(626) 442-1223

Dr. Michele Summers Colon, DPM - Podiatrist - El Monte
3503 Lexington Ave.
El Monte, CA 91731

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Could it be due to your running shoes

Why is it that so many runners still suffer from heel pain on a regular basis? Shoe technology has advanced remarkably in the last 20 years, but it seems like the incidence of chronic plantar fasciitis has not subsided at all! Why is this?

Unfortunately the most common cause of plantar fasciitis or arch strain in runners is not shoes; but too much, too soon, too fast syndrome. This is very typical of the American personality. The "I want it all right now!" syndrome.

Let's look a little closer. I also see many patients wearing gorgeous $100+ running shoes that are totally inappropriate for their feet. These are bought because of color, style, advertisements, or simply the fact that their friends really liked them. When will we get away from picking running shoes for looks or peer pressure? Are we all still in high school?

That may sound harsh, but let's think about the last pair of shoes you bought. Did you go to the running store with a preconceived notion about what you wanted? Probably. Did you try on different styles? Brands? Anything you had never heard of? If most of us are honest, if we tried something new it was because of some article we read or ad we saw in a magazine.

Off the commercial running shoe soapbox, let's get back to talking about heel pain. So you have arch and heel pain? You get up in the morning and it feels like someone stabbed you in the heel like you have a "stone bruise" in the heel fat pad? It's been getting worse every day, especially the morning after a run? Sounds like plantar fasciitis. At this point it probably doesn't hurt while you are running. It warms up quickly in the morning but as soon as you sit down or get in your car to drive, it tightens up, and when you get back up the pain starts again. Sound familiar?

It is important to have you foot evaluated by a podiatrist to make sure it is really just plantar fasciitis. Other things can mimic the symptoms of plantar fasciitis; a calcaneal stress fracture, tarsal tunnel syndrome (entrapped nerve), bone tumor, and even lumbar radiculopathy (a pinched nerve in your back). An x-ray and physical exam can rule out most other problems and confirm the diagnosis of plantar fasciitis.

What should you do now? Start simple. Step one: Look at your running shoes. Are they worn out? Are they the right kind? Are you trying to run in tennis shoes or cross-trainers? When in doubt, consult the shoe guy at the local running store, a pedorthist or your podiatrist. If they fit but just need a little help, add an arch support. Step two: Ice is a wonderful thing for heel pain. 15 minutes to the area at least twice a day. Step three: lots of stretching! Stretch the arch of your foot and the Achilles tendon (heel cord). Step four: take your running down a notch. Slow down, take walk breaks, and stay off of uneven surfaces or hills. If you feel any sharp pains or tearing, stop immediately! A plantar fascial tear will take you off the trails for at least 2 months.

If these simple things don't help, its now time to see a sports medicine podiatrist. They will evaluate your heel and your biomechanics. Advanced treatments with rest, night splints, anti-inflammatories, injection therapy, physical therapy, and custom foot orthotics may be necessary to curb your plantar fascial pain. Conservative treatment is around 85% effective and surgery is rarely needed except in recalcitrant cases. The longer you wait to seek professional help, the more likely you will need advanced therapy or surgery to control your heel pain.

Don't let heel pain sideline your running! Get started on the road to recovery today! Call today for an appointment if you have questions or if you are experiencing heel pain. (626) 442-1223

What is Tarsal Tunnel Syndrome?
Tarsal Tunnel Syndrome is a compression of the tibial nerve, due to inflammation or other impingement, as it passes from the leg to the foot. This compression interferes with nerve impulses, causing pain and other neuropathy in the foot.

It is less common than carpal tunnel and is often times misdiagnosed.

What causes Tarsal Tunnel Syndrome?
There are many possible causes, inluding flatfeet, ganglion cysts, tumors, varicose veins, tendonitis, bone spurs, rheumatoid arthritis, diabetes, obesity, ankle injuries (ankle sprains, fractures, dislocations).

Treatment
Treatment includes rest, ice, anti-inflammatory medications, and immobilization. Physical therapy may be indicated as well. For more serious cases that do not respond to conservative treatment, injections, bracing, and/or surgery may be required. 

If you think you have have Tarsal Tunnel Syndrome, please call our office today to be evaluated at 626-442-1223.

Flip-Flop Do's & Don'ts

Tips to Avoid a ‘Flip-Flop' Fiasco 

DO’S:
• Do shop for a flip-flop made of high-quality, soft leather. Leather minimizes the potential for blisters and other types of irritation.
• Do look for flip-flops that hold APMA’s Seal of Acceptance, such as Sole Platinum Sandals. Evaluated by a committee of APMA podiatrists, these products are shown to allow for the most normal foot function and promote quality health.
• Do gently bend the flip-flop from end to end, ensuring it bends at the ball of the foot. Shoes of any kind should never fold in half.
• Do wear a sturdy pair of flip-flops when walking around a public pool, at the beach, in hotel rooms and in locker room areas. Walking barefoot can expose foot soles to plantar warts and athlete’s foot.
• Do ensure that your foot doesn’t hang off of the edge of the flip-flop.

DON’TS:
• Don’t re-wear flip-flops year after year. Inspect older pairs for wear. If they show signs of severe wear, discard them.
• Don’t ignore irritation between toes, where the toe thong fits. This can lead to blisters and possible infections.
• Don’t wear flip-flops while walking long distances. Even the sturdiest flip-flops offer little in terms of shock absorption and arch support.
• Don’t do yard work while wearing flip-flops. Always wear a shoe that fully protects feet when doing outside activities such as mowing the lawn or using a weed-eater.
• Don’t play sports in flip-flops. This practice can lead to twisting of the foot or ankle, as well as sprains and breaks.

