Fall Foot Blues

Do your feet hurt more than ever since summer has ended? If so, you are not alone. We see a lot of patients like you each fall. When it comes time to put the summer shoes away, these people get the shoe blues. 

In summer, sandals provide the freedom which allows your feet to feel comfortable. If you start wearing closed shoes again in autumn, the shoes can rub against bunions and hammertoes and cause you pain. Sometimes the friction of shoe against skin can cause painful corns and calluses to build up. Your first line of defense is to wear comfortable, well-fitting shoes. Pick footwear with a toe box wide enough so that your toes aren’t crowded together. If you wear shoes with heels, keep the heel height to two inches or less to avoid putting pressure on bunions. Wear socks to reduce the friction of shoes against your feet. You may also want to take your shoes to a shoe repair shop and get them stretched in the areas that are bothering you. Using the pads to shield the corns may help, but avoid medicated pads, which contain acid that can be harmful. 

If you try our tips to no avail, contact our office. There are several types of conservative treatments we can offer before we suggest surgery including:

• Trimming corns and calluses professionally- don’t attempt this yourself because you run the risk of injury or infection.
  
• Providing custom shoe inserts
  
• Injecting corticosteroids, which ease pain and inflammation or prescribing pain medication

If conservative measures like these don’t give you results, surgery may be your next alternative.

Don’t let painful feet and toes keep you from enjoying all that fall has to offer, visit our www.ShenandoahPodiatry.com!

World Diabetes Day

diabetic foot syndrome (Photo credit: Wikipedia)

World Diabetes Day is held to raise awareness of how diabetes can affect your everday life. We stress how diabetics should routinely visit our office because they tend to lose feeling in the feet and therefore may have stepped on something, developed an ulcer, have a wart and aren't aware of it. Also, diabetics need to be especially careful about clipping their toenails and removing any calluses on their feet. Extreme complications can arise if this isn't done correctly.
Here is more information on what diabetic foot care entails.

Also, younger diabetics should annually visit our both our Blacksburg and Roanoke offices as well! They need to make sure their feet are healthy and there aren't any complications that have happened in the past year which could have harmful side effects.

What Does a Podiatrist Do?

A Podiatrist is a foot and ankle specialist- we offer all services listed below and more!

Dr. Kate Steklachich

Dr. Jennifer Feeny

• Surgeries- everything from removing a bunion to reconstructive surgeries 
• Bunions
• Warts
• Ingrown Toenails
• Routine/Diabetic Foot Care
• Custom Orthotics & Over the Counter Orthotics
• Heel Pain/Plantar Fasciitis
• Heel Spurs
• Bone Spurs
• Neuropathy
• Neuroma
• Corns/Calluses
• Athlete's Foot
• Nail Fungus
• Injuries

The list can really go on and on! Our Blacksburg and Roanoke offices want to stress that we specialize in feet and ankles. A lot of people may think going to a general surgeon or orthopedist for surgery is a better idea than a podiatrist for a problem they are having with their feet or ankles. However, because we specialize and are day in and day out dedicated to this specific area- we know it best! If you have a question about a condition, pain or something else you are experiencing and it isn't listed here or our website- give us a call! We are happy to answer any questions you may have. 

From Flats to Stilettos, it's Agony of the Feet



I went to visit my boyfriend's grandparents the other week and his grandpa cut out this article from the Richmond Times for me!

The article describes how women will wear 5 inch stilettos to work throughout the week then will switch to flats or flip flops over the weekend. (Around these parts, however, with all the students it's more of wearing flats throughout the week and growing 5 inches taller on the weekend!) 

When conducting a study on the feet, it was found that "women who wore so-called 'high risk' shoes that lacked sound structure and support, including high heels, sandals and slippers, were more likely to complain about foot pain later in life."

Listed are some common problems associated with wearing heels (or frequently switching from heels to flats to heels):

• Bunions- Experts say bunions, when the big toe points toward the second toe causing a bump to appear on the outside edge of your toe, are partly genetic. Wearing pointy-toe high heels can make the problem worse.
• Hammertoes- Shoes that crowd the toes together can cause the second, third, fourth and fifth toes to become bent, like a claw.
• Corns- Thickened skin on the top or side of the toe.
• Neuromas- Pinched nerves that cause a burning sensation, tingling or numbness between the toes and in the ball of the foot.
• Heel pain- Plantar fasciitis commonly causes inflammation of the thick tissue on the bottom of the foot, which leads to pain in the bottom of the heel.

What it comes down to is if height is important to you, wear wedges instead of platform or high heels. I personally recommend Danskos (I wear them everyday!) however, they are an investment, but they will give you the height and the support you need.

Also, make sure to stretch, yes it may sound silly to stretch after removing your heels for the day, but it will help in the long run with pain, swelling and discomfort!
Here are some quick stretching exercises we recommend: Plantar Fasciitis stretches and Heel Pain stretches

Fleet Feet Foot Clinic

We hope everyone learned a lot at our most recent foot clinic at Fleet Feet in Roanoke!Dr. Kate received a TON of questions, which is what we were hoping for!!
Here are a few of the questions asked at the clinic, make sure to keep up with our events, so you can have the opportunity to learn more about your feet and ankles!!

Participant: How do you prevent plantar fasciitis?
Dr. Kate: Stretching, orthotics, night splints or Strausburg socks, Ice.

Strasburg Sock, purchase in our office today!

Participant: How long does a custom orthotic last?
Dr. Kate:  5-7 years or longer if you're finished growing.

Participant: Why do corns keep coming back?
Dr. Kate: There are pressure points, or cushion (fat in your feet) is gone or you're genetically inclined to get them more often.

Participant: How do I know when to see a Podiatrist vs a Physical Therapist?
Dr. Kate: Start with your podiatrist. If your podiatrist feels the need for physical therapy, he or she will refer you