Thursday, December 9, 2010

Fix feet for weight loss success

Many of the estimated 70 million obese Americans are trapped in a life-threatening vicious cycle: Obesity aggravates foot problems, like heel pain and flat feet; sore feet make it hard to exercise and lose weight; and without exercise, obesity worsens and exacerbates progression of diabetes, heart disease and other serious health threats. Today, a Chicago foot and ankle surgeon urged obese adults to seek immediate treatment for chronic, activity-limiting foot and ankle problems to foster compliance with physician-directed exercise programs.“It’s unfortunate obese adults get caught up in the vicious cycle of avoiding physical activity due to foot or ankle pain, thereby permitting cardiovascular disease and other life-threatening conditions to worsen as a result,” says Dr. Thomas Carr, DPM, a member of the American College of Foot and Ankle Surgeons (ACFAS) in Chicago. “For example, in many cases, chronic heel pain occurs from carrying too much weight. Left untreated, it becomes an impediment to physical activity and meaningful weight loss.” Dr. Carr says there’s no reason foot or ankle pain should stop obese patients from exercising. The first step toward breaking that vicious cycle is an evaluation by a foot and ankle surgeon. According to the ACFAS consumer Web site, FootHealthFacts.org, many causes of foot pain can be relieved without surgery through stretching exercises, orthotics and athletic shoes with good shock absorption and support. If a bunion, heel pain or other condition requires surgery, patients can participate during their recovery in non-weight-bearing activities, such as riding a stationary bike, swimming or weight training. For those moderately to severely overweight, Dr. Carr says a thorough physical examination is mandatory before beginning an exercise program. “Once cleared by your physician to begin exercising, don’t try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity,” he says. “For example, I counsel overweight patients to avoid working out on treadmills or elliptical machines to minimize pounding and stress on their joints.” Shedding excess pounds helps diabetic patients control their disease, but Dr. Carr notes many who experience foot ulcerations and vascular problems caused by diabetes might think they shouldn’t exercise. “Every diabetes patient needs regular foot exams to check for possible sore spots and assess nerve sensation,” says Dr. Car. “And with proper diabetic foot care and the right footwear, most patients can follow an exercise regimen that is safe and appropriate for them.”For more information about ankle fractures and sprains or other foot and ankle problems, contact the Chicago Podiatric Surgeons office at 312-337-9900, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Monday, December 6, 2010

For many, winter is fall season - Icy conditions cause falls and broken ankles

With the hectic pace of the holidays, serious injuries from ice-related falls inevitably occur. A Chicago foot and ankle surgeon says falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.
Dr. Thomas Carr, DPM says the ankle joint is vulnerable to serious injury from hard falls on ice.
“Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping. In cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment. Never assume the ability to walk means your ankle isn’t broken or badly sprained. Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life." he says.
Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture.
“It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment,” says Dr. Carr. “If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.”
According to the ACFAS consumer Web site, FootPhysicans.com, even though symptoms of ankle sprains and fractures are similar, fractures are associated with:

  • Pain at the site of the fracture that can extend from the foot to the knee

  • Significant swelling

  • Blisters over the fracture site

  • Bruising soon after the injury

  • Bone protruding through the skin—a compound fracture, which requires immediate attention!


Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to
foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly.
Dr. Carr said newly designed surgical plates and screws allow repair of these injuries with less surgical trauma.
“With newer bone-fixation methods, there are smaller incisions to minimize tissue damage and bleeding and accelerate the healing process,” he says.
Dr. Carr recommends scheduling an appointment with his office if you have injured your ankle in any way.
“If you fall on an icy spot and hurt your ankle, the best advice is to seek medical attention immediately," he says. "This aids in early diagnosis and proper treatment of the ankle injury and reduces the risk of further damage.”
For further information about ankle fractures and sprains or other foot and ankle problems, contact the Chicago Podiatric Surgeons at 312-337-9900 or conveniently schedule your appointment online at www.chicagopodiatry.com.

Thursday, November 11, 2010

Is Your Foot Fracture an Early Sign of Osteoporosis?

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

Osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Carr, a member of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Carr. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. Carr. “The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”

Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. “This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians,” Dr. Carr explains.

If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.

If you are suffering from foot pain or suspect you may have osteoporosis, call Dr. Carr’s office at 312-337-9900 for an evaluation, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Tuesday, November 9, 2010

Five Tips for Healthy Holiday Feet

Don’t let sore, achy feet ruin your holiday season. Here are five tips to healthy holiday feet from Chicago Podiatric Surgeons.

1. If the shoe fits, wear it—When hitting the dance floor or the shopping malls during the holiday season, don’t compromise comfort and safety when picking the right shoes to wear. Narrow shoes, overly-high-heeled ones or shoes that aren’t worn very often, such as dress shoes, can irritate feet and lead to blisters, calluses, swelling and even severe ankle injuries. “To ward off problems, choose a shoe that has a low heel and fits your foot in length, width and depth while you are standing,” says Dr. Carr, a member of the American College of Foot and Ankle Surgeons. “Be proactive, protective and preventive with your selection of appropriate shoes for the occasion.”

2. Don’t overindulge in holiday cheer— Did you know your feet can feel the effects of too much holiday cheer? Certain foods and beverages high in purines, such as shellfish, red meat, red wine and beer can trigger extremely painful gout attacks, a condition when uric acid builds up and crystallizes in and around your joints. “Oftentimes, it’s the big toe that is affected first since the toe is the coolest part of the body and uric acid is sensitive to temperature changes,” Dr. Carr says.

