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Charcot-Marie-Tooth Disease, or CMT, is a disorder of the peripheral nerves, responsible for transmitting information to and from the brain and spinal cord. CMT disrupts these nerves, leading to sensory loss and muscle deterioration. This results in symptoms like balance problems, foot abnormalities, pain, and difficulty walking. Charcot-Marie-Tooth Disease is a progressive condition, worsening over time, and affecting about 150,000 people in the United States and 3 million worldwide. It is important to understand the peripheral nervous system to comprehend CMT. The peripheral nervous system links the central nervous system to organs, limbs, and skin, enabling the transmission of information and regulating functions like heartbeat and breathing. Nerve signals are carried by axons covered with myelin, akin to electrical wires in a home. CMT can cause myelin decay, slowing nerve signals and affecting longer limbs first. If you are having peripheral nerve damage affecting your feet, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment that will provide you relief with everyday functioning.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy is the weakness, numbness, and pain in the hands and feet due to damage to the peripheral nerves. The peripheral nerves are responsible for sending information from the brain and spinal cord to the rest of your body. Causes of Neuropathy include: traumatic injuries, infections, metabolic problems, exposure to toxins, and diabetes.
Diabetes is the most common cause, with more than half of the diabetic population developing some type of neuropathy. There are several types of neuropathy and they vary based on the damage of the nerves. Mononeuropathy is classified as only one nerve being damaged. When multiple nerves are affected, it is referred as polyneuropathy. One of the types of polyneuropathy is distal symmetric polyneuropathy. It is the most common for people with diabetes and starts when the nerves furthest away from the central nervous begin to malfunction. The symptoms begin with pain and numbness in the feet and then they travel up to the legs. A rarer form of polyneuropathy is acute symmetrical peripheral neuropathy, which is a severe type that affects nerves throughout the body and is highly associated with Guillain-Barre syndrome, an autoimmune disorder that attacks the peripheral nervous system and can be fatal. Although there are many types of neuropathy, most of them share the same symptoms such as pain, extreme sensitivity to touch, lack of coordination, muscle weakness, dizziness, and digestive problems. Since neuropathy affects the nerves, those affected should be careful of burns, infection and falling, as depleted sensations disguise such ailments.
The best way to prevent neuropathy is to manage any medical conditions such as diabetes, alcoholism, or rheumatoid arthritis. Creating and managing a healthy lifestyle can also go a long way. Having a healthy diet full of fruits, vegetables, whole grains and lean protein can keep the nerves healthy. These types of food have the nutrients to prevent neuropathy. Regularly exercising can help as well, but it is best to consult with a doctor about the right amount. In addition to diet and exercise, avoiding risk factors will also prevent neuropathy. This includes repetitive motions, cramped positions, exposure to toxic chemicals, smoking and overindulging on alcohol.
Dealing with a broken ankle can be both painful and challenging. The first step is to seek medical attention for diagnosis through an X-ray. The treatment approach will depend on the severity of the fracture. Treatment options include using a specialized boot or a plaster cast to stabilize the ankle, possible bone manipulation under anesthesia, or even surgical intervention. Regular follow-up appointments are essential to monitor healing progress. Once diagnosed and treated, the recovery process begins. Healing typically takes 6 to 8 weeks or longer, depending on the severity of the break. Specific post-treatment instructions include how long the boot or cast will be needed and guidelines for weight-bearing. Gradual ankle movement and prescribed exercises may be recommended to prevent stiffness. Other recovery tips include resting and elevating the ankle, taking prescribed pain relievers, and being cautious about weight bearing. Gently moving your toes and bending your knee to prevent muscle stiffness is thought to be helpful. For help in dealing with a fractured ankle, it is suggested that you make an appointment with a podiatrist.
Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The ankle is a hinged synovial joint made up of three bones: the tibia (shin bone), the fibula (outer ankle bone), and the talus (between the heel and leg). These three bones are bound, supported, and stabilized by strong, fibrous bands of tissue called ligaments.
A break in an ankle bone can be either traumatic or stress related. This injury may be referred to as a break or fracture. A traumatic fracture can result from tripping, twisting or rolling the ankle, falling, or by blunt impact to the ankle. These traumatic ankle breaks usually occur during sporting activities or accidents. Stress fractures, however, occur over time and are the result of repetitive stress to the ankle. These fractures sometimes occur when a new activity that engages the ankle is introduced, or when the level of activity is abruptly increased or intensified.
