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admin, Author at Anderson Podiatry Center - Page 18 of 21 Anderson Podiatry Center

admin, Author at Anderson Podiatry Center - Page 18 of 21 Anderson Podiatry Center

Author: admin

Lyrica: The Weight Gain Story You Need to Hear

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Lyrica, known generically as pregabalin, is an anticonvulsant medication commonly prescribed for conditions such as neuropathy, nerve pain, and restless legs syndrome (RLS). While it has received approval from the U.S. Food and Drug Administration (FDA) for these uses, many patients have reported significant side effects, with weight gain being among the most concerning.

Applications of Lyrica

Restless Legs Syndrome (RLS):

RLS is a neurological disorder characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. Traditionally, treatments have included dopaminergic medications like ropinirole and Mirapex, which function by increasing dopamine levels in the brain to alleviate symptoms. However, these drugs have become less favored due to severe withdrawal symptoms upon discontinuation. Consequently, Lyrica has gained popularity as an alternative treatment for RLS.

Neuropathy:

Neuropathy, whether diabetic or non-diabetic, involves nerve damage that leads to pain, tingling, or numbness, particularly in the extremities. Medical professionals often prescribe Lyrica as a primary medication to mitigate these symptoms. This is especially prevalent among older adults who develop type 2 diabetes and subsequently experience neuropathic pain.

Potential Risks and Side Effects

While Lyrica can be effective in managing nerve-related symptoms, it is associated with several side effects. Commonly reported issues include drowsiness and a feeling of spaciness, particularly at higher dosages. However, the most prominent concern among patients is weight gain. On average, individuals taking Lyrica may gain between 10 to 15 pounds, but there have been cases where patients have reported gains of 40 to 60 pounds.

This substantial increase in weight can lead to a cascade of other health problems, including elevated blood pressure and an increased risk of heart failure. Additionally, some patients experience fluid retention, resulting in significant peripheral edema in the feet and legs. The added weight also places extra stress on the joints in the lower extremities, potentially causing wear and tear that leads to osteoarthritis. In severe cases, this may necessitate surgical interventions. For those with pre-existing conditions like diabetes, high blood pressure, or obesity, Lyrica-induced weight gain can increase the risk of serious health complications.

Patient Experiences with Lyrica

Many patients have shared their experiences with Lyrica, particularly concerning weight gain. It’s common to hear accounts of individuals gaining 30, 40, or even 50 pounds after starting the medication. This sudden weight increase can have profound physical and psychological effects, leading to feelings of frustration and anger, especially when patients are unaware of alternative treatments that address the root cause of their condition. Some have expressed regret, feeling that they could have avoided or discontinued the medication earlier had they known about other options.

Evaluating the Effectiveness of Lyrica

While some patients experience significant relief from nerve-related symptoms with Lyrica, others find the benefits overshadowed by the side effects. Research into the medication’s effectiveness, particularly for conditions like RLS, is limited. For instance, a research assistant investigating studies on Lyrica’s efficacy in treating RLS found a surprising lack of substantial evidence supporting its use. He did this to provide data for the book I made called A Perfect Night’s Sleep which documents our research and the effectiveness of surgical reversal of restless legs. The assistant was shocked at how little research there is to show its effectiveness.

Patient Perspectives on Lyrica

weight gain from medication lyrica

Patients’ experiences with Lyrica can generally be categorized into three groups:

  1. The “just say no” group: These individuals are strongly opposed to taking medications, often due to concerns about side effects. They prefer to avoid drugs like Lyrica and seek alternative treatments. We are a very over-drugged society and if you watch TV it seems like every other commercial is about a drug. These patients are very concerned about the side effects of any drug, not just Lyrica.
  2. The “I’m stuck with this drug” group: This group experiences some relief from their symptoms with Lyrica but is eager to find other options to discontinue its use due to side effects like weight gain and drowsiness. They often explore treatments that address the underlying causes of their condition, such as nerve decompression procedures or non-drug therapies. It’s a love-hate thing with Lyrica: the drug helps but they pay the price with the common side effects.
  3. The “Been there done that” group: These patients have tried Lyrica, often during periods of severe pain, but discontinued its use either because it was ineffective or due to intolerable side effects. Common complaints include feeling mentally foggy, excessive drowsiness, and significant weight gain.

You might be asking yourself, shouldn’t there be another group? And you are right, there should be. That would be the, “I take the drug, it’s awesome and I have no side effects!” Sadly, from my experience, this is the smallest group, and I seldom hear about it.