3. Be pedicure-safety conscious—Before you head for your holiday pedicure, remember nail salons can be a breeding ground for bacteria, including MRSA. To reduce your risk of infection, choose a salon that follows proper sanitation practices and is licensed by the state. Consider also purchasing your own pedicure instruments to bring along to your appointment.

4. Watch for ice and snow—Holiday winter wonderlands can be beautiful but also dangerous. Use caution when traveling outdoors; watch for ice or snow patches along your trail. The ankle joint can be more vulnerable to serious injury from falling on ice. “Ice accelerates the fall and often causes more severe trauma, because the foot can move in any direction after it slips,” Dr. Carr explains. If you do experience a fall, take a break from activities until you can be seen by a foot and ankle surgeon. Use R.I.C.E. therapy (Rest, Ice, Compression, and Elevation) to help reduce the pain and control swelling around the injury.

5. “Listen” to your feet—Don’t let foot pain ruin your holiday fun; inspect your feet regularly for any evidence of ingrown toenails, bruising, swelling, blisters, dry skin or calluses. “If you notice any pain, swelling or signs of problems, make an appointment with your foot and ankle surgeon,” Dr. Carr says. “Often, especially for diabetics, what may seem like a simple issue can turn into a larger problem if medical care is delayed.”

If you are suffering from foot pain or have concerns about your foot health, call Dr. Carr’s office at 312-337-9900 for an evaluation, or schedule your appointment online at www.chicagopodiatry.com.

Wednesday, September 29, 2010

6 tips to protect kids in fall sports

Back-to-school sports season linked to ankle injuries

If your children are playing sports this fall, pay attention to five tips that could protect them from serious ankle injuries.

Every fall, Chicago foot and ankle surgeon Dr. Thomas Carr, notices an increase in ankle injuries among young athletes. Football, soccer and basketball are the sports most likely to lead to sprains, broken bones and other problems, he says.

Dr. Carr's top recommendation is for parents is to get ankle injuries treated right away.

"What seems like a sprain is not always a sprain; in addition to cartilage injuries, your son or daughter might have injured other bones in the foot without knowing it. Have a qualified doctor examine the injury," says Dr. Carr. "The sooner rehabilitation starts, the sooner we can prevent long-term problems like instability or arthritis, and the sooner your child can get back into competition."

Dr. Carr says parents should also follow these additional tips from the American College of Foot and Ankle Surgeons' Web site, FootHealthFacts.org:

--Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child's previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition.

--Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn't mix baseball cleats with football shoes.

--Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can't lie flat.

--Check playing fields for dips, divots and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That's why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player's foot and throw them to the ground. Alert coaching officials to any irregularities.

--Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries.

Dr. Carr can be contacted at 312-337-9900 or online at www.chicagopodiatry.com.

Monday, September 27, 2010

Women's feet hurt more in autumn

Fall is a painful time of year for many women.

As they transition from open-toed sandals to closed-in boots and shoes, foot and ankle surgeon Dr. Thomas Carr, says he notices more women seeking relief for painful bunions. He says this trend plays out in the examining rooms of many foot and ankle surgeons every autumn.

"Some of my female bunion patients are in agony," says Dr. Carr. "They describe a constant, throbbing pain, even when they take their shoes off."

While the changing weather brings more bunion patients into his office, Dr. Carr says some women inquire about surgery in the fall because they're less busy than in summer months. Many are also closer to meeting their insurance deductibles.

Dr. Carr emphasizes that surgery is a last-resort treatment for women with painful bunions.

"For many women, simple changes like wearing shoes with wider toe boxes can significantly reduce bunion pain," he says. "Custom shoe inserts, gel- or foam-filled padding and anti-inflammatory medications may also provide pain relief."

When the pain of a bunion interferes with a woman's daily activities, it's time to discuss surgical options, according to the American College of Foot and Ankle Surgeons.

The College provides answers to frequently asked questions about bunion surgery on its Web site, FootHealthFacts.org.

Dr. Carr can be contacted at 312-337-9900 or through his web site at www.chicagopodiatry.com.

