What is a Pedicure and Why should I get One?

What is a pedicure you ask? A pedicure is a set of procedures that are performed on the feet to treat or prevent negative health conditions and to enhance their overall appearance.

This typically involves grooming the toenails, exfoliating dead skin that may have become dry and hard, tending to the cuticles, moisturizing and nail beautification usually through the application of nail enamels. It would make good sense though to also tend to other issues that affect the feet beauty or health wise instead of sticking to some predetermined list of procedures.

What sense would it make to adhere to a prescribed list of procedures of foot care and leave out addressing other issues such as discolored nails or corns that affect the beauty and/or health of the feet?

With these loose guidelines, this definition of what is a pedicure can possibly include any corrective, maintenance or beautification procedure done to the feet with the exception of foot surgery or professional medical attention. This makes for a good, thorough definition because many people perform pedicures on themselves and others and just don’t seek to correct serious issues that affect the feet.

So keep an open mind and treat all pedicure instructions as just guidelines. Take a serious look at your feet, research remedies for any problems you notice and insert those remedies sensibly into your foot care regimen. Many issues that can affect your feet though will most likely be included on this site with home remedies if any.

Some people find pedicures extremely relaxing, while others who are very ticklish can't stand to sit through one. The fact is that it all depends upon you if you will have a ticklish pedicure experience or not.

It is for this reason and others that some people prefer to give themselves at home pedicures as opposed to going to a salon

Interesting pedicures...

There are also different types of pedicures that have gained popularity and focus due to a particular ingredient or process. Some of these are listed below.

• The pumpkin pedicure is a pedicure that involves the use of pumpkin pulp to exfoliate the feet.

Doctor Fish are little fish that can aid in exfoliation because they feed on dead skin. Some spas have included doctor fish pedicures in their line up of foot care services.

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 1,115,000 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 a pedicure 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!”

 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/

*Don't forget to order your free copy of our book from the website!*

Walk your way to a longer life!

According to the American Podiatric Medical Association two major long-term studies confirm the beneficial effects of regular walking on a person's overall health and well-being. The first study, published in the New England Journal of Medicine, followed 707 nonsmoking retired men, 61 to 81 years of age, who were in the Honolulu Heart Program. The study revealed that regular exercise walking lowered the risk of death from cancer and cardiovascular disease and - in general - prolonged life. Increasing the walking distance from just one to two miles produced even greater results. The second study, published in the Journal of the American Medical Association, tracked nearly 16,000 healthy men and women in a national registry of twins for an average of 19 years. Taking brisk half-hour walks just six times a month appeared to cut the risk of death by 44 percent among twins observed, and even occasional exercisers were 30 percent less likely to die than their sedentary twins.
In addition to the long-term benefit of prolonging life, seniors can experience many short-term benefits from walking. Walking:
* Controls weight, blood sugar and cholesterol levels. A brisk walk can burn up to 100 calories per mile or 300 calories per hour. Walking is the perfect complement to a sensible diet to lose weight and keep it off.
* Improves cardiovascular fitness and circulation. Walking gets the heart beating faster to transport oxygen-rich blood from the lungs to the muscles; and increases the size and improves the efficiency of tiny vessels that supply blood for cellular respiration.
* Facilitates medical rehabilitation and recovery from many ailments, including heart attack.
* Generates a sense of well-being, and can relieve depression, anxiety and stress by naturally producing endorphins, the body's natural tranquilizer.

Walking Tips for Seniors

TIP WHY HOW
Warm up and cool down. Stretching improves circulation and decreases build-up of lactic acid - the chemical by-product that causes muscles to ache. It also helps alleviate any muscle stiffness and prevents future muscle strain. As a result, you can walk further, longer and injury free. Before and after walking allow ample time to perform a few simple movements, stretching the hamstrings, calves, Achilles tendons and shins.

TIP WHY HOW
Choose proper footgear. Buying shoes is the only real expenditure necessary for walking, so don't cut corners on your shoe budget; treat your feet well! If you experience swelling in your feet, try on athletic shoes in the afternoon - when your feet are most swollen - to ensure an accurate fit. Look for a shoe that is stable from side to side; well-cushioned; enables you to walk smoothly and comfortably; and gives you enough room to wiggle your toes, yet be snug in the heel. Also, look for shoes that carry the American Podiatric Medical Association's Seal of Approval.