Michele S. Colon, DPM, MS
3503 Lexington Ave.
El Monte, CA 91731
(626) 442-1223
 

April 16, 2015
Category: Uncategorized
Tags: Untagged

EL DOLOR DE LA GOTA

¿Qué es esto de todos modos?

La gota es un común, recurrente condición común de la inflamación en el que los cristales de ácido úrico se depositan en las articulaciones. Es debido a una sobreproducción de ácido úrico o de ácido úrico en virtud de la excreción de los riñones por lo que conduciría al incremento de ácido úrico en sangre. Más comúnmente visto en los hombres que en mujeres, la mayoría de las veces aparece en el dedo gordo del pie común pero puede corresponder a cualquiera de las articulaciones de las extremidades. Si la gota se deja sin tratar, las articulaciones pueden resultar dañados y los tejidos circundantes también puede se inflaman. Los cálculos renales son también una posibilidad. 5-10% de la población general, tienen un alto nivel en sangre de ácido úrico, llamada hiperuricemia, pero no tienen síntomas y, por tanto, no considera que la gota.

Hay muchos factores que aumentan el riesgo de gota. Algunos medicamentos pueden causar gota, como los diuréticos y de algunos antibióticos. La gota es más probable que aparezca con trastornos como la leucemia, policitemia, enfermedad de la tiroides, enfermedad renal, presión arterial alta, diabetes, colesterol alto, anemia, enfermedad coronaria oclusiva, y enfermedades de los vasos sanguíneos. Otras cosas a considerar son una historia familiar, de 50 años de edad o más, el sexo masculino, la obesidad, traumatismo o cirugía, estrés emocional y la quimioterapia o radioterapia. Incluso la dieta puede jugar un papel como grandes cantidades de determinados alimentos pueden conducir a un problema.

Signos y síntomas:

* Súbita, dolor en las articulaciones grave (en horas), especialmente el dedo gordo del pie. A veces el peso de las sábanas puede ser intolerable. El individuo puede ser despertado del sueño debido a la súbita dolor.
* Conjunto es roja, caliente y se hincha.
* La piel que cubre la articulación puede estar hinchada apretado y brillante.
* Dolor, nódulos firmes en la parte externa del cartílago de la oreja, a veces visto en los dedos, manos, pies, tendón de Aquiles y en la superficie del antebrazo. Esto es raro y generalmente ocurre en el tiempo, sino que ocurre en lo que se conoce como gota crónica tophaceous. Se llaman los nódulos tophi (singular es Tophus).

Tratamiento:

* Diagnóstico - análisis conjunto de líquidos, los niveles sanguíneos de ácido úrico (que puede ser engañoso y no es diagnóstico de la gota de por sí), los rayos X y gammagrafía ósea.
* AINE (antiinflamatorios no esteroideos).
* Medicamentos para disminuir la producción de ácido úrico, como el alopurinol.
* Medicamentos para aumentar la excreción de ácido úrico por los riñones, como el probenecid.
* Otros medicamentos - la colchicina, indometacina, prednisolona.
* Caliente o compresas frías sobre las articulaciones afectadas.
* Mantenga fuera de la ropa de cama doloroso conjunta; diseño de un marco que plantea la sábanas y mantas.
* Dieta - evitar las sardinas, hígado, riñones, mollejas, y las anchoas. Tome mucha agua para ayudar a eliminar las de los riñones y prevenir la formación de cálculos.
* Evite el alcohol, ya que pueden desencadenar o empeorar un ataque gotosa.
* Pierda el exceso de peso, sino hacerlo lentamente y bajo la dirección de un médico. Dietas de choque con la rápida pérdida de peso puede desencadenar un ataque.
* Obtener un descanso durante el ataque gotosa.
* Discutir los efectos secundarios de todos los otros medicamentos que esté tomando. Comprender los efectos secundarios de los medicamentos que toman para la gota.

Llame a nuestra oficina si usted desarrolla nuevos síntomas, especialmente la fiebre más de 101 grados, dolor de garganta, exantema, rojo lengua, sangrado de encías, hinchazón repentina o aumento de peso, diarrea o vómitos. Si los medicamentos que se prescriben para tratar la gota no mejora los síntomas en los tres días, háganoslo saber.

 

 

Llame a nuestra oficina hoy si usted sospecha que usted tiene gota. (626) 442-1223

Diabetes, Pregnancy, and Your Feet: How are they related?

Gestational diabetes is a disorder that affects approximately 3-5% of all pregnancies. This disease appears only in pregnancy and is usually a milder form of diabetes. It is generally not life threatening to the woman. However, if this disease does occur, there is an increased risk for the woman to develop Type II diabetes later in life.

Those of us who have been pregnant know just how much our bodies (including our feet) change during pregnancy, even if we are not diabetic. Most of us have experienced some degree of swelling, pain, and even flattened arches during and after our pregnancies. Well, for a diabetic, these changes can be even more noticeable and significant.

As a diabetic, a careful history and physical should be obtained by the treating physician. For podiatrists, this consists of dermatologic, vascular, neurologic, and musculoskeletal examinations of the lower extremities. Diabetics are at risk for foot ulcerations, foot infections, pathologic fractures, fungal infections, just to mention a few.

So make sure you have your feet checked if you notice anything out of the norm when you are pregnant, especially if you're a diabetic.Please call our office today at 626-442-1223  if you have any foot problems during your pregnancy; seeing a foot specialist is key during pregnancy. 

 





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3503 Lexington Ave.
El Monte CA, 91731