My Blog
By Foot and Ankle Associates, LLP
July 30, 2018
Category: Foot Care
Tags: Blister  

A foot blister is a small pocket of fluid that forms on the foot. Blisters can be painful while they heal. Foot blisters are caused by several things, including friction, burns, contact with irritants, and autoimmune diseases. Treatment can alleviate your pain, prevent infection, and help heal your blister. Here's what to do when you keep getting blisters on your feet.

1. See a podiatrist- When foot blisters interfere with your normal activities, you should see a podiatrist. Podiatrists specialize in the diagnosis and treatment of foot and ankle problems, including blisters. Depending on the cause of the foot blister, your podiatrist will form a treatment plan for you. 

2. Cover your blisters- If a blister does occur, do not pop it. A blister should be covered to reduce irritation and cut back on the risk of infection. Wash your blisters with soap and water and cover them with dressings, like bandages or gauze pads. Your dressings should be changed every day. 

3. Use antibiotic ointment- Antibiotic ointment helps prevent infections in blisters. You can purchase antibiotic ointment at a local pharmacy. Apply antibiotic ointment to the foot blisters as directed, especially before you put on your socks or shoes.

4. Keep your feet dry- Keep your feet dry at all times. After you shower, dry your feet thoroughly. Wear socks every day to keep moisture away from the skin of your feet. For sweaty feet, use products that help control moisture. 

5. Use custom orthotics- Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into shoes. You can get custom-made orthotic devices from your podiatrist. Orthotic devices can be helpful in preventing and treating foot blisters. Orthotic devices can reduce friction on foot blisters and alleviate your pain. 

6. Wear the right shoes- Rubbing and pressure from shoes that are too tight often cause blisters on the feet. Avoid wearing shoes that cause foot blisters. Wear good-fitting footwear that fit comfortably and leave your feet with some wiggle room, especially on long walks or runs. Wearing the right footwear can prevent future blisters.

7. Use foot powders- Friction can make foot blisters worse and increase your pain. In order to reduce friction on blisters, buy a powder designed for your feet at a pharmacy. Pour it into your socks before putting on your shoes to reduce pain. If a powder causes your foot blisters to become irritated, stop using it.

Don't let foot blisters knock you off your feet. Find a podiatrist in your area and schedule an appointment. A podiatrist can help you get rid of those foot blisters once and for all. The journey to healthy feet starts with you!

By Foot and Ankle Associates, LLP
July 26, 2018
Category: Foot Care
Tags: heel pain  

Don’t let heel pain ruin your daily routine when there are many ways to treat the issue.heel pain

Are you a runner who has suddenly noticed heel pain? Even if you aren’t a runner, heel pain is a common complaint among adults. In many cases, heel pain is the result of a condition called plantar fasciitis, in which the tissue that runs along the soles of the feet from the toes to the heel becomes inflamed and irritated. This is usually the result of overuse. So if you’ve suddenly upped the speed or the duration of your run, you may find yourself icing an angry, throbbing heel. Our Newark and Greenville, DE and Kennett Square, Jennersville, and Boothwyn, PA, podiatrists are here to tell you what you can do about it and why you shouldn’t ignore the problem.

Sure, some people with plantar fasciitis may be able to manage their symptoms at home; however, this isn’t the case for everyone. In fact, symptoms can get worse, especially if you don’t know how to properly treat your inflamed foot. After all, plantar fasciitis can often lead to microscopic tears in the plantar fascia tissue. If you don’t give your feet the proper care and time to heal this could put additional wear and tear on the foot and cause chronic heel pain, as well as problems with the knees, hips, and lower back.

Of course, the sooner you seek care from our Newark, Greenville, Kennett Square, Jennersville, and Boothwyn foot doctors the better. While plantar fasciitis is one of the most common causes of heel pain it isn’t the only cause, so it’s important to get an evaluation to make sure that you are providing the proper care and treatment to help your feet heal.

The most common ways to treat plantar fasciitis-related heel pain include:

  • Icing the heel 2-3 times a day
  • Avoiding high-impact activities
  • Resting your feet and limiting activities
  • Wearing a splint or brace to support the heels and arches of your feet
  • Wearing supportive footwear (avoiding going barefoot)

Those with more severe or persistent heel pain may need to turn to us for more advanced treatment if symptoms don’t go away with at-home care. Other treatment options include corticosteroid injections, ultrasound therapy, shockwave therapy, and surgery.

If you can’t seem to get your heel pain under control then it’s time to talk to the foot care experts. Call Foot and Ankle Associates today. We offer comprehensive foot and ankle services to Kennett Square, Jennersville, and Boothwyn, PA, as well as Greenville and Newark, DE.

By Foot and Ankle Associates, LLP
July 05, 2018
Category: Foot Care
Tags: Hammertoes  

When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.

By Foot and Ankle Associates, LLP
June 12, 2018
Category: Foot Care
Tags: Diabetic Foot Care  

Take care of your feet, and they'll take care of you and keep you moving and active. However, any number of circumstances and health diabetic foot careconditions threaten your lower extremities, and diabetes ranks high on that list. Your podiatrists at Foot and Ankle Associates in Newark and Greenville, DE and Kennett Square, Jennersville, and Boothwyn, PA, cater to the special needs of their diabetic patients. In a comfortable and friendly manner, this team of foot doctors help diabetics control ulcerations, circulation problems, and other hazards associated with their podiatric health. Read here about what diabetic foot care involves.

