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Posts for category: Foot Issues

By JAY MERMELSTEIN, D.P.M.
January 03, 2019
Category: Foot Issues
Tags: Crush   Crush Injury  

What is a Crush Injury?

Have a foot crush injury? A crush injury occurs when pressure or force is put on a body part. A foot crush injury may cause pain, swelling, and sometimes bruising. A foot crush injury may take from a few days to a few weeks to heal. If you have a foot crush injury, you should see a podiatrist. Podiatrists diagnose and treat foot and ankle conditions and injuries. Read on to learn more about foot crush injuries.


Overview- A crush injury is an injury that occurs when a body part sustains intense pressure. Minor crush injuries can be caused by dropping a heavy object on a foot. However, major crush injuries, such as those sustained in vehicle accidents, can cause serious problems. Such an injury can cause a number of issues, including pain, swelling, bruising, bleeding, laceration, fracture, and nerve injury. A crush injury can also cause compartment syndrome, which is a dangerous condition caused by pressure buildup from swelling of tissues or internal bleeding.


Causes- The primary causes of foot crush injuries include heavy falling objects, vehicles rolling over the foot, and injuries from industrial manufacturing equipment. Crush injuries are common on farms. The most serious cases occur in agriculture where heavy machinery is used and people become trapped in them or under them. This form of injury is common after some form of trauma from a deliberate attack or following a natural disaster.


Diagnosis- A proper diagnosis is key to treating a foot crush injury. Your podiatrist can accurately assess your situation and help you make the right treatment decisions for the best possible outcome. Your doctor will start with a physical exam, with attention given to the areas of complaint. Your podiatrist may take X-rays and other forms of imaging, such as magnetic resonance imaging (MRI) or computerized tomography (CT).


Treatment- Firstly, any wounds that are present will need to be cleaned and bandaged to prevent infection. Treatments for a foot crush injury may also include medication, casting, kinesiology taping, ice and heat, physical therapy, or surgery. Often more than one of these treatments are used. Crush injuries of the foot are very serious. Potentially devastating complications can occur if these injuries are underestimated or mismanaged.


A foot crush injury can affect your day-to-day activities and make your life miserable. Whether your goal is getting back to the work, the gym, hobbies, or just enjoying life, a podiatrist can help. If you want to feel better and live well, find a podiatrist near you and schedule an appointment.

By JAY MERMELSTEIN, D.P.M.
October 04, 2017
Category: Foot Issues
Tags: Foot Pain   Pregnancy  

During pregnancy, it's not uncommon for women to experience an array of aches and pains all over the body. Among these complaints are tired, swollen, achy feet - a common and painful symptom experienced by mothers-to-be during their nine months of pregnancy.

One of the most common foot problems to occur during pregnancy is swelling, or edema, which results from an extra accumulation of blood. The natural weight gain and enlarging uterus puts pressure on the veins that lead to the legs, causing circulation to slow down and increasing fluid retention. The legs and feet may become swollen, making shoes tight, and in some cases causing pain and discomfort. Slight swelling during pregnancy is normal and usually subsides after giving birth. Women should pay close attention to edema symptoms. Swelling to the face or a sudden onset of swelling could be a sign of a more serious condition called preeclampsia and should be reported immediately.

Another troubling foot problem that can occur during pregnancy is over-pronation (flat feet) which is caused when a person's arch flattens out upon weight bearing causing the feet to turn in abnormally. This condition develops when the dense band of tissue in the arch of the foot called the plantar fascia becomes strained and inflamed due to increased flattening of the feet. Over-pronation is common in pregnancy due to the increased weight gain which stresses the feet and flattens the arches. Walking can become very painful, and women may experience increased discomfort and strain on the feet, calves and back.

There are various remedies available to help minimize and alleviate foot pain during pregnancy.

  • Take short breaks during the day and elevate your feet to relieve pressure and swelling.
  • Drink plenty of water.
  • Wear shoes that are soft, comfortable and give your feet room to move.
  • Wear seamless socks that do not constrict circulation.
  • Exercise or walk regularly to promote overall health.
  • Stretch legs frequently and avoid crossing your legs when sitting.
  • To prevent arch pain, stretch daily, avoid going barefoot and wear supportive low-heeled shoes.

When foot pain persists, visit your podiatrist. We'll work with you to find the best treatments for your foot pain. Pregnancy and pending motherhood should be a pleasant, enjoyable experience. Understanding the causes of foot pain and learning easy home remedies can help women step more comfortably throughout these special nine months.

By JAY MERMELSTEIN, D.P.M.
August 02, 2017
Category: Foot Issues
Tags: Shin Splints  

Although a shin splint is commonly used to describe various pains between the ankle and the knee, it actually refers to a specific inflammatory condition of the tibia -- a condition called medial tibial stress syndrome.

A type of "overuse injury" to the legs, the most common causes of shin splints include excessive running, poor conditioning and over-pronation (flattening of the arch). The result is pain in the front or inside of the lower leg that usually gets worse with a sudden increase in distance or intensity of training. Shin splints are a common problem for many runners and athletes. Muscle weakness, non-supportive shoes and overtraining are also contributing factors.

To prevent shin splints, warm up and stretch muscles before starting any workout activity and choose supportive footwear. Begin workouts gradually and avoid over-training. All of these methods will go a long way in helping to prevent many lower leg problems. Conservative treatment for most shin splint pain includes rest, ice, compression and elevation. Strengthening exercises, anti-inflammatory agents and custom foot orthotics may also be recommended to reduce symptoms.

Shin pain isn't always indicative of a shin splint. Lower leg pain may actually signal a more serious problem, including a stress fracture, partial muscle tear and tendonitis, all of which require special treatment. Always seek the professional care of a podiatrist if:

  • You have severe pain in your shin following an injury.
  • Your shin is hot and inflamed.
  • Swelling in your shin increases.
  • Shin pain persists during rest.

Proper diagnosis of the cause of pain is necessary in order to administer the most appropriate treatment. If you suffer from shin pain, visit your podiatrist for an evaluation and proper treatment.