TIP WHY HOW
Pay attention to your feet. Changes and/or pain in the feet and ankles are not normal and could indicate a serious foot ailment or circulatory problem. Warning: Self-treatment can turn a minor problem into a major one, making fitness more difficult. Become familiar with your feet and ankles by examining them - before and after - walking. If you notice red spots, swelling, or other abnormalities, including numbness, tingling or burning, consult a podiatric physician as soon as possible.

TIP WHY HOW
Walk on soft ground. With age, the natural shock absorbers (or "fat padding") in your feet deteriorate, as does bone density, particularly in women. These factors combined make seniors prone to stress fractures. Softer ground is more foot-friendly, producing less shock than harder surfaces. If possible, walk on grass or dirt paths that are flat, even and well-manicured.
TIP WHY HOW
Avoid walking in cold weather. Cold weather causes numbness, limiting your ability to detect trauma or wounds to the feet. It also makes surfaces harder, exerting undue shock on the feet and ankles. Head to the local mall or walk at an indoor track or exercise facility.

TIP WHY HOW
If you have diabetes, use extra precaution. If you suffer from diabetes, you are prone to infection from even minor injuries. Many people with diabetes experience a loss of sensation in the feet, making it difficult to detect injury. Untreated or improper self-treatment of ailments could lead to serious, permanent damage or possible amputation. Check your feet daily for redness, blisters or injury. If you experience any numbness, tingling or have wounds or abnormalities of any kind, see a podiatric physician immediately.

TIP WHY HOW
Exercise smart. Establishing an exercise program is a huge undertaking, and even the most minimal injury could "sideline" you for days - even months. Knowing your limit and exercising with caution can ward off injuries and frustration. Set appropriate and realistic goals. Pace yourself, choose an activity you like, increase your exercise program gradually and pay attention to what your body, including your feet, tells you. Drink fluids on hot days or during very strenuous activities, to avoid heat stroke and heat exhaustion

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

*Don't forget to order a free copy of our book from the website!*

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

Getting Ready to Trade those Uggs in for Sandals?

Getting ready for that warmer weather to come? Getting tired of having your feet feeling toasty and sweaty in those terrrible Uggs?

I think we are all ready to stick our toes in the sand! But before you have your Beach Boys Bash you might want to consider what a tropical vacation can do to your feet.

Just lying on your back soaking up rays can still put your feet at risk for sun burn. Athletes foot certainly will be soaking up the rays next to those public pools.

Here are some tips to avoid collecting doctor's when you should be collecting sea shells!

 1. Limit walking barefoot as it exposes feet to sunburn, as well as plantar warts, athlete’s foot, ring worm and other infections and also increases risk of injury to your feet.

2. Wear shoes or flip-flops around the pool, to the beach, in the locker room and even on the carpeting or in the bathroom of your hotel room to prevent injuries and limit the likelihood of contracting any bacterial infections.

3. Remember to apply sunscreen all over your feet, especially the tops and fronts of ankles and don’t forget to reapply after you’ve been in the water.

4. Stay hydrated by drinking plenty of water throughout the day. This will not only help with overall health, but will also minimize any foot swelling caused by the heat.

5. Keep blood flowing with periodic ankle flexes, toe wiggles and calf stretches.

6. Some activities at the beach, lake or river may require different types of footwear to be worn so be sure to ask the contact at each activity if specific shoes are needed. To be safe,

always pack an extra pair of sneakers or protective water shoes. If your shoes will be getting wet, they should be dried out completely before your next wear to prevent bacteria or fungus from growing.

7. If you injure your foot or ankle while on vacation, seek professional medical attention from a podiatric physician. Many often only contact a doctor when something is broken or sprained, but a podiatrist can begin treating your ailment immediately while you’re away from home. You can find an American Podiat­ric Medical Association podiatrist in your travel area by calling 1-800-FOOTCARE or by logging on to www.apma.org.

