Minimally Invasive Foot Surgery - Toronto Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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Minimally Invasive Foot Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Podiatrist Sheldon Nadal discusses Minimal Incision Outpatient Foot Surgery.
Visit our website: http://www.footcare.net


Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons and orthopedic surgeons specializing in the foot and ankle.
Foot and ankle surgeries address a wide variety of foot problems, including:

• Sprains and fractures.
• Arthritis and joint disease.
• Benign and malignant tumors.
• Birth deformities.
• Bunions.
• Calluses and warts.
• Corns and hammertoes.
• Flatfeet.
• Heel or toe spurs.
• Neuromas (nerve tumors).

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Minimal Invasive Bunion Surgery - Toronto foot Doctor of Podiatric Medicine, Foot Specialist ,

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Minimal Invasive Bunion Surgery - Podiatrist,foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

 

  [[posterous-content:pid___0]]Podiatrist Sheldon Nadal discusses Bunion Surgery (Bunionectomy).

http://www.footcare.net

There are three important factors that impact the success of bunion surgery:

1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient's foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won't recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What to Expect

Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.

Prior to the surgery, patients will need to make some preparatory arrangements. These include:

• Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
• Arranging your schedule to make sure you don't need to take any long trips for at least two to three weeks following the surgery.
• Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
• Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.

Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into "twilight" so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.

The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.

During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.

Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.

By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.

By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.

Visit our website: http://www.footcare.net

 

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What Causes Heel Pain? Toronto - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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What Causes Heel Pain? - Toronto, ON - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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Podiatrist Sheldon Nadal discusses the symptoms, causes and treatments for Heel Pain (Plantar Fasciitis).
What causes heel pain?
One of the most common causes of heel pain is plantar fasciitis or heel spur syndrome.Other causes include gout, arthritis, broken heel bone, infection, foreign bodies (such as stepping on a needle). Your podiatrist can determine the exact cause of your heel pain.
What is plantar fasciitis or heel spur syndrome?
Plantar fasciitis is due to a tight tendon located under the arch and attached to the bottom of the heel. It has become strained and inflamed, often due to a lack of proper support, or due to an injury, or overuse. Over time, the tendon may begin to pull away from its attachment at the heel and a bone spur develops. Generally, the problem is not due to the heel spur, it is due to the inflamed tendon.
How do I know if I have plantar fasciitis?
Usually, you will experience pain at the bottom of the heel, particularly when getting out of bed in the morning or when starting to walk following a period of rest. It tends to feel better after a moderate amount of walking. It may not hurt during a workout but usually hurts more the next day following the workout.
What can I do at home to relieve the pain of plantar fasciitis?
Applying ice to the tender area for short periods may help. Also, try gentle calf stretches. Aspirin may relieve the inflammation. Elevating the heel by putting a soft pad in the shoe under your sore heel may help. Women may feel better in a shoe with a higher heel.
What if my heel still hurts?
It's time to see a podiatrist.
Visit our website: http://www.footcare.net
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Laser Therapy for Toenail Fungus -Toronto foot Doctor of Podiatric Medicine, Foot Specialist,

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Laser Therapy for Toenail Fungus - foot Doctor of Podiatric Medicine, Foot Specialist - Toronto Ontario

Podiatrist Sheldon Nadal discusses laser therapy for Fungal Toenails
http://www.footcare.net
On August 26 2010 our  Toronto podiatry office introduced in Canada, laser treatment for toenail fungus or onychomycosis using a 1320 nm YAG laser .
A preliminary study performed in Roseville California indicates that up to 75-80% of patients with mild to moderate onychomycosis or fungal toenails will experience a significant improvement following treatment.
The laser is an alternative to topical medications such as Pen Lac, which has limited efficacy, and anti-fungal pills such as Lamisil or Terbinifine, which have associated side effects.
With our laser, there is usually very little discomfort, anaesthetic is unnecessary and you may walk and resume normal activities immediately.
Please call our Toronto foot clinic at 416-486-9917 today to find out how we can help you with your toe nails.
Visit our website: http://www.footcare.net
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Bunion Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Bunion Surgery (Bunionectomy) - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Podiatrist Sheldon Nadal discusses Bunion Surgery (Bunionectomy).
http://www.footcare.net
Bunions are progressive bone deformities of the foot that often cause recurring or chronic inflammation, irritation, and pain that require surgical correction. Surgical removal of a bunion is called a bunionectomy. However, there are multiple types of bunionectomies, each designed to resolve different structural changes caused by the deformity.
Bunion surgeries fall into two major categories:

• Head procedures that treat the big toe joint. In a head procedure bunionectomy, the bone is cut just behind the joint, moved into its proper position, and fixed in place with a screw or pin. Head procedures are often used for patients who cannot be immobilized for long periods of time.
• Base procedures concentrate on the bone near or behind the big toe joint. Different types of base procedures are conducted depending on the nature of the deformity. These range from cutting a wedge out of the bone and splitting it so that it can be moved into its proper position; making a semi-circular cut and rotating the bone into its correct position; or fusing the joint. Ligaments inside and outside the toe may also be treated during a base procedure.

