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

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

Author: admin

Drop Foot: Why it’s Important to Seek Treatment Right Away

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I recently opened the paper on Sunday night and something in the sports section caught my eye. A star Notre Dame Football player, Jaylon Smith (soon to be playing professional football) has a drop foot. I researched more about his injury and subsequent reconstructive surgery to repair his knee. The discussion in the article was if he would ever fully regain his strength and return to football. I’m not sure if the discussion was about his injury, the surgery, or a combination of both, but in it they were contemplating whether Jaylon would ever return to normal.

In the interview Jaylon was being told to sit and wait. What?! The article specifically mentioned an injury to the common peroneal nerve. As a surgeon who operates on this nerve regularly this raised some serious concern.

I was concerned because I have seen many patients with a history of knee or hip surgery suffer from complications of drop foot. In Jaylon’s case it may have been from the knee injury. Doctors take a “wait and see” attitude towards this.   However, if there is not rapid trend toward improvement in the first 3 month I feel surgery should be considered.

Waiting could risk more long term permanent damage!Foot Drop: Causes, Symptoms, and Treatment

Drop foot is often considered to be from a sciatic nerve that gets stretched. Understand that the common peroneal nerve is a branch of the sciatic nerve that travels below the knee and sends impulses to the muscles that pull the foot up and to the side.  So, the basis of my concern is that the common peroneal nerve travels through an anatomical nerve tunnel just below the knee. This is an area where there is potential tightness or squeezing of the nerve which serves as an anchoring point, and when it is released (opened) it will reduce the stretching of the common peroneal nerve.

It’s been my experience when helping patients with drop foot after years of complications from knee or hip surgery that early intervention would have been better to maximize strength improvement.  I perform surgery on this nerve tunnel multiple times per month. It’s a 20 minute procedure with patients going home that day walking, and many have improvement within days. This challenges conventional wisdom that the nerves will take months to repair.

Thus, waiting could be detrimental to his career! So, even for people who aren’t professional athletes, waiting may not be the best plan.

This information I am sharing challenges what I would consider “traditional concepts.”  It has been thought that stretching of the sciatic nerve is the primary issue, but it has been my experience that by opening the anatomical tunnel that the common peroneal nerve travels through just below the knee the drop foot can be corrected.  As a surgeon, and the past President of the Colorado Podiatric Medical Association; Association of Extremity Nerve Surgeons, who does research associated with this nerve and its effects on the lower extremity I thought my opinion should be shared and considered.

If you experience drop foot from an injury, or knee or hip surgery please seriously consider this option!

How to Get Rid of Stubborn Toenail Infection

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Toenail fungus causes peeled, yellow tones, and breaking toenails. It can make one feel self-conscience, especially when wearing open toed shoes. People who suffer from it often feel frustrated with the endless antifungal creams and ointments that just don’t seem to work. If this describes you, don’t worry; you are not alone and there is hope to ridding your feet of that stubborn toenail fungus.

You can encounter fungus almost anywhere, so infection is common. Fungus is most prevalent in wet, warm, damp places, such as public pools and showers, and inside close toed shoes. It also accumulates in nail salons that reuse and do not sterilize their instruments and basins between customers. So, naturally, your feet are a big target.

Also, if you are wondering why you seem to contract the infection more than others, it’s because some people are more susceptible to it than others, depending on their individual immune systems. In fact, up to 20% of the population has this condition.

Here are some facts to keep in mind:

  • Fungal infections normally develop over time so symptoms are subtle at first. Affected nail side effects include: scaling under the nail, white or yellow streaks on the nail, crumbling nails, flaky white areas and pits on the surface of the nail, yellow spots, and sometimes complete loss of the nail.
  • Fungal infections may be contagious, so if you come in contact with someone who has an infected nail you may contract an infection as well.
  • The fungi that causes nail infections is the same that causes jock itch, athlete’s foot, and ringworm, though it is often harder to treat.
  • Fungus affects men more than women, and adults more than children.
  • Fungal nails are usually more resistant and difficult to treat- topical antifungal or oral medications work better to prevent it rather than treat it.

A fungal nail infection, though usually painless, is frustrating and very stubborn. You may feel discouraged not knowing how to rid yourself of this pesky ailment, but there are options in how to remove it as well:

  1. Laser Therapy for toenail fungus is one of the most effective ways to get rid of it. The Pinpointe Foot Laser at the Laser Nail Center at Anderson Podiatry Center is the first FDA approved laser for treating stubborn conditions. Also, unlike other multi-use lasers, our Foot Laser is specifically designed for nails and therefore has a high effective rate. We also have been treating nail fungus since 2008, longer than any other office in the area and were the first to introduce this treatment to the Rocky Mountain Region!
  2. Taking preventative measures will help ensure that once you do get rid of your condition you don’t just end up getting it again.
    1. Keep your feet and toes dry- let your shoes dry out after wearing them and change your socks when they are damp.
    2. Use antifungal cream regularly, and spray your shoes with antifungal spray to help keep any fungus on your skin or shoes at bay.
    3. Don’t share nail clippers or nail files.
    4. Don’t share your shoes or socks with other people- remember,
    5. When using a public pool or shower make sure to wear shower shoes.
    6. Ensuring you only go to spas that sanitize their basins a
      nd tools between each use.

