What Can My Doctor Do For Heel Pain?

Plantar fasciitis, or heel pain, is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain.

Plantar fasciitis is caused by inflammation of the connective tissue that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Also called "heel spur syndrome", the condition can usually be successfully treated with conservative measure such as use of anti-inflammatory medications and ice packs, stretching exercises, orthotic devices, and physical therapy.

We can do:

• Extracorporeal shock wave therapy
• Cryotherapy
• Laser therapy
• Physical therapy
• Orthotics
• And much more!

Dr. Tina A. Boucher, DPM

Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Shoe of the Month: Fashion Sneakers

Fashion sneakers are a comfortable choice, however, don’t wear them when exercising because they don’t offer the same support as an athletic shoe. Other common problems when wearing this style include bromohidrosis, aka foot odor. To avoid sweaty and smelly feet, wear natural/synthetic blended socks that wick away moisture. If wearing socks is not a preferred option, sprinkle powder into the shoe to absorb sweat or roll antiperspirant,
like APMA-approved Certain-DRL on the shoes.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Copper Socks for Sale in Office

It’s that time of year again when the weather turns colder and we need to bundle up. Your feet need extra protection too, in colder months.
Aetrex Socks, made with Copper Sole Technology are unsurpassed in comfort, performance, and protection. Copper Sole Technology has been lad tested and clinically proven to help prevent bacteria, fungi, and odor, as well as improve skin texture and appearance. Copper ions are embedded in the Cupron yarn to eliminate 99.9% of the bacteria and fungi in the sock, providing superior protection against odor that is guaranteed for the life of the sock.
· Copper is the only natural element that plays a vital role in collagen formation, a connective tissue in the skin.
· Copper is embedded in the sock fibers. As the fiber wears, Copper ions regenerate, creating a permanent protective barrier, guaranteed for the life of the sock.
· Only Copper socks rejuvenate the skin and improve texture and appearance.
· Hand-linked flat toe seams for extra comfort and to protect those with diabetes.
· Advanced moisture-guard wicking system, keeps the foot healthy, cool, and dry.
· Copper socks incorporate Spandex, enabling the sock to comfortably hug the foot and leg.
· Cupron fibers made from Copper, have been tested in FDA Certified Laboratories and in human clinical trials they have been determined to be biocidal in the destruction of bacteria and fungi.
During October and November buy one pair of Copper Socks, get the second pair 1/2 off. You must mention this ad or bring it in to receive the discount. Offer expires November 30,2009.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Proper Footwear for People Who Work Standing Up

From http://www.apma.org/:

The average American’s foot pain often gets in the way of daily activities. Perhaps no group suffers from chronic foot pain more than those who are constantly on their feet. According to the American Podiatric Medical Association's (APMA) 2009 foot ailments survey, 44 percent of respondents said they spend at least four hours standing every day. Additionally, nearly 78 percent of Americans have experienced foot problems as a result of wearing uncomfortable or ill-fitting shoes.

"The excess strain put on the legs and feet of those standing for long periods of time can take a massive toll on the body—especially for those working in the health care community," said APMA President Ronald Jensen, DPM. "Without the proper footwear that provides necessary support to the ligaments and joints of the feet, these individuals are subject to a host of ailments that can lead to chronic problems such as metatarsalgia—a pain and inflammation in the ball of the foot.”

Excessive standing and walking on hard surfaces like concrete can also increase the incidence of foot problems. However, many footwear companies create products that are specifically made for those who “work standing up.” The following footwear products, designed specifically for those who make a living on their feet, have been granted APMA’s Seal of Acceptance. The Seal of Acceptance Program recognizes products which have been found beneficial to foot health and of significant value when used in a consistently applied program of daily foot care and regular professional treatment:

Crocs Work Shoes. The familiar, comfortable feel of Crocs is also available in a professional-looking shoe that conforms to workplace standards. Featuring a closed toe and heel design, as well as arch support and a foot bed that promotes circulation, the Crocs Work Shoe is a top choice for many health and service industry professionals across the country.

Dansko’s Acadia and Stapled Collections. Dansko’s new Acadia collection (pictured) features distressed leather uppers, a removable triple density molded EVA insole and slip resistant out-sole. With a lightweight base and lower profile, this collection is perfect for the active woman. Additionally, the company’s Stapled Collection features a rigid construction and key features that promote good foot health, including a rocker bottom and full arch support.

