Pregnancy + Sore Feet = Pedicure!

Dr. Rosenstein,

      During my pregnancy my feet have been really sore! I have been considering getting a pedicure, but I heard there were precautions to take. Can you tell me what those precautions are?


A pregnancy pedicure can be a great experience for sore feet that are weary from the extra weight that is taken on during pregnancy.

There are however, a few precautions that should be taken. One the biggest being chemical fumes. Some of these fumes during peidcures such as nail polish removers and chemicals that are used to apply fake nails can be dangerous. Primarily, toluene and formaldehyde, in large doses have been linked to birth defects and cancer. To play it completely safe try to avoid any fumes given off during pedicures by being in a well ventilated room, by staying in open areas, or wearing a mask.

There have been issues noted with the nail polish itself. Dibutylphthalates or DBPs have been suspected of causing birth defects in animals. Even though DBPs aren't absorbed through the skin you should follow the same precautions with the polish remover: try being in well ventilated rooms, stay in open areas, or wear a mask.

Massaging during pregnancy can help dislodge dangerous blood clots in the legs, which is great, because pregnant women are six times more likley to develop them. However it is best to have just your feet massaged during the pedicure and leave out the legs to avoid dilodging any clots unless the pedicurist is skilled in pregnancy massaging.

Having these precautions in mind should allow you to enjoy a great pedicure. Keeping your feet healthy during your pregnancy is very important because of the extra weight that is put on, and with extra weight comes a lot more stress and strain.

For more information or to schedule an appointment or pedicure please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website: www.DrRobertRosenstein.com

And Remember.........."When your feet hurt, you hurt all over!"

Men Pedicures......More Manly than You Think!

Dr. Rosenstein,

       I'm trying to get my husband to get a pedicure, but he feels that it only benefits women. What could I tell him that would convince him to get one?


When men hear the word pedicure they usually start thinking the wrong way. Most men think that only women get pedicures and that it is strictly a female spoil. Nothing could be further from the truth!

Since men and women have feet, pedicures are in no way restricted to women. A pedicure is simply the care of the feet to avoid complications and to make them look their best. Getting a men's pedicure can be extremely beneficial.

The truth is that men usually don't get a pedicure until something goes wrong....the same can be said when they go to see a podiatrists as well. This is most likely a major reason that a lot of guys have problems with their feet, such as ingrown toenails. It is best though to prevent these problems before they happen. Many problems with the feet reoccur once you get them the first time, which is why it's so important to keep your feet problem free.

To make foot soaks more masculine in a male pedicure, try to use fragrances that are more neutral or manly.
Some non-toxic aromas favored by males include:

• Vanilla-great for the skin and hair as well
• Ginger- great for aching muscles, poor circulation and arthritis
• Vetiver- great for aching muscles, arthritis and sores
• Sandalwood- great for the skin and depression
• Black Pepper- great for aching muscles, poor circulation and arthritis
• Patchouli- great on athlete's foot

There are a number of benefits men can receive from getting regular pedicures. For instance, helping to stop foot odor by removing dead excess skin from the soles and the prevention of ingrown toenails, calluses and corns.

To schedule a pedicure or an appointment or if you have any questions please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website www.DrRobertRosenstein.com

And Remember............."When your feet hurt, you hurt all over!"

Head to Toe Physical Therapy!

The Who,

The Who, What, Why, When, and Where of Physical Therapy

Who are Physical Therapists (PTs): PTs are movement experts, they help people to move forward from pain, injury, and illness.

What do Physical Therapists do: PTs help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients with injuries or disease. They also restore, maintain, and promote overall fitness and health.

Why Physical Therapy: Physical therapy treatment usually results in faster recovery, is cost effective, can prevent more costly treatment later, reduces costs associated with lost time from work, and helps return you to the life you had before your injury or illness.

When do I need a Physical Therapist: The following list contains some of the most common reasons to see a PT:

·        Ankle/Foot problems (such as plantar fasciitis or Achilles tendinitis)

·        Back and neck pain (such as arthritis, torn meniscus, or general knee pain)

·        Knee problems (such as arthritis, torn meniscus, or general knee pain)

·        Shoulder, elbow, and wrist conditions (such as a torn rotator cuff, tennis elbow or carpal tunnel syndrome)

·        Sprains and muscle strains

·        Fractures (such as hip, ankle, or wrist)

·        Post-surgical rehabilitation (such as bunionectomies or knee arthoscopies)

·        Stroke Rehabilitation

·        Problems with walking or losing balance

Where can I get Physical Therapy:

Head to Toe Physical Therapy

John Craigo, P.T.

Affiliated Podiatrists, Inc.

Colonial Plaza Shopping Center

7537 Mentor Ave. Suite #311

Mentor, OH 44060

440-946-5858

www.DrRobertRosenstein.com

Burrrrrr.....Chilblains!

Dr. Rosenstein,

       I recently was shovelling the drive-way for a long period of time and I wasn't wearing the best boots. When I came in to warm my feet up I noticed that my feet were very red and itchy. Could this be Chilblains?