If you have stubborn toenail fungus don’t suffer from it a day longer! Be rid of it once and for all, and enjoy wearing your summer shoes again! Come visit your podiatrist in Fort Collins or Broomfield for further consultation.

Diabetic Foot Numbness: The Silent Threat to Your Health and Mobility

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Neuropathy: A Silent Killer

Understanding Why Numbness is More Dangerous Than Pain

For many of my diabetic patients, numbness develops so gradually they barely notice its progression. The sensation diminishes on such a slow gradient that they forget what normal foot sensitivity feels like. This adaptation becomes dangerous—when you can’t feel your feet, you can’t detect injuries, and if left untreated, these injuries can lead to amputation. The sobering reality is that amputation significantly shortens life expectancy for diabetic patients, with five-year mortality rates approaching 50% after major lower extremity amputation.

A numb foot is the most dangerous foot a diabetic can have.

As a podiatrist who has treated thousands of diabetic patients, I’ve witnessed how early intervention can dramatically change outcomes. Let me share two contrasting patient stories that illustrate why numbness should never be ignored.

Patient Stories of Foot Numbness: Two Different Paths

Patient One: Early Intervention Saves a Foot

Mrs. Johnson (name changed for privacy) visited our clinic with what she described as “feet that were killing her with chronic pain.” She had been taking Lyrica for her diabetic neuropathy, but it provided minimal relief. The burning, tingling pain had become unbearable, affecting her sleep and quality of life.

After a comprehensive evaluation, we discussed treatment options and agreed that nerve decompression surgery would be appropriate for her condition. However, life got busy, and she postponed the procedure. When she returned months later, I noticed the beginning of an ulcer on one toe—a dangerous development that made surgery an immediate priority. I explained how the procedure could not only alleviate her pain but potentially restore sensation, which would prevent future ulcers from developing unnoticed.

The results were remarkable. Almost immediately after surgery, her nerve pain subsided significantly, and she regained sensation in her toes. In her own words, “The foot you operated on feels so much warmer than the other foot.” The toe ulcer healed rapidly, and within weeks, we performed the same procedure on her other foot with equally successful results. Today, Mrs. Johnson has maintained both feet without complications, continues her regular diabetic foot care routine, and enjoys an active lifestyle.

Patient Two: Delayed Intervention Leads to Partial Loss

Mr. Thomas (name changed) had a different perspective on his numbness. To him, it “wasn’t that big a deal.” He could function adequately and sleep well. Yes, the numbness made walking more challenging, but he had adapted. By the time he sought treatment, he had already lost two toes to amputation.

The risk of amputating his foot and having the same issue affect his other foot is what drove him to come to our clinic. We performed nerve decompression surgery on the foot that had already undergone partial amputation. To his satisfaction, the results mirrored those of our first patient—increased warmth and restored sensation. While the surgery was successful in preventing further tissue loss, this case isn’t as positive as the first because permanent damage had already occurred. Had he sought treatment earlier, he might still have all his toes and better mobility.

The Medical Reality of Diabetic Neuropathy

Diabetic peripheral neuropathy affects approximately 50% of people with diabetes. The condition damages the nerves in your feet by:

  • Restricting blood flow to the nerves
  • Creating compression in natural nerve tunnels
  • Causing biochemical changes that damage nerve fibers

This damage manifests in two primary ways:

  • Painful neuropathy: Burning, tingling, electrical sensations
  • Insensate neuropathy: Advancing numbness with decreased ability to feel potential damage

While painful neuropathy is distressing, it typically prompts patients to seek treatment. Numbness, however, often goes untreated until complications arise.