The Timberland Company - Timberland PRO. Timberland’s PRO Renova series of work footwear—which includes the Professional, Provider, and Caregiver (pictured)—is designed specifically for those at work in the health care community. The Professional Series features Timberland PRO Anti-Fatigue technology, a rocker profile, and an anatomically shaped oblique last for all-day comfort.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Shoe of the Month: Loafers

Just right for pounding the pavement or relaxing with friends. The perfect loafer should not be too flexible nor too stiff. The shoe should bend at the ball of the foot, but shouldn’t fold in half. Leather shoes should be soft and supple. Also, look for a shoe with a toe box that is both round and deep with a firm heel counter. Brands of shoes to look for that have sturdy, substantial loafers are Rockport, Clark, Dansko, Aetrex, and Dr. Comfort.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Tailor's Bunion

Tailor's bunion, also called a bunionette, is an enlargement of the fifth metatarsal bone at the base of the little toe. The metatarsals are the five long bones of the foot. The enlargement that characterizes a tailor's bunion occurs at the metatarsal "head," located at the far end of the bone where it meets the toe. Tailor's bunions are not as common as bunions, which occur on the inside of the foot, but both are similar in symptoms and causes.
The symptoms of tailor's bunions include redness, swelling, and pain at the site of the enlargement. These symptoms occur when wearing shoes that rub against the enlargement, irritating the soft tissues underneath the skin and producing inflammation.
Why do we call it "tailor's bunion"? The deformity received its name centuries ago, when tailors sat cross-legged all day with the outside edge of their feet rubbing on the ground. This constant rubbing led to a painful bump at the base of the little toe.
Often a tailor's bunion is caused by an inherited faulty mechanical structure of the foot. In these cases, changes occur in the foot's bony framework that result in the development of an enlargement. The fifth metatarsal bone starts to protrude outward, while the little toe moves inward. This shift creates a bump on the outside of the foot that becomes irritated whenever a shoe presses against it.
Sometimes a tailor's bunion is actually a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head. Heredity is the main reason that these spurs develop.
Regardless of the cause, the symptoms of a tailor's bunion are usually aggravated by wearing shoes that are too narrow in the toe, producing constant rubbing and pressure. In fact, wearing shoes with a tight toe box can make the deformity get progressively worse.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" Today!

40% of Americans Suffer from Heel Pain

From http://www.apma.org/:

Bethesda, MD – While foot problems such as bunions, corns and dry, cracked skin affect many Americans on a daily basis, one particular ailment—heel pain—stands out among foot disorders, according to a new survey by the American Podiatric Medical Association (APMA).
The 2009 APMA survey, which polled close to 420 Americans aged 18 and older, found that 39 percent of adults have experienced heel pain more than any other foot ailment within the last 12 months. Additionally, nearly 60 percent of respondents believed they suffered heel pain while wearing ill-fitting footwear. However, 64 percent of respondents said they had not yet visited a medical professional—such as a podiatrist—to diagnose and treat their heel pain.
“Heel pain is a detrimental foot ailment that affects millions of Americans every day, and foot pain of any kind is not normal,” said Ronald D. Jensen, DPM, president of the APMA. “If detected early, most types of heel pain—including the most common, plantar fasciitis—can be treated with non-invasive treatment options. However, the longer one waits to have their heel pain evaluated, the more difficult it is to successfully treat.”
Sixteen percent of Americans surveyed regularly experience heel pain. Wearing shoes that fit well, wearing the proper shoes for each activity, not wearing shoes with excessive or uneven worn heels or soles, and stretching foot and ankle muscles properly before exercising are several ways to avoid heel pain altogether. However, visiting a podiatric physician, also known as a podiatrist, as soon as foot pain is experienced drastically improves the chance of finding a solution for heel pain.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Caring for Diabetic Feet

According to the American Diabetes Association, about 15.7 million people (5.9% of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heel. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts, and nails problems. Get someone to help you, or use a mirror.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Shoe of the Month: Crocs

If you're like many people, you are often wondering what to put on your feet. You know not to wear flip-flops, clogs, or unsupportive shoes, but what does that leave you with? Many people are turning to Crocs for comfort and support. Look past the tough exterior to find the softer side of clogs. Choose a pair with ultra-soft soles that provide cushioning, such as APMA-accepted Crocs, which are ideal for sufferers of plantar fasciitis, neuromas, bunions, hammertoes or achy feet. The wide toe box also affords the front of the foot lots of room to move around, making it a very comfortable shoe inside and out. Crocs come in many different varieties, colors, shapes, and sizes, making them a perfect fit for the person who is unsure of what they like or need. These shoes have moved beyond the traditional clog with a strap. Visit http://www.crocs.com/ for more information and to browse their large collection.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?'" and "Heal My Heel!" today!