Chilblains is a painful reaction of the blood vessels in the skin when exposed to cold temperatures. The cold exposure damages capillary beds in the skin, which can cause redness, itching, blisters and inflammation. When they are warmed too quickly, your blood vessels expand in the response to the heat. As a result, your blood vessels become inflamed , which causes chilblains.

Chilblains is usually the result of an abnormal reaction of the body to cold. It tends to develop on skin that is exposed to cold and is then warmed too quickly. It can occur after, for example, warming hands directly in front of a heater or fire. The cooling and rapid heating can cause small blood vessels under the skin to expand more quickly than your blood vessels can handle. It results in a blockage and blood leaking into nearby tissues. It is unclear why this occure in certain people.

The signs and symptoms of Chilblains:

• Burning sensation on the skin
• Changes in skin color from red to dark blue, accompanied by pain
• Inflammation of the skin
• Possible blistering
• Possible ulceration
• Small, itchy red areas on the skin
• Swelling

How to prevent Chilblains:

• Avoid or limit exposure to cold. Dress Warm!
• Cover all exposed skin when going outside in cold weather
• If skin is exposed to cold, be sure to warm gradually
• Improve blood flow by using alternating hot and cold footbaths
• Keep active. This helps improve circulation.
• Make sure damp winter shoes are dry before wearing them. Do not put on cold, humid shoes.
• Moisturize feet regularly. This stops them from drying out and the skin from cracking.

Of course if your not sure then you should see your Podiatrist. For more information or to schedule an appointment please contact Affiliated Podaitrists, Inc. at 440-946-5858 or visit our website:
http://www.drrobertrosenstein.com/

And Remember........."When your feet hurt, you hurt all over!"

Are the Holidays Hurting Your Feet Mr.Claus?

Dr. Rosenstein,

      Since I have been doing all my holiday shopping my feet have been very sore! Do you have any tips to soothe the pain because I still have alot of shopping to do!


The holidays can be very rough on our feet especially since we jump from store to store and are more focused on gifts rather than our feet. Lots of holiday shopping means lots and lots more walking and in some cases to the good deals even running!

Surveys conducted by the APMA show that the number one way women soothe their soles during the holiday madness is by moisturizing their feet. Stretching and massaging the feet are also on the list of favorite foot fixes.  

But here are some good tips that should get you through the mall-madness season.

Point your Toes- Avoid toe cramping by raising, pointing and curling your toes for five seconds each and repeat 10 times. You won't even break a sweat!

Massage your feet-Women like it because it works! Release tension, increase circulation and rejuvenate the skin after a long day on your feet. Get out the lotion and rub those toes!

Elevate Your Legs- Reduce swelling by lying down and lifting legs above your heart.

Rotate Your Ankles- Relax your feet by rotating your ankles, cupping your heel and turning each ankle slowly five times. This loosens the ankle joints.

Wear Smart Shoes- This means you ladies! Leave those high heels at home! If you know you will be on your feet all day, wear comfortable shoes with arch support and a padded sole.

Of course if serious pain continues you should contact your podiatrists. If you need more infromation or would like to schedule an appointment please contact Affiliated Podiatrists, Inc. at (440)-946-5858 or visit our website: http://www.drrobertrosenstein.com/

And Remeber......."When your feet hurt, you hurt all over!"

That pesky, burning, and itching Athlete's Foot!

Dr. Rosenstein,

     My feet have been icthing and burning latley. I also have a red rash between my toes that is very painful. I think it may be athletes foot. What is athlete's foot and how is it caused?

Athlete's foot is a skin disease caused by a fungus, usually occurring between the toes. The fungus most commonly attacks the feet because shoes create a warm, dark, and humid environment which encourages fungus growth.

The warmth and dampness of areas around swimming pools, showers, and locker rooms are also breeding grounds for fungi. Because the infection was common among athletes who used these facilities frequently, the term "athlete's foot" became popular.

Not all fungus conditions are athlete's foot. Other conditions, such as disturbances of the sweat mechanism, reaction to dyes or adhesives in shoes, eczema, and psoriasis, may mimic athlete's foot.

The signs of athlete's foot, singly or combined, are dry skin, itching, scaling, inflammation, and blisters. Blisters often lead to cracking of the skin. When blisters break, small raw areas of tissue are exposed, causing pain and swelling. Itching and burning may increase as the infection spreads.

Athlete's foot may spread to the soles of the feet and to the toenails. It can be spread to other parts of the body, notably the groin and underarms, by those who scratch the infection and then touch themselves elsewhere. The organisms causing athlete's foot may persist for long periods. Consequently, the infection may be spread by contaminated bed sheets or clothing to other parts of the body.

It is not easy to prevent athlete's foot because it is usually contracted in dressing rooms, showers, and swimming pool locker rooms where bare feet come in contact with the fungus. However, you can do much to prevent infection by practicing good foot hygiene. Daily washing of the feet with soap and water; drying carefully, especially between the toes; and changing shoes and hose regularly to decrease moisture, help prevent the fungus from infecting the feet. Also helpful is daily use of a quality foot powder.