Imagine the negative physical and mental effects of carrying an extra 50 pounds. Many patients are angry and frustrated that they never knew about options that treat the root cause of the problem, and they could have avoided the medications or had an opportunity to get off the medications sooner in their life. We have had success by treating the root cause of neuropathy and restless legs with our surgical and non-surgical means and it has been rewarding for our patients who are reversing Lyrica weight gain.

How to Reverse Lyrica Weight Gain?

If you’ve gained weight on Lyrica, you’re not alone. Here are some strategies to help prevent and reverse Lyrica-related weight gain:

  • Evaluate Alternative Treatments – Nerve decompression therapy, physical therapy, and lifestyle changes may help manage pain without medication.
  • Stay Active – Light exercise like walking, yoga, or strength training can help maintain a healthy weight.
  • Watch Your Diet – Focus on high-protein, low-carb meals to counteract cravings and fluid retention.
  • Monitor Fluid Retention – Reduce salt intake and stay hydrated to minimize Lyrica-related bloating.
  • Talk to Your Doctor – Ask about lowering your dose or switching to a different nerve pain medication with fewer weight-related side effects.

Exploring Alternative Treatments

Given the potential risks and side effects associated with Lyrica, it’s crucial for patients to explore alternative treatment options. Addressing the root cause of neuropathic pain or RLS may offer more sustainable relief without the drawbacks of medication. For instance, nerve decompression surgery has been shown to improve symptoms in some patients by relieving pressure on compressed nerves.

Non-surgical treatments, such as electrical stimulation (ESTIM) and MLS laser therapy, have also demonstrated effectiveness in promoting nerve repair and reducing pain. ESTIM works by sending electrical pulses to stimulate nerve healing, while MLS laser therapy targets cells’ mitochondria to enhance energy production and repair processes.

Final Thoughts: Is Lyrica Worth the Risk?

While Lyrica remains a commonly prescribed medication for neuropathy, nerve pain, and restless legs syndrome, it’s essential for patients to be aware of its potential side effects, particularly significant weight gain. Exploring alternative treatments that address the underlying causes of these conditions may provide effective relief without the associated risks. Patients are encouraged to discuss these options with their healthcare providers to determine the most appropriate course of action for their individual needs.

If you’re looking for drug-free ways to manage neuropathy or restless legs, we can help! Contact us today to learn more about our proven non-surgical treatment options.

So, the message is that if you’re experiencing neuropathic pain from neuropathy or restless leg type symptoms start asking the more difficult question: what other options do I have? Is it worth the risk of potential weight gain, high blood pressure, diabetes or worsening of your diabetes, cancer, and arthritic joints by using Lyrica or other medicines?

Start looking behind another door, a door of hope. Consider shutting the door of drug treatment and learn about ways to make your nerve pain a memory!

Call us today at our Fort Collins location (970) 329-8158, Broomfield location (303) 997-2795, Surgery Center (970) 329-8158, or use our online scheduling system to book your appointment.

View our patient testimonials and informative videos on YouTube.

Also join us on facebook for support from other previous patients and people seeking help. https://www.facebook.com/AndersonPodiatryCenter

Questions and Answers:

  • What is Lyrica commonly prescribed for?
    Lyrica is prescribed for conditions such as neuropathy, nerve pain, and restless legs syndrome.
  • What are the common side effects of Lyrica?
    Common side effects include weight gain, drowsiness, and mental fogginess.
  • How much weight do patients typically gain on Lyrica?
    Patients typically gain between 10 to 15 pounds, though some have reported gains of up to 60 pounds.
  • What are the potential health risks associated with Lyrica-induced weight gain?
    Potential health risks include increased blood pressure, heart failure, fluid retention leading to peripheral edema, and added stress on lower extremity joints, which may result in osteoarthritis.
  • Are there alternative treatments to Lyrica for nerve-related conditions?
    Yes, there are both surgical and non-surgical treatments that address the root causes of nerve-related conditions without relying solely on medication.

Children and Plantar Warts

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Children and Plantar Warts

Plantar warts (simply: warts on the feet) are a very common issue for people of all ages.  It’s estimated that 7-10% of the US population has some type of wart infection.  It’s especially prevalent in children, with approximately 10-20% of children in the US affected.  These are most common from the ages of 12-16 and girls are affected more frequently than boys.

