recurrence, as it does happen on occasion. You may be pleased to know that the majority of permanent nail removal will alleviate your toenail pain without any complications.

As the big toe moves laterally, or towards the lesser toes, and the 1st metatarsal bone, the long bone behind the big toe moves inward, this creates the bump that people see. This area becomes aggravated by pressure and can then become inflamed, swollen and very painful. Walking can be hampered and wearing shoes can be extremely painful.

The tendency to develop bunions can be hereditary. This is usually due to muscle imbalance around the big toe joint, caused by faulty foot mechanics and function. This puts an abnormal force on the muscles and tendons around the big toe joint and over time causes the pulling of the toe towards the little toes, creating the bunion.

If diagnosed early, padding, shoe therapy and functional orthotics may help alleviate the discomfort associated with the bunion. Left untreated, the bunion can cause arthritis to develop in the joint with joint destruction. Moving the toe can become very painful and difficult. The patient will not be able to perform many of life's daily activities due to pain. If conservative care does not afford the person enough relief because the bunion has become large, then surgery can be done to re-align the toe joint and restore better function. This can put the patient back on their feet and help them achieve a more active lifestyle.

With the increased running craze, many people are attempting to run a marathon or participate in the triathlon. As a result, I am seeing more patients with a stress fracture come into the office. Many of them are new to running and have not gone through the proper training for their event. As a result, they are running long distances which put an increased force or stress on their bones which can cause hairline cracks or breaks in the bones of the feet. They wonder why their foot hurts and swells.

Signs of stress fractures can include pain, redness, swelling and sometimes a bruised appearance. Many people think it is not possible to walk on a foot with a fracture. This is not true. Just because you can walk on the foot, does not mean that the bone is not broken or that there is not a more serious problem.

Improper training is a common cause of stress fractures in athletes. Many people try to do too much too soon. A good rule is not to increase your mileage by more than 10 percent per week. You should also allow time for rest between workouts for your body to repair itself.

It is also important to wear the proper shoes and shoes that fit properly. If your feet pronate excessively, you may need custom orthotics to help prevent injury.

Early diagnosis and treatment are important to ensure proper healing. If you think you may have a stress fracture, follow the RICE principle. R is for rest, I for ice, C for compression and E for elevation. If pain continues for a few days, then you should come into the office for diagnosis and treatment.

With proper care, you will be on your way to reaching your athletic goal.

Rheumatoid arthritis affects about 1% of the population in the United States. Many of these people, close to 90%, will go on to develop chronic foot problems. The most common complaint is pain under the ball of the foot, or metatarsalgia. This is because the joints most often affected in the foot are the metatarsophalangeal joints; the joints where to toes meet the foot.

Different types of foot deformities seen in patients with rheumatoid arthritis include Hallux Valgus or bunions, hammertoes, and widening of the foot with the toes going or pointing toward the little toes.

Rheumatoid arthritis causes joint destruction. This will lead to joint instability, enabling the toes to move out of position. This in turn can cause increased forces to the bone causing instability and the pressure on the bone can cause some erosion to occur at the level of the articular cartilage of the joints. This can lead to an increase in pressure under the ball of the foot and increased pain. At times, rheumatoid nodules (soft tissue growths) will develop and cause pain and difficulty walking.

Inserts and orthotics have been shown to help alleviate the pain and discomfort in some patients presenting with the above problems. If conservative care does not afford the patient relief, surgery may be the solution to getting the patient pain free.

See your podiatrist today if you are showing any signs or symptoms of rheumatoid arthritis. Early detection may give you many more years of pain free ambulation.

Golf is a very popular sport here in the Coachella Valley. Golfers can put excessive stress to their feet during the swing, and over the course of 18 holes, can develop many different injuries. Most common types of injuries are metatarsalgia or pain in the ball of the foot, heel pain, tendonitis, and neuromas.

Neuromas most often occur in the opposite foot to which the person is swinging, i.e.: if swinging right handed, the neuromas is typically in the left foot. This is due to the excessive pressure and forces on that foot during the swing, and becomes more pronounced on longer shots. The symptoms can include burning, tingling, numbness and shooting pains into the toes, usually the third and fourth toes.

Ankle pain can also occur due to the extra motion noted at the rear foot ( heel) area during the golf swing, especially on the follow through. This occurs mostly on the opposite ankle of the swing. Repetitive stress causes the ligaments to become strained and painful. Sometimes the ankle can swell.

Tendonitis can also develop in golfer's feet. Many times the driver of a golf cart will develop tendonitis due to the brake pedal of the golf cart being made of two pieces. The golfer may complain of pain on the top of the foot, along the tendons. The bones are not painful.

Heel pain is another common complaint. Because of the excessive pronation of the feet during the golf swing, stress and pulling of the plantar fascia occurs. This repetition of pulling can cause heel pain in either foot. Over time, this becomes chronic and the pain increases.