Back-to-School Foot Tips

When the final weeks of a care-free summer vacation come to a close, the sounds of school bells, slamming locker doors and students clamoring into classrooms are heard loud and clear once again. But before each new school year begins, parents eagerly seek out a wide array of school supplies and stylish new fashions for their children. One of the most important purchases on any parent’s back-to-school shopping list is a pair of new shoes. For many parents, back-to-school shoe shopping may seem easier than a pop-quiz in gym class – but the American Podiatric Medical Association says there are several important factors should be considered:
*Children’s feet change with age. Shoe and sock sizes may change every few months as a child’s feet grow.
*Shoes that don’t fit properly can aggravate the feet. Always measure a child’s feet before buying shoes, and watch for signs of irritation.
*Never hand down footwear. Just because a shoe size fits one child comfortably doesn’t mean it will fit another the same way. Also, sharing shoes can spread fungi like athlete’s foot and nail fungus.
*Examine the heels. Children may wear through the heels of shoes quicker than outgrowing shoes themselves. Uneven heel wear can indicate a foot problem that should be checked by a podiatrist.
*Take your child shoe shopping. Every shoe fits differently. Letting a child have a say in the shoe buying process promotes healthy foot habits down the road.
*Always buy for the larger foot. Feet are seldom precisely the same size.
*Buy shoes that do not need a “break-in” period. Shoes should be comfortable immediately. Also make sure to have your child try on shoes with socks or tights, if that’s how they’ll be worn.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

New Powder to Help Heal Wounds

From http://www.apma.org/:

Foot complications, such as open wounds and ulcers, can be one of the most difficult ailments for a podiatrist to treat. However, a new wound dressing powder, which acts very much like a layer of skin, is proving to speed the healing time and reduce the amount of pain that a patient suffering from a serious foot ulcer would normally experience. This includes open sores on the feet as a result of inflammatory bowel disease, diabetes or skin cancer. The study results will be released at the American Podiatric Medical Association’s (APMA) 97th Annual Scientific Meeting in Toronto, July 30 - August 2, 2009, and will highlight the powder’s unique ability to rapidly heal foot wounds and advance the treatment patients currently receive.
This wound powder is especially promising for the nearly 24 million Americans diagnosed with diabetes. Diabetic foot ulcers are the leading cause of non-traumatic, lower-limb amputations in the United States. In a recent APMA survey, 18 percent of people with diabetes reported that they have experienced a foot sore that would not heal. This powder’s successful treatment of difficult foot wounds could potentially lead to a reduction in amputation rates.
This new powder aggregates, or comes together, in an amazing flexible film that mimics the wound's surface and helps it to retain moisture and protect the wound, but still allows the right amount of air flow needed for the wound to close," said Tracey Vlahovic, DPM, the lead podiatric physician for the study and Associate Professor at Temple University School of Podiatric Medicine. The study focused on atypical wounds with irregular shapes and causes. The wounds were treated with the powder dressing once a week, for four to eight weeks. The study ultimately showed that the powder dressing provided a painless, efficient, and protective treatment that assisted in closing the wound. The powder also helped in preparing the wound for further interventions that are sometimes needed, including options like skin grafts or the use of sutures. "My colleagues and I are excited to continue working with this new wound powder product and look forward to its future uses in treating notoriously difficult types of foot wounds we regularly encounter," added Vlahovic.

Dr. Tina A. Boucher, DPM

Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Summer Shoes

Confused about what shoes you should be wearing this summer? We all know that flip-flops are the worst thing you can put on your feet, so what other shoe options are there and what problems do they cause?

