It is unfortunate that for one reason or another, many individuals are shy about their feet and try to hide them from other people, including health care providers. Many people tend to believe that their feet and lower legs are ugly or abnormal and thus will cause others to gawk or make hurtful comments. On the contrary, podiatrists see the whole gamut of foot types and conditions in their practices, and refrain from being critical but are more interested in the health of your feet and the treatments that they can provide. In cases of gangrene, for example, the doctor is especially eager to see you, as the consequences of delayed treatment can be severe.
Gangrene is essentially a condition in which the tissues begin to turn black or green as the cells die. This typically happens after either a severe bacterial infection or from a loss of blood flow to the area which is common in diabetics or others with PVD (peripheral vascular disease). There are three major types. “Dry” gangrene usually results from a blocked artery and as the name suggests, typically has a dry outer surface with little discharge from the area. “Wet” gangrene is unstable and is nearly always the result of an infection. It is considered a more serious type of gangrene and requires immediate treatment to prevent the infection from spreading. Finally, “Gas” gangrene is perhaps the most severe form and occurs when bacteria become entrapped beneath the surface of the skin and begin to divide and form gas within the tissues.
As you’ve probably gathered, gangrene is a serious situation which can significantly compromise your health. If it’s not addressed quickly, it can result in the loss of a toe, a limb, or even your life if it goes on for too long without treatment. The insidious thing about gangrene is that it often occurs in individuals with diabetes or other health conditions which can make it difficult for them to easily read the early warning signs. For example, gangrene often emits a foul odor which may not be apparent to those with diabetes. Other red flags such as a fever, chills, or nausea are also often masked in those with other health concerns. Furthermore, many people may have difficulty examining or even feeling their feet, and thus may be unaware that such a destructive process is taking place.
Your podiatrist is a key in managing most cases of gangrene. Through several simple tests, he or she can determine the chance your body has of actually healing the wound, and then they can work with other specialists to appropriately treat the issue. Many times, it is essential for the doctor to perform sterile debridement of the wound, as antibiotics usually are unable to penetrate it due to a lack of blood flow. Appropriate topical treatments and dressings are also essential.
When it comes to gangrene or other foot infections, there’s no need to by shy. The earlier you seek help the better.
Advanced Foot Care
Robert Kuvent, DPM
3225 S Alma School Rd
Chandler, AZ 85248
www.yourfeetfixer@gmail.com
14 December 2009
07 July 2009
Listening to Your Feet
Have you noticed that your hearing isn’t quite what it used to be? Maybe you just don’t appreciate shows like American Idol or have trouble making out high-pitched sounds. You may want to check your feet!
Hearing loss is somewhat of an expected part of the aging process. Certainly the image of an older individual with a hearing aid is a well-established stereotype. However, if you’ve protected your ears and haven’t exposed them to excessively loud noises over the years, hearing loss isn’t necessarily in the cards for you as you get older. If you have diabetes on the other hand, it may be more likely.
Some new evidence that was just presented at a meeting of the American Diabetes Association suggests that losing the ability to hear high-pitched sounds is also associated with diabetes. As you may or may not know, diabetes also tends to cause damage to the nerves in your feet as well as your eyes. It can also cause heart and kidney damage. Interestingly, the researchers suggested that hearing loss was 6 TIMES more common in people with nerve damage in their feet!
This research is pretty new and hasn’t been completely confirmed yet, but it definitely brings up some interesting points. Foot problems associated with diabetes are a huge problem. When diabetics loose sensation in their feet, a whole range of issues from ulcers to bone changes to even amputations can result. Often times, visual changes also occur which make it even more difficult for people to walk or perceive objects which could potentially damage their feet. By comparison, hearing loss seems like a relatively mild complication, but in fact the nerve which controls hearing is also responsible for balance, so damage to that area may complicate things even more!
Now of course none of this is really earth-shattering stuff. It still stands that if you have diabetes-especially poorly controlled diabetes-your feet and overall health are at risk. I’m sure that further investigation will take place and more revealing studies will come out in the coming months and years. In the meantime however, if you experience hearing or visual changes, you may also want to think about your feet and talk to your podiatrist about it. Your body, like most sturdy structures, depends on a solid foundation from the ground up.