Tips :

Avoid walking barefoot; use shower shoes.  Reduce perspiration by using talcum powder. Wear light and airy shoes. Wear socks that keep your feet dry, and change them frequently if you perspire heavily

If you need more information or would like to schedule an appointment please contact Affiliated Podiatrists, Inc. at 440-946-5858 or check out our website www.DrRobertRosenstein.com

Severe's Disease

Dr. Rosenstein,

     My child’s foot keeps hurting constantly after they attend gym class. What are your thoughts on why this may be happening?

You should examine your child’s feet to see if they have a lesion noted.  If not think about Severe’s disease – this is damage to the growth plate in your child’s heel bone.  This is caused by your child having a growth spurt before their muscles are ready for the pulling.  The Achilles tendon pulls in an upward directions and the plantar fasciitis pulls longitudinally.

Your child will have pain after exercises or playing sports.  Many years ago, Podiatrists thought this was a stress fracture to the growth plate, but have since learned this is an infarction to the growth plate. 

By stretching and orthotics the majority of symptoms will be resolved.  Your child will have to wear orthotics and be checked till their growth plate in their heel is completely closed.  This will allow your child to continue participating in sports.

As always it is recommended to see your podiatrists. For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website:

www.DrRobertRosenstein.com

And remember...."When your feet hurt, you hurt all over!"

Hammertoes!

Dr. Rosenstein,
    
    I think I may have a hammertoe, what exactly is a hammertoe?

A hammertoe is a contracture(or bending)of the toe at the first joint of the digit, called the proximal interphalangeal joint. This bending causes the toe to appear like an upside-down V when looked at from the side. Any toe can be involved, but the condition usually affects the second through fifth toes, known as the lesser digits. Hammertoes are more common in females than males.

There are two different types:

Flexible Hammertoes:
These are less serious because they can be diagnosed and treated while still in the developmental stage. They are called flexible hammertoes because they are still moveable at the joint.

Rigid Hammertoes:

This variety is more developed and more serious than the flexible condition. Rigid hammertoes can be seen in patients with severe arthritis, for example, or in patients who wait too long to seek professional treatment. The tendons in a rigid hammertoe have become tight, and the joint misaligned and immobile, making surgery the usual course of treatment.

The Symptoms of Hammertoes:

• Pain upon pressure at the top of the bent toe from footwear.
• The formation of corns on the top of the joint.
• Redness and swelling at the joint contracture.
• Restricted or painful motion of the toe joint.
• Pain in the ball of the foot at the base of the affected toe.

A hammertoe is formed due an abnormal balance of the muscles in the toes. This abnormal balance causes increased pressures on the tendons and joints of the toe, leading to its contracture. Heredity and trauma can also lead to the formation of a hammertoe. Arthritis is another factor, because the balance around the toe in people with arthritis is so disrupted that a hammertoe may develop. Wearing shoes that are too tight and cause the toes to squeeze can also be a cause for a hammertoe to form.

If you need more information or would like to schedule an appointment please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website: http://www.drrobertrosenstein.com/

And Remember........."When Your Feet Hurt, You Hurt All Over!"

Fractures with Dislocations can be Really Bad, but what about stress fractures?

Stress fractures are small cracks in the bones of the foot and/or ankle most commonly caused by unusual or repeated stress rather than by a single hard impact. Bones are living, changing structures, absorbing and rebuilding cells constantly.  When too much stress occurs for the bones to rebuild themselves sufficiently, a weakened stress point can occur.

Fatigue often is part of the cause – muscles that are over-tired are less able to absorb the shock of impact when the foot hits the ground and the stress is transferred to the bones.  This can occur in athletes who train too hard or try to do too much or even in non-athletes who do more than usual or often do too little and have bones that have become weak. 

Symptoms of stress fractures may include:

-  pain that comes on gradually and worsens with walking or running but improves with rest

-  tenderness or swelling on the top or outside of the foot or ankle with no previous trauma

 An interview and examination with your podiatrist is warranted for diagnosis - X-rays may not always show stress fractures until more healing takes place.

 In the weight bearing bones of the foot and ankle, healing may be delayed by continuing to put weight on that limb.  Rest and a cast or walking boot are often used for 4 to 8 weeks followed by rehabilitation to strengthen the muscles of the leg and ankle.

Strengthening  muscles and bones by gradually increasing activity levels, avoiding sudden bursts of exercise, wearing proper supportive footwear, and eating a good diet are all ways to help prevent stress fractures.

By,

John Craigo, PT

For more information or to make an appointment please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website:

http://www.drrobertrosenstein.com/

And remeber..."When your feet hurt, you hurt all over!"

Remember when physicians made house calls? Well the good ole days are back again!

House calls, once popular in the 1930s, began to drop off as medical technology improved. By 1980, home visits represented less than 1 percent of physician encounters. But that has begun to change.
 At Affiliated Podiatrists, we make house calls. When getting to the doctor's office is difficult or even impossible, Affiliated Podiatrists brings compassionate, quality foot care to the home of Medicare patients. You now have the opportunity to wait for the doctor in the privacy and comfort of your own home, not in a large waiting room.
Meet our Physicians who can currently visit your residency, assisted living facility, or nursing home.

Dr. Zienkowski- She currently visits patients at Heartland where she assists in surgical and ulcer patients and

Parker Place

.

