Treatment for Pain in Heel, Moon Twp

Heel Pain Treatments, Pittsburgh

Plantar fasciitis affects over 5% of the population. That's 5 million Americans suffering with heel pain

If you wake up in the morning and the first steps of the day are excruciating, if you work on concrete or stand for long periods of time, you may have plantar fasciitis.

If daily activities cause pain in the heel here are some simple home tips to treat Plantar Fasciitis, Cranberry Twp.

Plantar Fascia Home Treatment: 

 

Every morning before you even take one step out of bed...STRETCH! Using a rolled up towel or a belt around the ball of your foot, straighten your knee and bend your "toes to your nose"

Reduce inflammation, swelling, and pain by applying and ice pack ( or frozen peas or corn) to the painful area on the bottom of your heel.

NSAIDS (Nonsteroidal antiinflammatory pain medication) like ibuprofen or naprosyn may help temporarily.

Arch supports (hard, not gel) will help support the bones and muscles of the foot.

Cut back on your training routine, you may be logging too many miles.

If these don't work in 2 weeks, call your podiatrist!

 

 More Plantar Fasciitis Treatments :

 

Call Beaver Valley Foot Clinic

Physical therapy helps some people but for some it either doesn't help, or makes it worse.

Night Splints help some people. they may be awkward to sleep in though.

Custom orthotics - I prefer plaster molds over stepping in foam.

If these conservative measures fail, it's time to ramp up your heel pain treatments:

A local injection of corticosteroid to reduce the painful local inflammation. This is often very effective, but can be a bit painful (for 2 seconds-it's worth it!)

ESWT- Extracorporeal Shock Wave Therapy, in which pressure waves in the form of sound waves as shock waves are directed via ultrasound guidance to the area of maximum tenderness in your plantar fascia. With experienced practitioners over 90% of thye most treatment resistant plantar fasciitis can resolve.

Surgery should be a last resort, as there are longterm considerations and many studies site only a 50% sucess rate

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

How to Treat Infected Ingrown Toenails, Pittsburgh PA

cutting a V in an ingrown toenail

Do's and Dont's of Treating Ingrown Nails

You can get into a lot of trouble treating ingrown toenails at home. Here's how:

1. Digging at the nail opens small cuts into the skin , allowing bacteria to get inside the skins protective shield, increasing your chances of infection.

2. If you remove a small part but not all of an ingrown nail, often a deep spike on the side continues to grow and can even grow out of the top of the toe flesh, creating a much more painful and harder to treat situation.

3. Home tools are often inadequately cleaned and kept in the bathroom- not the cleanest room in the house.

4. Thinking you "got it all" often delays professional treatment, again leading to worse infections and more advanced treatments.

So my advice is make an appointment with a Podiatrist as soon as you feel a problem starting. While waiting for your appointment here are a few tips on home treatment of ingrown toenails to take the edge off the pain. However, Beaver Valley Foot Clinic often has same day and next day appointments so the problem is taken care of quickly and ending your suffering immediately!

  • To reduce inflammation and tenderness, soak your toe several times a day for 10-15 minutes in lukewarm water Epsom salts help.
  • After soaking, dry the toe and apply antibiotic ointment and a bandaid to reduce local infection.
  • Wear shoes that dont press on the sore toe, like sandals or wider shoes until its better.
  • Ibuprofen or Tylenol may help temporarily, but be careful you aren't masking the pain, allowing the infection to worsen before you get treatment.

Preventing an Ingrown Toenail: 

 

  • Trim toenails even with tips of toes.  Shoe pressure can damage the nail bed.
  • Wear proper fitting shoes. Heels should not be over 1/2 inch, and the wider the toe box, the better
  • Cut your nails straight across. Don't let a salon cut your cuticles, they are important for keeping germs out.
  • Don't go barefoot outdoors. If your work puts you at risk of injuring your toes, wear protective footwear, such as steel-toed shoes.
  • Check your feet. If you have diabetes,  have a friend, or use a mirror if needed, but check your feet every day for signs of redness, scrapes or other foot problems.