Advanced Foot Care
Robert Kuvent D.P.M
480-917-2300
3225 S. Alma School Rd
Chandler, AZ 85248
www.yourfeetfixer.com
Hearing loss is somewhat of an expected part of the aging process. Certainly the image of an older individual with a hearing aid is a well-established stereotype. However, if you’ve protected your ears and haven’t exposed them to excessively loud noises over the years, hearing loss isn’t necessarily in the cards for you as you get older. If you have diabetes on the other hand, it may be more likely.
Some new evidence that was just presented at a meeting of the American Diabetes Association suggests that losing the ability to hear high-pitched sounds is also associated with diabetes. As you may or may not know, diabetes also tends to cause damage to the nerves in your feet as well as your eyes. It can also cause heart and kidney damage. Interestingly, the researchers suggested that hearing loss was 6 TIMES more common in people with nerve damage in their feet!
This research is pretty new and hasn’t been completely confirmed yet, but it definitely brings up some interesting points. Foot problems associated with diabetes are a huge problem. When diabetics loose sensation in their feet, a whole range of issues from ulcers to bone changes to even amputations can result. Often times, visual changes also occur which make it even more difficult for people to walk or perceive objects which could potentially damage their feet. By comparison, hearing loss seems like a relatively mild complication, but in fact the nerve which controls hearing is also responsible for balance, so damage to that area may complicate things even more!
Now of course none of this is really earth-shattering stuff. It still stands that if you have diabetes-especially poorly controlled diabetes-your feet and overall health are at risk. I’m sure that further investigation will take place and more revealing studies will come out in the coming months and years. In the meantime however, if you experience hearing or visual changes, you may also want to think about your feet and talk to your podiatrist about it. Your body, like most sturdy structures, depends on a solid foundation from the ground up.
Advanced Foot Care
Robert Kuvent D.P.M
480-917-2300
3225 S. Alma School Rd
Chandler, AZ 85248
www.yourfeetfixer.com
19 May 2009
Big Toe Implants
Due to its size, location, and importance for balancing the other four toes, the first toe or “hallux” has a long track record of developing problems in and around its joints. These problems in turn can lead to other complications within the foot. Over the years, many treatment approaches have been developed to address bunions, stiffness, and other joint problems of the first toe. One effective albeit controversial option has been the use of implants.
A key target area for treatment is often within the ball of the foot, because the joint in that area is often a source for complications. One frequently-used procedure remodels, reshapes, and realigns the joint-often with good results. However, this approach has its own drawbacks, including bone removal and a shortening of the toe. As an alternative, the use of implants was developed in the 1980s for special cases, such as when the traditional procedure failed.
Implants come in several different materials-each with their own benefits and disadvantages. Initially, silicone was used, but it was eventually shown to break down over time. Cobalt chromium is strong and resistant to corrosion, but it contains nickel which can be a problem for some people with allergies. Titanium is also used as it is light weight and integrates well into bone, although it is not as strong.
Of course, implants can be modified in numerous ways to meet the needs of the individual. They’re available in multiple shapes and sizes and can be adjusted to modify the joint space and increase flexibility. The smallest implant possible is typically used and specially fitted to minimize friction. Implants can even be used in conjunction with other interventions or procedures to achieve the best possible outcome.
One of the advantages of implants is that they allow for an early recovery which takes about two weeks to allow the skin to heal. This is much shorter than for an alternative fusion approach which can require over eight weeks of off-loading the foot. Of course, implants have their own drawbacks and potential to cause problems. However, in a group of patients who received implants in the 1980s, it was shown later that about 80% of them felt that the implants had reduced their pain.
Today, implants are more often recommended to older individuals with bunions, arthritis, and other complications, as they tend to last longer than in younger, more active people with those same conditions. If you have questions, schedule an appointment with your podiatrist. He or she can help you determine whether an implant is right for you.
