Complete Lower Extremity Healthcare

140 Traders Way
Pooler, GA   31322

(912) 330 - 8885

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Posts for: November, 2017

By The Foot & Ankle Center, PC
November 21, 2017
Category: Foot Pain

A condition that patients come to us with at The Foot & Ankle Center, PC that can be a little tricky to diagnose at first is tarsal tunnel syndrome. The tarsal tunnel is a narrow space on the inside of the ankle near the ankle bone that houses veins, arteries, tendons and nerves. When a nerve in the tunnel known as the posterior tibial nerve gets squeezed or compressed, it can result in pain and discomfort. The problem is that the pain can manifest in a number of different ways. Symptoms include tingling, burning or a feeling similar to an electrical shock, pain (at times shooting) and numbness. These symptoms may come on suddenly and can be felt on the inside of the ankle, the bottom of the foot or both. For some patients the sensations may be confined to one particular spot, while in others they may include the toes, arch, heel and calf. Causes of tarsal tunnel syndrome are often related to overuse—beginning a new exercise program or increasing the intensity of an existing one; prolonged periods of standing or walking. Other causes include:

  • Flat feet
  • Another structure in the tunnel that has become enlarged and is compressing the nerve, such as a cyst or varicose vein
  • Disease such as arthritis or diabetes that are associated with swelling
  • An ankle injury

Getting Relief from Nerve Pain

Once our podiatrist, Dr. Leonard M. Talarico, diagnoses tarsal tunnel syndrome there are several treatment options available. Conservative measures include:

  • Resting the injured foot to allow for healing and prevent further damage
  • Oral or injection medications to reduce inflammation and pain
  • Icing the painful area
  • Immobilizing the foot with a cast
  • Custom orthotic inserts to give arch support and reduce pressure on the nerve
  • Physical therapy to alleviate symptoms
  • Bracing

In some cases a surgery to relieve the compression is the best way to treat tarsal tunnel syndrome. Your foot doctor will review treatment options with you and determine the best plan for you. If you are experiencing tarsal tunnel symptoms, contact our Pooler, GA office for an appointment today by calling: (912) 330–8885.


By The Foot & Ankle Center, PC
November 15, 2017
Category: Foot Care
Tags: diabetes  

If we at The Foot & Ankle Center, PC told you there was one step you could take that would speed healing of foot and ankle injuries and infections, reduce your risk of disease and decrease the likelihood of complications from diabetes and other diseases that affect the feet, would you be interested? Well, there is: stop smoking. Cigarette smoke makes your circulatory system less efficient because it narrows the blood vessels thereby restricting the flow of blood to your feet (as well as the rest of your body). Smokers who quit enjoy the benefits above and also experience reduced risk of heart disease and cancer, decreased blood pressure, greater lung capacity and a return to a full sense of smell and taste.

The Great American Smokeout, which takes place each November, is the perfect time to make a decision or renew your effort to stop smoking. Below are some do’s and don’ts that can help:

Do: be clear on why you want to quit. Make a list of all the reasons why you want to stop and the fears you have about what will happen if you continue to smoke. Writing these all down will help cement your decision and also serve as a motivator when you feel your determination flagging.

Don’t: put yourself in situations where others are smoking, at least not initially. You should also remove all smoking paraphernalia, including lighters, ashtrays, etc. from your home, car and workplace. Wash clothes and household items that smell like cigarette smoke.

Do: plan ahead for ways to get through nicotine cravings. Call a friend, go for a walk or bike ride—have an idea in place for what you will do if a craving hits. Stock up on oral substitutes as well such as hard candy, lollipops and carrot sticks.

Do: get some support. Today there are phone and computer apps and phone help lines in addition to actual support groups for people trying to quit. You can also enlist the aid of a family member or friend (or several people, for that matter) to be there for you to talk to when you need encouragement.

Don’t: give up if you slip up. It’s natural for long-time smokers to back slide, take a couple of puffs off someone else’s cigarette or even give up completely for a time before finally kicking the habit. Remind yourself of how long you were able to go without smoking. Analyze what was working and where you had the greatest difficulty and try again.

Our podiatrist, Dr. Leonard M. Talarico, believes patients need to be proactive in the health of their feet. If you have other questions about your podiatric matters, contact our Pooler, GA office by calling: (912) 330–8885.