Thursday, August 26, 2010

Hikers and hunters: Long, vigorous hikes take toll on feet, ankles

As brightly colored leaves dazzle the fall landscape, hikers and hunters nationwide will migrate to mountains, woods and fields, but many, unfortunately, are ill prepared for the beating their feet will take, warns a local foot and ankle surgeon.
“Hikers, hunters and others who love the outdoors often don’t realize how strenuous it can be to withstand constant, vigorous walking on uneven terrain,” said Dr. Carr, a member of the American College of Foot and Ankle Surgeons (ACFAS) located in Chicago. "Lax physical conditioning and inappropriate footwear bring scores of outdoor enthusiasts into our office each fall for treatment of foot and ankle problems such as chronic heel pain, ankle sprains, Achilles tendonitis, fungal infections and severe blisters."
“Walking up and down steep hillsides and tramping through wet, slippery fields and wooded areas puts stress on the muscles and tendons in the feet and ankles, especially if you haven’t conditioned properly before hitting the trail,” said Dr. Carr. “Also, many don’t realize that cross-training athletic shoes aren’t the best choice for extended hiking and hunting. Had some of my patients worn sturdy, well constructed hiking boots, they wouldn’t have suffered sprained ankles or strained Achilles tendons.”
Dr. Carr advises hikers and hunters to make the investment in top-quality hiking boots. He said strong, well insulated and moisture-proof boots with steel or graphite shanks offer excellent ankle and foot support that helps lessen stress and muscle fatigue to reduce injury risk. “The supportive shank decreases strain on the arch by allowing the boot to distribute impact as the foot moves forward. So if a boot bends in the middle, don’t buy it.”
In wet and cold weather, wearing the right socks can help prevent blisters, fungal infections and frostbite. Dr. Carr recommends synthetic socks as the first layer to keep the feet dry and reduce blister-causing friction. For the second layer, wool socks add warmth, absorb moisture away from the skin, and help make the hiking boot more comfortable. “Wool lets moisture evaporate more readily than cotton, so fewer blisters develop,” he added.
What happens if your feet or ankles hurt during a hike or hunt? Dr. Carr said pain usually occurs from overuse, even from just walking. “If you’re not accustomed to walking on sloped or uneven ground, your legs and feet will get tired and cause muscles and tendons to ache,” he explained. “To avoid a serious injury, such as a severe ankle sprain or an Achilles tendon rupture, rest for awhile if you start hurting.”
According to the ACFAS consumer website, FootHealthFacts.org, pain is a warning sign that something is wrong. “Serious injury risk escalates significantly if you continue hiking in pain.” He likened hiking to skiing, in that beginners should take on less difficult trails until they become better conditioned and more confident.

Evaluation by a foot and ankle surgeon is recommended if there is persistent pain following a hiking or hunting outing. “I’m most concerned about ankle instability and strained Achilles tendons. Inattention to these problems at their early stages may lead to a serious injury that will keep you off the trails for a long time,” Dr. Carr said.
Hikers and hunters seeking further information about ankle sprains, Achilles tendon injuries and other foot and ankle problems may contact Dr. Carr at 312-377-9900 or schedule an appointment online at www.chicagopodiatry.com.

Tuesday, August 24, 2010

Children's soccer linked to ingrown toenails

Snug cleats, repeated kicking can contribute to a painful problem. Toes and feet can take a beating, especially from sports.
Foot and ankle surgeon Thomas Carr, DPM, says he treats many soccer-playing children for ingrown toenails. He blames improper toenail trimming, snug soccer cleats and repetitive kicking for creating this painful problem.
“Many kids wear hand-me-down cleats that don’t fit,” says Dr. Carr. “Older children like tighter cleats. They believe it gives them a better feel for the ball and the field.”
Dr. Carr has offices in Chicago and is a member of the American College of Foot and Ankle Surgeons. He says there are steps soccer moms and dads can take to prevent their children from suffering a painful ingrown toenail. First, teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don’t cut them too short. Second, make sure cleats fit properly.
“A child’s shoe size can change within a single soccer season,” Dr. Carr reminds parents.
If a child develops a painful ingrown toenail, soaking their foot in room-temperature water and gently massaging the side of the nail fold can reduce the inflammation. But Dr. Carr warns parents against home treatments, which can be dangerous. The American College of Foot and Ankle Surgeons lists myths about ingrown toenail home treatments on its Web site, FootHealthFacts.org.
“If your son’s or daughter’s ingrown toenails show signs of infection, it’s definitely time to seek medical care,” says Dr. Carr.
A foot and ankle surgeon can remove a child’s ingrown toenail, and prevent it from returning, with a simple, 10-minute surgical procedure. During the short procedure, the doctor numbs the toe and removes the ingrown portion of the nail. Various techniques can permanently remove part of a nail’s root too, preventing it from growing back.
“Most children experience very little pain afterwards,” says Dr. Carr, “and can resume normal activity the next day.”
For more information on ingrown toenails and other pediatric foot problems, contact Dr. Carr’s office at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com.

Monday, August 2, 2010

Be smart about back to school shoe fitting

With kids soon back in school after a summer of bare feet and sandals, parents are shopping for shoes for feet that seem to have grown longer in just a few months. To help busy parents with shoe choices, a Chicago foot and ankle surgeon recommends some simple guidelines to prevent or minimize possible foot problems from inappropriate shoes, such as painful ingrown toenails, blisters, heel pain and flat feet.
“When choosing kids’ shoes, size and shock absorption are the key considerations, especially if your child has flat feet that can worsen from improper fitting or worn-out shoes,” says Dr. Thomas Carr, a member of the American College of Foot and Ankle Surgeons (ACFAS). “Also, a child’s foot can grow a size or two within six months, so it’s critical to allow room for growth in the toe box—about a finger’s width from the longest toe.”
Dr. Carr says snug shoes put pressure on the toes, causing ingrown nails.
“The nail compresses and grows down into the skin,” says Dr. Carr.
According to FootHealthFacts.org, the ACFAS consumer website, infection can occur when an ingrown nail breaks through the skin.
“If there’s pain, redness and fluid draining from the area, it’s probably infected,” he says. “The ingrown nail can be removed in a simple, in-office procedure. Don’t try to remove a child’s ingrown nail at home; this can cause the condition to worsen.”
Tight-fitting shoes also cause blisters, corns and calluses on the toes and blisters on the back of the heels.
“Never buy shoes that feel tight and uncomfortable in the store,” says Dr. Carr. “Don’t assume they will stretch or break in over time.”
Conversely, he notes that shoes that are too loose can cause problems, too.
“If a shoe is too loose, the foot slides forward and puts excessive pressure on the toes.”
Dr. Carr also recommends parents carefully inspect both new and old shoes to check for proper cushioning and arch support.
“Shoes lose their shock absorption over time, and wear and tear around the edges of the sole usually indicate it’s worn out and should be replaced," says Dr. Carr. "If a child keeps wearing worn-out or non-supportive dress or athletic shoes, it elevates the risk for developing heel pain, Achilles tendonitis and even ankle sprains and stress fractures.”
A good tip for parents when buying new shoes: The toe box should flex easily and the shoe shouldn’t bend in the middle of the sole.
For children with flat feet, Dr. Carr says parents should buy oxford, lace-up shoes that have enough depth for an orthotic insert, if necessary.
“Unfortunately, there isn’t much choice for kids with flat, wide feet. They need shoes with a wide toe box and maximum arch support and shock absorption,” he said. “Slip-on loafers aren’t right for them.”
For more information about childhood foot care, contact Dr. Carr at 312-337-9900 or schedule an appointment online at www.chicagopodiatry.com.