Dr. Coppers- He is our primary House Call Physician who can visit your place of residency if need be. Dr. Coppers also currently visits these facilities:

·        Amelia Frace

·        Altercare

·        Goldenridge

·        Govener’s Pointe

·        Hartley Manor

·        Heartland

·        Homestead

·        JFK

·        Lake Med

·        Manor Care

·        Mentor Senior Center

·       

No Place

Like Home

·        Pine Hill

·        Summerville

·        West Port

·        Western Reserve

If you have any questions about our House Call Services or if you wish to schedule an appointment please call (440)-946-5858 or visit our website:
http://www.drrobertrosenstein.com/

Hallux Rigidus

Dr. Rosenstein,

      I think I may have Hallux Rigidus because I have a bump on my big toe. What Is Hallux Rigidus?

Hallux rigidus is a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the big toe, and with time it gets increasingly harder to bend the toe. "Hallux" refers to the big toe, while "rigidus" indicates that the toe is rigid and cannot move.

Because hallux rigidus is a progressive condition, the toe's motion decreases as time goes on. In its earlier stage, motion of the big toe is only limited, this condition is called hallux limitus. But as the problem advances, the toe's range of motion decreases until it reaches the end stage of rigidus, where the big toe becomes stiff, or a frozen joint. Other problems are also likely to occur as the disorder progresses.

Early signs and symptoms include:

 Difficulty with certain activities (running, squatting)

 Swelling and inflammation around the joint

 Pain and stiffness in the big toe

 Pain aggravated by cold temperatures

 Pain, even during rest

 Difficulty wearing shoes

 Dull pain in the hip, knee, or lower back due to changes in the way you walk

 Limping, in severe cases

If you find it difficult to bend your toe up and down or find that you are walking on the outside of your foot because of pain in the toe, see your doctor right away. Hallux rigidus is easier to treat when the condition is caught early.

In diagnosing hallux rigidus, a foot specialist will examine your feet and bend the toe to determine its range of motion. X-rays are usually required to determine how much arthritis is present and any other abnormalities that may have formed.

If your condition is caught early enough, it is likely to respond to a less aggressive treatment. In many cases, early treatment may prevent or postpone the need for surgery in the future. That's why it is important to see a podiatrist when you first begin to notice symptoms.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at

440-946-5858 or visit our website: http://www.drrobertrosenstein.com/

And remeber..."When your feet hurt, you hurt all over!"

When Your Feet Hurt, You Can Literally Hurt All Over.....The Solution Could Be Physical Therapy!

Dr. Rosenstein,

      I recently have been having pain in my back but I think it's related to my foot pain. Do you think I need some physical therapy?

When your feet hurt, you can literally hurt all over! It is very common for people with foot and ankle pain to experience pain in other parts of their body. Most of the time physical therapy is a great tool to prevent and relieve pain in the body and it is a method that I like to implement not only from foot and ankle complications but for other conditions as well.

Physical therapy’s treatment methodology is aimed at the treatment and curing of certain ailments, and preventing the chances of pain reoccurring in the same place or at a later point of time. Its primary goal and focus is to bring back the patients to his or her normal self, free of any pain or complications, so that he or she could then move forward with their normal life by performing all the daily activities with very minimum or no difficulty. Physical therapy also deals with cardiopulmonary and neurological conditions too.

Physical therapy is effective in such for the patient to regain a major share of the mobility of his or her joints and muscles, achieve as much flexibility as possible, and acquire a better balance and coordination as far as his or her overall self is concerned. Apart from all this, physical therapy can also help in significantly improve the overall fitness and health of the patient. Physical therapy is also a very effective method in aiding/helping children to cope with issues such as developmental delays or muscle and joint weaknesses that could happen in their early stages of life. For physical therapy to be effective, it is very important that the patient also responds positively to their treatments, and for that to happen he or she needs to keep a positive frame of mind and not in a negative mind set. So keep positive and your treatment will have positive affects!

Back- Single Knee to Chest Stretch

 Pull one knee into chest until a comfortable stretch is felt in the lower back and buttocks. Repeat with opposite knee…..hold 60 seconds. Repeat 2 times on each side. Do 2 sessions per day.

Ankle/Foot- Soleus Stretch

Standing with both knees bent with one foot back, gently lean into wall, bending elbows until stretch is felt in lower calf.

Repeat with other foot. Hold 60 seconds. Repeat 2 times each side. Do 2 sessions per day.

Hip & Knee- Strengthening wall sides

Leaning on wall, slowly lower buttocks toward floor until your thighs are parallel to floor.

Work up to holding for 60 seconds. Tighten thigh muscle as you return to starting position. Repeat 2 times. Do 2 sessions per day.

Ankle/ Foot Gastroc Stretch

Keeping back leg straight, with heel flat on the floor and turned slightly outward, lean into wall until a stretch is felt in the calf

Repeat with other foot. Hold for 60 seconds. Repeat 2 times each side. Do 2 sessions per day.

Of course it is always reccomended that you see your podiatrists if you are experiencing foot and ankle pain because pain does not wait for anyone!

