Laser Nail Center Quincy Blog
By Foot Care Specialists, PC
August 07, 2017

If you are a hiker, you know that there is no better activity to get away from it all and enjoy the beauty of our state and country.

Whether long or short, strenuous or easy, your hike will be a lot more pleasant if you take good care of your feet - and that includes pre-hike planning and care too. You don't want to have to deal with serious foot pain miles into your hike with little opportunity for medical help.

Of course, not all injuries can be prevented, but careful planning can reduce your risk of an injury.

Hiking Injuries Range from Minor to More Serious Sprains and Fractures

There are many types of hiking injuries. The most minor are bruises or blisters. Others are more serious, including stress fractures and ankle sprains.

Foot Care Specialists, PC urges you not to dismiss a more serious injury as just from overuse. Many hikers will modify their gait or pace when injured on the trail, or switch shoes in an effort to continue walking through the pain. However, this is not a good idea as you may aggravate any injury complications.

It's very important to be able to recognize the signs of an injury. Speedy professional medical help can minimize further damage and help you recover more quickly.

Careful Hiking Preparation Can Help Reduce the Risk of Injury

  • Check your footwear in advance. Make sure they are still comfortable and not over-worn.
  • Don't set out in new hiking boots - condition them first for greater comfort.
  • A custom-fitted orthotic can help reduce foot ache after a hike by properly distributing pressure on your feet.
  • Upgrade your socks to new ones with lots of cushioning to protect your feet from chafing and the ability to wick away moisture.
  • Review your hiking route in advance and take note of medical help options.
  • Tuck a small first aid kit into your pack - include bandages and wraps to stabilize an injured ankle or foot. Add blister pads or moleskin for emergency blister protection.
  • Rest your feet when you take a break. Take off your footwear and socks to let your feet air and give your feet a quick massage.

Pamper your feet after a hike. To relieve swelling and minor foot pain, use the R.I.C.E. method: Rest your foot, apply Ice to the painful area, use a Compression bandage and Elevate your leg.

If pain and swelling persist after a day or two, please give us a call so we can examine your injury.

Heel or Foot Pain Is Not Normal!

Board certified podiatrist Marshall L. Lukoff, DPM has extensive experience with all types of foot and ankle problems including sporting injuries and other foot and ankle injuries. Please call us at 855-FIT-FEET (855-348-3338) to make an appointment at our Quincy or Dedham offices . You can also request an appointment at the website. Foot Care Specialists PC, the Laser Nail and Heel Pain Center, treating patients from Boston, Metro West and the South Shore for over 30 years.

By Foot Care Specialists, PC
August 02, 2017
Category: Foot Conditions
Tags: Achilles Tendon   arthritis   bursitis  

You may have heard of bursitis, a painful inflammatory condition, in relation to the knee, hip, elbow and shoulder. But patients sometimes have bursitis in the foot too, near the Achilles tendon.

A bursa is a small fluid sac found in certain areas where muscles, ligaments, bones or tendons rub against each other. The bursa lubricates and cushions joints and prevents irritation where ligaments and tendons pass over the bones. Sometimes these sacs become painful and swollen, resulting in bursitis.

Repetitive motions, such as typing on a keyboard, cooking and gardening may bring on bursitis. It can occur in certain professions such as professional athletes, roofers and carpet layers who must spend lots of time applying pressure to the same body areas.

An injury may trigger a bursitis episode, as can arthritis or an infection, and simple aging may break down the bursa over time.

Symptoms of Bursitis May Resemble Tendonitis

Bursitis symptoms are very similar to tendonitis, or tendon inflammation, and include:

  • Tenderness
  • Stiffness
  • Warm and red skin
  • Swelling

If you have pain or any other symptoms of bursitis in your feet, please reach out to Foot Care Specialists, PC. Our podiatrist will give your foot a careful examination to diagnose the problem and rule out a tendon injury. Be sure to contact us quickly if you develop a fever or if the painful area is hot to the touch.

Treating Bursitis Involves Resting, Reducing Inflammation and Easing Stiffness

We will treat your bursitis and relieve the pain and swelling with these treatments:

  • Rest and take a break from your normal activities.
  • Ice the swollen area twice each hour for 3 days.
  • Do some gentle range-of-motion stretches to ease any stiffness. Later we will add strengthening exercises.
  • Take anti-inflammatory medications, with your doctor's permission, to reduce pain and inflammation.

Don't smoke during the healing period as smoking can delay tissue healing.