Friday, July 30, 2010

Foot injuries common after storms

With summer storm and flood season officially underway, a Chicago foot and ankle surgeon reminds residents about the risk of serious foot injuries during disaster clean-up.
“In the aftermath of a storm, people just want to clean up the debris as fast as they can and get on with their lives,” says Dr. Thomas Carr, a foot and ankle surgeon with offices in Chicago. “By taking some simple precautions to protect their feet from injury, they can make the clean up go more quickly and more safely.”
Many storm survivors suffer puncture wounds on their feet. After Hurricanes Katrina and Rita, foot and ankle surgeons along the Gulf Coast reported treating patients who injured themselves wearing flip-flops and sandals during debris clean-up. Some patients developed bone infections from improperly treated puncture wounds caused by nails and other sharp objects.
According to the American College of Foot and Ankle Surgeons’ (ACFAS) FootHealthFacts.org Web site, puncture wounds require medical treatment within 24 hours to avoid infection and other complications from embedded foreign objects. Pieces of skin, sock and the shoe itself can be forced into the wound during a puncture, as well as dirt and debris from the object itself. If medical care is inaccessible, every hurricane survival kit should include first aid supplies.
“If you can’t get to a doctor, you can still irrigate the wound, apply a topical antibiotic, and a clean bandage,” says Dr. Carr. “Then see a doctor for follow- up care, including a tetanus shot if necessary.”
After initial treatment, the ACFAS recommends puncture wound victims see a foot and ankle surgeon for a thorough cleaning and careful follow-up to monitor the wound for infection and to prescribe antibiotics if necessary.
Other storm foot safety tips include:
Watch where you walk. Debris and murky floodwaters can conceal sharp objects. Be careful standing on unstable surfaces and piles of debris that can throw you off balance, causing ankle sprains or fractures.
Wear appropriate shoe gear, work boots if possible. Don’t go barefoot. Avoid open-toed footwear like sandals.
Take precautions when cutting down tree limbs. One hurricane victim broke several bones when sawing down a heavy tree limb that landed on her foot.
For treatment of puncture wounds or other foot or ankle trauma, contact Dr. Carr at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com.

Monday, July 26, 2010

Don’t Ignore Flat Feet

Study links this condition to painful foot maladies

Treatment and prevention of adult flatfoot can reduce the incidence of additional foot problems such as bunions, hammertoes, arthritis and calluses, and improve a person’s overall health, according to research published in the July/August Journal of Foot & Ankle Surgery.

Overweight males in white-collar jobs are most apt to suffer from adult flatfoot disorder, a progressive condition characterized by partial or total collapse of the arch, according to the research. FootHealthFacts.org, the consumer website of the American College of Foot and Ankle Surgeons, notes that symptoms of adult flatfoot include pain, swelling, flattening of the arch and an inward rolling of the ankle. But because flatfoot is a progressive disorder by nature, the study suggests that neglecting treatment or preventive care can lead to arthritis, loss of function of the foot and other painful foot disorders.

“Flatfoot disorder may gradually worsen to the point that many of the tendons and ligaments in the foot and ankle are simply overworking, often to the point where they tear and/or rupture,” says Chicago foot and ankle surgeon Dr. Thomas Carr.
In many cases, flatfoot can be treated with non-surgical approaches including orthotic devices or bracing, immobilization, physical therapy, medication and shoe modifications. “In some patients whose pain is not adequately relieved by conservative treatments, there are a variety of surgical techniques available to correct flatfoot and improve foot function,” Dr. Carr added.

“As in most progressive foot disorders, early treatment for flatfoot disorder is also the patient’s best route for optimal success in controlling symptoms and additional damage to the feet,” continued Dr. Carr. “The goal is to keep patients active, healthy and as pain free as possible.”

If you suspect you have a flatfoot disorder or have foot discomfort, call Dr. Carr’s office at 312-337-9900 for an evaluation or schedule your appointment online at www.chicagopodiatry.com.