• Gladiator and Strappy Sandals cause irritation between toes, callus and dead skin build-up around the heels, and a lack of support and shock absorption. The solution is to select natural materials such a soft, supple leather; ensure proper fit with no toes or heels hanging off the edge.
• Wedge and Espadrille Sandals can cause an ankle twist or sprain and instability and difficulty walking. Try a wider, flatter wedge; rubber sole with good
  traction
• Peep-toe Sandals create loads of pressure on the tootsies as well as bunions and hammertoes. Try wearing for short periods of time and insert Giovanna Toe
  Cushion by Heaven4Toes, an APMA accepted product.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist
http://www.centralctfootcare.com

What are Blisters?

Very few people are unfamiliar with what a blister is. Most of us in our lifetimes have formed that wondrous, yet ill-appreciated lesion called a blister. In general, blisters are raised and often fluid-filled sacs of skin, which form in response to excessive heat and friction. In the earlier stage of formation, blisters will be reddened areas of irritation or hot spots. They will have definite burning sensations and will actually be warm to touch. In those cases of continued activity, a clear watery fluid will seep into the area and the outer covering of skin will separate, leaving a true problem. New shoes, ill-fitting shoes, and just plain excessive walking can produce blisters in just about anyone.

However, although blister may seem simple enough, they can spell trouble. First of all, they can cause debility to such a point that a person cannot walk without pain. Secondly, blisters have somehow notoriously invited improper treatment often resulting in infection and further problems. Bathroom surgery without a license and with non-sterile instruments is indeed an open invitation to complications.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Orthotics: What You Need to Know

Orthotics are shoes inserts that correct an abnormal, or irregular, walking pattern. Generally called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. Podiatrists sometimes prescribe orthotic devices to correct an abnormal walk, or gait, and often for patient following surgery. Rigid orthotics control motion in two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thigh, and lower back. Soft orthotics ususally absorb shock, increase balance, and take pressure off uncomfortable or sore spots and are usually effective for diabetic, arthritic, and deformed feet. Semi-rigid orthotics provide foot balance for walking or participating in sports. Children are sometimes given orthoses to treat flatfoot and intoeing or outtoeing disorders. Athletes often are given orthoses to mitigate pain while they train and compete. Call 203-238-3668 to see if you need orthotics.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Foot Screening

Dr Tina A. Boucher, DPM will team up with Sista's Salon, located at 68 Charles Street, Meriden, CT on June 24 from 1-3 pm for foot checks and screenings. Call 203-440-3996 for more information.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist
http://www.centralctfootcare.com

Mow the Lawn, Not Your Foot

Springtime is here and Dr. Boucher cautions weekend gardeners that their yards could become "toe-away" zones if they’re not careful when operating rotary-blade lawn mowers. Each year, some 25,000 Americans sustain injuries from power mowers, according to the U.S. Consumer Products Safety Commission.
"Although the number of accidents has steadily declined since the 1982 adoption of federal safety standards, we still see too many foot injuries from power lawnmowers," says Dr. Boucher. "The blades whirl at 3,000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet we see patients who have been hurt while operating a mower barefoot! Foot injuries range from dirty, infection-prone lacerations to severed tendons to amputated toes."
If a mower accident occurs – with just a minor injury – Dr. Boucher says immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection. Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be re-attached surgically unless toes have been amputated. Dr. Boucher says children under the age of 14 and adults over age 44 are more likely to be injured from mowers than others. She says anyone who operates a power mower should follow a few simple precautions:
1. Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
2. Wear heavy shoes or work boots when mowing – no sneakers or sandals.
3. Mow slowly across slopes, never go up and down.
4. Never pull a running mower backward.
5. Keep the clip bag attached when operating a power mower to prevent projectile injuries.
6. Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.

Information compiled from www.apma.org

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Porokeratosis of Mibelli

Porokeratosis of Mibelli manifests as skin lesions, often affecting the hands and feet. Porokeratosis skin lesions generally have a round, rigid border, with a thin, scaly center. The problem is caused by a large number of surface skin cells. Porokeratosis of Mibelli may run in families.
Often, these lesions will grow very slowly or not at all. However, porokeratosis of Mibelli can develop into skin cancer. Squamous cell or basal cell cancers are most often related to these skin lesions.
Because of the possibility of cancer, these lesions should be watched carefully for changes. If the lesion becomes a sore or a lump appears, a biopsy or surgical removal may be necessary.
Regular examination of the feet and ankles by a podiatrist can help catch cancers at their earliest stages. Many skin cancers that develop on the feet and ankles are missed because this part of the body is not always inspected regularly. We can help you identify suspicious areas early, when the cancers are more likely to be cured.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Scheduled Talks

Dr. Tina A. Boucher, DPM, owner of Central Connecticut Foot Care Center, LLC will be giving a lecture and book signing at Southington Library tomorrow night at 7PM. If you are interested in attending you should call the library at 860-628-0947 to register.

