All posts by Foot & Ankle Center

RICE for Foot and Ankle Injuries

If you’ve hurt your foot or ankle, it’s best to err on the side of caution. The acronym RICE can help you remember what to do:

Rest—Rest the affected area. Stay off the injured foot or ankle until it can be fully evaluated. Walking, running, or playing sports on an injured foot or ankle may make the injury worse.

Ice—Apply ice to the affected area as soon as possible, and reapply it for 15–20 minutes every three or four hours for the first 48 hours after injury. Ice can decrease inflammation.

Compression—Wrap an elastic bandage (such as an Ace® wrap) around the affected foot or ankle. The wrapping should be snug, but not so tight as to cut off circulation.

Elevation—Elevate the affected extremity on a couple of pillows; ideally, your foot or ankle should be higher than your heart. Keeping your foot or ankle elevated also decreases swelling.

If pain, swelling, bruising, redness, or difficulty walking continue, it’s time to see us.

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Power Shoes: Choosing The Right Footwear For Climbing The Corporate Ladder

Climbing the corporate ladder requires marketable skills, initiative, creativity, and … the right shoes? While the importance of proper footwear may seem obvious for professions that require standing or walking all day, such as waitressing, nursing, or cooking, poor shoe choices can also trip you up in an office setting.

“At best, sore feet can be a troublesome distraction when you need to concentrate in a meeting or be at your best during a job interview,” says Catherine Hudson, DPM, a podiatrist at Foot and Ankle Center and member of the American Podiatric Medical Association (APMA). “At worst, severe foot injuries from poor footwear can require corrective surgery that puts you out of commission—and out of the office—for extended periods of time.”

While you may assume that some professions are more prone to injury than others, or that women wearing high heels are more at risk, everyone working nine to five should take steps to ensure he or she heads to work every morning wearing shoes that will help—not hinder—job performance.

When you’re choosing a dress shoe for work, keep these tips in mind:

Shoes for women

  • Avoid wearing heels higher than two inches. If you choose to wear very high heels for a meeting or other work occasion, limit the time you’re in them and change into a lower, more comfortable pair as soon as possible.
  • Vary heel height from day to day. Look for “walking” pumps—also called “comfort” or “performance” pumps—with mid- to low heels. APMA offers a list of shoes that have earned its Seal of Acceptance for promoting good foot health, available at www.apma.org/seal.
  • Look for plenty of toe room. Ideally, pumps with wider, rounded, or square toe boxes give your toes more room. “Avoid shoes with pointy toes that squeeze digits into unnatural positions,” says Dr. Hudson. “Cramped toes can cause a host of foot woes, from bunions to ingrown toenails.”
  • Choose wider heels that offer more stability. Stiletto heels and similar pointy heels are less stable and may cause spinal misalignment and ankle injuries.
  • Beware ballet flats. You may think no-heel shoes are better for your feet, but often that’s not the case. Ballet flats offer little cushioning or support, and can also cause foot problems such as plantar fasciitis, an inflammation of the tendon that connects the heel bone to the toes.
  • Regardless of heel height or shoe style, look for shoes that offer adequate arch and ankle support, and plenty of cushioning.

Shoes for men

  • Look for good quality oxford styles—like wing-tip or cap-toe designs—which tend to be best. You can also opt for slip-ons, dressy loafers, and low dress boots.
  • Avoid wearing the same pair of shoes every day. You should have at least three or four pairs of good quality professional shoes.
  • When shoes become too worn to be supportive anymore, replace them. You may be tempted to hold on to that old pair of shoes you love, but apart from looking unprofessional, worn-out shoes also provide less support for your feet.

Tips for men and women:

  • Always shop at the end of the day when feet are at their largest.
  • Choose quality materials that allow the foot to breathe.
  • Look for shoes that offer good support.

“Never buy a pair of shoes that are uncomfortable, assuming you’ll break them in,” adds Dr. Hudson. “Shoes should be comfortable right away. If they’re not, then they’re not the right shoes for your feet!”

Catherine Hudson, DPM, is a podiatrist at Foot and Ankle Center in Marerro, Louisiana. Call 504-349-6633 or visit http://www.footandanklenola.com/schedule-an-appointment/ to make an appointment. Visit www.apma.org to learn more about foot health and care.

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Diabetes and Your Feet FAQs

Why should I “knock my socks off” and see a podiatrist?
The feet can reveal diabetes warning signs such as numbness, redness, swelling, or non-healing wounds. Making at least two appointments a year with today’s podiatrist, the foot and ankle expert, to have your feet examined is a critical step in avoiding diabetic foot complications and amputation.

I have been diagnosed with diabetes. What foot complications could I experience?
A loss of feeling in your feet
Foot ulcers or sores that do not heal
Amputation

Should I talk about diabetes with my community, family, and friends?
Yes! Those with diabetes, as well as those who are at risk, are encouraged to openly discuss the disease with family members because it can affect children and adults alike. Diabetes is often passed down from generation to generation, especially in the Hispanic community. Don’t be embarrassed to talk about it with those closest to you because diabetes is best managed as a team.

What are diabetic ulcers, and how can I prevent them?
Diabetic ulcerations are often one of the first signs of complications from diabetes in the lower leg. These ulcers can stem from a small wound or cut on the foot that is slow to heal. If left untreated, ulcers can become harder to treat and could lead to amputation. If discovered early and treated by a podiatrist, ulcers may not lead to amputation.

Can I still see a podiatrist if I don’t have medical insurance?
Yes! Podiatrists work in health clinics, in addition to private practices, treating patients. Work directly with your podiatrist to create alternative options such as payment plans. Don’t let a lack of insurance keep you from receiving proper foot care.

Is there a special kind of footwear available for those with diabetes?
Yes! Certain types of shoes, socks, and custom orthotics are all created especially for those with diabetes. People with diabetes should never go barefoot and should make sure to keep feet protected to reduce the risk of cuts and scrapes on the feet, which can lead to complications. Medicare may pay for these shoes. Find diabetic footwear that has APMA’s Seal of Acceptance.

PDF Available For Download Here.

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What You Need To Know About Your Feet During Pregnancy

Pregnancy is a joyous time in a woman’s life and her body will go through many changes, including changes to her feet. That is why a pregnant woman must take care of her foot health a little differently.

It’s amazing how a body changes during pregnancy. For instance, did you know that a pregnant woman’s feet become wider and longer because her ligaments become more easily stretched to prepare for childbirth? The American Podiatric Medical Association (APMA) shares common pregnancy symptoms along with tips and tricks to keep your feet healthy until you finally meet your little one.

Read more in our Special Edition March Footprints Newsletter here.

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Denise Elliot APMA

Dr. Denise Elliot at the APMA’s 95th House of Delegates meeting in Washington, DC

Dr. Elliott, president of the Louisiana Podiatric Medical Association, is in Washington, D.C. this week making positive changes for the podiatry profession.

The American Podiatric Medical Association’s 95th House of Delegates meeting convened in Washington, DC, on Saturday, March 21. The meeting opened with addresses from staff and member leaders. Glenn B. Gastwirth, DPM, executive director and CEO, set the tone for the meeting by encouraging delegates to “think strategically and be prepared to take bold new steps forward.” He suggested APMA members should be proactive on behalf of the profession by taking steps such as joining the Podiatric Health Section of the American Public Health Association and using APMA’s eAdvocacy system to support our Helping Ensure Life- and Limb Saving Access to Podiatric Physicians (HELLPP) Act legislation.

Source: AMPA.Org http://www.apma.org/WorkingForYou/NewsDetail.cfm?ItemNumber=16458

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