Monday, July 19, 2010

Common Runners’ Injury: Stress Fractures of the Foot

Repetitive impact on feet can increase risk of damage

Stress fractures of the foot are becoming more common in runners, especially first-time marathoners, according to Chicago foot and ankle surgeon Dr. Thomas Carr.
The growing popularity of marathons among beginning runners has contributed to the increase in repetitive stress injuries, including stress fractures of the foot, seen by Dr. Carr, a member of the American College of Foot and Ankle Surgeons. Often, first-time marathoners enter a race with little or improper long-distance training. The lack of experience coupled with the repetitive impact placed on the feet during the run can produce enough stress to cause hairline breaks in the bones of the foot.
“Runners who increase their mileage too quickly or change to a more intense phase of training may be more susceptible to a stress fracture due to the increased force placed on the bones,” says Dr. Carr. “A general rule of thumb for runners is to increase the mileage by no more than 10 percent each week. Runners who are training also need to have adequate rest time in between runs to help decrease the risk of a fracture.”
Runners at all levels of experience are also at higher risk for stress fractures if they wear improper shoes while running or training, suffer from flatfoot or other foot deformities, or have osteoporosis. Signs of a stress fracture can include pain, swelling, redness and possibly bruising of the area.
“Stress fractures can occur anywhere in the foot and can eventually lead to a complete break of the bone if left untreated,” Dr. Carr explained. “Early diagnosis and treatment are important to ensure proper healing.”
If a break is suspected, Dr. Carr advises runners to immediately follow the RICE protocol—Rest, Ice, Compression and Elevation. If pain and swelling last longer than a few days, an appointment for an x-ray and diagnosis is in order.
In most cases, treatment includes rest and immobilization with casting of the foot. Surgery may be required in certain instances to repair and stabilize a stress fracture that has progressed into a full fracture.
Runners can take action to prevent repetitive stress injuries in their feet by wearing supportive athletic shoes and slowly building up their activity levels according to their abilities. “If a runner suffers from abnormal mechanics in the foot, such as overpronation or hypermobility, custom orthotics can also be helpful to prevent these injuries,” Dr. Carr, adds.
If you suspect you have a foot injury or fracture, call Dr. Carr’s office at 312-337-9900 for an evaluation or schedule your appointment online at www.chicagopodiatry.com.

Monday, July 12, 2010

Boomers not backing down from foot and ankle arthritis

Surgical advances keeping them active, pain-free

They danced to the Beatles, the Rolling Stones and disco. They worked out with Jane Fonda and made jogging their national pastime.

Now approaching retirement, many members of the "Me Generation" aren't ready to slow down, even if their bodies are. Chicago foot and ankle surgeon Thomas Carr, DPM, says Baby Boomers are more likely than previous generations to seek care when arthritis develops in their toes, feet and ankles.

There are more than 100 different types of arthritis, including gout and rheumatoid arthritis. According to the American College of Foot and Ankle Surgeons (ACFAS), the most common forms to affect the feet are post-traumatic and osteoarthritis, especially in the big toe, ankle and midfoot joints.

Dr. Carr says many Boomers who seek treatment for arthritis assume they'll be able to resume activities such as running or playing sports. Seeking treatment early can improve the odds of preventing irreversible joint damage. For many patients with early-stage foot or ankle arthritis, changes in shoes or advanced custom orthotics can make a huge difference. While there is no fountain of youth for arthritis, (LASTNAME) says there are more medical options available to Baby Boomers than ever before.

Big toes

Baby Boomers are most likely to develop osteoarthritis in their big toe joint. During walking, the big toe absorbs forces equal to nearly twice a person's body weight. It plays an important role in stooping and standing. Some boomers start to develop big toe stiffness, a condition called hallux limitus, in their forties.

Better surgical procedures now offer improved pain relief and joint movement to Boomers with early stage arthritis at the big toe. Patients with advanced and severe arthritis may need to have the joint fused or replaced. But stronger screws and hardware are helping fusions last longer while slashing recovery times. A new generation of big toe joint replacements shows promise.

Ankles

Ankles are another prime spot for arthritis. Ankles are more likely to develop post-traumatic arthritis than osteoarthritis. For many Baby Boomers, the trauma was an ankle fracture or a bad sprain that may have happened in their teens or twenties. Innovative new surgical techniques allow foot and ankle surgeons to transplant small plugs of cartilage from one part of the ankle to another in some patients, slowing joint deterioration.

Ankle replacements, however, are not as durable as hip and knee replacements. The ankle is a more challenging joint to replace. It's smaller and moves in multiple directions. But better and promising ankle implants are hitting the market.

Contact Dr. Carr today if you have concerns about the health of your feet.

Monday, June 14, 2010

Sunscreen on Your Feet?

Doctor urges sunscreen use and exams to prevent skin cancer on feet

When at the pool or lake we all lather up with sun screen to protect our skin from the harmful rays of the sun. But do we remember to apply sunscreen to our feet?

Many don’t realize skin cancer can occur on the feet from unprotected sun exposure, and overlook applying sunscreen to the area. But, Thomas Carr, DPM, warns skin cancer of the foot is prevalent and can even be fatal if not caught early.

While all types of skin cancer, including squamous cell and basal cell carcinoma, can be found on the foot, the most common is the most serious form, melanoma. Symptoms can be as subtle as an abnormal-looking mole or freckle found anywhere on the foot, and often go unnoticed without routine foot exams.

According to foot and ankle surgeon Dr. Carr early diagnosis is key to effective treatment for the condition. But because people aren’t looking for the early warning signs or taking the same precautions they do for other areas of the body, often times skin cancer in this region is not diagnosed until later stages.

