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Stephan J. LaPointe, DPM, PhD, FACFAS

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Blog

Tuesday, 09 January 2024 00:00

Risks for Foot Blisters

Several factors contribute to the risk of developing foot blisters. The most evident risk factors include friction, pressure, and overuse. High friction levels and frequent cycles of material or objects over the skin increase the likelihood of blister formation. Additionally, carrying heavy loads exerts more pressure on the feet, which has been shown to increase blister incidence. Skin characteristics can also play a role, as thicker and stiffer skin, particularly on the soles of the feet, may be prone to blistering. Skin moisture affects friction levels, with increased moisture leading to higher friction. If you have irritating foot blisters, it is suggested that you schedule an appointment with a podiatrist who can provide you with relief options.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Blisters
Tuesday, 02 January 2024 00:00

Care of Foot Ulcers

Foot ulcers are a serious concern, especially for the elderly and individuals with conditions such as diabetes that can impair circulation, leading to complications in wound healing. These ulcers come in various forms, with diabetic foot ulcers and neuropathic ulcers, arising from a lack of sensation in the feet, being particularly common. The proper management of these wounds is critical, and it begins with an accurate diagnosis by a qualified podiatrist, who can identify the specific type of ulcer and the best course of treatment. Treatment often involves the use of specialized dressings designed to cater to the specific needs of the wound, aiding in healing and preventing infection. Compression bandages may also be part of the treatment regimen, particularly for ulcers caused by poor venous circulation, which can help to reduce swelling and promote blood flow. For those experiencing recurrent foot ulcers, it is strongly suggested that you make an appointment with a podiatrist for ongoing care. Regular check-ups with a podiatrist can not only address current ulcers but also provide valuable education on foot care, in addition to providing preventive measures to reduce the risk of future foot wounds and ulcers.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 26 December 2023 00:00

Dealing With Foot Pain

Foot pain can stem from a myriad of causes, each intricately tied to the complex structure of the foot. One prevalent contributor is improper footwear, as shoes with an ill fit or high heels can induce foot pain and disorders. The foot, supporting the body's weight, is susceptible to injuries during high-impact activities like running or aerobics. These activities can lead to ligament sprains, muscle or tendon strains, and foot bone fractures. Degenerative conditions such as osteoarthritis and rheumatoid arthritis may also play a role in foot pain. Osteoarthritis arises from cartilage overuse around joints, commonly affecting the big toe, ankle, and midfoot. Meanwhile, rheumatoid arthritis introduces pain, stiffness, swelling, soreness, and warmth in the foot and ankle joints. Diabetes, with its repercussions like nerve damage, reduced blood flow, and ulcers, often contributes significantly to foot pain. Numerous other conditions further complicate foot health, including plantar fasciitis and Achilles’ tendonitis. Corns, calluses, bunions, and plantar warts are other sources of foot pain. Ingrown toenails, Morton’s neuroma, and hammertoes may induce pain in parts of the foot. Peripheral arterial disease, gout, and flat feet are still other conditions that generate foot pain. If you experience any type of foot pain that persists or gets worse, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain

The Danis-Weber classification is a way to categorize ankle fractures based on X-rays. It helps podiatrists understand the type and location of the fracture. There are three types of fractures in this system. Type A is a lower ankle fracture below the joint. It is generally stable and may only need a cast or brace. Sometimes, surgery is necessary if the inner ankle is also damaged. Type B is a fracture that happens at the ankle joint level and moves upward along the outer bone. It can vary in stability. The inner ankle or ligaments may be affected. Type C fractures are fractures above the ankle joint and often involve the inner ligaments, which are unstable and typically require surgery. If you have sustained a broken ankle, it is strongly suggested that you schedule an appointment with a podiatrist for an imaging test and treatment based on which type of fracture is found.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about All About Broken Ankles
Tuesday, 12 December 2023 00:00

Pain Management for Bunions in Runners

Bunions are bony protrusions that form at the base of the big toe due to prolonged stress on the metatarsophalangeal joint. Detecting them is relatively straightforward through visual inspection, often supplemented by X-rays to assess their severity. For runners, bunions can pose significant challenges, exacerbated by poorly fitting running shoes. Many running shoes, characterized by tapered toe boxes and raised heels, can contribute to bunion development over time. Treatment options range from the simple act of changing shoes and employing pain management techniques, such as medication, to using toe spacers and performing bunion massages. If conservative approaches fall short, surgical intervention may be an option, although it is not always a permanent fix. If you are a runner and have a bunion that is causing you pain, it is suggested that you make an appointment with a podiatrist to discuss pain management techniques that might help you.

