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Littlestown, PA

 (717) 359-5300

March 2024


Hammertoe, a deformity characterized by an abnormal bending of the toe joint, can lead to discomfort, difficulty walking, and even pain during daily activities. While many cases of hammertoe can be managed with conservative measures such as padding, shoe modifications, and orthotic devices, surgery may be necessary in certain instances. Hammertoe surgery becomes essential when the condition progresses to a point where conservative treatments no longer provide relief or when the deformity interferes significantly with mobility and quality of life. During surgery, the surgeon may release tight tendons, reposition bones, or remove damaged tissue to straighten and realign the affected toe. Although surgery involves risks like any medical procedure, it can offer long-term relief and improve functionality for individuals suffering from severe hammertoe deformities. If you are living with hammertoe, it is strongly suggested that you are under the care of a podiatrist who can determine if surgery is the correct choice for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Todd Goldberg of Complete Family Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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Published in Blog

Tuesday, 26 March 2024 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Published in Featured

High heels can add elegance and style to any outfit, but they often come with the uncomfortable side effect of pain in the ball of the foot. Fortunately, there are strategies to alleviate this discomfort and enjoy wearing heels more comfortably. This can begin by considering heels with a lower height or platform soles to reduce the pressure on the ball of the foot. Additionally, insert cushioned insoles or gel pads into your shoes to provide extra support and shock absorption. These inserts can help redistribute weight and alleviate pressure points, preventing pain and discomfort. Another helpful tip is to choose shoes with a wider toe box to allow more room for the toes and reduce crowding in the front of the shoe. Additionally, taking breaks from wearing heels throughout the day and stretching the feet and calf muscles can help relieve tension and prevent pain. If you enjoy wearing high heels and are experiencing pain in the ball of the foot, it is suggested that you consult a podiatrist who can provide you with additional relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

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Published in Blog

Tuesday, 19 March 2024 00:00

Effect of High Heels on the Feet

For hundreds of years, women have been wearing various kinds of high heels for aesthetic reasons. Women who wear high heels appear to be taller and have longer and thinner legs, and the wearer’s gait and posture changes. Though high heels have had an association with femininity and have kept them popular over the years, there are definite health problems caused by wearing them too frequently.

The motion of the ankle joints is limited when heels are worn. The ankle joint is very important to the body when it comes to walking. Because of their location, these joints have a great deal of weight put on them. Thus, it is very important to keep them as healthy as possible. The Achilles tendon is the main tendon in the ankle. Wearing high heels too often, studies have shown, can cause the calf muscle and Achilles tendon to shorten and stiffen. This can cause problems when shoes without heels are worn.

By putting a great deal of pressure on the ball of the foot and by forcing the toes into a small toe box, high heels can cause or may worsen many foot problems. These include corns, hammertoe, bunions, Morton’s neuroma and plantar fasciitis.

Not only does wearing high heels regularly have negative effects on the feet, the rest of the body can suffer as well. The knees, one of the most important joints in the entire body, can be affected by wearing high heels.  High heels can cause the knees to stay bent all the time. Also, it can cause them to bend slightly inward as well. Doctors believe that women can suffer from osteoarthritis later in life because of constantly walking like in high heels. By limiting the natural motion of the foot during walking, high heels also cause an increased in stress on the knees.

Similarly, high heels can cause the back to go out of alignment. If high heels are worn constantly, the spine’s ability to absorb shock can cause continued back pain. They can compress the vertebrae of the lower back, and can overuse the back muscles.

However, this is not to say that high heels can never be worn. If worn occasionally and not often, they will not cause serious problems. They should not be worn every day. It’s important to wear them modestly to avoid the long-term physical health problems of the feet, knees, ankles, and back mentioned above.

Published in Featured

Tuesday, 12 March 2024 00:00

Effective Exercises for Arch Pain Relief

Arch pain can be a discomforting ailment that affects many individuals, particularly those who spend long hours on their feet or engage in high-impact activities. Fortunately, several exercises can help alleviate arch pain and promote foot health. One beneficial exercise is the towel scrunch, where you place a towel on the floor and use your toes to scrunch it toward you, strengthening the muscles in the arch of your foot. Another effective exercise is the toe spread, which is done by spreading your toes as far apart as possible and holding them for a few seconds before releasing them. This is helpful to stretch and strengthen the muscles in the foot. Additionally, performing calf stretches can help alleviate tension in the Achilles tendon, which can contribute to arch pain. Finally, incorporating exercises that focus on improving overall foot and ankle strength and flexibility, such as ankle circles and calf raises, can provide further relief. If you have pain in the arch of your foot, it is suggested that you consult a podiatrist who can guide you toward additional specific stretches for relief.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

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Tuesday, 12 March 2024 00:00

Exercise for Your Feet

Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.

For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.

Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.

Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works the muscles.

Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet off of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.

In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis. It’s also important to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage. This encourages circulation in the feet as well as muscle relaxation.

Published in Featured

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.

Published in Blog

Tuesday, 05 March 2024 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

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Toenail fungus, also known as onychomycosis, is a common fungal infection that affects the nails. This condition is typically characterized by discoloration, thickening, and crumbling of the nails. While toenail fungus is not considered extremely contagious, it can spread from person to person under certain circumstances. Direct contact with infected nails or contaminated surfaces such as shower floors, swimming pools, and communal areas can facilitate transmission. Additionally, sharing shoes, socks, or nail clippers with an infected individual increases the risk of contracting the fungus. Individuals with compromised immune systems, diabetes, or poor circulation are more susceptible to toenail fungus and may experience more severe infections. Maintaining good foot hygiene, wearing breathable footwear, avoiding sharing personal items, and keeping nails trimmed and dry can help reduce the risk of toenail fungus transmission. If you have toenail fungus, it is strongly suggested that you consult a podiatrist who can offer effective treatment remedies, in addition to discussing contamination risks.

For more information about treatment, contact Dr. Todd Goldberg of Complete Family Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

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