There are three important factors that impact the success of bunion surgery:

1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient's foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won't recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What To Expect
Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.
Prior to the surgery, patients will need to make some preparatory arrangements. These include:

• Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
• Arranging your schedule to make sure you don't need to take any long trips for at least two to three weeks following the surgery.
• Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
• Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.
Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into "twilight" so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.
The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.
During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.
Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.
By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.
By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.
Visit our website: http://www.footcare.net

YouTube:

Bunion and Hammertoe Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Bunion and Hammertoe Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON
Podiatrist Sheldon Nadal discusses Bunion Surgery (Bunionectomy).
http://www.footcare.net
There are three important factors that impact the success of bunion surgery:

1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient's foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won't recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What to Expect
Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.
Prior to the surgery, patients will need to make some preparatory arrangements. These include:

• Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
• Arranging your schedule to make sure you don't need to take any long trips for at least two to three weeks following the surgery.
• Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
• Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.
Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into "twilight" so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.
The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.
During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.
Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.
By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.
By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.
Visit our website: http://www.footcare.net

YouTube:

Shoes and Preventing Foot Problems - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Shoes and Preventing Foot Problems - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Podiatrist Sheldon Nadal discusses How to Choose Shoes and Preventing Foot Problems http://www.footcare.net
Examining old shoes before buying new ones can help you evaluate your wear patterns and buy new shoes with a better fit and style that compensates for the stresses you place on shoes.
What are your shoes trying to tell you? Here is a translation of basic wear patterns:

• A bulge and wear to the side of the big toe means too-narrow fit or you have a bunion.
• Outer sole wear means you turn your foot out. Orthotics may help.
• Toe-shaped ridges on the upper means your shoes are too small or you have hammertoes.
• Wear on the ball of the foot means your heel tendons may be too tight.
• Wear on the inner sole means you pronate or turn your foot inward. Inner liners or orthotics may help.
• Wear on the upper, above the toes means the front of your shoe is too low.

Visit our website: http://www.footcare.net

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Laser Therapy Foot Pain - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Laser Therapy Foot Pain - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

Podiatrist Sheldon Nadal discusses laser therapy for foot pain management.
Visit our website: http://www.footcare.net
Laser therapy is use for pain management. The effects of Laser Treatment include but not limited to improved healing time, pain reduction, increased circulation, decreased swelling and vasodilation. Laser therapy has been widely utilized in Europe by physical therapists, nurses, and doctors as far back as the 1970s.

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Laser Treatment Fungal Toenails - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Laser Treatment Fungal Toenails - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Podiatrist Sheldon Nadal discusses laser therapy for Toenail Fungus.
On August 26 2010 our Toronto podiatry office introduced in Canada, laser treatment for toenail fungus or onychomycosis using a 1320 nm YAG laser .
A preliminary study performed in Roseville California indicates that up to 75-80% of patients with mild to moderate onychomycosis or fungal toenails will experience a significant improvement following treatment.
Visit our website: http://www.footcare.net
YouTube:

Minimally Invasive Foot Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Minimally Invasive Foot Surgery - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Sheldon Nadal Doctor of Podiatric Medicine

 discusses Minimal Incision Outpatient Foot Surgery.

http://www.footcare.net

Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons and orthopedic surgeons specializing in the foot and ankle.

Foot and ankle surgeries address a wide variety of foot problems, including:

• Sprains and fractures.
• Arthritis and joint disease.
• Benign and malignant tumors.
• Birth deformities.
• Bunions.
• Calluses and warts.
• Corns and hammertoes.
• Flatfeet.
• Heel or toe spurs.
• Neuromas (nerve tumors).

Many foot and ankle surgeries today can be performed in the doctor's office or a surgical center on an outpatient basis. They frequently can be performed using local anesthesia, in some cases combined with sedation. Most foot surgeries require a period of immobilization after the procedures with protective devices, such as a bandages, splints, surgical shoes, casts, or open sandals. Limited weight bearing, elevating and icing the foot, and keeping the area dry are commonly required for the first two weeks following surgery until sutures are removed. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices, and special footwear. After sufficient healing time, which varies from procedure to procedure, most patients can resume wearing their usual footwear.

Visit our website: http://www.footcare.net

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Senior Foot Problems & Walking Shoes - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Foot Problems & Walking Shoes - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

                        

Sheldon Nadal Doctor of Podiatric Medicine discusses the symptoms, causes and treatments for sports injuries.

http://www.footcare.net

About 67 million adults in this country have discovered that walking is one of the most fun, natural, and inexpensive ways of keeping your health—and your feet—in top shape. Walking can be enjoyed almost anywhere, any time, and year around. It's also a good way to get exercise, particularly for people who are out-of-shape.

