Keeping Ten Happy Little Toes
"Toesie" has red paint on the area of the tonails that usually white.
Keeping ten happy little toes is connected to the care of your ten little toenails. How you trim them can make or break your foot comfort. And we all know how it goes with comfortable feet. If the feet are happy, the whole body is happy.
If they ‘ain’t’ happy — everything above them ‘ain’t’ happy. That unhappiness can spread to the folks around the unhappy feet.
Do trim your toenails and avoid leaving them uncared for. If you need help due to vision issues and potential risks due to diabetes or other conditions, you can seek assistance from a family member, a pedicurist or health organizations or businesses which frequently offer toenail clinics. Health organizations or businesses that would offer assistance include local health departments, hospice services or home health care services. They will be glad to tell you where they are holding toenail clinics.
Untrimmed toenails in winter when we wear closed shoes can press against the end and other surface areas in the shoe’s toe box, causing quiet misery. People who are on their feet a lot, such as wait staff know about the foot comfort secret of keeping toenails trimmed. Untrimmed toenails on smaller toes can grow in a curve that follows the toe shape enough to eventually touch and become embedded in the skin at the tip of the toe. Long toenails are a spot for moisture to accumulate along with bacteria leading to another set of misery.
Over trimming can get a foot into trouble as well. The toenails should never be over trimmed as the tissue and skin around the toe is tender and easy to cut when the clippers or scissors get to close to the ‘quick’ of the toenail. Some toenail growth does protect the tips of toes from rubbing or pressure due to shoe fit or a wrinkle in one’s sock.
I recommend trimming toenails to follow the shape of the of the toe, with some extension away from the quick — that is the white part that isn’t connected to your toe. “Toesie” has red ‘paint’ on the area of the toenails that is usually white.
Some recommend trimming straight, but that isn’t clear. We can easily see that creating a pointed toenail isn’t going to work. But following the shape of the toe in a straight manner makes much more sense than a ruler-straight-whack across the top. Too often this can lead to outside toenail tips growing sharp corners to snag socks and sheets. Those dry corners are vulnerable to breakage when we go barefoot or wear sandals. That break can be a big chip or a big rip that gets too close to the quick or the side cuticle, leaving a small, painful wound inviting bacteria and infection.
These toenail trimming suggestions may not fit everyone. Consult your podiatrist or health professional before making drastic changes in the trimming methods that have been working for you.
If you have questions about foot care, you can contact us at 317-660-2115 for a consultation appointment. Or you may use the online appointment request option available on the Hoosier Foot and Ankle website 24/7 for your convenience. We have five clinics available for your foot care needs in the Indianapolis area.
Thank you, Very Important Patients. We Appreciate Your Help!
We value you first as loyal foot care patients. We also value your help with referrals as we’ve been seeking more patients. You’ve been extremely helpful this past year as you’ve been referring your friends and family who have foot pain or other issues to Hoosier Foot and Ankle.
Dr. Catoire and I serving more patients at the five clinics through thorough diagnosis and a treatment plan for all foot needs. We can offer treatment at all levels from conservative over the counter pain relief to assertive surgery. We appreciate your help more than we can easily express. We do have the Very Important Patient program that offers a special appointment system to those who have referred five people to the clinics.
The following video explains a little more about the appointment times that are available. The clinics that have afternoon hours beginning at 2:00 pm will have appointment slots with no waiting time reserved for our VIP patients. The slots will be open between 1:30 pm and 2:00 pm.
When you want to get your day organized, we have early morning appointments at the clinics which open at 8:30 am, the special appointments are available between 8:00 am and 8:30 am.
Please call us at 317-660-2115 to begin your status as a Very Important Patient. Our staff makes every effort to ask new patients how they happened to learn about Hoosier Foot and Ankle. If you have referred someone, we want to be sure you receive credit for the referral. Ask your family and friends to be sure we do our job by reminding us that you’re the connection for us.
EQIQ Brace | Intelligent Treatment for Equinus | I Have Walked in Your Shoes
“Walking in another person’s shoes.” — a well known phrase. Ever wish your doctor could just endure your experience? Well, I’m here to tell you that when we’re talking about equinus, I’ve been there, done that. When I say, “I feel your pain”…I’m not kidding.
Last year I had an accident while running. The injury resulted in eqinus and I proceeded to treat my ill in a manner similar to that I’ve been delivering to you. Exercises and pain relievers were helpful, but the night brace wasn’t successful.
I found that the typical night brace was close to a nightmare. I didn’t have bad dreams — my sleep was so spoiled by the uncomfortable brace that I had nothing to dream about.