“I advise my patients to regularly inspect their feet, including the soles, in between their toes and even under their toenails, for any changing moles or spots and to have any suspicious areas promptly examined by a foot and ankle specialist,” Dr. Carr explains.

For more information on skin cancer of the foot contact Dr. Carr at 312-337-9900 or visit his web site at www.chicagopodiatry.com

Friday, May 28, 2010

Healthy Feet Make the Best Dancing Feet

Don’t ignore foot pain on the dance floor


Being ‘light on your feet’ when dancing is not entirely true; dancing the night away can take a toll on feet and ankles. Both professional and amateur dancers can suffer foot injuries that can stop the show, as witnessed this season on the popular reality-television show, Dancing with the Stars.

According to Chicago foot and ankle surgeon Thomas Carr, DPM, the most common types of dance-related foot and ankle problems are overuse injuries, which occur due to the repetitive movements in dance. "Over 50 percent of dance injuries occur in the foot and ankle. The severity of the damage is determined by a patient’s age, strength and flexibility and the type of shoes worn when dancing," said Dr. Carr.

Other common types of injuries related to dancing can include:
- stress fractures (hairline breaks in the bone) from repeated jumping and landing
- foot neuromas (thickening/irritation of the nerves in the ball of the foot) resulting from repetitive pivoting
- shin splints (pain and swelling in the front of the lower legs) which can be aggravated by recurring activities
- tendonitis (inflammation of the tendons in the foot) from over exertion
- corns, calluses or blisters—all painful skin irritations resulting from repeated rubbing of the skin on the feet.

With dancing being repetitively hard on the lower extremities, how can dancers of any level protect their feet and ankles? "The best defense to injury is prevention. Dancers should wear appropriate shoes to properly support their feet and ankles as well as perform dance moves with their individual skill levels in mind," Dr. Carr said
If you are suffering from foot or ankle pain, call Dr. Carr’s office at 312-337-9900 or schedule your appointment online at www.chicagopodiatry.com for an assessment.

Sunday, May 23, 2010

Enjoy Pregnancy without Foot Pain

Physician offers mothers-to-be remedies for aching feet
"Oh my aching feet" is a phrase you hear often from pregnant women. But, are sore feet a symptom they just must deal with during pregnancy? According to Chicago foot and ankle surgeon Thomas Carr, DPM, the answer is “no.” There are many remedies available to help alleviate foot pain.
Dr. Carr states women often experience foot pain during pregnancy because of increased weight, foot instability and swelling. “In the last five years, I’ve seen an increase in pregnant women with foot pain because more women than ever before are active, even running marathons, during their pregnancies,” Dr. Carr says. He recommends the following guidelines to help reduce foot pain during pregnancy.
Painful, Swollen Feet—Pregnant women often experience throbbing, swollen feet due to excess fluid build up (edema) in the feet from the weight and position of the baby. To reduce swelling, put feet up whenever possible, stretch legs frequently, wear wide comfortable shoes and don’t cross legs when sitting.
Arch Pain—Pain in the arch can be due to both arch fatigue or over pronation (or the flattening of the arch). Over pronation causes extreme stress to the ligament (the plantar fascia) that holds up the arch of the foot. The best way to prevent arch pain is to stretch daily in the morning and before and after any exercise, don’t go barefoot and wear supportive low-heeled shoes.
Ingrown Toenails—Excessive stress from tightly-fitting shoes causes painful ingrown toenails. Give your feet a break: wear wider shoes during the last trimester of pregnancy to avoid ingrown toenails. If you do experience an ingrown toenail, avoid attempting “bathroom surgery.” Repeated cutting of the nail can cause the condition to worsen over time. It is best to seek treatment with a foot and ankle surgeon.
It is also not uncommon for women to experience a change in their foot size during pregnancy. "A permanent growth in a women’s foot, up to half a size, can occur from the release of the same hormone, relaxin, that allows the pelvis to open to deliver the baby. It makes the ligaments in your feet more flexible, causing feet to spread wider and longer," Dr. Carr adds.
Pregnancy and pending motherhood should be a joy. If foot pain persists, call Dr. Carr’s office at 312-337-9900 or schedule an appointment online at www.chicagopodiatry.com. He can provide relief with conservative treatments such as physical therapy, foot orthotics, supportive shoes and minor toenail procedures.

Monday, May 10, 2010

Popular sandals causing foot problems in men?

Wrong sandal can cause heel pain, Achilles tendonitis, other ailments

Footwear has come a long way since Roman armies conquered an empire wearing only sandals on their feet. But what’s old is new again. Recent market research reveals sales of men’s sandals jumped 20 percent between 2005 and 2007.

Along with the growing popularity of men’s sandals come more aches and pains for male feet. Thomas Carr, DPM, a foot and ankle surgeon with offices in Chicago, says the wrong sandal could cause men problems including heel pain, Achilles tendonitis, pain in the big toe and even breaks and stress fractures in some of the foot’s 26 bones.

Dr. Carr recommends men shopping for a man sandal – or “mandal” as some people call it – look for a sturdy, cushioned, supportive sole and padded straps. Men with diabetes should consult their foot and ankle surgeon before wearing sandals.