According to the American Podiatric Medical Association, exercise offers a host of benefits. Walking helps control weight, blood sugar, and cholesterol levels. A brisk walk can burn up to 100 calories per mile or 300 calories per hour. Walking also improves cardiovascular fitness. As an aerobic exercise, walking gets the heart beating faster to transport oxygen-rich blood from the lungs to the muscles. The heart and lungs grow more efficient with a regular walking regimen, reducing blood pressure and the resting heart rate. Walking is also a central element of medical rehabilitation for a wide array of health problems. For example, recovery from a heart attack can be facilitated by a regular walking regimen. Additionally, walking creates an overall feeling of well-being, and can relieve depression, anxiety, and stress by producing endorphins, the body's natural tranquilizer. A brisk walk will relax you and also stimulate your thinking.

To gain the most health benefit from walking, it is important to pay attention to your feet. Shoes that don't fit properly or provide adequate support, lack of stretching, and improper gait can lead to foot injuries or pain. The most common foot problems are blisters, corns, calluses, and plantar fasciitis.

Walking Shoes

The only equipment you need to enjoy walking for fitness is a good pair of shoes. But before you can shop for the best shoe for your foot, you need to identify the natural inclination of your foot and gait. There are three basic foot types:

• Pronators are people with relatively flat feet, caused by low arches, which generally leads to overpronation, or a gait in which the ankle rolls inward excessively. People with this foot type need motion control shoes that offer support for mid-foot. Motion-control shoes are more rigid and built on a straight last. These are generally board-lasted shoes, which have a piece of cardboard running the length of the shoe for greater stability. Look for sturdy uppers for added stability and avoid shoes with a lot of cushioning or highly curved toes. Also look for a reinforced heel counter to maintain foot support and stability.
• Supinators are people with high arches, which can lead to underpronation that places too much weight on the outsides of the feet. People with this foot type need stability shoes designed for extra shock absorption and often having a curved or semi-curved last. A slip-lasted shoe is also recommended, because the sewn seam runs the length of the shoe  giving it greater flexibility. Also look for shoes that are reinforced around the ankle and heel to stabilize the foot and extra cushioning under the ball of the foot.
• People with normal feet can wear any type of walking shoe, although a curved last is generally preferred.

When you walk, the natural motion of your foot rolls gradually from the heel to the toe, with your foot bending at the ball on each step. That's why it is important for walking shoes to have enough flexibility in just the right places.  A good walking shoe should give a little when you twist it and bend at the ball of the foot. When you put the shoe on a flat surface and push on the toe the heel should come up off the surface. If it does, the shoe has the curvature you need to conform to your movement during walking.  Make sure the heel is low and not too wide. A slight undercut in the heel will help your foot begin its roll from the heel through the step.

Here are some other important tips for buying a good pair of walking shoes:

• Shop at the end of the day when your feet are slightly swollen to get a good fit.
• Try on shoes with the socks you will wear when walking. If you use an orthotic, bring that to the store when you try on shoes as well.
• Have your feet measured standing up and fit your shoes to the larger of your two feet.
• Be sure there is enough room in the toe box for your toes to wiggle and about a half inch between your toes and the end of the shoe.
• Take time when shopping to try on different brands and walk around the store in each pair. Be sure to walk on a hard surface, not just on carpeting. Let your foot be the guide to the fit, not the shoe size or style.
• Look for lightweight, breathable materials for greater comfort.
• Run your hand all over and inside the shoes to feel for any seams or catches that might irritate your foot.
• Choose shoes that lace for better foot stability and control.
• Make sure your heel fits snugly and does not tend toward slipping out of the shoe.
• Wear your walking shoes only for walking to extend their life. Consider buying two pairs and rotating your wear to give each pair time to breath between walks.
• Replace walking shoes after every 300 to 600 miles, depending on how hard you are on your shoes.

Visit our website: http://www.footcare.net

 

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Preventing Sports Injuries - Toronto - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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Preventing Sports Injuries - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto 
Podiatrist Sheldon Nadal discusses the symptoms, causes and treatments for sports injuries.
http://www.footcare.net
 Athletic footwear should be fitted to hold the foot in the position that's most natural to the movement involved. Athletic shoes protect your feet from stresses encountered in a given sport and to give the player more traction. The differences in design and variations in material, weight, lacing characteristics, and other factors among athletic shoes are meant to protect the areas of the feet that encounter the most stress.
Well-fitted athletic shoes need to be comfortable, yet well-constructed and appropriate for a given activity. A good fit will mitigate blisters and other skin irritations.
Sports-specific athletic shoes are a good investment for serious athletes, though perhaps a less critical consideration for non-athletes. Don't wear any sport or other shoes beyond their useful life.
A running shoe is built to take impact, while a tennis shoe is made to give relatively more support, and permit sudden stops and turns. Cross training shoes are fine for a general athletic shoe, such as for physical education classes or health club exercising, such as on stair machines and weight-lifting because they provide more lateral support and less flexibility than running shoes. They also tend to be heavier than running shoes, but most people don't need light, flexible shoes for cross-training. If a child is involved more heavily in any single sport, he or she should wear shoes specifically designed for that sport.
Our practice recommends sturdy, properly fitted athletic shoes of proper width with leather or canvas uppers, soles that are flexible (but only at the ball of the foot), cushioning, arch supports, and room for your toes. Try a well-cushioned sock for reinforcement, preferably one with acrylic fiber content so that some perspiration moisture is "wicked" away.
Athletic shoes need to be replaced after one year, whether or not they are worn, and after a certain amount of repetitive load is placed on them and wears them down. The American Academy of Podiatric Sports Medicine advises replacing running or walking shoes after 300 to 500 miles of wear, and replacing aerobic, basketball, and tennis shoes after 45 to 60 hours of wear. Athletic shoes should also be replaced if they show signs of unevenness when placed on a flat surface, display noticeable creasing, and/or when the heel counter breaks down.
Visit our website: http://www.footcare.net

