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Peripheral Artery Disease and Blood Vessel Health

Peripheral artery disease, often called PAD, affects how blood flows to the legs and feet. It is commonly thought of as a problem in the larger arteries, where plaque buildup can limit circulation. However, smaller vessels can also be involved, further reducing blood flow at the tissue level. This combination can make it harder for the body to deliver oxygen and nutrients needed for healing and daily function. People with PAD may notice leg fatigue, cramping with walking, slower healing of cuts, or changes in skin color and temperature. Because both large and small vessels can be affected, symptoms may vary and sometimes appear gradually. Early recognition is important to help manage circulation and reduce the risk of more serious complications. Treatment may include lifestyle changes, medical care, and monitoring of foot health. If you notice signs of poor circulation, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When Feet and Ankles Begin to Swell

Swelling of the feet, also known as edema, can develop gradually or suddenly and may affect one or both feet. The skin may appear stretched, shiny, or puffy, and pressing on the area can leave a temporary indentation. Some people notice tightness, discomfort, or a heavy sensation that worsens throughout the day, especially after long periods of standing or sitting. Common causes include fluid retention, injury, poor circulation, certain medication, or underlying conditions like heart, kidney, or vein issues. Heat and prolonged inactivity can also contribute to swelling. A podiatrist can evaluate the pattern and severity of swelling and may recommend further testing if a systemic cause is suspected. Treatment often includes supportive footwear, compression, elevation, and targeted exercises to improve circulation. Early evaluation helps identify the cause and prevent complications. If you have persistent swelling of the feet, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Fall Prevention at Home to Protect Your Feet and Ankles

Preventing falls at home is essential for maintaining safety and protecting foot and ankle health in seniors. Keeping objects off steps, fixing uneven surfaces, and ensuring proper lighting at the top and bottom of stairs can reduce the risk of accidents. Repairing loose carpet and securing handrails adds stability, while installing grab bars in the shower provides additional support in slippery areas. Falls can lead to injuries such as ankle sprains, fractures, and soft tissue damage that affect mobility and independence. A podiatrist can assess balance, evaluate foot structure, and recommend supportive footwear or orthotics to improve stability. If you have injured your foot or ankle from falling, it is suggested that you consult a podiatrist who can offer appropriate treatment solutions, and guide you on additional fall prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Understanding Plantar Fasciitis

Plantar fasciitis is one of the most frequent causes of heel discomfort and develops when the strong band of tissue along the bottom of the foot becomes irritated or overstressed. This tissue, called the plantar fascia, supports the arch and helps absorb the force created during walking and standing. When the fascia becomes strained, tiny tears can develop that lead to inflammation and heel pain. Many people first notice discomfort when stepping out of bed in the morning or after sitting for a long period. The pain may feel sharp at the heel and sometimes spreads across the bottom of the foot. Causes include overuse, tight calf muscles, flat feet, high arches, or shoes that lack proper support. A podiatrist can evaluate the foot structure, identify the source of the irritation, and guide treatment. Care may include supportive footwear, custom orthotics, anti-inflammatory care, and targeted exercises to ease tension. If you have plantar fasciitis, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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