The topic of the lecture will be general foot care conditions, health, tips, and techniques in promotion of Dr. Boucher's recent book, "Why Do My Feet Hurt?"

Dr. Boucher will also be giving a talk and book signing at the Cheshire Library next Thursday May 21 at 7PM. The library is located at 104 Main Street. Those interested in coming to the event should call the library at 203-272-2245, ext 3003 to register.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist
http://www.centralctfootcare.com

Cryosurgery

Want to know the coolest way to relieve foot pain? It is a new procedure that really is not new at all. Cryosurgery has been used for years for procedures such as wart removal; however, technological advances in the way cryosurgery can be used has made this treatment a viable option for a number of podiatric needs.
Like laser surgery, cryosurgery can be used with great control to destroy specific nerve endings. It utilizes extreme cold- as low as -94 degrees- produced by pressurized nitrous oxide. Most problems for which cryosurgery is recommended involve extreme pain. Among these are infracalcaneal bursitis, plantar fasciitis, plantar fibromas, and neuromas.
Before cryosurgery is performed, it will be essential to determine the exact areas where the patient feels the most intense pain. Once those designated areas have been identified, a trained podiatrist will make a small incision through which the cryotube will be inserted. The procedure is considered minimally invasive and is often completed in roughly a half an hour. Best of all, the majority of patients who undergo the procedure experience significant and lasting pain relief.
If you think cryosurgery just might be the cool pain relief method you have been hoping for, we can help. I have the training and experience that can bring you the advantages of cryosurgery.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Plantar Fasciitis in Athletes and Others

Plantar fasciitis, which results in heel pain usually felt with the first steps of the morning, is inflammation of the firbrous band that runs along the bottoms of the foot from the heel to the toes.

This ailment is often caused by oversue. Athletes who suffer from this injury may have overstepped their bounds a bit in training, or they may have suffered an injury, such as a pulled calf msucle, which had led to plantar fasciitis. In other situations, an arch that is very low or exceptionally high may be the cause of the problem.

For athletes, the injury should be iced immediately. The athlete should abstain from activity until the discomfort is gone. Splinting and taping are often prescribed to help the plantar fascia recover. Exercises that stretch the plantar fascia are frequently recommended to avoid a repeat of the problem.

Plantar fasciitis has become so common, it has been referred to as an epidemic. One reason for this may be the "graying of America". Plantar fasciitis tends to affect people between the ages of 40 and 60, and this age group now makes up the largest percentage of the population.

Often, this problem can be treated conservatively to relieve pain. Orthotics, therapy, anti-inflammatory medications, and other treatment modalities may all be attempted before resorting to surgery. Indeed, many patients who undergo conservative treatments are pain-free within a year.

Surgery to release the plantar fascia is generally only recommended when conservative treatments have failed.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Foot Doctors most searched docs on AOL

Going to visit the doctor can be a nerve-racking experience. Even if you are just going for a check-up, you don't want them to discover any hidden health problems. And if you are experiencing health issues, you may be scared to hear the prognosis. Either way, you are lucky in the United States to be able to find a doctor who specializes in any health problem you may encounter. Take a look at our top searched list to see which types of doctors of doctors are most in demand.
The top searched doctor on our list must be in high demand from women. WIth high heels getting higher every year, (I saw a 6" pair in stores this weekend!), it's no wonder everyone is looking for foot doctors.
Top Searched Doctors on AOL Search:
1. Foot doctor
2. Heart doctor
3. Dermatology doctor
4. Eye doctor
5. Orthopedic doctor
6. Diabetes doctor
7. Holistic doctor
8. Eye, ear, nose and throat doctor
9. Plastic surgery doctor
10. Thyroid doctor.
Source: AOL Hot Searchs via Dr. Robert Fridman.
Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Ankle Arthroplasty