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Children's Foot Health - Toronto - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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Children's Foot Health - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON  

Sheldon Nadal Doctor of Podiatric Medicine discusses children’s foot health and foot problems.

http://www.footcare.net

Choosing shoes for your children can play a critical role in their musculoskeletal development, including their posture.

In general, infants just learning to walk do not need shoes. Infants may go barefooted indoors, or wear only a pair of socks. This helps the foot grow normally and develop its muscles and strength as well as encourages the grasping ability of toes.

Once children are ready to walk as toddlers, their need for properly-fitted shoes is important. In general, a soft, pliable, roomy shoe, such as a sneaker, is ideal for all children. The toe box should provide enough space for growth and should be wide enough to allow the toes to wiggle. A finger's breadth of extra length will usually allow for about three to six months' worth of growth, though this can vary depending on your child's age and rate of growth.

Because high-top shoes tie above the ankle, they are recommended for younger children who may have trouble keeping their shoes on. Contrary to common belief, however, high-top shoes offer no advantages in terms of foot or ankle support over their low-cut counterparts.

Here are some tips when purchasing shoes for children:

• Both feet should be measured every time you shop for new shoes since those little feet are growing. If, as is common, the feet are two different sizes, shoes should be fitted to the larger foot.
• The child's foot should be sized while he or she is standing up with full weight-bearing.
• There should be about one-half inch of space (or a thumb's width) between the tip of the toes and the end of the shoe. The child should be able to comfortably wiggle his or her toes in the shoe.
• Have the child walk around the store for more than just a few minutes wearing the shoe with a normal sock. Ask the child if he or she feels any pressure spots in the shoe. Look for signs of irritation on the foot after the shoe is tested.
• Put your hand inside the shoe and feel around for any staples or irregularities in the glue that could cause irritation. Examine where the inside stitching hits the foot.
• Examine the shoe itself. It should have a firm heel counter (stiff material on either side of the heel), adequate cushioning of the insole, and a built-in arch. It should be flexible enough to bend where the foot bends at the ball of the foot, not in the middle of the shoe.
• Never try to force your child's feet to fit a pair of shoes.
• Shoes should not slip off at the heels. Children who have a tendency to sprain their ankles will do better with high-top shoes or boots.

Children who frequently remove shoes from their feet may be signaling some discomfort. Check your child's feet periodically for signs of too-tight shoes, such as redness, calluses or blisters, which will help you know when they've outgrown their shoes.

Remember that the primary purpose of shoes is to prevent injury. Shoes seldom correct children's foot deformities or change a foot's growth pattern. Casting, bracing, or surgery may be needed if a serious deformity is present. If you notice a problem, please contact our office to have your child's feet examined.

 

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Women's Foot Health - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Women's Foot Health - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Podiatrist Sheldon Nadal discusses the Women’s Foot Health and Foot Problems
http://www.footcare.net
The best shoe for women's feet is a walking shoe with laces (not a slip-on), a composition sole, and a relatively wider heel with a rigid and padded heel counter, no more than three-quarters of an inch in height.
Some women inflict punishment on their feet from improper footwear that can bring about unnecessary foot problems. Some of the problems result from high-heeled shoes (generally defined as pumps with heels of more than two inches).
A study conducted by the American Orthopaedic Foot and Ankle Society found that:

• Nine out of 10 women wear shoes that are too small for their feet.
• Eight out of 10 women say their shoes are painful.
• More than 7 out of 10 women have developed a bunion, hammertoe, or other painful foot deformity.
• Women are nine times more likely to develop a foot problem because of improper fitting shoes than a man.
• Nine out of 10 women's foot deformities can be attributed to tight shoes.