Advanced Foot Care
Dr. Robert Kuvent
3225 S. Alma School Rd.
Chandler, AZ 85248
(480)917-2300
http://www.yourfeetfixer.com
A key target area for treatment is often within the ball of the foot, because the joint in that area is often a source for complications. One frequently-used procedure remodels, reshapes, and realigns the joint-often with good results. However, this approach has its own drawbacks, including bone removal and a shortening of the toe. As an alternative, the use of implants was developed in the 1980s for special cases, such as when the traditional procedure failed.
Implants come in several different materials-each with their own benefits and disadvantages. Initially, silicone was used, but it was eventually shown to break down over time. Cobalt chromium is strong and resistant to corrosion, but it contains nickel which can be a problem for some people with allergies. Titanium is also used as it is light weight and integrates well into bone, although it is not as strong.
Of course, implants can be modified in numerous ways to meet the needs of the individual. They’re available in multiple shapes and sizes and can be adjusted to modify the joint space and increase flexibility. The smallest implant possible is typically used and specially fitted to minimize friction. Implants can even be used in conjunction with other interventions or procedures to achieve the best possible outcome.
One of the advantages of implants is that they allow for an early recovery which takes about two weeks to allow the skin to heal. This is much shorter than for an alternative fusion approach which can require over eight weeks of off-loading the foot. Of course, implants have their own drawbacks and potential to cause problems. However, in a group of patients who received implants in the 1980s, it was shown later that about 80% of them felt that the implants had reduced their pain.
Today, implants are more often recommended to older individuals with bunions, arthritis, and other complications, as they tend to last longer than in younger, more active people with those same conditions. If you have questions, schedule an appointment with your podiatrist. He or she can help you determine whether an implant is right for you.
Advanced Foot Care
Dr. Robert Kuvent
3225 S. Alma School Rd.
Chandler, AZ 85248
(480)917-2300
http://www.yourfeetfixer.com
22 April 2009
Sprain Pain
If you read many sports headlines, you know that ankle sprains are all over the place. NBA star Dwayne Wade suffered a mild sprain several weeks ago, and there were over 620 foot and ankle injuries in the 2004 Athens Olympics-many of which were sprains. The best, most coordinated athletes in the world suffer from ankle sprains, but they plague the rest of us as well.
A “sprain” is a stretching or a tearing of ligaments around a joint, and the ankle is the most commonly sprained joint in the body. The majority of sprains are “inversion-type” in which the ankle rolls inward, thus stretching the ligaments on the outside of the ankle. In more serious cases, however, even the muscle tendons can be stretched or torn.
Several factors can predispose an ankle to sprains. Weak muscles, poor rehab from a prior sprain, and a diminished sense of position are all common causes. Sprains range in their severity from 1st degree which includes mild stretching and swelling to 3rd degree which involves the complete rupture of a ligament and excruciating pain. Regardless of their degree, ankle sprains should be treated as soon as possible to promote a better outcome and minimize long-term pain and instability. A good pneumonic to remember is R.I.C.E. which stands for Rest the ankle, Ice it for 15-20 minutes several times per day, Compress it with wraps or bandages, and Elevate the ankle above the level of the heart as much as possible for 48 hours. Be careful not to apply ice directly to elderly individuals or those with blood-flow problems.
2nd and 3rd degree ankle sprains should receive professional treatment immediately. Your podiatrist can perform X-rays to confirm the diagnosis and rule out an avulsion injury which is a fracture of the ligament’s attachment site to bone. He or she can also screen for potential causes of long-term future pain such as fractures, impingements, or bony fragments within the joint.
There are also several steps you can take to prevent your ankle from re-spraining. Continue to stretch your calf muscles-particularly on the affected leg-and wear an ankle brace or strapping device. Balancing exercises are good if tolerable. A wedge can also be placed in your shoe to prevent your ankle from tipping over. Finally, for individuals with chronic ankle sprains, surgery is available to tighten the ligaments and shift the tendons in order to stabilize your foot.
Dr. Robert Kuvent
3225 S. Alma School Rd
Chandler, AZ 85248
(480) 917-2300
http://www.yourfeetfixer.com/
A “sprain” is a stretching or a tearing of ligaments around a joint, and the ankle is the most commonly sprained joint in the body. The majority of sprains are “inversion-type” in which the ankle rolls inward, thus stretching the ligaments on the outside of the ankle. In more serious cases, however, even the muscle tendons can be stretched or torn.
