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Types of Diabetic Foot Ulcers
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Diabetes can lead to a variety of foot ulcers, which are wounds and sores that will not heal in a normal time frame. Ischemic ulcers are typically found on the toes and lateral foot areas. They are a result of underlying blood flow problems. Neuroischemic ulcers arise from a combination of diabetic neuropathy and peripheral artery disease, and tend to form at the metatarsal heads. These ulcers present a complex challenge because both damaged nerves and blood vessels are involved. Neuropathic ulcers, a common complication of diabetes, usually begin as callous formations on the bottom of the foot before progressing to ulceration. Patients with severe peripheral neuropathy may exhibit altered gait, skin changes, and reduced sensation, all of which increase the risk of ulcer development. The importance of regular foot exams and proactive foot care in individuals with diabetes cannot be overstated. If you or someone you know is living with diabetes, it is suggested that you schedule an appointment with a podiatrist at the first sign of ulcers on the feet.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Managing Blisters on the Feet
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Blisters are small fluid-filled pockets that commonly form on the skin and can be particularly bothersome when they develop on the feet. Whether caused by friction from wearing ill-fitting shoes, prolonged walking, running, or heat, blisters can cause discomfort and interfere with daily activities. While most blisters on the feet heal naturally within a week, it is essential to avoid popping them yourself, as this can increase the risk of infection and prolong recovery time. Instead, gently cover the blister with a dry, sterile dressing to help protect it as it heals. If there are signs of infection, such as redness, swelling, or pus, seeking prompt medical attention from a podiatrist is suggested. Podiatrists may prescribe antibiotics for infected blisters or perform procedures like blister drainage under sterile conditions for larger or more painful blisters. If you experience persistent or recurrent blisters on your feet, it is suggested that you schedule an appointment with a podiatrist to ensure safe and effective treatment as well as prevention strategies.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
Children’s Growing Pains or Serious Foot Concern?
Growing pains are a normal part of development in childhood. Children may experience mild aches or discomfort in the legs and feet due to the rapid growth phases they go through. Typically, these pains occur at night and don’t continue into the following day. However, when children’s foot pain deviates from these patterns, such as being localized, persistent, or severe, it may indicate a more profound issue. For instance, pain that worsens with activity could suggest Sever's disease, an inflammation of the heel's growth plate. Swelling, redness, or tenderness could point towards juvenile idiopathic arthritis. Something else may be amiss if there is a noticeable change in a child’s gait, like limping or reluctance to engage in previously enjoyed activities. If you’re unsure about whether your child is experiencing normal growing pains or something more, it is time for a visit with a foot doctor, otherwise known as a podiatrist. This type of doctor can diagnose any issues, and offer appropriate care and intervention to ensure the best foot health for your child.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes and Treatment for Ingrown Toenails
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Ingrown toenails can turn simple movements into a painful experience and even lead to infections if left untreated. Ingrown toenails develop when a toenail grows into the surrounding skin, particularly prevalent in the big toe. Factors like wearing ill-fitting footwear, genetics, improper nail trimming, or trauma are common causes of ingrown toenails. Symptoms can include pain, swelling, and redness around the affected nail. Prevention involves wearing properly fitted shoes with roomy toe boxes, trimming nails straight across, and avoiding tight socks. For help in managing severe, infected, or recurring ingrown toenails, treatment from a podiatrist is suggested. This foot doctor can prescribe antibiotics for infections or surgical removal of the toenail, if necessary. A podiatrist can also recommend methods to avoid ingrown toenails in the future. It is suggested that you schedule an appointment with a podiatrist at the first sign of an ingrown toenail.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Tests to Determine if You Have Gout
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Experiencing sudden joint pain, swelling, and redness in your big toe? It could be gout, a condition where urate crystals accumulate in the joints. To determine whether you have gout, a podiatrist may recommend various tests. Blood tests are essential to check uric acid levels, although elevated levels don't always signify gout. Joint fluid testing, or arthrocentesis, involves extracting fluid from the affected joint to identify uric acid crystals, confirming a gout diagnosis. Ultrasound imaging can reveal inflammation and the presence of crystals, or tophi, around the joint. Additionally, dual-energy computerized tomography, or DECT, scans provide detailed images to show uric acid crystals within the joints, aiding in diagnosis. If you're experiencing severe and persistent discomfort in the big toe joint, it is suggested that you make an appointment with a podiatrist. This foot doctor is medically trained to diagnose symptoms of gout and offer the appropriate options to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Injuries From Running
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Foot injuries are common among runners, and often stem from overuse, wearing improper footwear, or biomechanical issues. Conditions like plantar fasciitis, stress fractures, and Achilles tendinitis are prevalent. Plantar fasciitis causes heel pain due to inflammation of the tissue along the bottom of the foot. Stress fractures result from repetitive impact, leading to small cracks in the bones. Achilles tendinitis affects the Achilles tendon, causing pain and stiffness. To prevent these injuries, it is helpful for runners to practice prevention techniques, including wearing appropriate shoes with proper support and cushioning, increasing mileage gradually, and incorporating rest days into training schedules. Additionally, it is beneficial to perform strengthening and stretching exercises targeting the feet and lower legs. If you enjoy running, it is suggested that you schedule an appointment with a podiatrist for professional guidance on foot protection from running.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
Non-Surgical Treatments for Bunions
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Non-surgical treatments for bunions focus on relieving pain and discomfort, as well as slowing down the progression of the condition. Treatments include wearing comfortable shoes with a wide toe box to reduce pressure on the bunion, using padded inserts or orthotic devices to provide support and cushioning, and resting the foot to reduce swelling and inflammation. Toe spacers or splints may be used to help realign the toes gradually. Stretching and strengthening exercises for the foot and toe muscles can also improve flexibility and stability. While these treatments may not correct the bunion entirely, they can alleviate symptoms and improve quality of life for individuals with bunions who wish to avoid surgery. If you have a bunion that is causing discomfort, it is suggested that you visit a podiatrist regularly to track its progression, and adjust treatment as needed.