High-heeled, pointed-toe shoes can cause numerous orthopedic problems, leading to discomfort or injury to the toes, ankles, knees, calves, and back. Many high-heeled-shoes also have a pointed, narrow toe box that crowds the toes and forces them into an unnatural triangular shape. These shoes distribute the body's weight unevenly, placing excess stress on the ball of the foot and on the forefoot. This uneven distribution of weight, coupled with the narrow toe box characteristic of most high heels, can lead to discomfort, bunions, hammertoes, and other deformities.
The height of the heel makes a dramatic difference in the pressure that occurs on the bottom of the foot. As heel height increases, the pressure under the ball of the foot may double, placing greater pressure on the forefoot as it is forced into the pointed toe box.
To relieve the abusive effects of high heels, women should limit the amount of time they wear them and alternate these shoes with good quality sneakers or flats for part of the day. Look for comfortable and attractive walking pumps for work and social activities, that blend fashion appeal with athletic shoe-derived construction, reinforced heels, and wider toe room for greater comfort. Low-heeled shoes (one inch or lower) with a wide toe box are the ideal choice for women. An ample toe box that can accommodate the front part of the foot is as important as the heel in determining fit.

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Sports Injuries & Exercises - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Sports Injuries & Exercises - foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON
Podiatrist Sheldon Nadal discusses the symptoms, causes and treatments for sports injuries.
http://www.footcare.net
Before beginning any exercise regimen, proper stretching is essential. If muscles are properly warmed up, the strain on muscles, tendons, and joints is reduced.
Stretching exercises should take 5 to 10 minutes and ought to be conducted in a stretch/hold/relax pattern without any bouncing or pulling. It is important to stretch the propulsion muscles in the back of the leg and thigh (posterior) as well as the anterior muscles.
Some effective stretching exercises to prepare the foot and ankle for exercise include:

• The wall push-up. Face a wall from three feet away, with feet flat on the floor, and knees locked. Lean into the wall, keeping feet on the floor and hold for 10 seconds as the calf muscle stretches, then relax. Do not bounce. Repeat five times.
• The hamstring stretch. Put your foot, with knee straight and locked, on a chair or table. Keep the other leg straight with knee locked. Lower your head toward the raised knee until the muscles tighten. Hold to a count of 10 then relax. Repeat five times, then switch to the other leg.
• Lower back stretch. In a standing position, keep both legs straight, feet spread slightly. Bend over at the waist and attempt to touch the palms of your hands to the floor. Hold the stretch for 10 seconds and repeat 10 times. Do not bounce.

Excessive tightness of the calf muscles can contribute to many foot and some knee problems. A key point of injury is the Achilles tendon, which attaches the calf muscle to the back of the heel. When the calf muscle tightens up, it limits the movement of the ankle joint.
Calf muscle stretching is very useful in the prevention and treatment of many foot problems. Two typical methods for stretching your calf muscles include the wall push-up (described above) and this technique: Standing approximately two feet from a wall. While facing the wall, turn your feet inward ("pigeon toed") and lean forward into the wall, keeping your heels on the floor and the knees extended. Keep your back straight and don't bend at the hips. Hold the stretch for 10 seconds and do the stretch 10 times in a row.

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Laser Therapy for Foot Pain - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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 Laser Therapy for Foot Pain -  Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

 

Sheldon Nadal, DPM, discusses laser therapy for foot pain management.

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Laser therapy is use for pain management. The effects of Laser Treatment include but not limited to improved healing time, pain reduction, increased circulation, decreased swelling and vasodilation. Laser therapy has been widely utilized in Europe by physical therapists, nurses, and doctors as far back as the 1970s.

 

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Ingrown Toenails - Toronto, ON - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist

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Podiatrist  Sheldon Nadal discusses the symptoms, causes and treatments for Ingrown Toenailshttp://www.footcare.net
Painless Toenail Surgery:
It is possible to get permanent relief from ingrown toenails in my Toronto podiatry office with a minor surgical procedure. The procedure is performed painlessly under local anesthetic - only your toe is frozen. Just  the painful ingowing side of the nail is removed. The part of the root that is causing the problem is treated with the carbon dioxide laser and a special chemical. a small bandage is put on your toe. You can walk immediately. You then apply an ointment and a bandaid to the toe at home. I will see you a few days later in my office to make sure your toe is healing properly.
Ingrown toenails, also known as onychocryptosis, is usually caused by trimming toenails too short, particularly on the sides of the big toes. They may also be caused by shoe pressure (from shoes that are too tight or short), injury, fungus infection, heredity, or poor foot structure. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. A common ailment, ingrown toenails can be painful. Ingrown toenails start out hard, swollen, and tender. Left untreated, they may become sore, red, and infected and the skin may start to grow over the ingrown toenail.
In most cases, treating ingrown toenails is simple: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present. Note: Please consult your physician before taking any medications. In severe cases, if an acute infection occurs, surgical removal of part of the ingrown toenail may be needed. Known as partial nail plate avulsion, the procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail.
Ingrown toenails can be prevented by:

• Trimming toenails straight across with no rounded corners.
• Ensuring that shoes and socks are not too tight.
• Keeping feet clean at all times.