Why Numbness is More Dangerous Than Pain

Consider these contrasting outcomes:

  1. Pain = motivation to seek treatment = nerve restoration = no amputation = more active, healthy life
  2. Numbness = no motivation to seek help = delayed treatment = potential amputation = reduced mobility = shortened lifespan

Research indicates that individuals who undergo lower extremity amputation experience:

  • Decreased mobility and independence
  • Higher risk of depression
  • Increased cardiovascular complications
  • Reduced life expectancy by 5-10 years

Treatment Options for Diabetic Neuropathy

Modern podiatric medicine offers several approaches to address diabetic neuropathy:

  • Nerve Decompression Surgery: Releasing compressed nerves to restore blood flow and sensation
  • Medical Management: Medications to address nerve pain and improve circulation
  • Advanced Wound Care: Specialized treatment for existing ulcers or injuries
  • Preventative Foot Care: Regular check-ups and proper footwear
  • Blood Sugar Control: Working with your primary physician to manage diabetes effectively

How to Assess Your Risk for Numbness due to Diabetic Neuropathy

Ask yourself these questions:

  • Can you feel a light touch on all areas of your feet?
  • Do you notice temperature changes on your feet?
  • Have you noticed any changes in foot color or unexplained calluses?
  • Do your feet feel unusually cold or warm?
  • Have you had any painless injuries on your feet?

If you answered “no” to the first two questions or “yes” to the others, you should consult with a podiatrist specialized in diabetic foot care immediately.

Don’t Wait Until It’s Too Late

The choice becomes clear when you consider the options: either surgery to remove part of your foot after damage occurs, or proactive treatment to restore nerve function and preserve your foot. This crucial message needs to reach more diabetic patients before complications develop.
Remember, while you may not be able to control the development of neuropathy, you can control the outcome through early intervention.

Take Action Today

If you’re experiencing any signs of diabetic neuropathy—whether painful symptoms or concerning numbness—schedule a comprehensive foot evaluation with our team at Anderson Podiatry Center. Early intervention is your best defense against the silent threat of diabetic foot numbness.

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.

Dr. James Anderson, DPM, is a board-certified podiatrist specializing in diabetic foot care and nerve decompression surgery with over [X] years of experience helping patients maintain foot health and mobility.

How to Avoid an Ankle Fusion or Ankle Replacement

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One of the most debilitating problems is arthritis in the ankle joint. This can be caused from overuse or just getting older (wear and tear). It can also be caused by previous injuries including an old ankle fracture or repetitive ankle sprains. In both situations the cartilage that lines the joint may become damaged to the point of almost having bone rubbing bone in your joint. Ouch!

“But doctors don’t understand!”

I hear that a lot from my patients. They come in frustrated as they have been told to exercise more. Maybe they are overweight, maybe they need to better control their diabetes. And they are motivated! But, the pain is stopping them. It’s a vicious circle.

More exercise=More pain.

Many feel they are not being listened to. And yes some think that your feet and ankles are supposed to hurt, that’s just what happens. They may have been dumbed down by all the drug marketing to the point they assume that if something below the knee hurts and a drug doesn’t help, then there may be nothing that can be done. Sound crazy? Well, sadly, it’s becoming a more common mind set.

Major surgery or living with it are the only options patients are getting!How to avoid ankle fusion or replacemet

Regarding ankle arthritis: the common approach in severe cases are the options of replacing the joint, just like replacing a hip or knee joint, or fusion of the joint. Both are major surgeries.
On the one hand, ankle joint replacements may not be as successful as replacing a hip or knee. On the other hand, ankle fusion leaves one with a stiff ankle that no longer moves, and a much altered walk.

Stop- consider a simpler, less painful solution.

Before you take the last step to replace or fuse a joint with all the potential risk consider deinervation of the joint. Simply stated this means getting rid of the nerve or nerves that send messages to the brain telling it the joint hurts. The area where the nerve or nerves are removed is just above the ankle.

We have been doing this surgery for 2 years, and our success rate is very high! Patients are able to walk immediately, or within just a few days.  I must stress, we don’t remove nerves that would make the joint weaker, but simply remove branches that give the joint sensation. We have seen very rewarding results, and if it fails there is still the option to have the ankle replaced or fused. Patients who had given up are now being active with very significant reduction of pain, and now with no more drugs!

Don’t let the thought of a major surgery stop you from getting better! Just remember, before you fuse or replace consider this simple, proven procedure and simply deinvervate.

How to Prevent Jogging Injuries with Proper Foot Alignment

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Sadly, jogging injuries are not uncommon. In fact, it’s very likely that you or someone you know has been benched due to a jogging injury, whether it be a shin splint, sprained ankle, leg or foot pain, or a stress fracture.

With a little help and preparation, you can ensure you stay off the bench and on the track.

Alignment is the most important aspect of running well

Jogging injuries can come from an array of sources, but a common perpetrator is foot misalignment. Foot misalignment is often the culprit behind many injuries, including:

  • Shin splint – a stabbing, aching pain in the shins that happens when the muscles and tendons covering the shinbone become inflamed.
  • Sprained ankle – this painful injury is caused by the inward or outward stretching of the ligament, and can take weeks to months to fully heal.
  • Leg, knee, and foot pain – caused by overuse, pulled muscles, joint strain, and runner’s knee, to name a few possible culprits.
  • Stress fracture – tiny cracks in the bone that are the result of repeatedly pounding more force into the leg bones than they can handle. Don’t be deceived by their tininess: these cracks in the bones are very painful, and they can be difficult to recover from.