Although these skin lesions are typically harmless, they can cause pain and discomfort as well as being unsightly.  They’re also highly contagious and can easily be spread to others through both direct and indirect contact.  This means that warts can be spread either by coming in contact with someone’s wart with your bare skin or by having bare skin contact with an object recently touched by someone else’s wart (ie: shower floor, socks, towels, etc.).

Diagnosis is usually done by physical examination.  This typically involves trimming of the wart to remove any hard outer callus and looking for the telltale signs of wart infection.  These symptoms can be subtle, and proper diagnosis should always be done by a qualified specialist.

Here are some common causes and risk factors for plantar warts in children:

  1. Direct Contact: The HPV virus that causes the warts is contagious and spreads through direct contact with an infected person or surface. Children can contract the virus by walking barefoot in damp, warm environments like public swimming pools, locker rooms, or communal showers.
  2. Weakened Immune System: Children that have weaker immune systems typically take immuno suppressive medications, and that is why are more likely to develop warts.
  3. Cuts or Abrasions: The infection often enter the skin through tiny cuts, scrapes, or abrasions on the feet. Children who have minor foot injuries or whose skin is compromised in some way may be at higher risk.
  4. Walking Barefoot: Children who frequently walk barefoot in areas where the virus is present are more likely to come into contact with the HPV strain responsible.
  5. Personal Hygiene: Lack of proper foot hygiene, such as not washing feet regularly, can contribute to the spread of the virus.

It’s essential for parents and caregivers to educate children about the importance of foot hygiene, avoiding walking barefoot in public areas, and wearing flip-flops or other protective footwear in communal spaces to reduce the risk of contracting warts.

Treating Plantar Warts

Once the diagnosis of  has been made, treatment can be started.  Success rates for wart treatments in the adult population are often very low with cure rates for an initial treatment ranging from 5-10%.  Subsequent treatments are typically needed.  Success rates for initial treatments for children are much better, typically in the 50-60% success range.  Various treatment options exist including over the counter topicals, laser therapies, surgical excision, as well as more aggressive topical therapies that are applied under a doctor’s supervision.  The best treatment option can vary from person to person depending on age, severity, and location on the foot.

Regardless of which treatment is used, prevention of spread is always very important to avoid re-infection and to avoid passing it along to someone else.  My recommendations to prevent spreading warts include:

  • Always wear shower shoes in public locker rooms and changing rooms.  This includes anyone with warts but also anyone without them.
  • If your child has warts they should not share socks, shoes, towels, or anything else that may come in contact with their wart with anyone else.
  • Cover all warts with waterproof bandage for any swimming or outdoor barefoot activity.
  • Anyone with warts should avoid touching the warts directly with their hands and then touching anything or anyone else.  Regular hand washing is encouraged to prevent this.

Emotional Impact on Children

Plantar warts can have a notable emotional impact on children. These benign but sometimes painful growths on the soles of their feet can lead to a range of emotions and concerns. Children may feel embarrassed or self-conscious about the appearance of the warts, especially if they are in visible areas. Additionally, the discomfort or pain associated with this foot issue can lead to frustration and anxiety, as it may interfere with their daily activities and play. It’s essential for parents and caregivers to provide emotional support, address any concerns, and seek prompt treatment to alleviate both the physical and emotional distress caused by it in children.

Seeing a Podiatrist at the Right Time

Children with warts should see a podiatrist if the warts cause pain, discomfort, or if there are signs of infection. Additionally, it’s advisable to consult a podiatrist if home treatments, such as over-the-counter wart removers, are ineffective or if the warts persist or multiply. Podiatrists are specialists in diagnosing and treating foot conditions, including plantar warts, and can provide appropriate care and guidance tailored to the child’s specific situation.

In some cases, the issue may resolve on their own without medical intervention. However, seeing a podiatrist can help ensure a correct diagnosis, prevent complications, and provide treatment options to alleviate discomfort or pain, especially in cases where warts become problematic or painful for the child. Early intervention can help manage warts more effectively and minimize their impact on a child’s well-being.

If you suspect that you or your child may have such a foot condition I encourage you to make an appointment with an experienced health professional.  The sooner they get properly diagnosed, the sooner treatment can be started, and the sooner those warts can be HISTORY!  Please feel free to contact my office with any questions or concerns. We have the SWIFT plantar warts treatment system and more information on how it works can be found here.