We will let you know when you can resume your normal activities. Be sure to start gradually and begin with a warm-up and stretch.

You can reduce your risk of bursitis by varying your body movements when engaged in repetitive motion tasks. Change your body position frequently and switch hands. Always protect your feet with well-fitting, comfortable and supportive shoes to cushion your joints.

Heel or Foot Pain Is Not Normal!

Dr. Marshall L. Lukoff, DPM, board certified podiatrist, has extensive experience with all types of foot and ankle problems including bursitis, tendonitis and foot and ankle injuries. Please call us at 855-FIT-FEET (855-348-3338) to make an appointment at our Quincy or Dedham offices . You can also request an appointment at the website. Foot Care Specialists PC, the Laser Nail and Heel Pain Center, treating patients from Boston, Metro West and the South Shore for over 30 years.

Currently, the St. Louis Cardinals are in third place in National League Central. As with all the major league baseball teams, they are hoping to advance - but they will have to do it without Dexter Fowler for the next few weeks.

The Card's switch-hitting centerfielder has been put on the disabled list because of his chronic foot pain from a heel spur. Fowler has been playing with a foot injury for most of the season, and the team blames his compromised foot for other recent problems like a quadriceps cramp.

Fowler is unable to even put on a cleat because of heel pain, and at this point it is  unknown when he will be able to return to the ballfield.

Heel Spurs Often Associated with Plantar Fasciitis

A heel spur is a small calcium deposit that protrudes from the bottom of the heel bone by as much as 1/2". The calcium builds up over many months.

Heel spurs may or may not cause pain. When painful, the pain is worst first thing in the morning or when standing up after a period of resting.

These growths are frequently associated with plantar fasciitis, an inflammation of the connective tissue or plantar fascia that runs along the bottom of the foot. Plantar fasciitis and heel spurs are caused by muscle and ligament strains, especially among athletes who must jump and run in their sports.

Other risk factors for heel spurs include:

  • Jogging or running on hard surfaces.
  • Wearing shoes that are badly worn or don't fit well, especially with inadequate arch support.
  • Excess weight.
  • Gait abnormalities that place disproportionate stress on the heel.
  • Aging, which can lessen the flexibility of the plantar fascia and thin the protective fat pad of the heel.
  • Standing for long periods on hard surfaces.
  • Having flat feet or high arches.

How We Treat Heel Spurs

If you have persistent heel pain, please give Foot Care Specialists, PC a call. Most of our patients with heel pain respond positively to conservative measures such as changing to more supportive and cushioned shoes; physical therapy to relax the inflamed tissues and build up strength; cortisone injections; custom-fitted orthotics, which can help stabilize and cushion your heels.

For stubborn cases of heel pain, we offer our extracorporeal shockwave treatment. This noninvasive and painless procedure stimulates the natural healing processes in the feet to reduce inflammation. Most patients feel relief in only 3 treatments.

In rare cases, when these treatment methods don't bring the desired degree of relief, we will discuss surgery with you to relieve the pain and inflammation of a heel spur and/or plantar fasciitis.

Heel Pain Won't Heal by Itself - Call Us Today for an Evaluation

Board certified podiatrist Dr. Marshall L. Lukoff, DPM has the right experience to diagnose and treat all types of heel pain, including heel spurs, plantar fasciitis, as well as all other foot and ankle problems and injuries. Please call us at 855-FIT-FEET (855-348-3338) to make an appointment at our Quincy or Dedham offices . You can also request an appointment on our website. Foot Care Specialists PC, the Laser Nail and Heel Pain Center, treating patients from Boston, Metro West and the South Shore for over 30 years.

Summer means more outdoor activities and maybe going barefoot or wearing sandals without support. This is a bad combination and often leads to foot injuries

Remember, foot pain is not normal! If your foot hurts, then it's time to get help from Foot Care Specialists, PC so you can continue to enjoy the outdoors.

Here are some common summer foot mistakes and how to avoid them:

Overdoing It

Many of us ramp up our outdoor workouts when the weather turns balmy, but it may be too much too soon. Don't overdo it when returning to tennis, bicycling, golf and especially running.

Overexerting yourself without a gradual progression can result in painful foot injuries such as heel pain from plantar fasciitis, tendonitis, sprained ankles, bursitis and stress fractures.

If you haven't been working out regularly, start slowly. Try walking for 15 minutes every day and increase your duration by 5 minutes each week. Set a slow pace and gradually pick it up.