So what exactly is foot misalignment?

Alignment refers to how the axes of the bones line up. Misalignment is when the bones don’t line up properly, which puts extra stress on the outer parts of the joints where thin cartilage can’t withstand it. This puts added pressure on the ligaments, which weakens joints.

Common foot alignment issues include:

  • Flat feet – can produce pain in the arch and lower leg, foot swelling, weakness in the toes, or there can be no pain at all, yet it still can be a huge factor in foot misalignment. A high arch can also misalign the feet.
  • Pronation – the arch of the foot flattens, resulting in increased stress on the muscles, tendons, and ligaments.
  • Supination – the outward roll of the foot. Supination, like pronation, results in increased stress on the muscles, tendons, and ligaments, and can also result in runner’s knee, Achilles tendonitis, plantar fasciitis, and many other injuries.

Even though jogging injuries are about as common as mosquitos in a swamp, there are actions you can take to help prevent them. Proper shoes, along with orthotics, are a fantastic way to realign your feet, and getting the correct orthotics can easily be accomplished by seeing a podiatrist. Also, by following a few simple preventative measures you can greatly reduce your risk of getting injured.

Stretching can avoid repetitive stress injuries

Dr. Murdock, one of our skilled doctors who is also an avid-runner, offers a few key tips for avoiding jogging injuries. First, practice cross-training: don’t do the same activity every day, and if you do the same activity, don’t have two hard days, but rather do a hard day and then an easy day.

He explains, “Listen to your body! Cross-train with biking, running, elliptical, etc. Make sure that part of your cross training is working your core. Core strength is really important in preventing injuries.”

Dr. Murdock also says to cross-train foot function with different shoes such as a stability shoe, cushion shoe, rock shoe, etc.

Next, avoid repetitive motion. One great way to do this, Dr. Murdock says, is by varying your pace so you’re not running fifteen miles at a seven-and-a-half minute pace, but rather change it to an eight-minute mile, then seven, then nine, etc. Also, make sure the surface you’re running on is flat, not an angle, to avoid tendon injuries.

Last, make sure to stretch. “I’m an advocate of stretching, particularly after a workout,” Dr. Murdock says.

Jogging injuries are common and often fierce, but by following the steps above they can be prevented.

Neuropathy: Why It’s Important Not to Delay Treatment

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It starts with some tingling in your feet, and maybe a little in your legs.  Then, the tingling turns into pain: sharp jabbing or stabbing sensations. You begin to lose coordination in your feet, and you start being more at risk of falling down. One day, paralysis may even occur. It’s frustrating, it’s frightening, but it doesn’t have to be this way.

Neruopathy can stop you from simple tasks like walking, driving, or even staying balanced

The most frightening thing about neuropathy, however, is that even if you think it’s getting better (your pain and symptoms decrease, for instance), it could actually be getting worse. This is because the later stages of neuropathy often cause numbness, meaning that you can no longer feel the pain that’s telling you something’s wrong. This can eventually cause the skin of your foot to die and become necrotic, and it sometimes even leads to amputation, especially in diabetic patients.

This is why it’s so important to start treating your neuropathy right away.

The first step to recovery is understanding the problem. Neuropathy is the disease or dysfunction of one or more peripheral nerves, or in other words, nerve damage. If you suffer from neuropathy you likely experience muscle weakness, twitching, tingling, numbness in the feet and lower legs, prickling sensations, and nerve pain in the feet and lower legs. The most common causes of neuropathy include injury, infection, diabetes, and even some cancers.

What’s most discouraging about neuropathy is how difficult it can be to find relief. This discouragement is exacerbated by the fact that medications-a common first step in treating neuropathy- often have unwanted side effects or are ineffective. Furthermore, medications can treat the symptoms of neuropathy, but they can’t treat the root cause: the tight nerve tunnels that are “squeezing” the nerves and preventing them from functioning properly.

Since neuropathy can worsen over time, it’s essential that you don’t delay treatment. Fortunately, you don’t have to live with the pain. There are many treatment options for neuropathy, including:

Treating your neuropathy may well offer relief for common symptoms as well, such as: improving balance, strength, and nerve sensations, providing more restful sleep, reducing risk of falling, and decreasing pain.

We truly understand how painful and even debilitating neuropathy can be which is why we urge you not delay your treatment any longer. Even if you think you’ve tried everything, research in neuropathy is progressing every day, and new treatment options are out there. You have the power to stop your neuropathy from progressing, and we can help you find the treatment plan that’s best for you. Start feeling better today!