If you are suffering from bunion pain, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Bunions?
Sunday, 10 December 2023 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 05 December 2023 00:00

Does Obesity Affect the Feet?

Obesity, a condition affecting millions globally, extends its impact beyond mere aesthetics, significantly influencing the health of the feet. The excess body weight borne by the feet places immense stress on the joints, tendons, and ligaments, potentially leading to a range of foot-related issues. One prevalent consequence is the development of flat feet or fallen arches, as the increased load alters the foot's biomechanics. Overpronation, where the foot rolls inward excessively, is also a common occurrence, contributing to conditions such as plantar fasciitis and Achilles tendonitis. The risk of stress fractures in the feet also rises due to the heightened strain on bones. Obesity may exacerbate existing conditions such as arthritis, causing increased pain and limited mobility. Additionally, the increased pressure on the plantar fat pad may lead to discomfort and pain in the heel and ball of the foot. Addressing obesity not only benefits overall health but also plays a pivotal role in mitigating the potential foot-related complications associated with carrying excess weight. If you are overweight and have foot pain, it is suggested that you consult a podiatrist who can monitor your foot health.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

If you have any questions please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How Obesity Affects Your Feet
Tuesday, 28 November 2023 00:00

Treating Diabetic Foot and Ankle Trauma

Managing foot and ankle injuries in diabetic patients is complex. There is no one-size-fits-all approach for surgeries in these cases. Diabetic injuries can involve different types of bone breaks and dislocations, making treatment difficult. A major challenge is dealing with the limited soft tissue in the foot and ankle, which can easily become damaged. This is especially difficult in diabetic patients who might have other health issues like poor blood circulation or weak immune systems. Podiatrists treat surgeries in diabetic patients carefully to avoid harming the soft tissue and ensure proper healing. They often use special techniques, like minimal cuts or external supports, to repair the bones while protecting the skin and muscles. In severe cases, they may perform the surgery in stages. For diabetic patients, keeping bones stable and avoiding further injury is crucial, which sometimes involves additional support for nearby joints. If you are a diabetic patient and have sustained a foot or ankle injury, it is suggested that you make an appointment with a podiatrist immediately. This medical professional can make a proper diagnosis and evaluation, with a determination of whether surgery is right for you.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Trauma
Tuesday, 21 November 2023 00:00

Swollen Feet and Ankles During Pregnancy

The journey of pregnancy, though miraculous, often brings with it the discomfort of swollen feet and ankles. This common ailment, known as edema, results from increased pressure on blood vessels and the growing uterus, leading to fluid retention. To mitigate this discomfort, expectant mothers can embrace simple yet effective strategies. Elevating the legs when possible aids in fluid circulation, reducing the severity of swelling. Wearing comfortable, supportive shoes and avoiding prolonged periods of standing or sitting can also contribute to relief. Staying well-hydrated supports the body in maintaining a healthy fluid balance. Incorporating gentle exercises, such as walking or prenatal yoga, promotes circulation and minimizes swelling. Additionally, mindful salt intake can prevent excessive fluid retention. By incorporating these nurturing practices into their daily routines, pregnant women can enhance their well-being and navigate the pregnancy with greater comfort and ease. If you suffer from swollen feet and ankles during your pregnancy or have foot pain for any reason, it is suggested that you speak with a podiatrist who can guide you toward additional relief strategies.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Stephan J. LaPointe from Georgia Foot & Ankle Specialists . Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Tuesday, 14 November 2023 00:00

Diagnosing an Achilles Tendon Rupture

An Achilles tendon rupture often presents suddenly, typically accompanied by a sharp pain in the back of the leg and sometimes an audible snapping sound. Many people with this injury mistakenly believe they have been hit in the calf. When examining for an Achilles rupture, the presence of swelling and bruising varies and is not entirely reliable. The gap in the tendon that indicates a rupture is often not easily palpable due to local swelling. In terms of mobility, patients can usually still perform some active movement in the ankle because other tendons also connect the calf to the foot. Pain affects passive movement but does not always limit it. Despite a ruptured Achilles, those affected can often still walk and may even be able to stand on tiptoes when using both feet, though not on the injured limb alone. The Simmonds' calf squeeze test is a reliable way for podiatrists to check for an Achilles tendon rupture. The test is done by having the patient kneel or lie prone with dangling feet. The healthy calf is used to see the foot flex, while no movement on the injured side indicates a ruptured Achilles tendon. If you believe you may have injured your Achilles tendon, it is strongly suggested that you make an appointment with a podiatrist for a thorough evaluation, diagnosis, and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Stephan J. LaPointe of Georgia Foot & Ankle Specialists . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Rome, GA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries
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