Wearing the Wrong Shoes and Socks

Many foot problems and injuries are caused by wearing improper shoes, either the wrong size, one that is worn out and unsupportive, or the wrong shoe for your chosen activity.

Shoes that don't fit well or are wrong for your workout can cause plantar fasciitis, calluses, corns and blisters.

  • When shopping for shoes, make sure they are well-fitting and have good arch support.
  • Choose natural materials like leather that breathes to allow air to circulate.
  • Invest in separate shoes for each activity. For example, runners need a firm heel and good shock absorbency, extra arch support, high and rounded toe boxes and heel padding. On the other hand, tennis shoes must have extra lateral support for quick starts and stops, pivoting and lateral movements.
  • Don't skimp on your socks either. Buy wool or synthetic blends that help wick moisture away from your feet.
  • Always change sweaty socks for clean, dry ones to avoid fungal infections like athlete's foot and toenail fungus.

Wearing Dirty Shoes

Do you stow your yard work and gardening shoes in the garage or basement? This is the perfect environment for fungal growth and can give you a foot or toenail fungus when you wear them again. Not only that but insects can creep in and give you a nasty bite.

  • Always wear socks as a protective barrier between your skin and your shoes.
  • Shake your shoes out before putting them on, even in your home.
  • Give your yard shoes a good cleaning once in awhile - you can even toss them in a washing machine and let them dry out in the sun.
  • In between washings, spray work shoes with an anti-fungal spray.
  • If you choose to store your work shoes outside or in your basement, put them high up away from the floor.

We Can Help With Summer Foot Injuries or Fungal Infections

Board certified podiatrist Dr. Marshall L. Lukoff, DPM has the right experience to diagnose and treat all types of foot and ankle injuries, as well as skin conditions affecting the feet like athlete's foot and fungal nails. Please call us at 855-FIT-FEET (855-348-3338) to make an appointment at our Quincy or Dedham offices . You can also request an appointment on our website. Foot Care Specialists PC, the Laser Nail and Heel Pain Center, treating patients from Boston, Metro West and the South Shore for over 30 years.

Now that summer is here and your toes are often bare, have you noticed that one or more looks different? Are they discolored, yellowed and warped or oddly shaped? Is there a growing white dot on the nail? Is the nail itself coming loose from the underlying nail bed?

If you answered "Yes" to any of these questions, you may have nail fungus. A fungus is very contagious and can be easily picked up in public areas such as swimming pools, spas and locker rooms.

Men get fungal nail infections more often than women, and risks are higher if you are older. Others at risk for toenail fungus are those with athlete's foot and individuals with diabetes. If you smoke or if members of your family have had fungal infections, you may also be prone to this skin condition.

Effective Nail Fungus Treatment: CoolTouch Laser

If you suspect that you have nail fungus, please come see us at Foot Care Specialists, PC for an evaluation. First, we will take a culture from the affected toe and send it to a lab to accurately identify the organism.

We offer CoolTouch laser treatments, a cutting edge technology that helps get rid of nail fungus quickly. The laser uses a focused light to eradicate the fungus - the light will even pass directly through the nail to get to the infected tissue. By getting to the fungal infection at the source, healing takes place quickly and painlessly, and most patients require only 3 treatments.

If you are not a candidate for laser treatments, or if your nail fungus requires a different approach, we will remove the fungal tissue from the nail bed with a partial or complete nail excision performed under local anesthesia. This treatment is equally as effective as a laser procedure but may require a longer recovery period.

You Can Prevent Toenail Fungus

Keep fungal infections away by taking good care of your feet:

  • Wash your feet everyday with a mild soap and dry thoroughly.
  • Trim toenails straight across - don't round at the edges.
  • Give your toes a chance to breathe once in awhile and take a break from nail polish.
  • Wear socks that wick away moisture and change socks when damp or sweaty.
  • Alternate shoes so you aren't wearing damp or wet shoes.
  • Choose breathable materials for shoes such as leather, canvas or mesh.
  • Always wear some type of footwear in public places like locker rooms, showers and swimming pools.

Let Our Laser Treatment Take Care of Unsightly Toenail Fungus

Board certified podiatrist Dr. Marshall L. Lukoff, DPM has extensive experience with all types of skin conditions of the feet including fungal nails. Please call us at 855-FIT-FEET (855-348-3338) to make an appointment at our Quincy or Dedham offices. You can also request an appointment at our website. Foot Care Specialists PC, the Laser Nail and Heel Pain Center, treating patients from Boston, Metro West and the South Shore for over 30 years.





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