2 New Important Studies to Know About for People Suffering with Diabetic Neuropathy

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I’ve been a member, including past president and board member, of the Association of Extremity Nerve Surgeons for a long time. I routinely attend meetings and lectures and train nerve surgeons, and I recently attended their annual meeting. These meetings are important to me, but they are also important to some of you and ptrain nerve surgeonseople that you know, because some of the research we do provides us with new information that helps people with diabetic foot problems, including the risk of amputation.

Many diabetics suffer from neuropathy. They struggle with the typical diabetic symptoms as well as the burning, tingling, numbness and pain also associated with this disease, which leads to an increased risk of amputation.

What if you or someone that you know with diabetic neuropathy could reduce or eliminate the symptoms? What if something could be done to restore more normal nerve function? The risk of amputation in diabetics would be greatly reduced.

At the meeting I attended an important thing happened: two new studies regarding diabetics and neuropathy were discussed. One of the two studies was one that I have recently completed, and the other study was completed by Dr. Zhang from Shanghai, China.

Dr. Zhang’s study showed an improvement in lower extremity nerve function for patients he had performed surgical decompression surgery on (opening of the nerve tunnels), which is similar to carpal tunnel surgery done in the hand. His EMG studies showed improvement of the patients nerve function that lasted months and even years after having the procedure performed.association of extremity nerve surgeons conference

My study showed intraoperative improvement via EMG in nerve function within minutes of opening these nerve tunnels. This explains why many patients have immediate dramatic improvements in their symptoms, and can even feel their feet again.

The data from both studies demonstrates how quickly nerves can repair and that the effects are long term. These study results are supported clinically by other surgeons who also perform these procedures, and it supports what our patients are saying as well.

It is our desire to change the narrative, to change the thought of conventional medicine. Between our two studies we have a good scientific foundation that proves how much diabetic patients can be helped.

So next time you’re thinking about treatments for diabetic neuropathy for yourself or someone you know, ask yourself this question: are drugs, with their unwanted and often dangerous side effects, the best answer?

We continue to do surgical decompression surgery for patients suffering from diabetic and non-diabetic neuropathy. We have a large volume of scientific data that shows improvement in various nerves after surgery. So next time you or anyone you know says there’s nothing that can be done, or you hear the Lyrica ads on TV or are considering using Neurontin to help with your neuropathy pain, remember these studies. The real hope of relief from neuropathy pain and numbness is now clinically supported and available to help those in need.  We are truly on the forefront of a treatment shift in dealing with this debilitating disease.

Our study will be published shortly and I will be sure to highlight the results with you. I enjoyed meeting and sharing our research with a surgeon so far away who is also trying to help to change how medicine treats such a dreaded problem. We hope to collaborate and present our findings more in the future, both here and in China and other parts of the world.

How to Outsmart Your Doctor about Neuropathy

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I had the rewarding experience recently of a patient sharing a story with me about how she gave a doctor a real lesson on nerve pain that seemed to put the doctor at a loss for words. The patient I’m referring to came to me with severe neuropathy symptoms. She was a very sweet lady and I soon learned to appreciate her brilliance (background in research) and quiet confidence.

On her first visit I got a complete history of her nerve pain story. She was diabetic and had problems with her walking and activity, and not so good of an experience using medications for her symptoms. She had very severe nerve symptoms and was beginning to get some weakness too.

On the first visit I try to take a lot of time to understand the patient, and educate them about the idea of nerve decompression surgery. For some, this may not be the appropriate option; for others, it is a option we pursue. As is often the case, I mention that what we do in the foot and leg is no different than what has been done in the hand and arms for many years:  we simply open tight nerve tunnels like the carpel tunnel in the hand or ulnar nerve tunnel in the elbow.

I taught her about the five nerve tunnels we evaluate for potential compression. When she left, she was scheduled for a nerve test with our research assistant and returned to review the test the next week. However, before she returned to see me, she had gone to her cardiologist.  She happened to bring up to that doctor what we had spoken about: the opportunity to do procedures to open her nerve tunnels to allow her nerves to function more normally.

She said at first the doctor was questioning the whole idea, the whole concept, and assumed that in today’s medical world nothing could be done. He was very skeptical. I know we doctors may seem scary to talk back to, but this patient kept educating this doctor.  At the end of the conversation she shared the concepts that she had just learned.  She posed this question to the doctor:  If there are nerve tunnels in the foot and leg and nerve tunnels in the hands and arms, why must medicine treat each limb so differently? This stopped the doctor’s concerns in its tracks. He had no answer. Apparently, the doctor said that if you feel comfortable with this surgeon maybe you should consider it.