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Fungal Toenails - Toronto, ON - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist,

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Fungal Toenails - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

Podiatrist Sheldon Nadal discusses the symptoms, causes and treatments for Fungal Toenails
http://www.footcare.net
Many people don't realize they have a fungal nail problem and, therefore, don't seek treatment. Yet, fungal toenail infections are a common foot health problem and can persist for years without ever causing pain. The disease, characterized by a change in a toenail's color, is often considered nothing more than a mere blemish. Left untreated, however, it can present serious problems.
Also referred to as onychomycosis, fungal nails are infections underneath the surface of the nail, which may also penetrate the nail. Fungal nail infections are often accompanied by a secondary bacterial and/or yeast infection in or about the nail plate, which ultimately can lead to difficulty and pain when walking or running. Symptoms may include discoloration, brittleness, loosening, thickening, or crumbling of the nail.
A group of fungi, called dermophytes, easily attack the nail and thrive on keratin, the nail's protein substance. In some cases, when these tiny organisms take hold, the nail may become thicker, yellowish-brown, or darker in color, and foul smelling. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails.
Nail bed injury may make the nail more susceptible to all types of infection, including fungal infection. Those who suffer chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributory factors may be a history of Athlete's Foot or excessive perspiration.
You can prevent fungal nail infections by taking these simple precautions:

• Exercise proper hygiene and regularly inspect your feet and toes.
• Keep your feet clean and dry.
• Wear shower shoes in public facilities whenever possible.
• Clip nails straight across so that the nail does not extend beyond the tip of the toe.
• Use a quality foot powder (talcum, not cornstarch) in conjunction with shoes that fit well and are made of materials that breathe.
• Avoid wearing excessively tight hosiery, which promotes moisture. Socks made of synthetic fiber tend to "wick" away moisture faster than cotton or wool socks, especially for those with more active lifestyles.
• Disinfect home pedicure tools and don't apply polish to nails suspected of infection.

Depending on the type of infection you have, over-the-counter liquid antifungal agents may not prevent a fungal infection from recurring. A topical or oral medication may need to be prescribed, and the diseased nail matter and debris removed, a process called debridement. Note: Please consult your physician before taking any medications.
In severe cases, surgical treatment may be required to remove the infected nail. Permanent removal of a chronically painful nail, which has not responded to any other treatment, permits the fungal infection to be cured and prevents the return of a deformed nail.
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Shock Wave Therapy- Heel Pain - Toronto - foot Doctor of Podiatric Medicine, Podiatrist, Foot Specialist

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Extracorporeal Shock Wave Therapy - Podiatrist Toronto, ON
Extracorporeal Shock Wave Therapy - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON
Podiatrist Sheldon Nadal discusses Extracorporeal Shock Wave Therapy (ESWT) for foot and ankle problems.
http://www.footcare.net
Extracorporeal Shock Wave Therapy (ESWT) is used to treat chronic heel pain (plantar fasciitis). "Extracorporeal" means "outside of the body." During this noninvasive procedure, sonic waves are directed at the area of pain using a device similar to that currently used in nonsurgical treatment of kidney stones.
Extracorporeal Shock Wave Therapy is prescribed for patients who have experienced plantar fasciitis for an extended period of time -- six months or more -- and have not benefited from other conservative treatments. The brief procedure lasts about 30 minutes and is performed under local anesthesia and/or "twilight" anesthesia. Strong sound waves are directed at and penetrate the heel area to stimulate a healing response by the body. ESWT is performed on an outpatient basis. Although there are no bandages, someone will need to drive the patient home.
People who are not candidates for ESWT include pregnant women and individuals with neurological foot disease, vascular foot disease, pacemakers, or people taking medications that interfere with blood clotting (such as Coumadin).
This therapy is a safe and effective alternative treatment for heel pain and only requires a short recovery time. Clinical studies show a 70 percent success rate for treatment of plantar fasciitis using Extracorporeal Shock Wave Therapy.
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Custom Orthotics - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

Podiatrist Sheldon Nadal discusses Custom Orthotics for foot and ankle problems.
http://www.footcare.net
Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular, walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotic are available and may help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are not custom made to fit an individual's unique foot structure.
Orthotic devices come in many shapes, sizes, and materials and fall into three main categories: those designed to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.
Rigid Orthotics
Rigid orthotic devices are designed to control function and are used primarily for walking or dress shoes. They are often composed of a firm material, such as plastic or carbon fiber. Rigid orthotics are made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot. Rigid orthotics control motion in the two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.
Soft Orthotics
Soft orthotics are generally used to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are usually effective for diabetic, arthritic, and deformed feet. Soft orthotics are typically made up of soft, cushioned materials so that they can be worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Like rigid orthotics, soft orthotics are also made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.
Semi-Rigid Orthotics
Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials. Semi-rigid orthotics are often prescribed for children to treat flatfoot and in-toeing or out-toeing disorders. These orthotics are also used to help athletes mitigate pain while they train and compete.
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Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON - Sheldon Nadal, DPM

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Toronto Podiatrist

At the office of Sheldon H. Nadal D.P.M., our priority is to deliver quality care to informed patients in a comfortable and convenient setting.