Despite what many men may tell themselves, foot pain is not normal. Contact Dr. Carr’s office at 312-337-9900 to have your painful foot checked out by a surgeon who is educated, trained and experienced in treating foot and ankle conditions. Dr. Carr belongs to the 6,000 member American College of Foot and Ankle Surgeons (ACFAS), a national medical association of foot and ankle surgeons.

Wednesday, May 5, 2010

Golfers: Don't be handicapped with foot pain

As millions of avid golfers get ready for another season of pars and bogeys, they should be aware of potentially serious foot problems that can result from years of playing the game.
Although golf is not considered a rigorous sport, the physical act of repeatedly swinging a golf club in practice and on the links can lead to a condition known as hallux limitus, a jamming and deterioration of the big toe joint.
According to Thomas Carr, DPM, (FACFAS), the movement and weight transfer that occur during the swing’s follow through can cause this problem and other chronic foot ailments. Dr. Carr is a member of the American College of Foot and Ankle Surgeons with office in Chicago.
“When golfers follow through on their swing, they can overextend the big toe joint on the back foot,” says Dr. Carr. “Those who have played the game avidly for several years eventually can wear out the cartilage or jam the big toe joint. The likely outcome, if left untreated, is painful arthritis in the big toe, which would make it very difficult to continue playing golf.”
Golfers who have pain and swelling around the big toe joint or have less mobility in this area than other parts of the foot should visit a foot and ankle surgeon for an examination and appropriate treatment. A history of trauma to the big toe area and bone structure also can precipitate the condition. Individuals with a long first metatarsal bone (big toe), for example, are more susceptible to joint compression and hallux limitus.
“If golfers experience pain in the big toe area when playing, they should consider it a warning sign that intervention is necessary before the joint becomes arthritic,” says Dr. Carr. “In most situations, orthotics can be prescribed to provide relief, but others with advanced cases may require surgery.”
Another foot problem that is common in golfers is a neuroma or pinched nerve at the bottom of the foot. The weight transfer to the front foot that occurs in the follow through applies pressure that, over time, can cause a pinched nerve.
Dr. Carr also advises golfers not to wear shoes that have a spike located directly beneath the ball of the foot.
“The pressure from that single spike, magnified by the several thousand steps taken during an average round, can cause intense pain and swelling in the ball of the foot,” he says.
Dr. Carr says any pair of golf shoes can be made more foot friendly without sacrificing traction by removing the poorly located spikes.
For more information on foot conditions that affect athletes, contact Dr. Carr's office at 312-337-9900 , or visit the web site at www.chicagopodiatry.com.

Friday, April 23, 2010

Spring is ankle sprain season in Chicago

Spring is sports season for many amateur athletes and weekend warriors in the Chicago area. It's also ankle sprain season for one area foot and ankle surgeon.
Thomas Carr, DPM, (FACFAS), a foot and ankle surgeon with offices in Chicago, says ankle sprains are one of the most common sports injuries he treats this time of year.
"As people emerge from their winter hibernation and start to get active again, they can injure their ankles playing sports such as basketball, baseball, tennis and soccer," he says.
Anyone who injures an ankle requires prompt medical treatment, whether it's their first sprain or their fifth. Rest, ice, compression and elevation (R.I.C.E.) can reduce swelling and pain until the ankle can be evaluated and treated by a foot and ankle surgeon. A sprain may not always be a sprain; the ankle could be fractured.
Dr. Carr notes that many athletes develop chronic ankle instability from repeated ankle sprains, causing their ankle to frequently "give way." In some cases these players may require surgery. Proper rehabilitation of an ankle sprain reduces the likelihood of developing chronic ankle instability.
Dr. Carr shares three spring ankle sprain prevention tips from FootHealthFacts.org:
1. Perform warm-up stretches and exercises before playing sports.
2. Wear the right shoes for the sport. For example, don't wear running shoes for sports that involve a lot of side-to-side movement, such as tennis and basketball.
3. Wear an ankle brace if you're recovering from an injury or have repeatedly sprained your ankle.

Wednesday, April 21, 2010

Power Mowers Pose Danger to Feet

Thousands of Foot Injuries Can be Prevented Each Year

Lawn care season is back and Chicago foot and ankle surgeon, Thomas Carr, DPM, (FACFAS) cautions homeowners to protect their feet and the feet of those around them when using rotary-blade lawnmowers.
Each year, some 25,000 Americans sustain injuries from power mowers, according to reports issued by the U.S. Consumer Products Safety Commission. “The blades whirl at 3,000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet, each year we continue to see patients who have been hurt while operating a lawnmower barefoot,” said Dr. Carr, a member of the American College of Foot and Ankle Surgeons.
Dr. Carr said children under the age of 14 and adults over the age of 44 are more likely to be injured from mowers than others. He advises anyone who operates a power mower to take a few simple precautions:

  • 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.
  • Wear heavy shoes or work boots when mowing – no sneakers or sandals.
  • Don’t allow small children to ride on the lap of an adult on a lawn tractor. Children can be severely injured by the blades when getting on or off the machine.
  • Mow across slopes, never go up or down.
  • Never pull a running mower backwards.
  • Keep children away from the lawn when mowing.
  • Keep the clip bag attached when operating a power mower to prevent projectile injuries.
  • Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.

“If a mower accident occurs, immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection,” says Dr. Carr. “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 surgically reattached unless toes have been amputated,” he adds.