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website:

http://www.drrobertrosenstein.com/

And remember....."When your feet hurt, you hurt all over!"

It's Diabetes Awareness Month!

Dr. Rosenstein,

       Can you fit for diabetic shoes at your practice?

Yes we can! Our physicians have several years of experience in fitting for diabetic shoes. Our office also has a shoe store on site for all your shoe fitting needs.

Prevalence of Diabetes

Total: 20.8 million people- Seven percent of the U.S. population has diabetes.

Diagnosed: 14.6 million people

Undiagnosed: 6.2 million people

Prevalence of Diabetes amoung people 20 years or older

Age 20 years or older: 20.6 million. Nine percent of all people in this age group have diabetes.

Age 60 years or older: 10.3 million. Almost 21 percent of all people in this age group have diabetes.

Men: 10.9 million. Close to 11 percent of all men aged 20 years or older have diabetes.

Women: 9.7 million. Nearly nine percent of all women aged 20 years or older have diabetes. The prevalence of diabetes is at least 2 to 4 times higher among non-Hispanic Black and Hispanic/Latino American women than among non-Hispanic white women.

(www.apma.org)

Diabetic Foot Care Guidelines

Diabetes can be dangerous to your feet, even a small cut could have serious consequences. Diabetes may also reduce blood flow to the feet, making harder to heal an injury or resist infection. Because of these problems, you might not notice a pebble in your shoe, so you could develop a blister, then a sore, then a stubborn infection that might cause amputation of your foot or leg.

To avoid serious foot problems that could result in losing a toe, foot or leg, be sure to follow these guidelines:

• Inspect your feet daily.
• Wash your feet in lukewarm water.
• Be gentle when bathing your feet.
• Moisturize your feet- but not between your toes.
• Cut nails carefully- and straight across.
• Never trim corns or calluses.
• Wear clean, dry socks.
• Avoid the wrong type of socks.
• Wear socks to bed.
• Shake out your shoes and inspect the inside before wearing.
• Keep your feet warm and dry.
•  Never walk barefoot.
• Take care of your diabetes.
• Don’t smoke.

Of course you should get periodic foot exams done by your podiatrist.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at

440-946-5858 or visit our website www.DrRobertRosenstein.com

And remember......"When Your Feet Hurt, You Hurt All Over!"

Of Course Pedicures Feel Great! But What Are The Health Benefits?

  

Dr. Rosenstein,

         I love getting pedicures done frequently! Since then I have noticed an overall improvement on how my feet feel and look! How exactly does a pedicure benefit the health of my feet?

Not only does a pedicure make your feet feel great, it’s also a great prevention method to avoid future foot complications.

  Did you know the average person takes 8,000 to 10,000 steps a day, which adds up to about 115,000 miles over a lifetime! With that amount of wear and tear why wouldn’t we want to spoil our feet with a great cleansing and massage?

Cleaning, cutting, and clipping of the nails can prevent nails from growing inward and causing infection or ingrown toenails. The elimination of dirt and bacteria by cleansing your feet will also help prevent nail diseases and disorders and helps eliminate foot odor.

Exfoliation, or the sloughing off of dead skin cells, can prevent the cells from accumulating and causing corns or bunions, which if not treated are very painful. Removal of dead skins cells can also encourage newer skin cell growth which creates a smoother, more appealing foot.

Of course the most enjoyable part of our pedicures is the massage and/or oils used in the massage to moisturize the newly exfoliated skin. Massaging also promotes circulation in the calves and feet and also helps to promote the health and performance of the muscles. And of course this type of pampering is a great stress reducer because…. “When Your Feet Hurt, You Hurt All Over!”

LET'S SEE....IT'S A BUMP, GRAY IN COLOR, AND HAS A BLACK CENTER......YOU HAVE WHAT WE CALL A PLANTARS WART!

Dr.  Rosenstein,


        I have never had this problem before. It appears to be some kind of wart on the bottom of my foot and it hurts. What can I do to get rid of it?


Warts are caused by a virus and can appear anywhere on the skin. Warts on the foot are referred to as plantar warts.

On the bottom of the feet, plantar warts are usually hard and flat, rough, with well-defined boundries; but they are generally fleshier on the top of the feet or the toes. They are gray or brown with a center of black pinpoints.

It is recommended that you consult your podiatrists if you think you have a wart to not only get relief for pian, but to ensure a correct diagnosis. Warts are frequently confused with other foot disorders such as corns. If untreated, warts can spread and last a long time.

Self-treatment with over-the-counter medicatons is not recommended. They may destroy normal skin cells. There are numerous ways to remove a wart and your podiatrist will prescribe the most effective treatment for your specific condition.

Prevention Tips:

1) Don't walk barefoot
2) Change shoes daily
3) Keep your feet clean and dry
4) Do not ignore skin growths or changes
5) Visit your podiatrists anually.

For more information, please contact Affiliated Podaitrists, Inc. at 440-946-5858 or visit our website http://www.drrobertrosenstein.com/

"When your feet hurt, you hurt all over!"

What is Morton's Neuroma?

Dr. Rosenstein,


      I have a sharp pain in a couple of my small toes. It is more painful when I walk barefoot. What is this and what should I do to treat it?