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies; 

for Burning Foot Pain in Beaver County, PA

Do your feet burn at night, keeping you up? Do you have tingling and numbness in your feet? Have you given up on treating painful diabetic neuropathy in Moon Twp? We can help! You don't have to live with burning foot pain. What is diabetic neuropathy? Diabetics often get what is called "stocking-gloves" neuropathy. This is a numbness tingling or pain starting at the tips of fingers and toes and working its way up if not controlled. At first, you may not even notice it happening. But if you are a type 1 or type 2 diabetic and you let your blood sugar remain uncontrolled, you will get diabetic neuropathy. While you may think numbness is no big deal, the results of NOT being able to feel small injuries can have BIG consequences. Nerve damage may make you unable to feel cuts scrapes, or even splinters until its too late and infection has occurred. Then because diabetes has a negative affect on your ability to heal wounds, a small scrapes can lead to hospitalization, surgery, and even amputation.   What are the different types of diabetic neuropathy   Peripheral neuropathy numb tingling hands and feet Autonomic neuropathy dry skin, loss of sweating, hair loss   What causes diabetic neuropathy? Prolonged high blood sugar, caused by poor diets and improper medication How is diabetic neuropathy diagnosed? Your podiatrist can do a physical exam that tests protective sensation with a 5.07 Semmes Weinstein filament, in minutes in the office For more in depth information, an EMG or nerve conduction study will be ordered when appropriate How is diabetic neuropathy treated? The treatment plan is very individualized depending on the patient Pain management Topical creams, Vitamin B pills, many others   Managing complications Have some one or use a mirror to check the bottom of your feet daily always wear protective shoe gear dry your feet after bathing -especially between the toes See your podiatrist regularly   Can I prevent diabetic neuropathy? Keep "white" out of your diet- white sugar, white flour, desserts, juices, pops, anything with high fructose corn syrup The most recent studies suggest 15 minute walks after each meal do more to lower blood sugar than one large walk. It's also easier on your body. See Your Podiatrist regularly and don't wait when small problems appear.  

Do your feet burn at night, keeping you up?

Do you have tingling and numbness in your feet?

Have you given up on treating painful diabetic neuropathy in Moon Twp?

We can help!

You don't have to live with burning foot pain.

What is diabetic neuropathy?

Diabetics often get what is called "stocking-gloves" neuropathy. This is a numbness tingling or pain starting at the tips of fingers and toes and working its way up if not controlled.

At first, you may not even notice it happening. But if you are a type 1 or type 2 diabetic and you let your blood sugar remain uncontrolled, you will get diabetic neuropathy.

While you may think numbness is no big deal, the results of NOT being able to feel small injuries can have BIG consequences.

Nerve damage may make you unable to feel cuts scrapes, or even splinters until its too late and infection has occurred. Then because diabetes has a negative affect on your ability to heal wounds, a small scrapes can lead to hospitalization, surgery, and even amputation.

 

What are the different types of diabetic neuropathy

 

Peripheral neuropathy

numb tingling hands and feet

Autonomic neuropathy

dry skin, loss of sweating, hair loss

 

What causes diabetic neuropathy?

Prolonged high blood sugar, caused by poor diets and improper medication

How is diabetic neuropathy diagnosed?

Your podiatrist can do a physical exam that tests protective sensation with a 5.07 Semmes Weinstein filament, in minutes in the office

For more in depth information, an EMG or nerve conduction study will be ordered when appropriate

How is diabetic neuropathy treated?

The treatment plan is very individualized depending on the patient

Pain management

Topical creams, Vitamin B pills, many others

 

Managing complications

Have some one or use a mirror to check the bottom of your feet daily

always wear protective shoe gear

dry your feet after bathing -especially between the toes

See your podiatrist regularly

 

Can I prevent diabetic neuropathy?

Keep "white" out of your diet- white sugar, white flour, desserts, juices, pops, anything with high fructose corn syrup

The most recent studies suggest 15 minute walks after each meal do more to lower blood sugar than one large walk. It's also easier on your body.

See Your Podiatrist regularly and don't wait when small problems appear.

 

Diabetic nerve pain image

nerve pain...

4 CONVENIENT LOCATIONS

Cranberry: 724-772-3668
Moon Township: 412-262-5440
Ambridge: 724-266-5959
Beaver: 878-313-FEET

Hours of Operation

Monday – Friday 8:00 am – 5:30 pm
Evenings and weekend available for emergencies

AMENITIES

22 years of experience

4 convenient locations

Board Certified Podiatrist ABFAS

Treating Pain on the Bottom of the Heel in Pittsburgh, PA

Heel Pain in Runners, Cranberry Twp

Heel Pain in Runners, Cranberry Twp

Does your heel hurt when you take the first step out of bed in the morning?

