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What a Feeling (All the Way Down to Your Toes)!

 

Here’s a weird question – Do your toes or feet feel as if they were static television? The tingling sensation in one’s toes and feet is possibly one of the most difficult feelings to describe. There are many different ways to characterize the tingling. Regardless, everyone seems to recognize and relate to the feeling because it is more common than you think.

This sensation is known as paresthesia; it can be mild, severe, or even chronic.

Although it may appear as if your body is malfunctioning for a few minutes, the reality is that the tingling sensation is caused by various factors. For example, often times, tingling feet are caused by pressure on the nerves. Crossing your legs or sitting on your foot for a prolonged period of time can trigger paresthesia. Fortunately, this feeling disappears once the pressure is relieved. In addition, hormone imbalance, poor blood circulation, autoimmune diseases, vitamin deficiencies and migraines play a role in inducing tingling feet.  Unfortunately, tinging feet can sometimes be a symptom of more serious issues like diabetes and peripheral neuropathy (nerve damage).

Who Suffers From Tingling Feet?

About 20 million Americans have some form of peripheral neuropathy. If you know the feeling is solely temporary for you, then there is no reason to be alarmed. However, if the tingling sensation continuously occurs in your feet, you should consult a medical professional to see if there is an underlying condition or systemic disease that is causing the tingling.

Symptoms & Treatment

Some other symptoms that can accompany the tingling are pain, itching, dizziness, numbness, weakness, unconsciousness, rash, and loss of bladder or bowel control. If you experience any of these symptoms along with the tingling, consult a podiatrist as soon as possible. Treatments for tingling feet vary depending on the underlying cause. For example, if a lack of sufficient vitamin consumption is the issue, a vitamin supplement will be recommended. If it has to with diabetes, you will need to better control your blood-sugar levels.

Next time your feet start feeling like pins and needles are poking at them, analyze your situation and recognize whether or not it’s a serious problem and if you need to seek help. If not, momentarily enjoy losing your foot to the tingling sensation.

Podiatrist Dr. Dan Bhakta is a highly respected member of the podiatry community. Dr. Bhakta is the Founder and Director of Accent Podiatry Associates with two convenient locations in Arlington and Mansfield. He specializes in pediatric foot care, reconstructive surgery, sports injuries, limb salvage, and wound care; as well as peripheral nerve disease. Dr. Dan Bhakta has been named Top10MD 2016 | 2017. Only 1 in 3 doctors succeeds with this recognition in the United States. To schedule a consultation with Dr. Bhakta or call 817.557.1006 today.

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Still think High Heels Are Worth It?
 by
Dharmesh "Dan" Bhakta, DPM, FACFAS
 
It's not what fashion-conscious women want to hear-another warning about high heels.
 
 
Dr. Bhakta, DPM, who is a foot and ankle surgeon at Accent Podiatry Associates in Arlington and Mansfield, explains that pump-style shoes often cause significant pain by irritating a common bony deformity on the back of the heel called 'pump bump.' In many cases, it can lead to bursitis or Achilles tendonitis if left untreated.
 
Pump bump is common in young women who wear high heels almost every day. The rigid back of a pump-style shoe can create pressure that aggravates the heel bone when walking.  According to the ACFAS Consumer Web site, FootHealthFacts.org, the bump or bony protrusion is a hereditary deformity that can cause Achilles tendonitis or bursitis due to constant irritation from pump-style shoes. Those with high arches or tight Achilles tendons are especially vulnerable to developing pump bump if they work in high heels. The medical term for the disorder is Haglund's deformity. In addition to the noticeable bump, symptoms include pain where the Achilles tendon attaches to the heel, swelling in the back of the heel and redness in the area.
 
In most women, doctors can prescribe medications to reduce the pain and inflammation. This does not, however, get rid of the bony protrusion. Dr. Bhakta suggests that icing the back of the heel reduces swelling, and stretching exercises can relieve tension in the Achilles. Long-term, it's best to avoid wearing high heels, if possible. Therefore, when the dress code requires high heels, Dr. Bhakta tells his female patients to try heel lifts to decrease pressure on the heel. Or, he recommends they wear appropriate dress shoes that have soft backs or are backless.
 
Women with foot pain can contact Dr. Bhakta's office at (817) 557-1006. For more information on "pump bump" and other foot and ankle conditions, visit FootHealthFacts.org.
 
 
Dharmesh Bhakta,  DPM
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                                                 What do these people all have in common?

* Bilbo Baggins

* Angelina Jolie

* Gwyneth Paltrow

* Royal Duchess Kate Middleton

 and 60 million Americans all suffer from the same foot malady-flat feet! Yes, flat feet is the most common foot deformity known. Did you know that we are all born with flat feet or fallen arches?  Humans develop arches naturally through exercise, which promotes the development of foot ligaments and tendons. However, some people never develop their arches for one reason or another.

Of course, flat feet may or may not result in discomfort. In fact, some people with flat feet can run marathons or play in the NBA. For example, some professional athletes, especially basketball players, have flat feet, which causes them to roll their ankles inward when walking or running.  In time, this rolling action can result in a slight misalignment in the legs, which can lead to pain in the heels, knees, and even the lower back.  

To remedy this condition, professional athletes and our patients use custom made insoles known as orthotics in their footwear. Orthotics are measured and designed by a podiatrist, and when worn inside athletic or walking shoes, help restore natural foot function. On the other hand, if you have leg pain, a wedge may need to be inserted along the inside edge of the orthotic or wearing an ankle brace may help. In extreme cases where the patient has a ruptured tendon or arthritis, the patient may find insoles coupled with pain medication not very helpful. These patients may require surgery. Lastly, if your flat feet pain has been exacerbated by weight gain, losing weight may be a big help.