 

Quality Care

When you have problems with bunions, heel pain, hammertoes, require shockwave therapy for plantar fasciitis or heel pain, or any issues involving your feet, you need to turn to a podiatrist who listens and responds ... an experienced doctor who knows the field and can effectively diagnose and treat your needs ... a friendly foot specialist who counsels you on the best ways to maintain and improve your health. Our office meets all these criteria. Plus, you benefit from a dedicated team of trained professionals who give you the individualized attention you deserve.

 

Informed Patients

Sheldon H. Nadal D.P.M. believes that informed patients are better prepared to make decisions

 

regarding their health and well being. That is why we've included an extensive section on this web site covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

 

Comfortable, Convenient Setting

The best care in the world doesn't mean anything if you can't access it. At the clinic of Sheldon H. Nadal D.P.M., we strive to make our Toronto podiatry office as efficient and convenient as possible. Included in these web pages is information about Sheldon H. Nadal D.P.M.'s office, including our Toronto location, maps, directions, hours, insurance policies and appointment scheduling.

 

Visit our website: http://www.footcare.net

 

 

Minimally Invasive Surgery - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

Minimally Invasive Surgery - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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1) Using specially designed instruments, podiatrists are able to treat bunions, corns, hammertoes and callouses through very small openings in the skin. Consequently, there is less soft tissue work. This often results in considerably less post operative discomfort and quicker return to work and normal activities. Many people need nothing stronger than Aspirin or Tylenol post operatively.

2) The minimal incision technique can be performed under local anaesthetic in an office setting. Patients can read, listen to music or watch T.V. during the procedure. Most doctors consider local anaesthetic safer than general anaesthetic.

3) Expensive hospital beds and operating rooms are usually not necessary. This results in substantial savings for the government and medical plans.

4) Casts and crutches are usually not required with the minimal incision technique. Instead, an adhesive tape and gauze dressing is used for four to six weeks.

5) The minimal incision technique can be more cosmetically appealing because the scars are much smaller.

6) Following the minimal incision technique, people tend to get back to work and normal activities quicker. This is very important to people who run their own businesses or cannot be away from work for excessive lengths of time.

When can I return to work?
Someone who sits most of the day may return to work as soon as one week following the minimal incision bunion technique. Someone who stands all day needs approximately six to eight weeks off. The more you can sit, the sooner you may go back to work.

How often do I return for checkups?
Following the minimal incision bunion technique, you return to my office 3 days later for a checkup. Then I change the dressing once a week for 5 weeks. On the sixth week you may remove the dressing yourself. You then return six weeks later and every three months for a year for checkups. The number of visits can be reduced for out of town patients.

What other foot problems do you treat?
In addition to bunions, I also treat corns, hammertoes and callouses with the minimal incision technique. I treat ingrown nails with the carbon dioxide laser. I also treat heel spur pain with endoscopic plantar fasciotomy. All procedures are performed under local anaesthetic in the comfort of my office.

Visit our website: http://www.footcare.net

What causes Heel Pain? - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Heel Pain Treatment - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

What causes heel pain?

One of the most common causes of heel pain is plantar fasciitis or heel spur syndrome.Other causes include gout, arthritis, broken heel bone, infection, foreign bodies (such as stepping on a needle). Your podiatrist can determine the exact cause of your heel pain.

 

What is plantar fasciitis or heel spur syndrome?

Plantar fasciitis is due to a tight tendon located under the arch and attached to the bottom of the heel. It has become strained and inflamed, often due to a lack of proper support, or due to an injury, or overuse. Over time, the tendon may begin to pull away from its attachment at the heel and a bone spur develops. Generally, the problem is not due to the heel spur, it is due to the inflamed tendon.

 

How do I know if I have plantar fasciitis?

Usually, you will experience pain at the bottom of the heel, particularly when getting out of bed in the morning or when starting to walk following a period of rest. It tends to feel better after a moderate amount of walking. It may not hurt during a workout but usually hurts more the next day following the workout.

 

What can I do at home to relieve the pain of plantar fasciitis?

Applying ice to the tender area for short periods may help. Also, try gentle calf stretches. Aspirin may relieve the inflammation. Elevating the heel by putting a soft pad in the shoe under your sore heel may help. Women may feel better in a shoe with a higher heel.

 

What if my heel still hurts?

It's time to see a podiatrist.

 

What will the podiatrist do?

The key to relief is to reduce the inflammation and pulling of the tendon at the heel bone. The inflammation may be relieved by anti-inflammatory medicine, physiotherapy such as ultrasound, or a cortisone injection. The pulling of the tendon can be improved temporarily by supporting the arch with adhesive tapings. More long term relief may be obtained by the use of specialized shoe inlays called orthotics. They improve the mechanics of the foot and relax the plantar fascia tendon.

                                                                                                                                                                         

I've tried medicine, cortisone, ice, rest, orthotics etc. and I'm losing hope. What else can be done?