Does it take a few minutes of walking around to "stretch out" the bottom of your foot so you can walk with out pain?

Are your friends telling you that you have a "Heel Spur?

Well they may be half right! But to really understand heel pain and how to treat it, we have to dig a little deeper and look at the REAL cause of the pain. Only then can you take the appropriate steps to treat heel pain and regain your life.

Rarely does the actual bony spur on the heel cause any symptoms. In fact one study suggests that 25% of the population, if xrayed, are walking around with a spur on the foot. More often, the actual heel pain is caused by Plantar Fasciitis. The plantar fascia is a type of ligamentous connective tissue just under the skin and fat (subcutaneous tissue) on the bottom of the foot. It provides pretection and support to the muscles and bones in the "arch" of the foot. It courses from the heel bone (calcaneous) to the toes and is important to the function of walking correctly.

When this plantar fascia is damaged, either by stepping on a rock or uneven ground, or overused- by working long hours on hard floors, or suddenly stretched, it becomes inflamed and is very painful. It is this pain and inflammation of the plantar fascia pulling away from its attachment to the heel bone that people feel. As a result of the inflammation your body will lay down bony calcifications to the area. This is the spur, and it forms only after the injury. In fact, when a surgeon addresses the problem, most leave the spur alone, and only release the ligamentous attachment (but this can be avoided 99% of the time-see below)

 

image heel spur image

As you can see in this picture, the spur is not poking "down".  It looks like a "spur" only because xrays are 2 dimensional . In 3-dimensions, it is in fact a bony ledge across the foot from one side to another and is where the tendons, muscles,and other structures attach. When the foot is overstretched or overworked, the tissue pulls away from the bony attachment causing microtears and inflammation. This inflammation under the foot is what is painful.

This changes the goal of our treatment from"removing the spur" to instead 

  1. Using an antiinflammatory to reduce the inflammation-thus the pain
  2. Supporting the arch of the foot with orthotics or arch supports to eliminates the strain
  3. teaching the patient how to identify and treat heel pain more quickly in the future

 

That is why unless trauma or a tumor or true fracture is suspected, xrays do little to identify and treat plantar fasciitis. The "spur" may also be found on the back of the heel. Again, it may have been there for years, but just got aggravated by shoes or activity. So again, don't just toward surgery to remove the bony spur on the back of the heel, treat the inflammation instead. Your podiatrist can help you figure out what caused it, and help you eliminate that and prevent this from recurring.

5 most common treatments for heel pain:

  1. Nsaids
  2. cortisone
  3. stretching
  4. icing
  5. ESWT

 

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies; if you are having an emergency call 911. Existing patients please call our office directly with any important questions.

 

Diagnosis and Treatment of Corns and Callouses

callouses

What is a callous?

Thickened skin on the bottom of your foot is called a corn or a callus. They are the body's reaction to pressure or friction from walking. They form under pressure points in the bottom of the foot.

Older people, for instance have less fat under their feet as cushion and the skin and bone remaining get a lot of pressure under them which may lead to very painful callosities.

Poorly cushioned or ill- fitting shoes also may make corns worse.

 

technically corns are overlying joints , like toes. often they have a deep core , which presses on the nerve underneath

  • Heloma Dura- or hard corn is often found on top of toes
  • Heloma Mole- or soft corn can be found between toes, where the tissue is moist. They often appear thick, white , moist and rubbery, and very painful
  • IPK- or seed corn has a nucleated center of impacted dead skin cells. Often they occur in multiples, which can be painless, however, deep ones can press on nerves in the skin and become VERY painful.

Podiatric Treatment of Corns:

DO NOT

  • Do not attempt to cut you own corns!
  • Do not use those medicated black dot  "corn pads" from the store- they don't know the difference between good skin and bad skin, and can cause a wound.
  • Do not ignore if a corn gets red or pink around it- that could signify an infection starting.

A trained podiatrist can quickly and painlessly remove a callus in the office. She can also teach you how to prevent them with either special creams or offloading padding. oftentimes a simple office procedure can keep the corns from returning. Most importantly, what you think may be "just a corn" can often be something much worse. The skin under the corn can break down, creating an ulcer, which can lead to a diabetic foot infection. This is the beginnng of an amputation if not treated quickly enough

 

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies; if you are having an emergency call 911. Existing patients please call our office directly with any important questions.

