COMMON FOOT DISORDERS<br />&<br />	SEVEN TIPS FOR BETTER FOOT HEALTH<br />Dr. David T. Savage<br />Board Certified Foot S...
Anatomy of the Foot<br />
Segments of the Foot<br />
Spectrum of ForefootConditions<br /><ul><li>Local (soft corn, callus)
Traumatic (fracture, ulcers)
Biomechanical (bunion, hammer toe, neuroma)
Infection (infected ingrown nail)
Oncologic (melanoma, bone tumors)
Systemic (arthritis)</li></li></ul><li>Soft Corn:Signs and Symptoms<br /><ul><li>Hyperkeratotic lesions on toe(s)
Pain on direct pressure
Pain while wearing shoes
Erythema, swelling
Maceration</li></li></ul><li>Soft Corn:Differential Diagnosis<br /><ul><li>Tinea pedis
Verruca</li></li></ul><li>Soft Corn<br />
Interdigital Tinea<br />
Verruca<br />
Ulcerated Soft Corn<br />
Soft Corn:Etiology<br /><ul><li>Women's dress shoes
Other tight-fitting footwear
Deformed toes
Bone spur in toes</li></li></ul><li>Soft Corn:Treatment<br /><ul><li>Conservative therapy
Patient education
Surgical intervention as indicated</li></li></ul><li>Digital Case<br />Toe Deformity<br />
Toe Deformity:Symptoms<br /><ul><li>Pain
Erythema (Redness)
Edema (Swelling)</li></li></ul><li>Hammertoe<br />
Hammertoe<br />
Hammertoe:Treatment<br /><ul><li>Conservative treatment
Surgical treatment</li></li></ul><li>Digital Case <br />Abnormality of Nail<br />
Melanoma in Nail Bed<br />
Nail Streak of Trauma <br />
Fungal Infection<br />
Granuloma<br />
Hallux (Big Toe) Joint Abnormalities<br />Swollen Great Toe<br />
Swollen Hallux:Differential Diagnosis<br /><ul><li>Bunion
Gout
Fracture: Joint or Sesamoid
Rheumatoid arthritis</li></li></ul><li>Hallux Valgus<br />
Gout<br />
Sesamoid Fracture<br />
Rheumatoid Arthritis<br />
Hallux Limitus<br />
Hallux Limitus:<br />Conservative Therapy<br /><ul><li>Special shoes, padding, inserts
Rigid rockerbottom shoes
Physical therapy
NSAIDs
Patient education</li></li></ul><li>Pain in Ball of the Foot<br />
Pain in Ball of Foot:Differential Diagnosis<br /><ul><li>Stress fracture
Callus
Frieberg's infraction
Capsulitis
Bone tumor
Local manifestation of systemic disease
Neuroma
Torn plantar plate</li></li></ul><li>Stress Fracture<br />
Callus<br />
Frieberg's Infraction<br />
Capsulitis<br />
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Aspen Foot & Ankle: Common Foot Problems

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Doctor David Savage is a podiatrist practicing in the Payson, Utah area. Visit his website at http://www.AspenFootAndAnkle.com for more information.

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Transcript of "Aspen Foot & Ankle: Common Foot Problems"