Tuesday, February 16, 2010

Fix Feet for Weight Loss Success

Many of the estimated 70 million obese Americans are trapped in a life-threatening vicious cycle: Obesity aggravates foot problems, like heel pain and flat feet; sore feet make it hard to exercise and lose weight; and without exercise, obesity worsens and exacerbates progression of diabetes, heart disease and other serious health threats. Today, a Chicago foot and ankle surgeon urged obese adults to seek immediate treatment for chronic, activity-limiting foot and ankle problems to foster compliance with physician-directed exercise programs.
“It’s unfortunate obese adults get caught up in the vicious cycle of avoiding physical activity due to foot or ankle pain, thereby permitting cardiovascular disease and other life-threatening conditions to worsen as a result,” says Dr. Thomas Carr, DPM, a member of the American College of Foot and Ankle Surgeons (ACFAS) in Chicago. “For example, in many cases, chronic heel pain occurs from carrying too much weight. Left untreated, it becomes an impediment to physical activity and meaningful weight loss.”
Dr. Carr says there’s no reason foot or ankle pain should stop obese patients from exercising. The first step toward breaking that vicious cycle is an evaluation by a foot and ankle surgeon.
According to the ACFAS consumer Web site, FootHealthFacts.org, many causes of foot pain can be relieved without surgery through stretching exercises, orthotics and athletic shoes with good shock absorption and support. If a bunion, heel pain or other condition requires surgery, patients can participate during their recovery in non-weight-bearing activities, such as riding a stationary bike, swimming or weight training.
For those moderately to severely overweight, Dr. Carr says a thorough physical examination is mandatory before beginning an exercise program.
“Once cleared by your physician to begin exercising, don’t try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity,” he says. “For example, I counsel overweight patients to avoid working out on treadmills or elliptical machines to minimize pounding and stress on their joints.”
Shedding excess pounds helps diabetic patients control their disease, but Dr. Carr notes many who experience foot ulcerations and vascular problems caused by diabetes might think they shouldn’t exercise.
“Every diabetes patient needs regular foot exams to check for possible sore spots and assess nerve sensation,” says Dr. Carr. “And with proper diabetic foot care and the right footwear, most patients can follow an exercise regimen that is safe and appropriate for them.”
For more information about ankle fractures and sprains or other foot and ankle problems, contact Dr. Carr's office at www.chicagopodiatry.com.

Monday, February 8, 2010

Icy Conditions Cause Falls and Broken Ankles

With the hectic pace of the holidays, serious injuries from ice-related falls inevitably occur. A Chicago foot and ankle surgeon says falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.
Dr. Thomas Carr, DPM, says the ankle joint is vulnerable to serious injury from hard falls on ice.
“Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping," he says.
Dr. Carr is a member of the American College of Foot and Ankle Surgeons (ACFAS) with office in downtown Chicago. He adds that in cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment.
“Never assume the ability to walk means your ankle isn’t broken or badly sprained," he says. "Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life."
Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture.
“It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment,” says Dr. Carr. “If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.”
According to the ACFAS consumer Web site, FootPhysicans.com, even though symptoms of ankle sprains and fractures are similar, fractures are associated with:

  • Pain at the site of the fracture that can extend from the foot to the knee

  • Significant swelling

  • Blisters over the fracture site

  • Bruising soon after the injury

  • Bone protruding through the skin—a compound fracture, which requires immediate attention!


Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly.
Dr. Carr said newly designed surgical plates and screws allow repair of these injuries with less surgical trauma.
“With newer bone-fixation methods, there are smaller incisions to minimize tissue damage and bleeding and accelerate the healing process,” he says.
Dr. Carr recommends scheduling an appointment with his office if you have injured your ankle in any way.
“If you fall on an icy spot and hurt your ankle, the best advice is to seek medical attention immediately," he says. "This aids in early diagnosis and proper treatment of the ankle injury and reduces the risk of further damage.”
For further information about ankle fractures and sprains or other foot and ankle problems, contact Dr. Carr at www.chicagopodiatry.com.

Friday, January 22, 2010

Got gout? Holiday season triggers painful toes in Chicago

Got gout? If so, a Chicago foot and ankle surgeon has a recommendation for surviving the holidays: Watch what you eat and drink.
Changes in diet, including overindulging in certain foods and beverages, can cause gout attacks this time of year, says Dr. Thomas Carr. Dr. Carr is a member of the American College of Foot and Ankle Surgeons (ACFAS) with office in Chicago.
Gout attacks are extremely painful. They are caused when uric acid accumulates in the tissues or a joint and crystallizes. This most commonly occurs in the big toe joint. Dr. Carr explains this is because the toe is the coolest part of the body and uric acid is sensitive to temperature changes.
He says foods that are high in purines contribute to uric acid build-up. He recommends that people prone to gout attacks avoid purine-rich items such as shellfish (shrimp, crab, etc.), organ meats (kidney, liver, etc.), red meat, red wine and beer.
Gout can be treated with medications, diet changes, increasing consumption of appropriate fluids, and immobilizing the foot. In some cases surgery is required to remove the uric acid crystals and repair the joint. For more information on gout, visit the ACFAS consumer Web site, FootHealthFacts.org, or contact Dr. Carr’s office at 312-337-9900 or on the web at www.chicagopodiatry.com.

Thursday, January 21, 2010

Why High Heels are Bad for Your Health



Watch how Dr. Carr from Chicago Podiatric Surgeons explains in a TV interview the dangers associated with wearing high heels.