The dangers of diabetes

The Centers for Disease Control in Atlanta notes that more than nine percent of Americans suffer from diabetes. The varying blood sugar levels associated with diabetes lead to many health problems in the lower extremities. At Foot and Ankle Associates in Newark, Greenville, Kennett Square, Jennersville, Boothwyn, the podiatrists say that diabetics are prone to:

  • Compromised circulation
  • Infections and ulcerations (putting these patients at risk for amputation)
  • Neuropathy, or nerve damage, causing symptoms of numbness, tingling, and pain

As such, your foot doctors agree with the advice of the American Diabetes Association: practice regular foot care at home and see your podiatrist for in-office examinations at regular intervals.

Caring for your feet

These self-care techniques are truly common sense. You already may be doing some of them at home.

Diabetic foot care includes:

  • Washing your feet daily with soap and water and drying them thoroughly
  • Inspecting your feet for signs of redness, cuts, abrasions, or areas of discoloration
  • Cutting your toenails as needed with clean clippers, trimming straight across the tops to avoid ingrown toenails
  • Wearing clean, dry socks every day and keeping your shoes on both indoors and outdoors
  • Controlling blood sugars
  • Eliminating cigarettes as tobacco compromises peripheral circulation
  • Moisturizing your feet to avoid cracks, cuts, and infection
  • Exercising to keep blood flowing

In the office, your podiatrist will inspect your feet for signs of wounds and infection. He or she also will check how you walk. As necessary, your foot doctor will trim your nails, remove any corns and calluses, and recommend special shoes, shoe padding, and customized orthotics to alleviate pressure points, improve gait, and relieve the pain of neuropathy.

Additionally, if you do develop a diabetic foot ulcer, the professional team is expert in state-of-the-art wound care, including innovative VAC (Vacuum Assisted Closure) which speeds healing of acute or chronic ulcers.

Stay vigilant

You can have healthy feet even if you are diabetic, and your friends at Foot and Ankle Associates will help you be at your best. If it's time for your routine check-up or if you're new to podiatric care, please call one of our five locations for an appointment in Newark and Greenville, DE and Kennett Square, Jennersville, and Boothwyn, PA. We have convenient office hours to fit your busy schedule. We look forward to seeing you!

By Foot and Ankle Associates, LLP
May 31, 2018
Category: Foot Care
Tags: Footwear   Child Podiatry   Foot Care  

While it might not be something you think about often (or at all), the health of your child’s feet is important. Your child is growing by leaps and bounds and certain habits and other factors can affect how your child’s feet develop or if they experience injuries or other problems down the road. Unfortunately, a lot of children end up wearing shoes that are far too small for their feet, which can lead to pain, structural imbalances and certain foot deformities.

We know that going shoe shopping is certainly not a walk in the park for most parents; however, it’s an important component to making sure your child maintains healthy feet. There are many things to think about when it comes to picking the right shoes, and your podiatrist can also provide suggestions and tips to make the world of shoe shopping easier for you and your little one.

Some factors that you should consider when shopping for the right shoes include:

  • Your child’s age
  • The shoe’s material
  • Your child’s shoe size
  • The shoe’s structure

A good rule of thumb is to shop for shoes every 2 months when your child is between the ages of 1 and 2 years old. Once they reach three and four, you’ll want to purchase new shoes approximately every four months. At the point that your child is five or six years old, every six months is a good time to swap out old shoes for new ones.

As you might already know, the bones of a baby or infant’s feet are soft and haven’t fully developed. To protect your child’s feet it’s important that they wear socks and soft shoes. Make sure that as your child’s feet grow that the toes have room to wiggle and move around within the shoes. Bunched-up toes are a major no-no!

Since your little one is growing by leaps and bounds it is important that you are constantly checking their shoe size for changes. Remember that feet swell throughout the day, so shoe shopping should be done at the end of the day when feet are at their largest. If you aren’t sure what size shoe your little one wears, you can ask one of the store’s footwear specialists for help.

Of course, you can’t forget the importance of choosing the right socks, as well. Socks can prevent your little one from blisters, calluses and other foot problems. They can also wick away sweat and prevent fungal infections. When it comes to choosing the right socks for your little one consider the type of fabric, your child’s activity level, the size of your child’s feet and sensitivities they might have to certain fabrics.

When in doubt, you should talk to a foot doctor who can provide you with advice, answer any questions you might have about your child’s developing feet and also provide comprehensive care, when needed.

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"Experienced, intelligent, and takes time to explain procedures. Dr. Guggenheim is extremely professional and knowledgeable. I cannot say enough positive attributes! A wonderful doctor."


- Leslie T.

"I just completed 12 treatments for neurapathy and I am thrilled with the results. When Dr. Iannucci recommended the MLS Laser Therapy I wasn't sure what to expect but I knew that I didn't have much to loose trying it. I am almost 70 years old and have had this condition for many years. I would say that I pretty much had foot pain all of my waking hours and it even woke me up two or three times each night. After completing the laser treatments I am thrilled to report that I have little to no pain at all. I have said on numerous occasions lately -- "my feet don't hurt!" In fact, I have even gone back to my old exercise DVD "Sweatin' to the Oldies" now that the pain isn't my constant companion. I encourage anyone with this constant pain to give the MLS Laser Therapy a try. It is painless and effective, and I thought the cost was well worth it. I am grateful to Dr. I for recommending it and plan on going back in the summer to get some treatments for plantar fasciitis."


- Beryl S.

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