I knew that this could not go on. The upshot has been the development of an intelligent treatment for equinus. The EQ/IQ adjustable brace that can be worn for a short period during waking hours permitting the equinus sufferer a chance to get healing rest.
I designed the adjustable brace to be fitted to necessary sizes with exacting and not guesswork for the needs to each patient.
We are very close to production time with this innovative treatment tool. The brace will be available through other doctors or trainers who recognize the usefulness it offers. You can see the images of the working parts at the special website for it.
If you are suffering from equinus and have no doctor to advise you, please call us at Hoosier Foot and Ankle for an appointment. Or, you may use the online appointment request option available 24/7 for your convenience.
If you know someone who has equinus and who is not working with a doctor, please tell them about us and the new EQ/IQ brace so they can seek relief as soon as possible.
If your doctor hasn’t yet heard about the new EQ/IQ brace and you would like to try a different form of treatment, please ask your doctor to contact me for information about the brace and how they can order one.
Don’t continue to let equinus continue to mess up your life; seek relief today. I appreciate how great relief can be and am thankful that I will be running in the Carmel Marathon 2012 in Carmel, Indiana
Pulse Activated Shockwave Therapy for Foot Pain
EPAT® (Pulse Activated Shockwave Therapy) has been found effective for treating foot pain. I can write all day about the gentle treatment that we can deliver in office with no downtime.
The newest video at our YouTube channel has clips from an actual treatment session given in our clinic. Gentleness is the theme.
If you have foot pain from injury, plantar fasciitis, achilles tendonitis or scar tissue problems, call us at 317-660-2115 to arrange for a consultation. The non-invasive EPAT® treatment may be your answer. Or you can use our online appointment request option available 24/7 for your convenience. Additionally, there is a contact option at the Hoosier Foot and Ankle web site where you may ask confidential questions. We respect and protect your privacy.
Defeating Plantars Wart With Cool Laser (Video)
Plantar warts can be avoided by taking care of your feet. Avoid walking barefoot in common areas at the spa or fitness gym. Keep feet clean and dry which will mean you are frequently checking your feet, so you will notice issues like plantar wart or other growths.
Forming on the bottom or sole (plantar) of victims’ feet, the first announcement of a plantar wart is foot pain and a feeling of a bump when that foot has stepping pressure. That bump has been described as “having a piece of gravel in your sock.”
When people check feet often, the wart may be noticed earlier as a small black dot. After the painful ‘bump’ makes its presence known, leg or back pain may result from standing and walking off balance to avoid discomfort.
Now is the time to call your podiatrist, because the painful ‘bump’ is, if a plantar wart, is contagious to others and can spread further on your foot. The ‘bump’ could also be something else. It might be a simple callus or corn or a mole. The podiatrist can determine if the ‘bump’ is even more dangerous as a malignant growth such as carcinoma or melanoma.
Your podiatrist is trained to recognize every form that a painful ‘bump’ on your foot and develop a plan of treatment.
The video shows how we, at Hoosier Foot and Ankle, can use the CoolBreeze™ laser to treat a plantar wart without permanent scar tissue. The video was made at a follow-up treatment; some of the excess wart tissue was ready to remove before reapplying the laser treatment.
You can call 317-660-2115 to make an appointment for analysis of that irksome and painful ‘bump’ on your foot. Or you can use the online appointment request option available 24/7 for your convenience. We have five clinics available in the Indianapolis area to serve you better.
Support for Your Doctors From Podiatric Associations = Support for You
A membership and active participation in the American Podiatric Medical Association and the Indiana Podiatric Medical Association offers multi level support for your doctors.
Through these associations, particularly the Indiana Podiatric Medical Association, we have access to the expertise of other doctors. We also have the encouragement of a group that promotes education for members in new technologies and treatments. We are trained and encourage to educate patients on proper foot care and how that is related to the patient’s overall health.
The Indiana association was organized in 1928 according to the IPMA website with the intention of improving professional standards, arts and sciences of podiatric medicine, and encouraging continued, lifelong education and learning for podiatric professionals.
I am proud to be president of the board of trustees for the Indiana Podiatric Medicine Association. I believe that networking and offering connection between Doctors of Podiatric Medicine brings benefits to the doctors and their patients.
A patient who endures other health issues such as diabetes, will need podiatric expertise to be able to live a full life with as much use of his or her feet as possible. At Hoosier Foot and Ankle, the doctors are all dedicated to providing foot health care which can prevent unnecessary amputation at the furthest chance.