Wow!  Why do I share this story? Because my goal with all of you when you come in with neuropathy or restless legs is to educate you. Do I succeed every time? Probably not. I’ll show videos, pictures, and explain how we test the nerves in surgery. My wife and staff probably say I talk too much.

Why do I do this? Because it’s my mission! I know knowledge is power, and once you step out of one of our offices you return to the world that is not as informed. A world, in my way of thinking, that is 30 to 40 years behind the medical knowledge of the nerves in the foot and leg versus the hands and arms. In time that will change. But for now, I’ve found how important it is to educate you, and for me this was a sweet story to share. It’s the story of an astute patient with a scientific mind who truly grasped the concepts we work with. She stirred up the status quo opinion of her cardiologist, and maybe stimulated yet more curiosity.

I guess in this patient’s own little way she offered a challenge. A challenge that my colleagues and I use when met with resistance to our concepts: prove me wrong!keyhole-1209014_960_720

Ankle Sprains: What You Need to Know

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sports ankle sprain

 

Sports ankle sprain treatment: Getting back on your feet faster

When it’s back to school time, we’re also back to fall or spring sports, gym class, and recess. Summer is also often a time for additional sports activities or neighborhood pickup games.  With any physical activity comes the risk of sports related injuries, especially those involved in high-impact sports like basketball, soccer, and tennis. The most common of these is ankle sprains, which in my opinion is usually not treated appropriately. We’ve all heard the advice of “rest it for a few days” or “just wear a brace and get back out there.” Or my personal favorite “just rub some dirt on it.” Whether you’re a weekend warrior or a professional athlete, an ankle sprain can quickly sideline you from your favorite activities. But fear not, with the right treatment and rehabilitation plan, you can bounce back stronger than ever. Now the problem with this advice is that most sprained ankles do feel better after a few days, but that doesn’t mean they are healed.

 

types of ankle sprains anderson podiatry center treatments

Understanding sports ankle sprains

Before diving into ankle sprain treatment options, let’s briefly revisit what happens during a sports ankle sprain. Ankle sprains occur when the ligaments that support the ankle stretch or tear, usually due to a sudden twist or turn of the foot. In sports, this often happens during rapid changes in direction, jumps, or collisions with other players.

The most frequent type of “rolled ankle” sprain involves rupturing one of the three ligaments that connects the outside of your ankle to the outside of your foot. If you continue activity as usual on this injury, the torn ends of that ligament continue to move and deteriorate until the normal strong ligament is basically gone. This will not cause much of an issue for normal activity, but can result in a chronic weak point in ankle motion that will cause the ankle to “give out” if the foot is planted in a certain position. It can also cause more severe injuries down the road.

Immediate ankle sprain care

If you’ve recently suffered a sports ankle sprain, immediate care is crucial to minimize swelling and pain. Remember the R.I.C.E. protocol:

  • Rest: Avoid putting weight on the injured ankle to prevent further damage.
  • Ice: Apply ice packs to the affected area for 15-20 minutes every few hours to reduce swelling.
  • Compression: Use a compression bandage to support the ankle and limit swelling.
  • Elevation: Keep your ankle elevated above heart level whenever possible to reduce swelling.

Professional evaluation

After the initial injury, it’s essential to seek professional medical evaluation, especially if you suspect a severe sprain or if the pain and swelling persist. Your podiatrist will perform a thorough examination, which may include imaging tests like X-rays or MRI scans to assess the extent of the injury.

Ankle sprain treatment options

When I am treating a recent ankle sprain I will first immobilize the ankle at 90 degrees for two weeks or more depending on its severity. This is typically done using a walking boot. This allows you to remove the boot for sleeping and to ice the ankle regularly. You will also be given instructions on therapy involving gentle moving of the ankle to prevent stiffness. After two weeks the boot comes off and more active physical therapy begins, usually lasting an additional two to three weeks before full activity can be resumed. Here are some common treatment options for sports ankle sprains that we would provide:

  • Immobilization: In severe cases, a brace, splint, or walking boot may be necessary to immobilize the ankle and allow the ligaments to heal properly.
  • Physical Therapy: A structured physical therapy program can help strengthen the muscles around the ankle, improve range of motion, and restore stability.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter pain relievers like ibuprofen or naproxen can help reduce pain and inflammation.
  • Bracing and Taping: Wearing ankle braces or undergoing athletic taping techniques can provide additional support and stability during sports activities.
  • Gradual Return to Activity: It’s essential to gradually reintroduce physical activity once your ankle has healed to avoid re-injury. Your podiatrist or physical therapist can provide guidance on when it’s safe to return to sports and how to prevent future ankle sprains.