 

 

Best Treatments for Plantar Warts

IMG_3520.JPG

This patient presented after 2 years of treatment at another local podiatrist. Treatment included debridement and application of sal acid paste 70% with occlusion, every two weeks for two years. OTC wart remover products are usually made from 24% or less sal acid paste products. The Planters warts treated got no better, and in fact spread.

Our treatment consisted of debridement and laser treatment of plantar warts. Cantharidic acid was applied as a blistering agent to help with debridement of devitalized wart tissue at the next appointment. Wart laser treatment works by cutting off the blood supply to the wart. This is a gentle laser used to erase the broken capillaries on women's faces. Its so gentle that even small children can tolerate it. The wavelength of light emitted by the laser is selectively effective against the chromatophores in the hemoglobin of blood in the small vessels that feed the warts. Without a constant blood supply to feed this viral tumor, it dies. At each treatment we can get deeper , until we get to the base of the older more established warts. New small verruca can be killed with sometimes one treatment, so the earlier you seek treatment the better. The black dots in the picture above are the "cooked wart tissue" with no damage to the surrounding tissue

Our treatment consisted of debridement and laser treatment of plantar warts. Cantharidic acid was applied as a blistering agent to help with debridement of devitalized wart tissue at the next appointment. Wart laser treatment works by cutting off the blood supply to the wart. This is a gentle laser used to erase the broken capillaries on women's faces. Its so gentle that even small children can tolerate it. The wavelength of light emitted by the laser is selectively effective against the chromatophores in the hemoglobin of blood in the small vessels that feed the warts. Without a constant blood supply to feed this viral tumor, it dies. At each treatment we can get deeper , until we get to the base of the older more established warts. New small verruca can be killed with sometimes one treatment, so the earlier you seek treatment the better. The black dots in the picture above are the "cooked wart tissue" with no damage to the surrounding tissue

By the third treatment the warts on the foot were already disappearing. The patient was amazed, after suffering for so long.

By the third treatment the warts on the foot were already disappearing. The patient was amazed, after suffering for so long.

This is our patient on visit 4. A final laser treatment was administered to ensure all warty tissue was killed. It has been 2 years and the warts have not returned. Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA Call now to talk to a foot care specialist 878-313-3338 ( FEET) Click Here to E-mail Dr. Christina Teimouri DPM

This is our patient on visit 4. A final laser treatment was administered to ensure all warty tissue was killed. It has been 2 years and the warts have not returned.

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri DPM

How to Cut an Ingrown Toenail

infected ingrown toenail, Beaver Pa

infected ingrown toenail, Beaver Pa

How to Cut an Ingrown Toenail

Step by Step guide to remove an ingrown toenail

  1. Soften the nail by soaking in warm, not hot water
  2. Clean your nail clippers or scissors with a disinfectant.
  3. Normal nails are cut straight across, but for infected ingrown nail treatment you must trim down the side of the nail where it pierces the skin. This may be very painful.
  4. Do not place a piece of cotton between the ingrown nail and skin. you would have to leave it there for months to change the growth pattern and it adds pressure to the already inflamed area.
  5. Topical antibiotic ointment cream and a band-aid should then be applied until all the redness is gone, which may take a few weeks. 
  6. You may remove the band-aid at night while sleeping to air it out. Soaking at night also helps, either in epsom salt water or apple cider vinegar.
  7. Wear shoes that don't press on the sore area.
  8. when you make a worse mess of it, call a podiatrist

Common Causes of an Ingrown Toenail

The most common causes of an ingrown toenail include: 

  • Genetic predisposition
  • Tight shoes
  • Improper cutting off toenails
  • Bumping or dropping something on the toe
  • Picking at the toenails
  • Sports like soccer or running

 

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

DISCLAIMER: email and contact forms not Monitored for emergencies; if you are having an emergency call 911. Existing patients please call our office directly with any important questions.

Top Causes of Heel Pain in Children

Heel Pain in Kids

Heel Pain in Kids

In another month childrens sports will be gearing up for another big year. Soccer is in full force. Kids 10-13 especially, since they are growing the most rapidly are prone to heel pain from over use at a higher rate than others..

Heel pain is common among all ages, including kids.