When conservative treatments fail, we consider surgically releasing the tight tendon at its attachment at the heel bone. The procedure can be performed under local anaesthetic using a small instrument called an endoscope. The procedure is called endoscopic plantar fasciotomy.

 

What is endoscopic plantar fasciotomy?

Under local anaesthetic, a small opening is made on either side of the heel. Through one opening, the endoscope or scope is inserted. The scope is attached to a small camera to allow the podiatrist to see the inflamed tendon on a television monitor. Through the other opening, small tools are used to make a tiny cut in the tendon. This allows the tendon to lengthen, relax, and relieve the tension on the heel bone or heel spur. Thus, the pain is relieved. It is usually not necessary to remove the spur.

 

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Local Anesthesia Without Pain - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Local Anesthesia Without Pain - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON
Podiatrist Sheldon Nadal discusses Local Anesthesia Without Pain.
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Heel Pain Treatment - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Heel Pain Treatment - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

What causes heel pain?
One of the most common causes of heel pain is plantar fasciitis or heel spur syndrome.Other causes include gout, arthritis, broken heel bone, infection, foreign bodies (such as stepping on a needle). Your podiatrist can determine the exact cause of your heel pain.

What is plantar fasciitis or heel spur syndrome?
Plantar fasciitis is due to a tight tendon located under the arch and attached to the bottom of the heel. It has become strained and inflamed, often due to a lack of proper support, or due to an injury, or overuse. Over time, the tendon may begin to pull away from its attachment at the heel and a bone spur develops. Generally, the problem is not due to the heel spur, it is due to the inflamed tendon.

How do I know if I have plantar fasciitis?
Usually, you will experience pain at the bottom of the heel, particularly when getting out of bed in the morning or when starting to walk following a period of rest. It tends to feel better after a moderate amount of walking. It may not hurt during a workout but usually hurts more the next day following the workout.

What can I do at home to relieve the pain of plantar fasciitis?
Applying ice to the tender area for short periods may help. Also, try gentle calf stretches. Aspirin may relieve the inflammation. Elevating the heel by putting a soft pad in the shoe under your sore heel may help. Women may feel better in a shoe with a higher heel.

What if my heel still hurts?
It's time to see a podiatrist.

What will the podiatrist do?
The key to relief is to reduce the inflammation and pulling of the tendon at the heel bone. The inflammation may be relieved by anti-inflammatory medicine, physiotherapy such as ultrasound, or a cortisone injection. The pulling of the tendon can be improved temporarily by supporting the arch with adhesive tapings. More long term relief may be obtained by the use of specialized shoe inlays called orthotics. They improve the mechanics of the foot and relax the plantar fascia tendon.

I've tried medicine, cortisone, ice, rest, orthotics etc. and I'm losing hope. What else can be done?
When conservative treatments fail, we consider surgically releasing the tight tendon at its attachment at the heel bone. The procedure can be performed under local anaesthetic using a small instrument called an endoscope. The procedure is called endoscopic plantar fasciotomy.

What is endoscopic plantar fasciotomy?
Under local anaesthetic, a small opening is made on either side of the heel. Through one opening, the endoscope or scope is inserted. The scope is attached to a small camera to allow the podiatrist to see the inflamed tendon on a television monitor. Through the other opening, small tools are used to make a tiny cut in the tendon. This allows the tendon to lengthen, relax, and relieve the tension on the heel bone or heel spur. Thus, the pain is relieved. It is usually not necessary to remove the spur.

Visit our website: http://www.footcare.net

Bunions - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Bunions - Podiatrist, foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

 What is a bunion and what causes bunions?

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A bunion is a painful enlargement at the big toe joint. The long first metatarsal bone drifts away from the other metatarsals. The big toe goes the opposite way, toward the other toes. This causes the big toe joint to stick out and rub against the shoe. Due to shoe irritation the bone may actually become thicker and a fluid filled sac, called a bursa, may form. When not treated properly, bunions tend to get gradually worse. Bunions may contribute to the development of hammertoes, corns and callouses. They often run in families and may be due to a hereditary mechanical imbalance in the foot.

How do I get rid of my bunion?

Most people think bunions and other foot problems mean painful hospital surgery or a lifetime of orthopaedic shoes. However, there is an alternative called minimal incision surgery. This is an ambulatory technique (you can walk right away) that can be used to treat bunions, hammertoes, corns, and callouses. This allows podiatrists like Sheldon Nadal, to work through very small openings with specialized instruments. Many people experience much less post-operative discomfort and disability compared to conventional surgery. After, many patients use nothing stronger than Aspirin or Tylenol and may return to work within a matter of days.

What are the differences between minimal incision bunion surgery and conventional hospital bunion surgery?

Minimal incision surgery is based on the same sound biomechanical and surgical principles as conventional surgery. However, podiatrists have developed special instruments which allow them to work through smaller openings in the skin. Consequently, there tends to be much less soft tissue trauma and less post operative discomfort. The minimal incision bunion technique is usually performed in an office setting with local anaesthesia. You can read, listen to music, or watch T.V. while you are being treated.