8. In case of minor foot problems, be prepared with the following on-the-go foot gear:

Flip Flops – for the pool, spa, hotel room, and air­port security check points

Sterile bandages – for covering minor cuts and scrapes

Antibiotic Cream – to treat any skin injury

Emollient-enriched cream – to hydrate feet

Blister pads or Moleskin – to protect against blisters

Motrin or Advil (anti-inflammatory) – to ease tired, swollen feet

Toenail Clippers – to keep toenails trim

Emery board – to smooth rough edges or broken nails

Pumice Stone – to soften callused skin

Sunscreen – to protect against the scorching sun

Aloe Vera or Silvadene cream – to relieve sunburns

Of course if you have questions on proper foot care while on vacation please contact your podiatrist!

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/

*Don't forget to order a free copy of our book from our website!*

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

Loss of protective sensation

Diabetic foot ulcers are sores on the feet that occur in 15% of diabetic patients some time during their lifetime.

The causes of diabetic foot ulcers are neuropathic and vascular complications of the disease.

Nerve damage caused by diabetes can alter or complete loss of feeling in the foot or leg. This is known as periphal neuropathy. The loss of protective sensation stops the patient from being warned that the skin is being injured from for example pressure feelings from shoes, cuts, bruises, or any injury. This may result in skin loss, blisters and ulcers.

Vascular disease is also a major problem in diabetes and especially affects very small blood vessels feeding the skin. In this situattion normal pulses in the feet may be found because the arteries are unaffected. But in some cases in diabetic patients that have narrowed arteries a pulse can not be found at the feet. The lack of healthy blood flow may lead to ulceration. Wound healing then becomes impaired.

In most cases patients who have ulcers may take their time before presenting it to a doctor because they are frequently painless.

Depending on the severity foot ulcers may be rated between 0 and 3

0- at risk foot with no ulceration
1- superficial ulceration with no infection
2- deep ulceration exposing tendons and joints
3- extensive ulceration or absceses

The tissue around the ulcer may become black due to the lack of healthy blood flow to the foot. In severe cases partial or complete gangreene may occur.

Of course if you feel you may have a foot ulcer please see your podaitrists!

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/

*Don't forget to order your FREE copy of  our book off our website

Think You Need Custom Orthotics?

Dr. Rosenstein,

     I think I may need orthotics, but I'm not sure what they are or what they do? Also what can cause someone to need orthotics?


The common signs and symptoms that may indicate misalignment of the feet that may indicate the use of orthotics are as follows:

• Abnormal shoe wear (one side of the shoe wears out faster than the other)
• Bunions
• Flat feet
• Shin pain
• Chronic heel pain
• Frequent ankle sprains
• Gait abnormalities-feet pointed inward or excessively outward during walking.

Orhtotics are orthopedic devices that are used to alter or modify foot function and are designed to treat, adjust, and support various biomechanical foot disorders. Some orthotics can be simple, commercially made devices that are sold over the counter eg. Dr Scholls (which I do not reccomend)

The best and most effective orthotics, are custom-made devices that are crafted and designed to meet the specific needs of an individuals feet. Custom orthotics are created by using an impression of the foot called a cast, this cast can duplicate any misalignments in your foot structure. With the cast we have technicians in an orthotic labratory design a device that can balance out deformities and correct misalignments.

After the orthotic is created we then place it in the patient's shoe to support the foot and elminate abnormal foot biomechanics by keeping the foot properly aligned.

Depending on the patient's need, the orthotic may have padding to cushion the foot and make it more comfortable.

In general orthotics are grouped into theses categories:

1. Functional Orthotics- they allow the foot to become a mobile adapter and a rigid lever. They support the rear foot or subtaylor joints, as well as the midfoot or midtarsal joints. Functional orthotics are used to correct many foot deformities.

2. Accommodative Orthotics- these typically frature a soft supportive device that is designed to relieve mild foot pain and correct minor foot problems. Accommodative orthotics include splints, gait plates, and night-bars-devices used to hold a child's feet and legs at a proper angle while sleeping.

Of course if you have foot pain or think you may need custom orthotics, please see your podaitrists!

If you have any questions or need to schedule an appointment please contact Affiliated Podiatrists, Inc.
at 440-946-5858 or visit our website: www.DrRobertRosenstein.com

*Don't forget to order a free copy of our book on our website*

The Chicken or the Egg.....Plantar Fasciitis or the Heel Spur?

Patients and doctors often confuse the terms heel spur and plantar fasciitis. While these two diagnoses are related, they are not the same.

