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Posts for: September, 2013

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

Osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture.  The porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break.  In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. . Early intervention can make all the difference in your treatment and recovery.

Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians.

If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise. 

If you are suffering from foot pain or suspect you may have osteoporosis, please call 1 of our 3 offices for a consultation:

Middleburg Heights Office:18660 Bagley Road Suite 301â–ªMiddleburg Heights, OH 44130 Phone: (440)-243-1473

Lyndhurst Office:5035 Mayfield Road, Suite 215 â–ª Lyndhurst, Ohio 44124 Phone: (216)-382-8070

Beachwood Office:28790 Chagrin Boulvard, Suite 200 â–ª Beachwood, OH 44122 â–ªPhone (216) 591-1905 


The sounds of school bells, slamming locker doors and students clammering into classrooms is approaching. With the start of a new school year less than a month away, parents are eagerly seeking a wide array of school supplies and new fashions for their children. One of the most important purchases on a parent’s back to school shopping list is a new pair of shoes. With the numerous styles and fashions of shoes, several important factors must be considered:       (Children's Shoes)

-Children’s feet change with age: Shoe and sock sizes may change every few months as a child’s feet grow.

-Never hand down foot wear: Just because a shoe size fits one child comfortably does not mean it will fill another the same way. Also, sharing shoes can spread athlete’s foot and nail fungus infections.

-Examine the heels of your child’s shoe. Children may wear through the heels of shoes quicker than out-growing shoes themselves. Uneven heel wear can indicate a foot problem that should be evaluated by a foot/ankle physician.

-Shoes that do not fit properly can aggravate the feet: Always measure a child’s feet before buying shoes and watch for signs of irritation.

-Always buy for the larger foot: Feet are seldom the same size.

-Buy shoes that do not need a “break-in” period: Shoes should be comfortable immediately. Also, make sure to have your child try on shoes with socks or tights, if that’s how they will be worn.

If you do notice a problem with your child's feet, please do not hestitate to give 1 of our 3 offices a call for a consultation (Our Offices)






September 03, 2013
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The sounds of back to school season include the ringing of school bells and cash registers, the slamming of locker doors, the noisy ruckus of school hallways and cafeterias, and the moans and groans of students over tests, homework, relationships, and increasingly, their aching feet.

Flip-flops are the summer footwear of choice for many students. But while these sandals are inexpensive and stylish, they don’t cushion or support the foot, leading to problems. After wearing flip-flops all summer, some students will head back to school this fall with foot pain and even injuries.

People may not realize that even into your mid-teens, there’s new bone growing in your heel. Flip-flops don’t cushion the heel, so repetitive stress from walking can inflame that heel bone growth area and cause pain and tenderness. Heel pain and arch pain rank among the most common complaints among students who wear flip-flops. Other flip-flop feet problems students can take back to school include inflammation of the Achilles tendon, painful pinched nerves, Ankle Sprain, broken or sprained toes, cuts and scrapes, plantar Warts, Athlete's Foot (tinea pedis) and Calluses  build-up on the heels and toes.

Simple treatment methods can be done to reduce or eliminate students’ foot pain. These include stretching exercises, ice massage, anti-inflammatory medications and custom and/or over-the-counter shoe inserts.

Back to school season will always be painful for some students, but it doesn’t need to involve foot pain. If you or your child is suffering from foot pain please give 1 of Our Offices a call and set-up a consultation.

September is PAD Awareness.  PAD also referred to as peripheral artery or arterial disease is a common circulatory problem in which narrowed arteries reduce blood flow to the limbs.

When peripheral artery disease (PAD) develops in the extremities - usually the legs - do not receive enough blood flow to keep up with the demand. This causes symptoms, most notably leg pain when walking (intermittent claudication).

Peripheral artery disease is also likely to be a sign of a more widespread accumulation of fatty deposits in the arteries (atherosclerosis). This condition may be reducing blood flow to the heart and brain, as well as the legs.               

While many people with peripheral artery disease have mild or no symptoms, some people have leg pain when walking (intermittent claudication).  Intermittent claudication symptoms include muscle pain or cramping in the legs or arms that's triggered by activity, such as walking, but   disappears after a few minutes of rest. The location of the pain depends on the location of the clogged or narrowed artery. Calf pain is the most common location.

The severity of intermittent claudication varies widely, from mild discomfort to debilitating pain. Severe intermittent claudication can make it hard to walk or do other types of physical activity.

Other symptoms include:
-Leg numbness or weakness
-Coldness in the lower leg or foot, especially when compared with the other side
-Sores on your toes, feet or legs that won't heal
-A change in the color of the  legs
-Hair loss or slower hair growth on the feet and legs
-Slower growth of toenails
-Shiny skin on the legs
-No pulse or a weak pulse in the legs or feet
-Erectile dysfunction in men
-If peripheral artery disease progresses, pain may even occur when at rest or when lying down (ischemic rest pain). It may be intense enough to disrupt sleep. Hanging your legs over the edge of the bed or walking around your room may temporarily relieve the pain.

When to see a doctor
If you have leg pain, numbness or other symptoms, don't dismiss them as a normal part of aging. Call your doctor and make an appointment.  Your doctor can perform a simple study within the office, non-invasive arterial studies of the lower extremity. 

Even if you don't have symptoms of peripheral artery disease, you may need to be screened if you are:
-Over age 70
-Over age 50 and have a history of diabetes or smoking
-Under age 50, but have diabetes and other peripheral artery disease risk factors, such as obesity or high blood pressure

Please give 1 of Our Offices a call, if you or someone you know is experiencing the above conditions.  We are here to help!