There are various symptoms that accompany an ankle break. The most significant symptoms are pain and swelling that occurs in the ankle and sometimes spreads up from the foot to below the knee. Bruising or discoloration may develop eventually. It will be difficult or even impossible to put weight on the affected foot, and in severe cases there may be a visible deformity or even exposed bone.
It is very important to seek immediate treatment when an ankle break occurs or is suspected to have occurred, in order to allow the bone to properly heal and to avoid future complications such as stiff joints, limited range of motion, and osteoarthritis.
To diagnose a broken ankle, your podiatrist will first ask you to explain how the injury occurred and what your symptoms are. They will perform a thorough examination, checking for damage to nerves, blood vessels, and other structures around the injury site. They will also test your range of motion. An X-ray will need to be reviewed and, in some cases, an MRI or CT scan may be necessary.
Proper treatment of a broken ankle will depend on where and how severe the break is, how stable the ankle is, and whether the bone is displaced (misaligned or separated) or non-displaced (broken yet still aligned properly).
Mild fractures (where the bone is non-displaced) may be treated by resting, icing, and elevating the ankle at first, followed by immobilization with a cast or walking boot. Pain and inflammation may be treated with acetaminophen. More severe or complicated fractures where bones or joints are displaced may require surgery.
Recovery time will also vary, and it may take 4-6 weeks or longer for a broken ankle to heal. Your podiatrist will most likely order progressive X-rays or stress tests to be taken in order to monitor the healing process.
Gout, a form of arthritis, is characterized by painful joint swelling due to a buildup of uric acid in the bloodstream. It often affects the big toe as well as other joints. Failing to address gout can lead to lasting joint damage. Treatment for gout involves lifestyle adjustments, including alcohol avoidance and weight management, along with medication. During acute attacks, non-steroidal anti-inflammatory drugs, NSAIDs, can alleviate pain and swelling, though they don't impact uric acid levels. Corticosteroids, taken orally or injected into affected joints, also offer relief. Colchicine, an alternative to NSAIDs, lessens inflammation if taken early. To prevent future gout occurrences, medications are used to lower uric acid levels in the body. Xanthine oxidase inhibitors limit uric acid production, while uricosuric medicines increase its elimination via urine. It is important to be aware of the adverse effects of any medication. For help with the management of gout, it is suggested that you keep in communication with a podiatrist, who is specifically trained to deal with such problems.
Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors 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
Risk Factors
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 offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Recovering from an ankle sprain is an important way to prevent lingering weakness and instability in the ligaments. To enhance your ankle's range of motion after a sprain, the ABC's exercise has proved effective. While seated, trace the alphabet with your toes suspended in the air. Flexibility stretches can help by placing a towel under your foot while gently pulling back, feeling a comfortable stretch. Toe curls help to strengthen the toes and foot arch. An effective stretch is done by standing on a smooth surface and scrunching a towel under your foot. Eversion and inversion exercises also help to build ankle strength. While seated in a chair, use a towel to help glide your foot outward and inward with slow, controlled movements to avoid strain. For added strength, toe lifts can be an effective stretch, which is done by gently lifting your toes while keeping your heel grounded. Weight-shifting exercises are beneficial in promoting balance and stability. This is done by gradually shifting your weight from side to side while maintaining proper form. Any of these exercises should be done with your podiatrist’s approval and without causing pain. For more information, it is suggested that you consult this type of doctor for additional stretches for ankle sprains.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
Preventing a Sprain
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.
Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.
Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all.
To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary.
It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.
Plantar warts are uncomfortable growths on the soles of the feet and can create quite a nuisance. Caused by the human papillomavirus, which is abbreviated HPV, the virus enters the skin through tiny cuts or abrasions. The ideal environment for this to occur is warm and damp, such as swimming pools or communal showers. The pressure from walking or standing can push these warts inward, making them appear flat. While plantar warts can sometimes resolve on their own, treatment is often sought to alleviate pain and prevent their spread. Over-the-counter topical treatments containing salicylic acid may help to gradually dissolve the wart. Medical interventions such as freezing the wart, which is referred to as cryotherapy, or minor surgical removal may be recommended by a podiatrist. If you have developed a plantar wart, it is strongly suggested that you consult with this type of doctor who can guide you toward the treatment method that is right for you.
Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
Treatment
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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