Plantar fasciitis refers to the inflammation of the plantar-fascia (the tissue that forms the arch of the foot. A heel spur is a hook of bone that can form on the heel bone (calcaneus) and is associated with plantar fasciitis.

About 70% of patients with plantar fasciitis have a heel spur that can be seen on an X-ray. However, many patients without symptoms of pain can have a heel spur. The exact relationship between plantar fasciitis and heel spurs is not entirely understood.

When a patient has plantar fasciitis, the plantar fascia becomes inflammed and degenerative (Worn-out) - these abnormalities can make normal activities quite painful. Symptoms typically worsen early in the morning after sleep. At that time, the plantar fasci is tight so even simple movements stretch the contracted plantar fascia. As you begin to losen the plantar fascia, the pain usually subsides , but often returns with prolonged standing or walking.

Heel spurs form in some patients who have plantar fasciitis, and tend to occur in patients who have had the problem for a prolonged period of time. While about 70% of patients with plantar fasciitis have a heel spur, X-rays also show about 50 percent of patients with no symptoms of plantar fasciitis also have a heel spur.

Of course if you think you may have symptoms of either plantar fasciitis or heel spur please see your podiatrists!

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/

*Don't Forget to order your free copy of our book on our website!*

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

Common Running Injuries

Running is a great way to both get healthy and stay healthy. However, without proper precautions, foot and ankle injuries can occur. Below are some common foot and ankle-related running injuries that you must be aware of so you don't get stopped in your tracks.

Plantar Fasciitis- is an inflammation of a fibrous band of tissue in the bottom of the foot that extends from the heel bone to the toes. This tissue can become inflamed for many reasons, most commonly from irritation by placing too much stress on the bottom of the foot.

This can be prevented by stretching both before and after you run. The proper stretching should be gentle and should not be painful. Wearing supportive running shoes that are appropiate for your foot type, as well as shoe inserts, can also be effective.

Morton's Neuroma- is often described by runners as a burning, stinging pain in the forefoot. Other symptoms include pain in the ball of the foot and a feeling of "pins and needles" and nubness to the toe. Runners who wear tight-fitting footwear often experience this condition.

A podiatrists may administer a cortisone injection to provide relief for a Morton's Neuroma, and recommend a wider pair of running footwear. A professional  gait anlysis, paired with customized foot orthotics, can often prevent the condition from reoccurring. Occasionally, surgical removal of the neuroma is necessary.

Shin Splints- also referred to as "tibial stress syndrome," shin splints affect runners of all ages and are commonly experienced as a shooting pain felt near the front or sides of one or both tibia bones.

Shin splints can be treated immeadiately with ice and anti-inflammatory medications. A podiatrists may also recommend a physical therapy program, as well as testing to determine if prescription orthotic inserts could prevent further injury.

Stress Fractures- in the lower limbs are common among athletes in general, and are commonly caused by repetitive forces on these areas. Symptoms include localized pain and swelling that grows worse nd worse over time. Stress fractures can occur over a period of days, weeks, or even months.

Stress fractures are like any other fracture in the body and require 8-10 weeks to heal completely. Treatments may include complete rest icing, immobilization using casting or bracing of the affected area.

Achilles Tendonitis- An ailment that accounts for a large number of running injuries, Achilles tendonitis is an irritation or inflammation of the large tendon in the back of the lower calf that attaches to the back of the heel. The condition is often caused by lack of flexibility and overpronation.

Ice and OTC anit- inflammatory medications can be taken in the short term. Resting the affected limb is vital for quick recovery. A podiatrists may recommend immobilization in more severe cases to allow the area to heel faster.

Don't let these scare you from running, just be aware to take the proper precautions if running is a common hobby or sport. And of course if you if you think you may have one of these injuries please see your podiatrists right away.

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

Don't forget to order your free copy of Dr. Rosenstein's book off our website!

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

America's Childhood Obesity Epidemic.....Their Feet!

Recent surveys are showing that foot and ankle compications are a major deterrent to exercise and because this our children are becoming overweight.

A vicious cycle occurs with overwieght children. They should exercise and lose weight, but because of their weight, their feet hurt and they can't exercise.

An estimated 16 percent of U.S. children ages 6 to 19 are overweight and doctors are now begining to see more and more foot and ankle pain in obese children.