By The Foot & Ankle Center, PC
November 08, 2017
Category: Foot Conditions
Tags: Raynaud's disease  

Have you ever had an instance where your toes turned white and felt numb and extremely cold? Even if you have heard about the condition of Raynaud’s Disease you may feel like that couldn’t be what you have since it is usually associated with climates where temperatures are habitually lower than in West Chatham County. However, Raynaud’s Disease is an overreaction to cold that can regardless of the weather and we do see cases of it at The Foot & Ankle Center, PC .

When a patient has Raynaud’s Disease, the arteries in their toes and fingers experience spasms, which constrict the blood vessels and temporarily reduces blood supply to your toes and fingers. Once the trigger of the attack is eliminated normal circulation will resume but it can take several minutes. In the process your toes may turn red and they may tingle, throb or swell before returning to normal.

Common Triggers

While exposure to cold does commonly trigger attacks in patients with Raynaud’s Disease, there can be other underlying causes as well including:

  • Medications—certain drugs used to treat high blood pressure, migraines, ADHD, cancer and even some over-the-counter cold medications can all trigger an attack
  • Smoking—this already constricts your blood vessels
  • Injuries to the feet including fractures, frostbite or a previous surgery
  • Diseases—particularly those relating to your arteries and connective tissues
  • Repetitive actions—such as operating a jackhammer or playing the piano for a long period of time

Getting it Under Control

If you have symptoms of Raynaud’s the first step is to make an appointment at our Pooler office in Georgia. Our podiatrist, Dr. Leonard M. Talarico, will examine your feet and get your medical history—you have an increased risk for the disease if other family members have it. If the foot doctor confirms a diagnosis of Raynaud’s Disease, the treatment will be focused primarily on preventing attacks. In addition to adjusting any medications you are on, the podiatrist may suggest the following:

  • Use gloves or oven mitts when taking food in and out of the freezer.
  • Drink cold beverages out of insulated cups.
  • Wear socks to bed.
  • Avoid being directly in front of an air conditioner and make sure that it is not set too low.
  • Do not put your hands into freezing cold water.
  • If it is a cold day outside be sure to wear extra warm socks or more than one pair and limit your time outdoors.
  • Warm your car up before getting in and driving on chilly mornings.

More questions? Contact us by calling (912) 330-8885.


By The Foot & Ankle Center, PC
November 01, 2017
Category: Diabetes Foot Care

If you or someone you love is diabetic you are probably well aware of issues associated with the disease that can impact the health of your feet: neuropathy or decreased sensation can make it difficult to perceive pain or irritation that can signal a wound, and poor circulation can impede the healing process. You can, however, take steps that will significantly decrease your risk of foot complications associated with diabetes. At The Foot & Ankle Center, PC we’d like to suggest the following tips in honor of National Diabetes Awareness Month:

  1. Get in the habit of checking your feet daily. Report any changes in color, size, shape, or unusual bruising, skin rashes, redness or bumps to our podiatrist, Dr. Leonard M. Talarico, right away. Sometimes, due to decreased circulation, the first sign of an irritation that can develop into a wound is visual.
  2. Avoid going barefoot. Even if you are home, walking barefoot greatly increases your risk of stepping on a sharp object or injuring your foot by banging it or dropping something on it. At the gym or community pool, wear flip flops or shower shoes to avoid direct contact with surfaces that may harbor fungi or bacteria that can cause athlete’s foot, fungal toenails or other infectious conditions.
  3. Don’t smoke. Smoking has a negative effect on your circulation. With your feet being the part of your body that is furthest from your heart, they are also the most impacted by circulatory issues.
  4. Choose shoes that have plenty of room for your toes. This will help prevent ingrown toenails and toe deformities such as bunions. Inspect your shoes periodically to make sure they are not wearing out to prevent tripping injuries. Also, check the inside of your shoes for rough spots, loose eyelets, etc. that could rub and cause irritation to the skin.
  5. Keep feet dry. If you tend to sweat excessively, plan to change your socks multiple times throughout the day. This will help prevent fungal infections from developing. You can also use a foot powder in the morning before putting on your socks.

Your podiatrist is your partner in managing your diabetes and how it affects your feet. Regular appointments with the foot doctor should be part of your health plan. To learn more, contact our Pooler, GA office by calling: (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