If you are suffering from bunions, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding the Role of Sesamoid Bones and Sesamoiditis in the Feet
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Sesamoid bones are small, specialized bones embedded within tendons, and play a critical role in the function of the feet. Positioned beneath the first metatarsal head, sesamoid bones provide leverage and support to the big toe, facilitating smooth movement and weight distribution during activities such as walking, running, and jumping. Despite their importance, sesamoid bones are prone to injury and inflammation, a condition known as sesamoiditis. Sesamoiditis typically occurs due to repetitive stress or trauma to the sesamoid bones, commonly seen in athletes engaging in activities that involve high-impact forces on the feet. Improper footwear, excessive pressure on the ball of the foot, and sudden increases in physical activity can also contribute to sesamoiditis. Symptoms of sesamoiditis include localized pain, swelling, and difficulty bearing weight on the affected foot. Recognizing the function of sesamoid bones and understanding the causes of sesamoiditis is essential for preventing and managing this painful condition. If you have any of the above symptoms, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat sesamoiditis.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Debridement and Saving a Limb
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Debridement is a critical aspect of managing severely injured feet and lower extremities from diabetes, particularly in cases of open fractures with extensive skin and soft tissue loss. This surgical procedure involves the meticulous removal of contaminated, nonviable tissues and foreign materials from the wound. Debridement plays a pivotal role in preventing infection, a common complication in such injuries. During debridement, podiatric surgeons must work under optimal conditions, utilizing good anesthesia, adequate lighting, and magnification. The use of a tourniquet is often essential for better visualization of contaminants and distinguishing between viable and nonviable tissues. Skin margins are carefully freshened, subcutaneous tissues are excised to reach healthy fat, and damaged muscles and tendons are assessed for viability. Preservation of vital structures like nerves and blood vessels is paramount, as they are crucial for future reconstruction efforts. Proper recording of the debridement procedure, including the extent of tissue damage and the status of nerves and tendons, is essential for guiding subsequent treatment. If you are a diabetic patient and have wounds, ulcers, or other foot or ankle skin conditions, it is strongly suggested that you are under the care of a podiatrist who can consider debridement as a possible effective treatment.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot and Ankle Injuries Among Assembly Line Workers
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Jobs that require prolonged standing and walking often lead to complaints of foot and ankle pain among employees. Various factors contribute to foot and ankle pain in assembly line work, including time spent standing, walking, or sitting. Additionally, floor surface characteristics, weight, BMI, age, foot biomechanics, and demographic and medical history may significantly contribute to developing foot and ankle pain. Increased risk factors can include high metatarsal pressure during gait assessment, extended periods of walking, female gender, job dissatisfaction, and a history of conditions like rheumatoid arthritis, osteoporosis, or vascular disorders. Truck and forklift drivers who frequently exit and enter their vehicles tend to have a higher prevalence of ankle and foot problems. Prevention includes the use of shoe orthotics with medial longitudinal arch and metatarsal pad support. The incorporation of sit and stand work stations are also options to mitigate foot and ankle issues in these types of environments. If you are involved in assembly line work and experience foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment that can help relieve pain.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
The Optimal High Heel Height
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Choosing the right high heel height is a delicate balance between fashion and comfort, with implications for both style and foot health. While personal preferences play a role, experts recommend considering a heel height that is one to two inches. This range provides a stylish lift without subjecting the feet to excessive pressure or discomfort. Lower heels distribute weight more evenly, reducing strain on the balls of the feet and minimizing the risk of conditions such as bunions or metatarsalgia. Additionally, a modest heel height promotes a more natural posture, preventing issues like lower back pain and Achilles tendon strain. Ultimately, the optimal high heel height is one that allows you to walk with grace and confidence while prioritizing the well-being of your feet. By striking this balance, you can effortlessly blend style with comfort, ensuring your footwear choices enhance both your fashion statement and overall foot health. If you are interested in seeking additional information about how wearing high heels affect your feet, it is suggested that you consult a podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.