A study by researchers in Switzerland suggests that revision arthroplasty may be a good alternative for failed total ankle arthroplasty. Co-authors of the study, Beat Hintermann, MD, and Alexej Barg, MD, conducted a prospective study that evaluated the ankles of 37 patients who had a failed total ankle arthroplasty. A total of 19 women and 18 men underwent revision arthroplasty using a three-part ankle prosthesis at an average of 4.4. years after their initial arthroplasty. Causes for the revision arthroplasty included loosening of one component (29 ankles), loosening of both components (7), granuloma (1) formation, and pain (9). Surgeons used 20 standard components for the talus and 19 standard components for the tibia for the revision arthroplasty. A mean follow-up of three years revealed that nearly 65 percent of the ankles were pain-free, there was a 33-point increase in AOFAS scores, and 78 percent satisfaction. “The hindfoot score improved from 39 to 72 at the mean follow-up of 3 years,” Hintermann says.
From the American College of Foot and Ankle Surgeons, http://www.acfas.org/.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

New Book!

Dr. Tina A. Boucher recently had her first book published called "Why Do My Feet Hurt?" in February 2009. The book, being offered for FREE to local residents (in Connecticut), gives you an idea why you might be having pain in your feet. Mentioned in this book are bunions, diabetic foot care, arthritis, sports and dance injuries, hammertoes, fungal toe nails, ingrown toe nails and so much more. You can learn what a podiatrist does, what to do when you are in pain, and how certain technologies have helped the field of podiatry. Interested people should visit our website, http://www.centralctfootcare.com/ and fill out the form to get their FREE copy. If you still feel that you need assistance in understanding why your feet hurt, please call our office at 203-238-3668 to make an appointment. Same day appointments are sometimes available!

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Prosthetic Foot-Ankle Mechanism

Prosthetic Ankle-Foot Mechanism Capable of Automatic Adaptation to the Walking Surface Journal of Biomechanical Engineering (03/09) Vol. 131, No. 3, Williams, Ryan J.; Hansen, Andrew H.; Gard, Steven A. From ACFAS.

A conceptual design for a prosthetic ankle-foot mechanism with the ability to automatically adapt to the slope of the walking surface has been produced, and a prototype mechanism was designed, developed and tested on three subjects with unilateral transtibial amputations walking on level and ramped surfaces as a proof of concept. The device can automatically adapt to the surface by switching impedance modes at key points of the gait cycle, and it mimics the behavior of the physiologic foot and ankle complex by boasting a low impedance in the early stance phase and then shifting to a higher impedance once foot-flat is reached. The "set-point" at which these impedance changes take place is reset on every step so that proper alignment for the surface can be achieved. The user's bodyweight is tapped by the mechanism to help change impedance modes, and no active control is necessary. It was theorized that the mechanism would cause a shift in the equilibrium point of the ankle moment and the ankle dorsiflexion angle in order to accommodate the walking surface, and this behavior was verified for two of the three test subjects.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Dr.'s Remedy Enriched Nail Polish

Soon it will be spring and your digits on your feet will want to show off. But what do you do if you have ugly fungus toe nails?

One product you can use is Dr.'s Remedy Enriched Nail Polish. The polish acts as a anti-fungal medication for your diseased nails and as a way to cover up those unsightly nails as well. Dr.'s Remedy is made with Vitamins C and E to promote healthier skin and nails, and wheat protein which contains protein and amino acids. It is a natural polish with tea tree oil and garlic bulb extract, which are naturally occurring anti-fungal ingredients. What's not in this product is formaldehyde, a chemical that has been proven to cause cancer, DBPs, a potential development and reproductive toxin that may cause birth defects (it is even banned in Europe!), and toluene, a chemical that the EPA restricts in our drinking water; it can cause nervous system disorders and damage to the liver and kidneys.

We sell Dr.'s Remedy Enriched Nail Polish in six colors: Defense, Balance, Purity, Wellness, Calming, and Rescue.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Heat Things Up With Winter Sports

Skiing at a resort or gliding across an indoor ice rink make for great winter recreation. Use caution in winter sports though, so you can finish the day with hot cocoa instead of a cast and crutches.

Beginning ice skaters experience a lot of falls. When that happens, tendons can sprain or tear. Even experienced skaters can fracture an ankle.