The symptoms you describe may be caused by Morton's Neuroma. The most common symptom of Morton's Neuroma is localized pain in the third interspace between the third and fourth toes. It can be sharp or dull, and is worsened by wearing shoes and by walking. You also may feel burning or even a lack of feeling in the area.

Morton's Neuroma is a swelling of a nerve usually at the ball of the foot causing a sensation much like walking on a pebble.

In most cases, initial treatment consists of padding and taping to disperse weight away from the neuroma. you would then be instructed to wear shoes with wide toe boxes and avoid shoes with high heels.

An injection of local anesthetic to relieve pain and corticosteroid to reduce inflammation may be administered. A podiatrist would then monitor your progress over the next two weeks.

If the pain has been releived, the neuroma is probably small and caused by the structure of your foot and the type of shoes you wear. It can be releived by a custom-fitted orthotic that helps maintain the foot in a better position.

Sometimes soft tissue surgery is necessary if the foot does not rspond to the above treatments.

Of course, it's always best to consult your podiatrist for the proper individual diagnosis and treatment. There is no reason to endure pain.

"When your feet hurt, you hurt all over!"

For more information or to schedule a visit please call Affiliated Podiatrists, Inc. at 440-946-5858 or visit our website   http://www.drrobertrosenstein.com/

Those Pesky Calluses!

Dr. Rosenstein,


      How can I get rid of calluses and prevent them from coming back?


Calluses, those hardened patches of dead skin cells formed from keratin that generally develop on the ball or heel of the foot, can actually protect the feet and often do not need to be treated.


The skin on the sole of our feet is actually forty times thicker than skin anywhere else  and a callus can be double this thickness. A protective callus layer naturally develops to guard against excessive pressure and chafing as people age and the padding of fat on the bottom of the foot thins out.


Calluses develop from wearing poorly fitting shoes and walking on hard surfaces. People with diabetes should be extremely careful as calluses can be a strong predictor of subsequent ulceration.


If the callus is causing pain, there are several treatments. You can sand callus with a pumice stone after bathing. Soft cushions can be placed in the heel of the shoes or under the ball of the foot to relieve pain. You can purchase special fitted shoe inserts.


Creams and special ointments can be used to effectively prevent and remove calluses.


If your calluses are well developed , then  professional attention is needed. Consult your podiatrist for proper treatment.


"When your feet hurt, you hurt all over!"


For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at
440-946-5858 or visit our website http://www.drrobertrosenstein.com/

Getting Cold Feet............Literally?

Dr. Rosenstein,


      My feet are cold all the time and it's very uncomfortable. What causes this and what can I do?



Cold feet can be a result of poor circulation. As we age, the blood vessels sometimes develop plaques that restrict the blood flow to the feet.

Or sometimes the feet get sweaty and this moisture causes the foot to feel cold. You can wear a sock that wicks moisture away if that is the case.

Nerve problems in the foot can also give a cold sensation and may be painful at times. This condition is called peripheral neuropathy and is frequently seen in people with diabetes, peripheral vascular disease or other prolonged illlnesses.

Peripheral nerves are the nerves that go out from the brain and spinal cord to the muscles, skin, internal organs, and glands. The most common symptoms of neuropathy include numbness and loss of feeling, usually in the feet and hands. Peripheral neuropathy inpairs proper functioning of these sensory and motor nerves.

If you are having difficulty with this condition, consult with your family podiatrists.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at:
440-946-5858 or visit our website www.DrRobertRosenstein.com

And remember........When your feet hurt, you hurt all over!

Tarsal Tunnel Syndrome

Dr. Rosenstein,

      My friend thinks I may have Tarsal Tunnel Syndrome because of the pain I am experiencing in my ankle. What exactly is Tarsal Tunnel Syndrome?


It is when the nerve that runs through the narrow passage behind the inner ankle such as a sprain or fracture or  by a growth that presses against the nerve.

Tarsal Tunnel Syndrome can be very painful and is caused by injury to the ankle such as a sprain or fracture or by a growth that presses against the nerve.

A conservative treatment for Tarsal Tunnel Syndrome is orthotics, or specially designed shoe inserts that help redistribute weight and take the pressure off the nerve.

Orthotics are shoe insoles that are actually molded from taking a plaster cast of the individual's foot. They can be rigid, soft or semi-rigid.

In addition to Tarsal Tunnel Syndrome, orthotics are helpful in correcting and treating many foot disorders.

They can help control motion in foot joints that lie directly below the ankle. They help prevent turning of the foot and are helpful for people who are very overweight or who have uneven leg lengths.

Keep in mind that orthotic insoles are not transferabl. They are customized for the individual and their particular disorder and could do more harm than good if used by someone other than the intended patient.

If you think that orthotics might be helpful to you, check with your podiatrists.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at
440-946-5858 or visit our website: www.DrRobertRosenstein.com

And Remember......"When your feet hurt, you hurt all over!"

Pregnancy = Foot Pain?

Dr. Rosenstein,

         Since I have been pregnant I am experiencing pain in my legs and feet. Is this normal? How can I relieve the pain?