Common causes of heel pain in kids include:

  • Plantar fasciitis – An overuse syndrome, aggravated by running and other activities, affecting the tendon-like connective tissue along the bottom of the foot  where it inserts into the heel.
  • Severe’s disease – The most common cause of heel pain in children. It's not a true disease, but rather calcaneal apophysitis or inflammation of the growth plate in children before they reach skeletal maturity. Pain is located more toward the back of the heel, but inside the bone.
  • Calcaneus fracture – Not very common unless the kids run marathons or are in car accidents. Can be caused by jumping off a wall, steps or ladder. Must be treated.
  • Achilles tendinitis – Back of the heel pain caused by excessive activity. 

Luckily there is help for all of these conditions and can be treated often with a single office visit.

READY TO SCHEDULE AN APPOINTMENT?

Call us today 878-313-3338 to schedule at any of our four Podiatry Clinics in Beaver, Butler, or Allegheny County locations, including Podiatry offices Moon Township, Ambridge, Cranberry Township’s full service Podiatric office and our newest Foot Clinic, Beaver, PA

Call now to talk to a foot care specialist 878-313-3338 ( FEET)

Click Here to E-mail Dr. Christina Teimouri

Oh, Heel No! High Heels and Big Problems: The Risk of High Fashion Heeled Shoes

high heel injuries

high heel injuries

Oh, Heel No! High Heels and Big Problems: The Risk of High-Fashion Heeled Shoes

While a diamond is a girl’s best friend, a pair of high-heels are a woman’s closest companion. Pittsburgh Podiatrist Dr. Tina Teimouri knows women wear heels just as much to weddings and work as they do shopping or going to a picnic. There are heels for every season and event – open-toe heels for your Q2 business meeting, wedged canvas sandals for the family reunion, leather high-heeled boots for picking pumpkins with the kids and suede canvas platforms for your winter holiday party. And, with a rainbow of colors to choose from, woman are faced with the temptation of wearing heels every day!

But at what cost?

This month, Dr. Tina Teimouri of Beaver Valley Foot Clinic shares the real damage a pair of heels can do to you.

Body alignment issues and Metatarsalgia. While wearing heels gives the illusion you grew a few inches overnight, what’s really happening is your body’s weight shifting forward onto the balls of your feet. This causes foot, ankle and even back issues as you try to stay balanced and stand up straight, mimicking your body’s natural stance. As you continue to wear heels, you may further develop chronic joint pain in the balls of your feet, a condition known as Metatarsalgia.

Ankle Injuries. We all know the winter months increase your risk of falling on ice. Wearing high-heels however, makes the risk of an ankle injury a year-round event! Your risk of falling increases greatly when you wear a pair of heels and simply making a wrong step can cause you to lose your balance. Add in a crack in the sidewalk or pot holes in a parking lot, your chances of falling just went up exponentially.

Hammertoes. Hammertoes are a condition in which your smaller toes are bent into a claw-like position after long periods of time squishing and pushing your toes into a crowded toe-box. Most heels will present this issue down the line, but pointed-toe shoes put you at the highest risk of developing Hammertoe.

Bunions. As confined spaces cause the smaller toes to develop the hammertoe condition, bunions are directly related to the big toe. Bunions are formed when narrow shoes cause the big toe to force inward resulting in discomfort, calluses and corns.

Achilles tendonitis. The Achilles tendon, a.k.a. the tendon that connects the back of your heel to your calf muscle, may become inflamed due to the stress of the tightening, stretching and shortening of the tissues and muscles in your ankle area. Tendonitis is a painful condition that presents itself after wearing heels over long periods of time.

 

Still can’t kick the habit?

While the only way to avoid injury is to stop wearing heels altogether, Dr. Tina knows retiring your favorite pair of candy-apple red heels is easier said than done. Follow some of these steps when choosing the right heels for you.

  • Avoid pointed toes. If there is one thing you’re willing to change, avoid pointed toe shoes.

  • Ditch the spikes! Opts for wedges or shoes with a thicker heel.

  • Pack flats. If you dress up for work, wear flats or gym shoes during your commute and pack your dress shoes for work.

Lastly, if the damage is already done, call Pittsburgh Podiatrist Dr. Tina Teimouri of Beaver Valley Foot Clinic and book an appointment today! Visit us today or call us at 878-313-3338 (FEET).