A staggering 72% of americans say they do not exercise because foot pain prevents them from doiung so. With the obestity rate soaring every year it makes it all the more important to see a podiatrists.

Being overweight can cause many problems in the feet. For example, the pressure of extra weight causes a flattening of the foot, very similar to what the weight of pregnant women does to their feet, resulting in a strain on the plantar fascia (the band of tissue which runs from the heel to the base of the toes), aprimary cause of heel pain.

Because the heel bone is not fully developed until the age 14 or older, overweight children are also more prone to Sever's disease. Although not an actual disease, it involves inflammation of the heel's growth plate due to muscle strain and repetitive stress. Walking makes the pain worse. Being overweight may also cause stress fracture, or hairline breaks in a child's heel bone.

A study surveyed 1,000 US adults, ages 18 and older, to gain public opinion on attitudes toward foot health and foot care. Results showed that Americans view their feet as the least important body part in terms of their health and well-being. However, feeet were the number 1 body part to experience pain, even more so than teeth or skin. As foot pain contributes  to a variety of negative health consequences, it is important that Americans seek the care of a podiatrist immediately if problems arise.

Children may also complain of calf or arch pain. This can be caused by a flatfoot that is flexible. The collapsing of the arch can require more energy, making it difficult for a child to walk and run.

Some overweight children may suffer foot pain from congential or inherited foot conditions, such as bunions, hammertoes, pediatric flatfoot and tarsal coalition, an abnormal connection between two or more bones in the back and foot.

Foot and ankle surgeons may treat overweigth children with custom orthotic devices (shoe inserts), physical therapy and other conservative measures to reduce and eliminate pain. Parents SHOULD also watch their child's lifestyle and diet.

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

DON'T FORGET TO ORDER YOUR FREE BOOK FROM OUR WEBSITE!!!!!

AND REMEMBER....."WHEN YOUR FEET HURT, YOU HURT ALL OVER!"

Stress Fractures of the Foot and Ankle by, John Craigo P.T.

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.

So What Are The Benefits of Physical Therapy?

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 patient 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 to regain mobility of joints, strengthen muscles, achieve flexibility, and acquire better balance and. Apart from all this, physical therapy can also help to significantly improve overall fitness and health. 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!

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/

order a free copy of a our book on our website!

Ingrown Toenails

When a toenail is ingrown, it is curved and grows into the skin, usually at the nail borders. This "digging in" of the nail irriatates the skin, often creating pain, redness, swelling, and warmth in the toe.

If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area, which is often marked by drainage and a foul odor. However, even if the toe isn't painful, red, swollen, or warm, a nail that curves downward into the skin can progress to an infection.

Causes:

• Heredity- in many people, the tendency for ingrown toenails is inherited.
• Trauma- sometimes an ingrown toenail is the result of trauma, such as stubbing your toe, having an object fall on your toe, or engaging in activities that involve repeated pressure on the toes, such as kicking or running.
• Improperly sized footwear-Ingrown toenails can result from wearing socks and shoes that are tigth or short.
• Nail Conditions- ingrown toenails can be caused by nail problems, such as fungal infections or losing a nail due to trauma.

Sometimes initial treatment for ingrown toenails can be safely performed at home. However, home treatment is strongly discouraged if an infection is suspected, or for those who have medical conditions that put feet at high risk, such as diabetes, nerve damage in the foot, or poor circulation.

Tips for cutting your Toenails

Trimming you toenails may seem simple enough, but it isn't something to be done carelessly. While most people don't need to visit a podiatrists to take of their toes-many people need to be sur they're clipping their nails properly to reduce the risk of future foot problems.

Trimming Toenails: The Basics

• Cut striaght across: Guide the cilppers straight across the nail of each toe and avoid cutting nails into a curved shape.
• Use appropiate toenail clippers: Larger clippers are meant for larger nails, and will be easier to cut toenails with than fingernail clippers. Keep clippers and any other tools you use on your toes disinfected (cleaning them with rubbing alcohol before and after using them will do the trick).
• Leave nails a little long: Don't cut nails too short, as it's another reason ingrown toenails occur. It can also leave your toenail susceptible to infection-plus it hurts!
• Cut nails when they're dry not wet: Cutting dry nails will give you a cleaner, smoother cut.
• Make a few small cuts: Don't try to clip each toenail in one shot. Make a few small cuts across your nail.