So if pain during golf is getting you down, come see us for treatment to get you back on your feet quickly.

At this time of year when children are going back to school, parents should be reminded to have their kids seen by a podiatrist. This is the perfect time to get that yearly check-up and make sure there are no foot, ankle, or leg problems which would interfere with the daily activities and sports your children will be doing at school. If there are problems which are not attended to, this can cause disability and future problems which the child may develop. As activity levels change and increase, more stress is put on the lower extremities, which can then aggravate existing problems and deformities, causing pain, difficulty walking, running or doing normal activities.

At a time when many school districts have less funding for nursing staff and physical education staff, causing a reduction in these personnel, children are at a greater risk for injury. This makes it even more critical to have your children see their podiatrist yearly for examinations.

Younger children can injure themselves while playing sports, and if they have pain and can not walk, they should be seen to make sure there is no fracture through the growth plate of the bone. The growth plate is a separate area of long bones which allows the bone to grow and reach the adult size, at which point there is no further growth of that bone. Fractures in this area require experience in knowing what to look for on x-rays and through examination, all qualities podiatrist have. We treat the feet and ankles all day and have vast knowledge of the injury mechanisms and what to look for when someone injures their foot or ankle. It is possible to twist and ankle and break the bone up in the leg or in the foot, but the patient may only complain of pain in the ankle. This is where experience counts.

Healthy feet, ankles and legs can help your children grow and develop normally. Isn't this what all parents want for their kids!

Leg pain, cramping, swelling, numbness, or skin discoloration are common complaints that physicians hear from their patients. These may be the early signs of arterial disease of the lower extremities. About 33% of the estimated 9 million adults with peripheral arterial disease (PAD) experience physical signs or symptoms of such intensity or frequency that they should seek medical help if they have not already.

Understanding and managing PAD is a process that requires specially trained medical practitioners, who often use special testing equipment to help determine the cause of the symptom. The doctor needs to be aware of the symptoms, sometimes they are very subtle, to help in the early detection of vascular disorders.

Patients will usually go to their GP when they experience episodes of leg pain, cramping, or other signs of leg discomfort. The GP normally refers the patient to a Hospital vascular lab that specializes in the evaluation and management of arterial leg pain. But with new technology, we can now provide a baseline test in our office and still get immediate feedback from specialists. This allows for a quicker diagnosis, less money spent by the patient, and a quicker beginning of therapy and treatment.

Leg pain is caused by many different health disorders. The diagnostic process begins with the practitioner taking a thorough medical history of the patient. Based on that history, the practioner will decide upon a course of action that may include further diagnostic testing.

DIAGNOSING LEG PAIN

Specialized equipment is sometimes called for when diagnosing PAD. A new development in diagnostic technology well suited to Podiatric offices is PADnet, which measures functional status of the limbs by recording segmental blood pressures and segmental blood volume and communicates results immediately via a web interface to specialists for interpretation; these measurements provide practitioners with a clear, measurable sign of what is going on with a patient's lower extremity arterial system. PADnet is actually a group of tests that contributes to the overall diagnostic process. This test has enabled the early diagnosis of vascualr disease (PAD) in thousands of patients.

Dr. Danciger recommends that anyone experiencing leg pain or discomfort should first seek medical advice from his or her physician. To ensure an accurate diagnosis, however, patients should feel comfortable in asking their doctors whether they need a noninvasive vascular test like PADnet.

Turf toe is an injury to the first toe joint of the foot. It is a soft tissue injury to the tissues around the big toe joint. Anyone can get turf toe. If you apply a force that causes the big toe to extend beyond its normal range of motion, the soft tissues can be injured and turf toe can ensue.

When you sprain the ligaments around the big toe joint, the result is turf toe. The ligaments allow the toe to move up and down at the joint. If they become sprained, there is pain each time the toe moves. Turf toe is commonly associated with football players playing on artificial turf, however anyone can develop this injury if the force through the big toe joint is abnormal, causing a hyper-extension of the toe.

Usually the injury and force is a sudden force to the big toe joint, hence more common in athletes. Not only does it occur on artificial turf, but can occur on grass surfaces if the shoe is too flexible and does not have enough support for the foot. This can allow the foot and big toe joint to bend to far, stressing the ligaments.

Turf toe symptoms include pain at the base of the big toe. Swelling may occur. Moving the toe becomes painful and decreased range of motion follow.

To diagnose the injury, examination of the foot will be done. X-rays, ultrasound, and other imaging tests may be needed.

Treating turf toe begins with resting the injured area and restricting motion of the joint. Physical therapy may be needed after the injury heals, to re-gain motion and strength of the injured toe. Sometimes, orthotics are needed to be worn so the foot will be better supported and functioning better.