Several factors can predispose an ankle to sprains. Weak muscles, poor rehab from a prior sprain, and a diminished sense of position are all common causes. Sprains range in their severity from 1st degree which includes mild stretching and swelling to 3rd degree which involves the complete rupture of a ligament and excruciating pain. Regardless of their degree, ankle sprains should be treated as soon as possible to promote a better outcome and minimize long-term pain and instability. A good pneumonic to remember is R.I.C.E. which stands for Rest the ankle, Ice it for 15-20 minutes several times per day, Compress it with wraps or bandages, and Elevate the ankle above the level of the heart as much as possible for 48 hours. Be careful not to apply ice directly to elderly individuals or those with blood-flow problems.
2nd and 3rd degree ankle sprains should receive professional treatment immediately. Your podiatrist can perform X-rays to confirm the diagnosis and rule out an avulsion injury which is a fracture of the ligament’s attachment site to bone. He or she can also screen for potential causes of long-term future pain such as fractures, impingements, or bony fragments within the joint.
There are also several steps you can take to prevent your ankle from re-spraining. Continue to stretch your calf muscles-particularly on the affected leg-and wear an ankle brace or strapping device. Balancing exercises are good if tolerable. A wedge can also be placed in your shoe to prevent your ankle from tipping over. Finally, for individuals with chronic ankle sprains, surgery is available to tighten the ligaments and shift the tendons in order to stabilize your foot.
Dr. Robert Kuvent
3225 S. Alma School Rd
Chandler, AZ 85248
(480) 917-2300
http://www.yourfeetfixer.com/
11 February 2009
Heel Pain
The most common form of foot pain, is pain on the bottom of the heel. It tends to occur for no apparent reason and is often worse when first placing weight on the foot. Patients often complain of pain the first thing in the morning or after getting up to stand after sitting. The pain can be a sharp, searing pain or present as a tearing feeling in the bottom of the heel. As the condition progresses there may be a throbbing pain after getting off your feet or there may be soreness that radiates up the back of the leg. Pain may also radiate into the arch of the foot.
Treatment of heel pain generally occurs in stages. At the earliest sign of heel pain, aggressive calf muscle stretching should be started. Additionally, taking an oral anti-inflammatory medication and over-the- counter arch supports or heel cushions may be beneficial.
The next phase of treatment might consist of continued calf muscle stretching exercises, cortisone injections and orthopedic taping of the foot to support the arch. If this treatment fails, or if there is reoccurrence of the heel pain, then functional foot orthotics might be considered.
Surgery to correct heel pain is generally only recommended if orthotics or the OssaTron treatment have not been successful.
Treatment of heel pain generally occurs in stages. At the earliest sign of heel pain, aggressive calf muscle stretching should be started. Additionally, taking an oral anti-inflammatory medication and over-the- counter arch supports or heel cushions may be beneficial.
The next phase of treatment might consist of continued calf muscle stretching exercises, cortisone injections and orthopedic taping of the foot to support the arch. If this treatment fails, or if there is reoccurrence of the heel pain, then functional foot orthotics might be considered.
Surgery to correct heel pain is generally only recommended if orthotics or the OssaTron treatment have not been successful.
06 February 2009
Foot Dr Chandler
Welcome to Advanced Foot Care Center
We welcome you as a patient to our podiatry practice. We are grateful that you have chosen us as the health care provider for your feet.
This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.
Dr. Kuvent is certified by the American Board of Podiatric Surgery and is a Fellow with the American College of Foot and Ankle Surgeons.
We look forward to seeing you in our Chandler podiatry office.
If your feet hurt, we can help
We welcome you as a patient to our podiatry practice. We are grateful that you have chosen us as the health care provider for your feet.
This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.
Dr. Kuvent is certified by the American Board of Podiatric Surgery and is a Fellow with the American College of Foot and Ankle Surgeons.
We look forward to seeing you in our Chandler podiatry office.
If your feet hurt, we can help
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