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!"

Some Great Tips To Keep Your Feet Happy This Year!

Did you know that the average adult walks the equivalent of more than 4 times around the world in their lifetime? So it's not hard to believe that more than three quaters of adults will experience some type of problem with their feet.

It is extremely important that you take care of your feet as much as any part of your body! The truth is we often ignore and neglect our feet until we know there is a problem.

Below are some great tips to follow to keep your feet healthy:

Wash feet daily- use mild, soapy water for just a few minutes. Dry your feet properly and make sure you get in between your toes!

Apply moisturizing cream to your feet daily- use good quality moisturizing cream and make sure you pay close attention to the sole and heel areas. While avoiding the toenails and spaces between the toes.

File hard skin away gently using a foot file or a pumice stone- try to use the pumice stone in, or straight after a bath or shower while the skin is soft. Follow that step with a foot file after your feet are dry.

Keep the spaces between the toes dry- try to do this daily to prevent sogginess or athlete's foot.

Keep nails trimmed- use proper nail scissors or clippers and follow the natural curve of the end of the nail do not cut or dig into the sides as this can lead to ingrown toenails.

Avoid walking barefoot in public places especially showers!- wearing flip flops can reduce the risk of picking up infections such as verrucae and athlete's foot.

Make sure you are wearing the right size shoe- poor footwear is often the cause of many foot problems, yet we often don't realize we are wearing the wrong size shoes.

See a Podiatrists!- if you have any concerns about your feet, a podiatrists can identify any problems and discuss the best treatment options. Even if you may not have a good specific foot problem, it may be a good idea to visit a podiatrists once in a while just for a routine check-up and to educate yourself on proper foot care.

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!"

The Pitter Patter of Little Feet = Foot Pain For Mom!

The Last thing you want to worry about during your pregnancy is your feet. However, your feet are more important during this time than you may realize. There are preventative methods that can be taken to stop or lesson the problems.

Your hormones increase during your pregnancy. Some of these hormones help relax ligaments and other strucutres to allow a vaginal birth. But these same hormones can also cause your ligaments in your feet that can lead to flat feet (fallen arches) and over-pronation. This also can increase your shoe size, you may have to wear a half or whole size bigger after you give birth.

Another cause obviously is your growing womb, the weight of the baby, and the enlargement of your breasts. With this extra weight will come extra stress on the arches of the feet. So it's quite common for pregnant women to develop heel pain or plantar fasciitis because of the extra weight. Your center of gravity and your balance are also affected.

Some Prevention and Treatment Tips:

• Try to avoid standing for long periods of time and walking barefoot.
• Take breaks frequently and make sure to elevate your feet.
• Make sure you wear properly fitting shoes. (You may need to see your podiatrist for custom fitted orthotics.)

Swelling is another issue that pregnant women will have to deal with. Swelling of the feet and ankles is very common. This is usually caused by an increase in blood volume that occurs to help you carry extra oxygen and nutrients to your baby. The pregnancy hormones can also cause changes in the blood vessels , which may lead to swelling. All of this extra fluid is pulled down naturally by gravity right to your feet and ankles.

Some Prevention and Treatment Tips:

• Do not stand for long periods of time.
• Elevate your feet as much as possible.
• Drink plenty of water.
• Avoid foods in high sodium.
• Take baths or go swimming if you can this will relax your muscles and skin.

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!"

Spare the Duct Tape, and just see a Podiatrists for your wart!

Dr. Rosenstein,

      I think I may have a wart on the bottom of my foot. How do warts appear and what are the most common treatments?


Warts are the most common viral infections of the skin. Plantar warts grow on the sole of the foot. Warts can form and be found in this area but usually to produce and appear in areas of the foot where there are the most pressure and friction. The virus that causes warts, the human papillomavirus, infects only the superficial layer of skin that produces a callus-like growth that can become quite irritated and tender.

Plantar Warts can be seen in all age groups, but they are most common among children 12-16 years are more rare in the elderly.

The risks of getting Plantar Warts can include:

• The use of public showers
• Skin Trauma
• Weakened immune system because of certain medications used or type of illness.

Unfortunately since warts tend to appear spontaneously, it may become necessary to treat warts that negatively affect an individuals ability to walk for a short period of time.