Pregnancy triggers many different changes in a woman's body. One of those changes is foot pain. Due to the natural weight gain during pregnancy, a woman's center of gravity is completely altered. This causes a new weight bearing stance and added pressure to the knees and feet.

Two of the most common foot problems experienced by pregnant women are over-pronation and edema. These problems can lead to pain at the heel, arch, or ball-of-foot.

Over-Pronation, also referred to as flat feet, is caused when a person's arch flattens out upon weight bearing and their feet roll inward when walking. Over-pronation can make walking very painful and can increase strian on the feet, calves and/or back.

Edema, also referred to as swelling in the feet, normally occurs in the latter part of pregnancy. Edema results from the extra blood accumulated during pregnancy.

Over-Pronation can be treated conservatively with "ready-made" orthotics. Proper fitting footwear is also very important in treating over-pronation. Choose comfortable footwear that provides extra support and shock absorption.

Edema in the feet can be minimized by the following methods:

• Elevate your feet as often as possible. If you have to sit for long periods of time, place a small stool by your feet to elevate them.
• Wear proper fitting footwear. Footwear that is too narrow or short will constrict circulation.
• Have your feet measured several times throughout your pregnancy. They will probably change sizes.
• Wear seamless socks that do not constrict circulation.
• If you are driving for a long period of time, take regular breaks to stretch your legs to promote circulation.
• Exercise regularly to promote overall health; walking is the best exercise.
• Drink plenty of water to keep the body hydrated. this helps the body retain less fluid.
• Eat well-balanced diet and avoid foods high in salt that can cause water retention.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at
440-946-5858 or visit our website: www.DrRobertRosenstein.com

And Remember......"When Your Feet Hurt, You Hurt All Over!"

Foot Stress Fractures From Sport Injuries

Dr. Rosenstein,

      My son plays a lot of sports and I am concerned about the wear and tear on his feet. He recently experienced a stress fracture, and he seems to want to ignore it. What is the best treatment?


People who engage in high impact aerobic exercise or sports are certainly at risk for stress fractures and other foot injuries.

Stress fractures can occur as a result of prolonged repeated loads on the legs. Long distance runners are susceptible to this type of injury. Symptoms include:

• Pain in the affected bone during exercise.
• Tenderness and swelling at a point on the bone.

Stress fractures in athletes occur mainly in the lower leg and foot (in the calcaneus, navicular and metatarsal bones). A stress fracture of the second or third metatarsal bone is sometimes called a "march fracture" because soldiers running in boots often get it!

A mildly pronoted (flattened) foot in normal conditions would not develop and a stress fracture, but a runner with a mildly pronated foot could very easily sustain a stress fracture by repetitive usage on an altered biomechanical foot.

Stress fractures usually take time to develop and the symptoms are pain, redness and swelling. X-rays are usually only positive after about three weeks of symptoms. In some cases, a bone scan is necessary to make the diagnosis.

Treatment for a stress fracture like most conditions of the foot requires immobilization, ice compression. Rest for 6 to 8 weeks if a stress fracture is suspected. Use crutches if necessary. Athletes should see a podiatrists for advice.

Orthotics are the best treatment for long-term control of stress fractures. Immediate control would consist of a cast boot.

When the athlete does start back running they must ensure the muscles in the lower leg are stretched and supple. Many people start back running and complain of pain because they have let their muscles get hard and tight particularly in the lower leg.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at:
440-946-5858 or visit our website: www.DrRobertRosenstein.com

Wearing The Right Shoes For The Right Job!

Dr. Rosenstein,

       I enjoy running as an exercise. Is there anything I should do so that I do not over stress my ankles and feet or cause injury?


First, you should gradually work up to the distance and speed you are comforatble running.

Of course, the shoes you choose are very important and they should be regularly replaced. The best shoes are ones that give you the greatest amount of shock absorption.

And a lot depends on how much you run and what speeds. If you are running 20 miles a week or more, you should replace your shoes between 4 and 8 months.

There are stretching exercises also that can help reduce pain and injury. Runners frequently experience tightness in muscle groups.

The calf should be gently stretched as well as the hamstrings. Stretch one set of leg muscles at a time with the "wall stretch". One leg is back, knee striaght, the other leg is forward with the knee bent. The leg that is back is being stretched. Doing this 10 times holding for ten seconds each is ideal.

There are many more stretches to loosen muscles and help you avoid any type of serious injury.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc.
at: 440-946-5858 or visist our website: www.DrRobertRosenstein.com

And remember........."When your feet hurt, you hurt all over!"

Wearing The Right Size Shoes Can Prevent Foot Pain!

Dr. Rosenstein,

      My husband is a diabetic and he likes to wear his shoes snug. Is this okay or what advice would you give him?



Wearing the correct size shoes is extremely important for diabetics. Studies have shown that many people with diabetes choose shoes that are too small and that can cause ulceration.

To avoid any complications, select shoes that are wide enough and long enough. To ensure proper fit, consult with a professional who can determine that correct shoe size and fit.

The difficulty is that once diagnosed with neuropathy, an individual my not feel pain in thier feet and that is where the danger lies. They will be unaware that the shoe is too tight.