 

In any case, visit your podiatric office, if you have flat feet/fallen arches and feel discomfort in your feet, hips, knees or ankles. At Accent Podiatry Associates (817-557-1006), our trained foot and ankle surgeon physicians will carefully examine your walking gait and determine your diagnosis and treatment.

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February 10, 2016
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                                    Diabetes is Alive and Well in America

 

It is estimated that by year 2050 1 in 3 Americans will be diagnosed with diabetes in America. In year 2012, they estimated 29.1 million Americans were diagnosed with diabetes. Diabetes is a condition whereby “the body does not properly process foods used for energy”. This is important as this disease impairs the body from being able to convert sugars, starches, and other foods into energy. This disease can negatively affect your eyes, heart, kidney, nerves and feet.

If you are diagnosed with diabetes, please follow these foot care suggestions:

* Carefully examine your feet on a daily basis for any cuts, bruises, sores, dry skin or changes to your toenails (i.e., discoloration or thickening).

* Exercise. Wear appropriate athletic footwear when exercising. For example, walking has a variety of benefits (i.e., improves circulation, strengthens bones, improves your mood, strengthens muscles, helps in losing weight, etc.).

* Choose to wear thick, soft socks. Avoid socks that may have a seam, which could rub and cause blisters or other skin injuries.

* Avoid trying to remove corns, calluses or warts by yourself through your own surgical methods. Also, over the counter products may burn your skin and cause irreparable damage to your foot, especially if you have diabetes.

* Never go barefoot. The risk of cuts and infection is too great if you have diabetes.

* Make sure that when you purchase new shoes, they are properly measured and fitted. Foot size and shape may change over time as diabetes may affect blood flow.  You don’t want to stress your feet with improperly fitting footwear.

* Quit smoking. Smoking affects small blood vessels and can cause decreased blood flow to your feet. Regrettably, lots of people with diabetes who are smokers wind up with foot amputations.

* Watch if you feel tingling, pain (burning or stinging) or weakness in your feet. This may be a sign of nerve damage also called neuropathy. Unfortunately, neuropathy may result in lack of sensitivity of feeling in your feet. In short, you can injure your foot and not know it!

* Make an appointment to see a podiatrist, at last annually. You have only two feet, care for them. Call Accent Podiatry Associates to make an appointment at 817-557-1006.

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The Importance of Diabetic Foot Care
 
by
Shae Paschal, DPM,
 AACFAS
 
 
The new year is a good time to remind everyone with diabetes about the importance of taking good care of your feet. Diabetes can be dangerous to your feet. To avoid serious foot problems, follow these prevention tips:
  • Inspect your feet daily. Check for cuts, blisters, redness, swelling, bleeding or nail problems. Use a magnifying hand mirror to look at the bottoms of your feet (if your eyesight is poor, ask someone to check your feet for you). Call our office to schedule an appointment if you notice any unusual symptoms.
  • Wash your feet in lukewarm water. Keep your feet clean by washing them daily in lukewarm, not hot, water. If you have numbness in your toes or feet, test the water temperature with your elbow.
  • Cut nails carefully and straight across. Don't cut nails too short since this could cause ingrown toenails. Also, file nail edges.
  • Never trim corns or calluses. Don't perform "bathroom surgery"-let your foot and ankle surgeon do the job. Don't use sharp instruments to cut at anything on your feet. Even small cuts can lead to big problems.
  • Moisturize your feet. Use a moisturizer daily to keep dry skin from itching or cracking. However, don't use moisturizer between your toes, as this could lead to fungal infection.
  • Wear socks to bed. If your feet get cold at night, wear thin socks without tight elastic bands.  Never use a heating pad or a hot water bottle to keep your feet warm in bed. Cold feet can be a sign of poor circulation-bring this up with your physician.
  • Keep your feet warm and dry. Don't get your feet wet in snow or rain. Wear warm socks and shoes in the winter and also make sure your footwear is dry before putting it on.
  • Shake out your shoes and boots before wearing. You may not always feel something in your shoe, so be sure to look inside before putting them on. Do this several times a day in case you pick something up inside your shoe during the day.
  • Get regular checkups at our office. We can help you prevent diabetic foot complications before they start.
If you or your family members have diabetes, schedule an appointment with our office so we can make sure your feet are in tiptop shape for the winter.
 
 
Shae Paschal, DPM

A little information about Dr. Paschal....................................................
Dr. Paschal joined Accent Podiatry Associates in October 2009 after completing a three (3) year surgical residency in Miami, Florida. He completed his undergraduate work at the University of Texas at Arlington, where he received his bachelor's degree in Biology. He then moved to south Florida, where he completed his medical training at Barry University's School of Podiatric Medicine and Surgery. After podiatry medical school, Dr. Paschal completed a three (3) year podiatric medicine and surgical residency at Jackson North Medical Center, a Jackson Memorial health care affiliate. Dr. Paschal is an Associate of the American College of Foot and Ankle Surgeons and a member of the Texas Podiatric Medical Association and American Podiatric Medical Association. He specializes in forefoot and reconstructive surgery, trauma, sports injuries, limb salvage and wound care. Dr. Paschal is very happy to be back home in Texas!
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Arlington Office - 817-557-1006

Mansfield Office - 817-477-3611

 

Podiatrist - Arlington, Accent Podiatry Associates, 3050 S. Center Street, Suite 140, Arlington, TX 76014 - 817-557-1006