The most common Medical Treatments used:

• Acid
• Laser Treatments
• Cryotherapy

There are many more other treatments available for the treatment of plantar warts. No single therapy is so effective that it has eliminated the use of others.

Of course you know or think you may have a Plantars Wart the best solution is to see your podiatrists.
If you need more information or wish to schedule an appointment please contact Affiliated Podiatrists, Inc.
at 440-946-5858 or visit our website: www.DrRobertRosenstein.com

When Should You Get Bigger Shoes?

Dr. Rosenstein,

      I have been training for a marathon and the shoes I have are great so far. I've been researching and found that some people tend to buy shoes one size bigger because your feet swell over the distance. How will I know if I need bigger shoes?


Feet usually swell a size or more during walking or running with a full affect after an hour or so. Depending on the distance you run, if your not feeling pain then your shoes maybe the right size.

The problems that you would see from wearing too small of shoes include:

• Bunion Pain
• Blisters
• Black toenails/ losing toenails
• Hammertoes

Your feet will always continue to grow and spread as you age. If you gain or lose weight, so will your feet. You should get properly fit shoes every year.

Make sure your shoes fit! You should be able to wiggle your toes around in the shoes. You should also be able to a finger's width in the toebox when you stand up, before you start walking. Your heel should stay put in the heel cup, your foot should not be sliding forward with every step.

If you wear shoes that are too big you may have similar complications that you would have when wearing too small of shoes. If your foot slides with each step you take, you can get black toenails or even lose your toenails. You may also get blisters from that same effect, or you may irritate your bunnions or hammertoes from the extra friction and impact.

Of course it's always a great idea to see your podiatrists if your not sure or experiencing pain.

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

UGG Boots are Ugly, But How Ugly Do They Make Your Feet?

Dr. Rosenstein,

      I love wearing my UGG Boots, but my feet have been hurting lately and I think it's from the boots. I'm not ready to give them up yet! Can you tell me why my feet may be hurting from them?


Some girls may think they are treating their feet to something nice and comfortable, however they do quite the opposite and can cause future complications.

UGGs warm, soft, and cozy are really no better for your feet than those terrible high heels!

The number one concern with UGGS is the lack of arch support. Arch support is important for helping the foot absorb shock and poor arch support can mean future complications for your feet.

Another concern with UGGS is the fact that your feet tend to slip and move around inside of them as you walk. With each step that is taken all the force tends to fall towards the inside of the foot. This then flattens the arch and makes it drop. This can later result in significant foot, ankle, and even hip complications.

The imitation UGGS are just as bad because they offer no substantial and necessary orthopedic support for the foot and ankle.

If must keep wearing these ugly...I mean...UGGS then wear them sparingly, like you should high heels, don't wear them if you know that your going to be on your feet for long periods of time.

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!"

Start The New Year Off On A Good Foot!

It's a new year, so start it off on a good foot! Here are some tips to help you keep your feet healthy this year!

The Top 10 Foot Health Guide

1. Inspect your feet regularly and pay attention to changes in color, texture or appearance.
2. Maintain good foot hygiene, including washing and drying between the toes.
3. Hydrate the skin. Open shoes can cause rapid loss of moisture from the skin and may result in cracking or the formation of fissures. It is helpful to replace the moisture content by using lotions or creams on a regular basis.
4. Buy proper-size shoes. You may not wear the same size in shoes made by different manufacturers. Purchase new shoes late in the day, when feet tend to be at their largest. Always buy the shoes that feel the best.
5. Don't ignore foot pain. Symptoms that increase or do not resolve within a reasonable period of time need to be evaluated by your podiatric physician.
6. Cut toenails straight across. Never cut into the corners — this could cause an ingrown toenail. Gently file away sharp corners or rough edges with an emery board.
7. Exercise. Walking is a great way to keep weight under control and is an excellent conditioner for the feet. Be sure to wear appropriate athletic shoes when exercising.
8. Alternate your shoes each day. Since the feet have sweat glands, your shoes will absorb moisture from your feet, so it is important to allow your shoes to dry out completely.
9. Avoid walking barefoot to help protect your feet from injury and infection.
10. Put sunblock on your feet while wearing sandals during the day to avoid sunburn

This New Year you owe it to yourself to make a resolution to keep your feet looking and feeling healthy!

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

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