In addition, the size of the foot changes as we age. Just as we gain and lose weight, so our feet respond in the same fashion. As we are in a constant state of change, so are our feet.

Individuals with diabetic neuropathy do not have the luxury of putting on an old pair of shoes without first having a professional determine whether they still fit well.

For more information or to schedule an appointment, please contact Affiliated Podiatrists, Inc. at:
440-946-5858 or visit our website www.DrRobertRosenstein.com

And remember...."When your feet hurt, you hurt all over!"

Varicose Veins = Swollen Ankles?

Dr. Rosenstein,

      My ankle keeps swelling. Can that have something to do with my varicose veins?


There are actually several causes for swollen ankles- inflammation, or trauma or a thrombosis in the vein around that area. Generally, but not always, swelling in both ankles would indicate other causes that affect the whole body.

It is important to start with a correct diagnosis from your podiatrist. An evaluation would include consideration of varicose veins, or varicose ulceration or pigmentation of the leg.

Treatment might include raising the foot of your bed 9 inches, so that fluid drains away from the foot during the night. When you sit down, you should raise your foot so that it is higher than your backside. Compression hoisery, support socks, stockings or tights can lessen swelling and they should be put on prior to swelling in the morning when you first get up.

If the problem is not relieved and it is due to varicose veins, then surgery to remove the veins may be necessary.

If your ankle is causing you pain and discomfort, by all means, have it diagnosed as soon as possible.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at:
440-946-5858 or visit our web site www.DrRobertRosenstein.com

And remeber........"When your feet hurt, you hurt all over!"

Toe Nail Fungus and Discoloration

Dr. Rosenstein,

       I am embarrassed about my feet, particularly my nails. I don't even want to see a doctor about them, but I think I may have some type of fungus. Is there something I can buy at the drugstore?



People are generally embarrassed because they feel it reflects poor hygiene. The general opinion is that you catch fungus from shower floors, locker rooms, swimming pools, and the unhygienic people who use them, but that always isn't always the case. Fungi are everywhere-in the air, dust, and the soil.

Hygienic measures such as spraying socks and footgear may help a little bit. However, avoiding tight, non-breathing shoes, or steering clear of athletic floors may very well be more trouble than they're worth. Wearing white socks also does not help.

Daily washing of the feet and drying between the toes can help to prevent nail fungus.

One thing is sure, though: once fungus gets a foothold, so to speak, it hangs around indefinitely and often recurs even after successful treatment. However, it is not contagious!

It's always a good idea to have a podiatrists check out your feet if you suspect fungal infection because there are some other conditions you may have instead of fungal nails:

1. Lines and Ridges- These are common and may be considered normal.
2. Whitish or Yellowish Nails- Due to onycholysis. This means separation of the nail bed. The color you see is air.
3. Red or Black Nails- Due to a hematoma, or blood under the nail, usually from trauma (like whacking yourself on the thumb with a hammer).
4. Green Nails- Caused by pseudomonas bacteria, which live silently under many nails. This bacteria grows under a nail that has partially separated from the nail bed, thereby producing a green pigment.
5. Pitted Nails- May be associated with psoriasis or other skin problems that affect the nail matrix, the area under the skin just behind the nail. This is the area from which the nail grows.
6. Swelling and Redness of the Skin around the Nail- Called paronychia. This condition occurs when yeast infects a damaged cuticle.

Creams and other topical medications are usually not effective against nail fungus. This is because nails are too hard for external applications to penetrate. However, a new medicated nail lacquer ciclopirox (Penlac) Topical Solution 8% has been approved to treat finger or toenail fungus that does not involve the white portion of the nail (lunula) in persons with normal immune systems.

For more information or to schedule an appointment please contact Affiliated Podiatrists, Inc. at
440-946-5858 or visit our website www.DrRobertRosenstein.com

And remember....." When your feet hurt, you hurt all over!"

Plantar Warts

Dr Rosenstein,

        I have never had this problem before. It appears to be some kind of wart on the bottom of my foot and it hurts. What can I do to get rid of it?


Warts are caused by a virus and can appear anywhere on the skin. Warts on the foot are referred to as plantar warts.

On the bottom of the feet, plantar warts are usually hard and flat, rough, with well-defined boundries; but they are generally fleshier on the top of the feet or the toes. They are gray or brown with a center of black pinpoints.

It is recommended that you consult your podiatrists if you think you have a wart to not only get relief for pian, but to ensure a correct diagnosis. Warts are frequently confused with other foot disorders such as corns. If untreated, warts can spread and last a long time.

Self-treatment with over-the-counter medicatons is not recommended. They may destroy normal skin cells. There are numerous ways to remove a wart and your podiatrist will prescribe the most effective treatment for your specific condition.

Prevention Tips:

1) Don't walk barefoot
2) Change shoes daily
3) Keep your feet clean and dry
4) Do not ignore skin growths or changes
5) Visit your podiatrists anually.

For more information, please contact Affiliated Podaitrists, Inc. at 440-946-5858 or visit our website http://www.drrobertrosenstein.com/

"When your feet hurt, you hurt all over!"