For further diabetic care, through our podiatric networking, we’ve observed that diabetic patients who have foot pain may be suffering from equinus. To add an uncomfortable, sleep disturbing brace to the burdens already borne by the diabetic is not our best practice. This year, because of a personal foot injury which resulted in equinus in my own foot, I developed an adjustable brace that can provide intelligent treatment to equinus. I am proud to make this brace available for sale to other doctors who see the same conditions.
We’re ready to treat emergency sports injuries with the skills we have because of our strong association. We’re dedicated to treating pediatric foot conditions such as club foot with our experience and skill.
As members of the state and national association, we and our patients gain because we are now in a position to learn more. As the example of the brace illustrates, we also are in a position to share information and technology with others for the benefit of their patients.
The organizations that bring podiatrists together are more than a medical political statement, they are useful and practical for both doctors and patients. As president of the board of trustees for the Indiana Podiatric Medicine Association, I want to encourage Indiana podiatrists to join us in our mission to serve the foot care needs of Indiana. Make the decision and contact the association today. If you have questions or reservations, please contact us.
Indiana Podiatric Medical Association
101 W. Ohio Street Suite 780
Indianapolis, IN 46204
317.222.3847 (phone)
317.222.3849 (fax)
inpma@indianapodiatric.org (email)
The 2011 Non-Invaders at Hoosier Foot and Ankle | EPAT® and Cool Breeze™ Laser Treatment
The Non-Invaders at Hoosier Foot and Ankle — Just arrived in 2011. EPAT® for foot pain and Cool Breeze Laser Treatment for Toenail Fungus
EPAT® — Pulse Activation/Shock Wave Therapy came to Hoosier Foot and Ankle in 2011. We’re pleased with the results that we can help patients experience with this non-invasive, non-chemical treatment for heel pain.
We’re also happy to be able to offer EPAT® in-office therapy at our five clinics in the Indianapolis area. EPAT® has been found to be effective for Plantar Fasciitis, painful, inflammatory issues with the tissues on the sole (bottom) of the foot. Heel pain is a frequent companion of Plantar Fasciitis — EPAT® works with both. Additionally, EPAT® can bring relief for Achilles tendonitis and help with scar tissue break-up. Scar tissue can cause issues on its own when mobility is limited. Scar tissue limits blood flow, leading to muscle loss.
Laser treatment for toenail fungus is non-invasive and can be achieved in our clinics. The ‘other’ option to relief, CoolBreeze™ gives patients more choices over dangerous drugs (due to potential side effects) which often don’t get rid of the toenail fungus. Laser treatment is an easier choice to make over surgery too. The Cool Breeze™ system is FDA cleared for dermatology. Dr. DeHeer and Dr. Catoire are specially trained to use the equipment. Experience has shown that 2-3 treatments at the proper temperatures can get toenail fungus on the run. Yet, the painless treatments have little to no downtime from activities.
Pretty feet are one of the benefits of getting rid of toenail fungus — you too can be free to wear sandals when the summer of 2012 arrives. Toenail fungus brings a set of uncomfortable problems including pain, itching, unsightliness, infection and the concern about spreading the fungus.
At Hoosier Foot and Ankle, we’ve been so pleased to offer our patients these two non-invasive treatments and look forward to serving patients with them in 2012. We’ll be here throughout the coming year just as we have been in the past. You can call 317-660-2115 for an appointment or use the online appointment request form available 24/7 for your convenience.
Speed Review of Five Things You can Do to Relieve Foot Pain
Foot pain is not what anyone wants in their Christmas stocking! Sometimes that pain is your body telling you about a serious condition.
Other times, the pain is connected to things that you have influence over. Things like the shoes you’re wearing, or exercise or a small injury that will respond to R.I.C.E therapy.
The video below is a speed review of five things you can do to find relief from foot pain.
If the pain doesn’t go away shortly, please call your foot care professional. Hoosier Foot and Ankle has 5 clinics in the Indianapolis area. You can call 317-660-2115 to make an appointment or you can use the online appointment request option available 24/7 for your convenience.
Footwear Gifts for Your Diabetic
Slippers or socks that rub spots on anyone’s feet is miserable and dangerous. But, for the diabetic on your gift list there are some little things that you can consider for healthier or safer footwear.
Slippers can be very comforting to bring warmth in situations of reduced circulation. You don’t have to sacrifice beauty for comfort — you can add some small, tightly attached decorations to a relatively plain, but well-shaped slipper. Begin your shopping with a search for room, but nothing that sticks out on the sides to contribute to tripping. Support for heels with a firm closure — this is a good place for velcro because laces can spoil everything. A deep toe box allows for clearance, movement and avoids those disastrous tight spots that rub sores. Fuzzy lining might be okay for slippers that are only warn as foot warmers for a short time, but that lining is often synthetic and can lead to excess perspiration. Damp slippers aren’t warm and matted lining is apt to lead to rubbing.
