Complete Lower Extremity Healthcare

140 Traders Way
Pooler, GA   31322

(912) 330 - 8885

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Posts for: November, 2016

By The Foot & Ankle Center, PC
November 22, 2016
Category: Foot Care Tips

Stiletto heels and pointed toes have been fashionable since the 1950’s and are still considered design elements of some of the most beautiful and complimentary shoes for women today. Unfortunately, these types of shoes are also responsible for many common and painful foot problems that we see at The Foot & Ankle Center, PC. High heels create an unstable situation for ankles and also force the toes forward into the front of the shoes. Narrow toe boxes that squeeze the toes can cause them to move out of position and press toenails into the skin. This can result in several conditions, including:

If you can’t resist this fashionable footwear, at least try to limit the amount of time you spend wearing this type of shoe and be sure that the shoes you wear most often fit well and don’t put strain on your ankles and toes.

Getting a Good Fit

Below are a few shoe shopping tips to help ensure the shoes you purchase won’t hurt your feet:

  • Start by coming into our Pooler office for a foot exam by our board certified foot and ankle surgeon, Dr. Leonard M. Talarico. The podiatrist will be able to detect toe deformities, pronation issues, flatfeet and other conditions that can be relieved (or made worse) by your shoe choices. If necessary, the foot doctor can prescribe an orthotic device to wear in your shoes to help shift pressure or correct the position of your foot to relieve certain conditions.
  • Get your foot professionally measured. Feet change size over time. Be sure to get both feet measured as most people have one foot that is larger than the other. Always buy shoes to fit your largest feet.
  • Shop at the end of the day—that’s when feet are at their largest.
  • Look for lower heels (1 inch or less) and roomy toe boxes. Check for loose stitching or rough spots inside the shoe that could cause blisters.
  • Try on both shoes in the store and take your time walking around to make sure they are comfortable and don’t rub anywhere. There is no such thing as “breaking in” shoes—they should fit properly from the time you walk out the store.
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In the long run, you’ll be glad you sacrificed fashion for good foot health! If you have other questions about proper footwear, contact us at (912) 330–8885.


By The Foot & Ankle Center, PC
November 16, 2016
Category: Diabetes Foot Care
Tags: dry feet   moisturize feet  

Patients with diabetes have a whole set of special concerns when it comes to the feet. Conditions commonly associated with the disease—poor circulation, impaired immune system function and neuropathy—can turn seemingly minor problems into major health threats. At The Foot & Ankle Center, PC we know our diabetic patients need careful monitoring. Changes in seasons can mean changes in foot care. In recognition of November’s National Diabetes Month we offer these tips for keeping diabetic feet safe in cold weather:

Stay Warm—nerve damage caused by diabetes makes it difficult to perceive hot and cold. If you will be 

outside when the temperatures are below freezing make sure you are wearing warm socks. Consider two layers—one closest to the skin that wicks moisture away and a heavy sock over that for warmth. Conversely, if you have trouble experiencing sensation in your feet take care when warming them up. Do not expose feet to direct heat sources or use electric blankets, heating pads or heated shoe inserts to warm up your feet. Second or third degree burns can result.

Stay Dry—prolonged exposure to moisture can lead to fungal and bacterial infections, such as athlete’s foot. Winter snow and slush can seep into shoes and socks. Overheated homes, offices and stores at this time of year can also cause feet to sweat excessively. Change out of damp socks and shoes as soon as possible and gently towel dry feet. Be especially diligent keeping the skin between toes dry.

Moisturize—increased heat during winter months and poor circulation (which can reduce the number of moisturizing glands in the feet) can lead to dry skin. Itching, flaking and painful cracking can result. In addition to being uncomfortable, the open skin from scratching or cracking can be an entry point for bacteria that causes infection. Be on the lookout for red, shiny spots on the feet—early signs of skin breaking down.

Inspect—checking your feet regularly for changes is a part of good diabetic foot care in all seasons. If you notice anything unusual, contact our Pooler office for an appointment with our board certified foot and ankle surgeon, Dr. Leonard M. Talarico. Regular foot exams can help prevent serious health issues in diabetic patients.