Most people put others off when they hear them complain of the pain they have with an ingrown toenail. Others dismiss it as a small and insignificant problem. "Why are you complaining," they say, "after all it is just an ingrown toenail?" Then something funny happens. These same people that said it was nothing develop an ingrown toenail or onychocryptosis, themselves and come limping into my office in extreme pain. They say they did not realize how painful an ingrown toenail could be, that even the bed sheets cause extreme pain to the affected toe. They can not wear a shoe and never realized what a problem an ingrown toenail could be.

These often neglected ingrown toenails can become infected and swollen. The toe becomes red and the skin around the nail becomes enlarged. The skin seems to pop out from around the edge of the nail. Drainage in the area can be from clear fluids to pus. The side of the toe and the area around the cuticle can become irritated and infected. Left untreated long enough, the toe bone can get infected, making for a serious complication.

Ingrown toenails can be caused from hereditary reasons, injury to the nail and nail bed, infection, improper trimming of the toenails, and many times after a pedicure. If you have any discomfort, see your foot doctor for care. Stay away from attempting bathroom surgery on your own, as this usually makes the problem worse!

Treatment for ingrown toenails is a simple procedure performed in the podiatrist's office. People leave stating they did not realize that relief could be so quick. They wonder why did they wait so long and become excellent referral sources.

--Harvey R. Danciger, DPM

How a Fungus Toenail can affect your Sex Life

Has this ever happened to you? Your toenails become discolored, thick and crumbly causing you an embarrassment to take your shoes and socks off. Don't want to wear sandals because your toes will show. You avoid going to the beach or doing any activity which exposes your toes! Your life becomes a prisoner to your toenails.

This may sound far fetched, but it is not. People of all ages can experience this problem. I even had a patient in his 90's who stated since developing a fungus in his toenails, his sex life was non existent. Onychomycosis is the medical term for fungus toenails. He became depressed and came into my office with his granddaughter for help. He wanted treatment. She said he was not smiling or happy anymore because of his toenails and how they were affecting his life.

Well, after treating the mycotic toenails and making them look normal again, his attitude improved, he was smiling again, and yes his sex life was back to normal for him.

Not all discolored toenails are fungal toenails. There are other conditions which can cause the nails to mimic a fungus toenail, so diagnosis is very important. Only then can proper treatment be instituted. Don't let a problem such as mycotic toenails affect your self esteem and sex life. Come in for treatment and get back to your normal life.

--Harvey R. Danciger, DPM

These can be the five most dangerous words related to foot pain. These are words most often repeated from patients during my years of practice. People tell me they had the problem for a few days, weeks or months. The reason they did not seek treatment was because 'They Thought It Would Go Away."

This attitude can be troublesome to people, especially diabetics. A small problem can rapidly become a major one; with infection, deformity and possibly amputation resulting.

Most people will have increasing pain and will eventually call for an appointment. Diabetics, however, because of the lack of feeling in the feet (neuropathy), poor vision and other medical problems which make it hard for them to inspect their feet, will often not have pain and not understand the seriousness of their problem. They do not come to see a doctor at the first signs of a problem.

Pain is not normal in the feet, and should be evaluated at the first symptoms. Pain is a signal that something is not in balance and correct.

Non diabetics should be seen early as well as treatment can be directed to the problem thereby getting them better much sooner than if the problem becomes chronic.

Have you heard yourself saying theses words? If so, you now know how dangerous they can be.

Harvey R. Danciger, DPM

To keep your feet and the rest of your body feeling great, Dr. Harvey Danciger recommends these exercises and treatments that will leave you feeling happy and healthy.  Exercises and treatments include:

• Exercise your feet to strengthen muscles and stretch ligaments. To achieve this, sit barefoot and spread your toes apart as wide as you can and then scrunch them back in. Repeat this 10 times. Next, make circles with your ankles, 10 in each direction. These foot exercises will help align your body and prevent back pain from occurring.
• Freshen up your feet. Thoroughly cleaning your feet can easily be ignored altogether during a rushed shower. However, skipping out on scrubbing your feet for a deep clean can allow dead skin cells to build up, which can produce breeding grounds for nail fungus, infections and warts. To prevent this from happening, take the time in the shower to take a nailbrush and soap to your toenails.
• Reconsider your shoe choice. As you grow older, soft tissues that support your foot arch lose their resiliency. Wearing high heels or thin-soled shoes can add to arch damage and create foot pain. Instead, stick to wearing low wedged heels that will help distribute your weight more and reduce pressure on the balls of your feet and heels.
• Give your feet time to relax. After a long day spent on your feet, they and you need some R and R time to recuperate. To relax your tired foot muscles, fill a basin with warm water and add Epsom salts to it. The salt works to soothe muscles and also can be used as an anti-inflammatory to reduce swelling and pain. Soak your feet for 20 to 30 minutes.

Treat your feet with the proper care they deserve and the rest of your body will feel better as well! For more foot care tips, contact our office to set up an appointment with Dr. Danciger.