Preventive measures

While some ankle sprains are inevitable, there are steps you can take to reduce your risk of injury:

  • Warm-Up and Stretching: Always warm up before engaging in physical activity, and incorporate dynamic stretching exercises to prepare your muscles and ligaments.
  • Proper Footwear: Invest in supportive athletic shoes designed for your specific sport and replace them regularly to ensure optimal cushioning and stability.
  • Strength and Balance Training: Incorporate exercises that target the muscles around the ankle, such as calf raises, ankle circles, and single-leg balance drills, to improve stability and reduce the risk of sprains.

Conclusion

Now, a month or more out of sports activities sounds like a lot, but considering the lifelong pain and instability that can be associated with an under-treated ankle injury, it’s more than worth it. Don’t let a sports ankle sprain keep you on the sidelines for longer than necessary. With prompt and proper treatment, along with preventive measures and rehabilitation, you can get back to doing what you love with confidence and strength. So, if anyone has questions or concerns about a recent or past injury please make an appointment with us and we can talk about how to get you back in the ol’ ball game.

Dr. Anderson is considered one of the top podiatrists or foot doctor in the Fort Collins, Colorado region with over 6000+ subscribers on youtube and thousands of facebook followers it makes sense to consult with him.

9 Questions About How Hip Replacement Can Lead to Drop Foot and What You Can Do About It

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Many improvements have been made for patients who need hip replacement surgery. My experience with patients has been that most will say “If I knew it was going to help me this much I would have had it done earlier.” The concept of replacement of these joints has helped many to continue enjoying a more active and productive lifestyle. However, there is the potential risk of drop foot after having a hip replacement surgery.

1. What is drop foot?

In simple terms, this is the lack of strength to pull your foot up off the ground, or to pull away from the opposite foot

2. What is the problem with drop foot?

Essentially you have solved one problem, a hip joint that doesn’t hurt, and now have a new one: DROP FOOT!

3. How does this effect you?

With a mild amount of weakness, you may simply feel less stable when walking across uneven surfaces and feel more prone to twisting your ankle. With severe weakness you may find walking very unstable and therefore your activity is very limited. You may even need to wear a brace to keep your ankle in proper alignment. The net effect: You now have a foot and ankle that limits your activity instead of that old worn out hip joint.

4. How does hip surgery create the drop foot?

The common remarks among orthopedic surgeons is that the sciatic nerve may get stretched during the procedure. It is also common for patients to be told to wait, give it some time and maybe the nerve will repair.

5. Are there any newer thought processes regarding this complication?

Yes. We now believe that in many situations a nerve branch in the lower leg has been injured from this stretching, as this nerve is a branch of the sciatic nerve. It is also the primary nerve that sends signals to the leg muscles to pull the foot up and to the side. When the nerve is stretched along with the sciatic nerve it’s damaged and no longer works effectively. Therefore, weakness and drop foot.

6. What can you do?

First and foremost, don’t wait. Although we have had very good success helping people who have been in this situation for years, earlier treatment when the problem first appears can give the patient better recovery.

7. What do we do?

Our primary objective is to reverse the weakness! For many patients we are able to do this with surgery. The surgeries are primarily focused on one or two nerve tunnels in the lower extremity. By opening these tunnels, much like carpel tunnel surgery, nerve function and therefore strength can be restored.

8. What’s the good the bad and the ugly about these surgeries?

The good news is in most cases it can help. It’s a quick recovery as you can walk the next day. Some can appreciate improvement immediately. The bad and the ugly are it may not work. If it fails, we find that the effects of the surgery are neutral, there is no worsening of symptoms.

9. What’s your next step?

If you or someone you know suffers from drop foot after hip replacement please consider this option. You may be able to get back to more full activity without the worry of falling or twisting your ankle.

Be thankful that your hip is better and understand that the opportunity may be there to get your strength back!

hip replacement can lead to drop foot

Amputation: Three Things You Must Know if You’re Diabetic

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So, you’ve been told you’re a diabetic, and the first thing that enters your mind is the possibility of an amputation. Wow, a scary thought! I want to show you how this can happen. As a diabetic you need to hear this, to arm yourself with knowledge. I’m alarmed at how few people truly understand how the process leading to amputation gets started. In some situations it may not be as much of a worry as it should be, and in others it may be far greater than it needs to be.