Look for footwear that has no internal seams that can make another place for rubbing.
If you are looking for socks to be worn with slippers or other shoes, think about Smartwool phd® socks (or other wool clothing featuring Merino wool). This product claims to help maintain an inner body temperature that helps reduce sweating and dryer skin. Wool is known as an efficient moisture control and frequently recommended as a clothing choice for next to the skin instead of something synthetic. Cotton is another reasonable natural fiber choice. Socks with knit seams instead of sewn help reduce spots that can rub sores on feet.
Remember that if a sore spot does show up, you should consult your foot care professional as soon as possible. We have five clinics in the Indianapolis area if you are located there. Anyone with foot issues can call 317-660-2115 for a consultation appointment. Or you can use the online appointment request option at our website.
We’re pleased with the VIP program where patients who refer others to Hoosier Foot and Ankle receive a special appointment opportunity that fits special spots with literally no wait time.
A Special Advance for the Productivity of 2011 at Hoosier Foot and Ankle.
2011 has been a productive year at Hoosier Foot and Ankle. One of the nicest developments began when I suffered an injury that resulted in equines. Wearing the typical night brace was not an experience I want to repeat. It was very uncomfortable, as some of you can sympathize with, and interrupted my sleep.
That discomfort led to research on equinus treatment and several questions. Is it necessary to wear the stretching braces at night and to wear them all night? Is there no way to make a brace more compatible with the patient’s body.
As a result of the research, I designed and invented a brace that treats equinus in an intelligent manner. We even named it the EQ/IQ brace.
To answer one of those questions, the EQ/IQ brace, intelligent management for equinus, does not need to be slept in. I recommend using it 30 minutes in the morning and 30 minutes in the evening with 15 minutes spent stretching the Gastroc-Soleus complex and 15 minutes spent stretching the Soleus.
As we look at features of the EQ/IQ brace from proximal to distal —
Yes, the EQ/IQ brace can be personalized for the patient’s needs. There is an above-the-knee extension with a hinge at the knee. The extension allows the knee to be locked into extension to stretch the Glastrocnemius muscle. The hinge can be released to allow for ease of application and isolated stretching of the Soleus. There is also a hinge at the ankle joint which allows the treating physician to set exactly the amount of dorsiflexion desired based on the patient’s biomechanical exam. I estimate 5 degrees the first month increasing to 10 degrees the second month, then if needed, 15 degrees the third month. The hinge goes from -30 degrees to +30 degrees, in 5 degree increments.
More about the EQ/IQ
Rocker Soles:
I designed the EQ/IQ brace to be ambulatory with a negative heel rocker sole, which allows ambulation with a fixed dorsiflexed position.
The rocker soles can be removed. Three different sizes (5, 10, and 15 degrees) are included with the brace to match the amount of ankle joint dorsiflexion.
Adjustable Wedges:
There is an adjustable wedge that goes under the hallux to engage the Windlass Mechanism. These wedges come in 35, 50, and 65 degree sizes and Velcro to the foot bed.
I designed varying degrees for the wedges to allow for patients with hallux limitus or rigidus.
Adjustable Uprights:
The femoral and tibial uprights are adjustable for leg and should be set by the physician
Foot Bed Sizes:
The standard foot beds will fit a small/medium size. However, the foot bed can be replaced by an extended version that will fit a large/extra large size.
Using the EQ/IQ Brace:
I am recommending time periods for wearing the EQ/IQ based upon recommendations for manual stretching, but doubled. Most manual stretching recommendations have the stretches done about 30 minutes per day. I think an hour a day is reasonable from a compliance stand point compared to 6-8 hours at night while disturbing the patient’s sleep.
The ambulatory component of the brace is an important factor. Patients can wear the brace during ther preparations for the day – after dressing the brace is working while they perform typical morning rituals. A similar scenario would play out for the evening stretching.
How to Get the EQ/IQ Brace:
The EQ/IQ brace is being prepared for production in the next few weeks. Treating professionals such as podiatrists, orthopedic surgeons, chiropractors, physical therapists, athletic trainers may pre-order the brace at an introductory discount of $170.00 per brace plus free shipping. Later the price will increase to $200.00 per brace.
To pre-order or get additional information, contact me at 317-660-2115 or you may use the contact/comment form at the Hoosier Foot and Ankle website, available 24/7 for your convenience.