  1. 1. COMMON FOOT DISORDERS<br />&<br /> SEVEN TIPS FOR BETTER FOOT HEALTH<br />Dr. David T. Savage<br />Board Certified Foot Surgery<br />
  2. 2. Anatomy of the Foot<br />
  3. 3. Segments of the Foot<br />
  4. 4. Spectrum of ForefootConditions<br /><ul><li>Local (soft corn, callus)
  5. 5. Traumatic (fracture, ulcers)
  6. 6. Biomechanical (bunion, hammer toe, neuroma)
  7. 7. Infection (infected ingrown nail)
  8. 8. Oncologic (melanoma, bone tumors)
  9. 9. Systemic (arthritis)</li></li></ul><li>Soft Corn:Signs and Symptoms<br /><ul><li>Hyperkeratotic lesions on toe(s)
  10. 10. Pain on direct pressure
  11. 11. Pain while wearing shoes
  12. 12. Erythema, swelling
  13. 13. Maceration</li></li></ul><li>Soft Corn:Differential Diagnosis<br /><ul><li>Tinea pedis
  14. 14. Verruca</li></li></ul><li>Soft Corn<br />
  15. 15. Interdigital Tinea<br />
  16. 16. Verruca<br />
  17. 17. Ulcerated Soft Corn<br />
  18. 18. Soft Corn:Etiology<br /><ul><li>Women's dress shoes
  19. 19. Other tight-fitting footwear
  20. 20. Deformed toes
  21. 21. Bone spur in toes</li></li></ul><li>Soft Corn:Treatment<br /><ul><li>Conservative therapy
  22. 22. Patient education
  23. 23. Surgical intervention as indicated</li></li></ul><li>Digital Case<br />Toe Deformity<br />
  24. 24. Toe Deformity:Symptoms<br /><ul><li>Pain
  25. 25. Erythema (Redness)
  26. 26. Edema (Swelling)</li></li></ul><li>Hammertoe<br />
  27. 27. Hammertoe<br />
  28. 28. Hammertoe:Treatment<br /><ul><li>Conservative treatment
  29. 29. Surgical treatment</li></li></ul><li>Digital Case <br />Abnormality of Nail<br />
  30. 30. Melanoma in Nail Bed<br />
  31. 31. Nail Streak of Trauma <br />
  32. 32. Fungal Infection<br />
  33. 33. Granuloma<br />
  34. 34. Hallux (Big Toe) Joint Abnormalities<br />Swollen Great Toe<br />
  35. 35. Swollen Hallux:Differential Diagnosis<br /><ul><li>Bunion
  36. 36. Gout
  37. 37. Fracture: Joint or Sesamoid
  38. 38. Rheumatoid arthritis</li></li></ul><li>Hallux Valgus<br />
  39. 39. Gout<br />
  40. 40. Sesamoid Fracture<br />
  41. 41. Rheumatoid Arthritis<br />
  42. 42. Hallux Limitus<br />
  43. 43. Hallux Limitus:<br />Conservative Therapy<br /><ul><li>Special shoes, padding, inserts
  44. 44. Rigid rockerbottom shoes
  45. 45. Physical therapy
  46. 46. NSAIDs
  47. 47. Patient education</li></li></ul><li>Pain in Ball of the Foot<br />
  48. 48. Pain in Ball of Foot:Differential Diagnosis<br /><ul><li>Stress fracture
  49. 49. Callus
  50. 50. Frieberg's infraction
  51. 51. Capsulitis
  52. 52. Bone tumor
  53. 53. Local manifestation of systemic disease
  54. 54. Neuroma
  55. 55. Torn plantar plate</li></li></ul><li>Stress Fracture<br />
  56. 56. Callus<br />
  57. 57. Frieberg's Infraction<br />
  58. 58. Capsulitis<br />
  59. 59. Bone Tumor<br />
  60. 60. Rheumatoid Arthritis<br />
  61. 61. Neuroma<br />
  62. 62. Lesion on Sole:Differential Diagnosis<br /><ul><li>Porokeratosis
  63. 63. Callus
  64. 64. Plantar wart
  65. 65. Foreign body reaction</li></li></ul><li>Porokeratosis<br />
  66. 66. Callus<br />
  67. 67. Plantar Verruca<br />
  68. 68. Lesion on Sole:Treatment – Callus<br /><ul><li>Debridement
  69. 69. Footwear Consultation
  70. 70. Shoe Padding or Inserts
  71. 71. Surgery</li></li></ul><li>Hot, Swollen Foot<br />
  72. 72. Hot, Swollen Foot:Differential Diagnosis<br /><ul><li>Osteomyelitis
  73. 73. Metatarsal stress fracture
  74. 74. Gout and rheumatoid arthritis
  75. 75. Cellulitis
  76. 76. Acute Charcot arthropathy</li></li></ul><li>Osteomyelitis<br />
  77. 77. Metatarsal Stress Fracture<br />
  78. 78. Charcot Foot<br />
  79. 79. Podiatric Foot and AnkleSurgeon: Training<br /><ul><li>4-year program to DPM degree
  80. 80. Residency in surgical specialty</li></li></ul><li>The Podiatric Surgeon<br />Thank You!!<br />
  81. 81. Tips For Better Foot Health<br />Question: Often when I buy a new pair of shoes they feel comfortable in the store, but after wearing them only a few hours, they feel unbearably tight. Why does this happen?<br />Tip#1 – Buy shoes in the afternoon or evening.<br />
  82. 82. Tips For Better Foot Health<br />Question: My toenails are thick and discolored, what can I do to make them look better before going barefoot at the beach this summer?<br />Tip #2 – Consider therapy directed to eliminating the fungus with prescribed oral and/or topical medications.<br />
  83. 83. Tips For Better Foot Health<br />Question: I absolutely hate my feet because I can never get them to fit into stylish high heels. I have at least three friends getting married this year and want to be able to wear sexy high heels to all of their weddings. I am contemplating getting that new cosmetic foot surgery that everyone is talking about so that I can slip my feet in to some great new shoes. This surgery is easy, right?<br />Tip #3: If it is not broke, don’t fix it. It is unwise to have surgery if your feet don’t hurt to begin with and you have no problems walking.<br />
  84. 84. Tips For Better Foot Health<br />Question: I am scared to take of my shoes when I am at other people’s homes because my feet often smell badly after they have been in my shoes for an extended period of time. I don’t want anyone to think I smell, so is there anything I can do to eliminate this odor?<br />Tip #4 There is over 250,000 sweat glands in the foot. Bromhidrosis is the term to describe smelly feet. Closed toed shoes aggravate sweaty feet and set up the perfect environment for bacteria to grow, leading to more odor and more sweat. “Before slipping on shoes, try rubbing cornstarch or spraying antiperspirant directly on the soles of your feet to stop the sweating” <br />
  85. 85. Tips For Better Foot Health<br />Question: A few days after I get a pedicure at the nail salon, the area around my big toenail becomes inflamed and really hurts. Why does this happen and is there anything I can do to stop the pain?<br />Tip#5 It is important to remember to cut all toenails straight across when trimming so that they grow straight and not into the skin around the toes.<br />
  86. 86. Tips For Better Foot Health<br />Question:I just bought a new pair of sneakers and I have noticed that after I workout my toes hurt and both of my big toenails are starting to look a little discolored. Why is this happening and how can I fix it?<br />Tip #6 Make sure that you get your feet measured in a shoe store while standing. Shoe models vary. Don’t rely on the size of the last pair of shoes. You should have a thumbs width of room at the end of the toe when standing. Replace sneakers every 300-500 miles.<br />
  87. 87. Tips For Better Foot Health<br />Question: When buying a new pair of sandals this season, what should I look for in a shoe to make sure that they will also be comfortable?<br />Tip#7 – Material like terry cloth, soft leather and mesh fabrics are great for letting your feet breathe during the hot days and nights of summer. Good mobility. Don’t cause blisters. Ensure that they fit properly and look for ultra-cushioned soles.<br />
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