So here we go! Here are three basic principles that set a foot up for an amputation:

  1. Foot structure

Any type of foot deformity that would create a greater probability of a skin irritation can be problematic. Examples of this would be a bunion. This is that prominence by the big toe joint that you’ll notice when the big toe starts to drift towards the second toe. That bone that protrudes can make it a potential for skin irritation.

A hammertoe would be another example. In this situation the toe is bent so that the knuckle on the top of the toe may rub against shoe gear or the tip may develop a sore, as you tend to walk on the tip and not on the fatty pulp that lies on the opposite side of the toenail. Any of these types of abnormalities should be addressed by appropriate shoe gear or, in some cases, by corrective surgery.

  1. Blood flow

You have probably heard that because of lack of blood flow diabetics have amputations. In my practice experience this appears overrated. Many diabetics have adequate blood flow for healing. I think it’s important if you’re diabetic to really have a thorough exam so you know specifically how you rate. This is a perfect situation of one size doesn’t fit all.

But, obviously, if circulation is an issue then healing of any type of sore or cut may become an issue. One of the worse things you can do is smoke. Obviously the smoking habit has a detrimental effect on circulation, but when you combine it with diabetes, the risk goes up by a factor of at least three times.

  1. Neuropathy

This is what I consider the most dangerous factor: the health of your nerves. Neuropathy will occur in 50-70 percent of diabetics, but how severe it may become varies. Patients may feel a burning tingling and numbness in the feet and legs. The danger, however, is present when more numbness is present. It’s the inability to feel that is dangerous. The good news is that we can help restore the feeling with surgical decompression of selective nerve tunnels using laser and CETS technology to revitalize your nerves. Please refer to our website videos for more information.

Consider this the triad of things to ponder when you’re told you are diabetic and you’re worried about that dreaded word: amputation. The purpose of this blog was not to scare you, but rather give you some peace of mind. You may have more control than you realize, and you need to carefully consider each of these three areas.

First, a few questions you will need to consider are: if you have a deformity does it have to be corrected to reduce risk of amputation in the future, or are there conservative things that may be done? Or, if you have poor blood flow what are steps you can do, and what can a doctor do to help?

Next, if you smoke consider quitting.

Finally, the subject of neuropathy, which to me is most promising!  We have surgical and non- surgical options that are backed up with objective research to measure improvement of nerve function. What I consider the most dangerous of the three has the greatest opportunity for help.

So, arming you with knowledge should empower you to consider these factors, and help you to understand you may have more options to avoid amputation.

I hope you better understand that there is more hope than ever for you to do something to preserve those precious feet.amputation diabetic foot

Does Your Child Have Sever’s Disease?

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Sever's Disease Heel Injury In Kids

My oldest son has been dealing with heel pain for the last month.  He is a very active 9-year-old with soccer, basketball, baseball and running.  Currently, he is playing soccer this fall.  He is a classic example of a young boy or girl from 8-14 years old who commonly suffer from Sever’s Disease.  I know the name sounds terrible and is misleading, but Sever’s Disease is simply the name for a heel injury.

Children have growth plates in the heel bone (calcaneous) that allow the bone to grow in length.  Around the ages of 13 to 15 that growth plate closes, but until then can become irritated by repetitive injury or a sudden growth spurt.  The Achilles tendon is the strongest tendon in the body and attaches to the back of the heel.  If a child has a sudden growth spurt it takes time for the tendon to lengthen and can put increase pull on the back of the heel. That increase pull can irritate the growth plate in the back of the heel and cause pain.  In my son’s case, he grew about an inch over a two-month period this summer and subsequently started complaining of heel pain.

If this sounds familiar for your child and you are wondering if they have Sever’s Disease, here are some symptoms to look for:

  • Pain in the back of the heel along the heel bone and Achilles tendon
  • Pain that worsens with squeezing of the heel bone
  • Pain is usually worse after sporting events and gets better with rest and ice
  • There is typically no bruising and there may be mild swelling to the area

Treatment:

The good news is that this condition doesn’t cause any long term damage and is self-limiting. It will typically go away with rest and ice.   The problem is, most children do not want to rest and stop doing what they love. Some tips to help reduce the symptoms and pain include:

  • Calf stretching especially after sports
  • Non-steroidal anti-inflammatory drugs (NSAIDS) like Ibuprofen
  • Ice at the end of the day and after sporting events
  • Orthotics to help control heel motion and wear supportive shoes

I have found orthotics to help immensely with children’s symptoms and keep them doing the things they love. If symptoms fail to resolve or worsen, then immobilization with a cast or removable cast boot to really rest the area is the definitive treatment. Once symptoms resolve, then gradual return to full activity with continued stretching is essential.  If your child is suffering from heel pain too, come see us at Anderson Podiatry Center and we can tailor treatment according to his or her activity level.