By The Foot & Ankle Center, PC
November 10, 2016
Category: Foot Pain

Your Achilles tendon is the largest and strongest tendon in your body and can handle 1,000 pounds or more of force. Ironically, it’s also the most frequently injured tendon and a problem that we at The Foot & Ankle Center, PC treat often. Achilles tendonitis is an inflammation of the tendon and a condition that afflicts both experienced athletes and weekend warriors.  Basically, the inflammation is caused by some form of overuse. Examples include:

  • Suddenly increasing speed or distance in your running or walking
    routine
  • Stair climbing or hill running
  • Re-starting an exercise or sport activity too quickly after a period of inactivity
  • Not warming up and stretching adequately (particularly your calf muscles) before exercise
  • An intense and sudden hard contraction of the calf muscle as would occur in a sprint

Symptoms and Relief

The signs of Achilles tendonitis may come on gradually. You may experience a little pain after running or exercising along the tendon that gets worse over time. Your lower leg may feel tired and there may also be swelling in the tendon area. Our board certified podiatrist, Dr. Leonard M. Talarico, will want to examine your leg and will ask questions about your recent activities as well as your medical history. Once a diagnosis of Achilles tendonitis is confirmed, there are several treatment options:

  • Nonsteroidal anti-inflammatory medication
  • Bandage to limit motion of the tendon
  • Stretching and other exercises to strengthen the muscles that support the tendon
  • Massage
  • Ultrasound
  • Orthotic inserts for your shoes

In addition, the foot doctor may recommend that you take a break from exercises that put strain on the tendon and switch to some that are less stressful to this area, such as swimming. In very severe cases that do not respond to other treatments surgery may be necessary.

If you are experiencing pain or weakness in your Achilles tendon, contact our Pooler office for an appointment today at: (912) 330 – 8885.


By The Foot & Ankle Center, PC
November 02, 2016
Category: Foot Surgery
Tags: Bunions   Flat Feet   Hammertoes   Arthritis   heel spurs  

At The Foot & Ankle Center, PC, we will almost always attempt to heal foot and ankle conditions with non-invasive treatment methods whenever possible. Sometimes, however, if an injury or deformity is too severe or a patient doesn’t obtain relief and increased mobility through more conservative measures, surgery is the best option.

Common conditions that can be improved or corrected through surgery include: bunions, flatfeet, hammertoes, sprains, fractures, arthritis and other joint issues, heel spurs, tumors and Neuromas. Our board certified foot and ankle surgeon, Dr. Leonard M. Talarico will advise you when surgery is needed and also be sure you understand the procedure and expected results. Being an informed patient will make you more confident and comfortable and can help eliminate unwelcome surprises before and after surgery. Below are some general questions to ask before undergoing surgery:

Where will the surgery be performed? Today, many toe, foot and ankle surgeries can be done right in the doctor’s office or as an outpatient at a surgical center.

Will I be knocked out? An anesthesiologist will work closely with the foot doctor to determine the best method. In some cases local anesthesia can be used, with or without sedation. Other surgeries may require general anesthesia. Most likely you will need someone to drive you home after the surgery.

What can I expect in the days following surgery? Following most foot and ankle surgeries, you’ll will need to keep your foot immobilized, limit weight bearing, ice the foot and also keep it elevated.  Your surgeon will also instruct you on whether you will need a cast or splint and how to care for the incision area. Although each patient is different, it’s okay to ask about how much pain you may be in and what methods the foot doctor will suggest for controlling pain.

Will additional treatment or therapy be needed post surgery? In many instances some form of physical therapy or exercises will be utilized to help in the recovery. Your podiatrist may also make recommendations about your footwear or prescribe an orthotic device to use in the short term after surgery or even indefinitely.

When can I expect to resume my normal activities? Sometimes surgery can eliminate a foot problem and in other cases greatly improve mobility and decrease pain. Ask your foot doctor what type of outcome can be expected from your surgery and how long it will be before you are fully recovered and able to go back to all regular activities.

If you have additional questions about a specific surgery, feel free to contact our Pooler office at: (912) 330–8885.











 

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140 Traders Way
Pooler, GA 31322

Podiatrist / Foot Surgeon - Pooler / Savannah • Leonard M. Talarico, DPM • 140 Traders Way • Pooler GA  31322 • 912-330-8885