Downhill skiiers, cross-country skiiers, and snowboarders also risk injuries to their feet and ankles, including sprains, fractures, and dislocations.

If you do get injured, let our office check it out. It may be a sprain or a fracture, and it's important to get medical treatment promptly for both conditions. An ankle sprain could lead to chronic ankle instability if left untreated. If it's a fracture, you don't want the bones to start healing if they aren't aligned properly.

If an x-ray shows you don't have a fracture, you may still have stretched a tendon or injured a joint. These may worsen without proper treatment and could cause arthritis, tissue damage, and problems with foot alignment. We can help you head off these complications.

Follow these tips to help prevent injuries:

• Make sure skates, ski boots, or snowboard boots fit properly. Lace up ice skates tightly enough to give your ankle proper support.
• If you haven't engaged in this sport since last winter, start two weeks ahead of time doing specific exercises to condition the muscles used in that sport. You can find conditioning and warm-up exercises and resources by doing an Internet search.

Dr. Tina A. Boucher, DPM

Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Revision Arthoplasty May Be Useful for Failed Total Ankle Arthoplasty Cases

From the American College of Foot and Ankle Surgeons:

A study by researchers in Switzerland suggests that revision arthroplasty may be a good alternative for failed total ankle arthroplasty. Co-authors of the study, Beat Hintermann, MD, and Alexej Barg, MD, conducted a prospective study that evaluated the ankles of 37 patients who had a failed total ankle arthroplasty. A total of 19 women and 18 men underwent revision arthroplasty using a three-part ankle prosthesis at an average of 4.4. years after their initial arthroplasty. Causes for the revision arthroplasty included loosening of one component (29 ankles), loosening of both components (7), granuloma (1) formation, and pain (9). Surgeons used 20 standard components for the talus and 19 standard components for the tibia for the revision arthroplasty. A mean follow-up of three years revealed that nearly 65 percent of the ankles were pain-free, there was a 33-point increase in AOFAS scores, and 78 percent satisfaction. “The hindfoot score improved from 39 to 72 at the mean follow-up of 3 years,” Hintermann says.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Heel Pain Video

http://www.youtube.com/watch?v=QCr-zWYveRY

An informative video on heel pain from a fellow podiatrist in North Texas.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Dance Foot Care

If you have ever been to a dance performance, you have probably been among the many in the crowd who have wondered, "How do they do that?" A lot of what dancers are able to do is with the help of their feet. Taking a look at a dancer's feet may cause you to gasp in horror however. Dancers who are professionals and amateurs are subject to crippling foot problems.

Dancers may suffer from bunions, warts, fungal toe nails, heel pain, bursistis, plantar fasciitis, hammertoes, ingrown toe nails, and much more. What they will suffer for their art!

So what can you do if you are a dancer? First and foremost, take care of your feet. When you are in pain, do not ignore the pain. Your feet are trying to tell you something is not right. Redness, swelling, and irritation are all initial symptoms. Blisters and sores around the knuckles of your feet is also an indication of a problem. Taping and bandaging your feet in problem areas will help relieve some of the blistering and soreness you are experiencing.

Making an appointment with our office might be the next step to take if taping and bandaging is not working. We have many other techniques and methods you can use to continue your love of dance!

Dr. Tina A. Boucher, DPM

Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!

Orthotics for Your Kids

Orthotics are shoe inserts that are intended to correct an abnormal, or irregular walking pattern. They perform functions that make standing, walking, and running more comfortable and effficient by altering slightly the angles at which the foot strikes a walking or running surface. As such, orthotics are often effective in the treatment of children with foot deformities or to improve foot performance for some athletes.

If a podatrist determines that your child needs to be fitted for orthotics, those orthotics will usually need to be replaced when the child's foot has grown two sizes. Different types of orthotics may be needed as the child's foot develops and changes shape.

The length of time a child needs orthotics varies considerably, depending on the seriousness of the deformity and how soon the correction is addressed. Ask your podiatrist to evaulate your child's feet to determine if they need orthotics.

Dr. Tina A. Boucher, DPM
Central Connecticut Foot Care, LLC
Podiatrist in Meriden CT
http://www.centralctfootcare.com/
Order your free copy of our books "Why Do My Feet Hurt?" and "Heal My Heel!" today!