The Truth About Frustrating Toenail Fungus

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During my time in this practice I have heard toenail fungus described in many different ways, and none of them are nice.  Gross, icky, thick, brittle, deformed, disfigured, discolored nails are one of the most common foot issues that we see.  In most cases this is caused by a fungal infection of the toenails.  Studies have estimated that up to 20-25% of the general population is affected by this ailment, and possibly up to 35% of diabetics.

Fortunately, in most cases this infection doesn’t cause any other health issues, and remains confined to the toes.  For those that have this infection the main complaint is cosmetic. In some cases, however, the infected nails can lead to chronic pain due to nail thickening, or even chronic ingrown nails.

Over the years there have been many treatments attempted for this with most of them having rather dismal results.  There are more over the counter topical treatments for this then I care to count, and even more “home remedies.”  Unfortunately, these types of treatments rarely lead to much improvement in appearance, and even more rarely cure the infection.

Over the counter medication for the treatment of athlete’s foot has also been shown to have little effect. Treating this infection with oral antifungal medication has been shown to have better results than with topicals, but overall the cure rates with this medication have been disappointing.

A more recent advancement in treatment has been with laser therapy. We have been treating nail fungus with the PinPoint laser system for six years and have been very pleased with the results! This treatment involves direct laser therapy of the nails, which heats underneath the nail to a temperature that kills the fungus but does not burn or harm your toe.

For most people this procedure involves 3-4 treatments which are spaced out every three months or so. However, the toenails take up to a year to fully grow out the infected nail and replace it with healthy nail. The treatment also involves regular use of topical anti-fungals to keep your skin as free from infection as possible.

So, if you are currently wearing sockFrustrated with Toenail Funguss to the beach because you are embarrassed by your toenails, this treatment might be for you.  Please feel free to contact our office with any questions or to schedule an appointment to have your nails evaluated.  By this time next year, you may be able to ditch the socks and let your little piggies out to play again.

Tips to Help You Best Stretch Your Calf Muscle

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Stretches and Exercises for Tight Calf Muscles

Stretching is a very useful tool in alleviating tight muscles, loosening up before or after a workout, or just for general wellbeing. However, some muscles are much harder to stretch than others, and not stretching them can cause problems. The calf muscle, for example, can be very difficult to stretch if you don’t know how. Below you will find some tips on how to finally get the calf muscle good and stretched out.

Having a tight Achilles tendon (calf muscle) can case numerous foot problems.  The Achilles tendon is the largest tendon in the body, and is made of two muscles combining together to form the tendon that inserts into the back of the heel.  The first muscle is the gastrocnemius muscle.  It originated from above the knee.  The other is the soleus muscle which originates form the back of the lower leg.

When it comes to stretching these muscles there are two similar, but slightly different techniques.  The traditional runners stretch against the wall is very affective, and the way you stretch both muscles is first by stretching with the knee locked, which stretches the gastrocnemius muscle, and the other is the same stretch but modified by slightly bending the knee to stretch the soleus muscle. This is done to slack the gastrocnemius muscle because if crosses the knee, and now you are only isolating the soleus muscle.

Give it a try and you will notice the difference.  With the knee locked you will feel the stretch more closely to the knee and with the knee slightly bent you will feel the stretch lower in the calf.

The other key thing that I often see patients do wrong with this stretch is not keeping the heel on the ground and the foot perpendicular to the wall.  By lifting the heel, you are not fully stretching the tendon, and by having your foot turned outward you are doing what we call pronating your foot and putting more stress on the foot and other tendons.  So, I always recommend keeping the heel flat on the ground and the foot strait.  When you first start stretching start closer to the wall, and as you stretch more you can get more aggressive by moving away from the wall and leaning in more.

I hope these tips helped you learn how to stretch your calf muscle better. Give it a try, comment how it went or with any questions, and enjoy the stretch!