Monday, September 19, 2011

6 tips to protect Chicago 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 at www.chicagopodiatry.com.

Tuesday, September 13, 2011

Women's feet hurt more in autumn

Autumn 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 Dr. Thomas Carr, says he notices more women seeking relief for painful bunions. Dr. Carr has his office in Chicago. 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.

Dr. Carr can be contacted at 312-337-9900 or you can also conveniently schedule an appointment online at www.chicagopodiatry.com.

Monday, August 8, 2011

Is Your Foot Fracture an Early Sign of Osteoporosis?

Local foot surgeon urges patients not to ignore foot pain

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.

According to Chicago foot and ankle surgeon Dr. Thomas Carr, 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 schedule your appointment online at www.chicagopodiatry.com.

Monday, March 28, 2011

Prevent your child from getting this painful foot problem

Parents can prevent a common childhood foot problem by following some simple recommendations, according to a Chicago foot and ankle surgeon.

Chicago foot and ankle surgeon Dr. Thomas Carr, says ingrown toenails are one of the most frequent conditions he treats in children. Many kids hide their ingrown toenails from their parents, even though the condition can cause significant pain. An ingrown nail can break the skin and lead to dangerous infections.

Dr. Carr blames tight shoes, tight socks and incorrect nail trimming for most cases. In others, the children may inherit the tendency for nails to curve. Dr. Carr shares the following tips from the American College of Foot and Ankle Surgeons.

Teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don't cut them too short.

Make sure children's shoes fit. Shoe width is more important than length. Make sure that the widest part of the shoe matches the widest part of your child's foot.

If a child develops a painful ingrown toenail, reduce the inflammation by soaking the child's foot in room-temperature water and gently massaging the side of the nail fold.

The only proper way to treat a child's ingrown toenail is with a minor surgical procedure at a doctor's office. Parents should never try to dig the nail out or cut it off. These dangerous "bathroom surgeries" carry a high risk for infection. Dr. Carr says he may prescribe antibiotics to children with infected ingrown toenails.

For more information on pediatric foot problems such as ingrown toenails, contact Dr. Carr at 312-337-9900 or conveniently schedule an appointment online at www.chicagopodiatry.com.

Monday, March 21, 2011

Five Signs Your Child May Have a Foot Problem

Foot and ankle problems in children often go unnoticed. Signs and symptoms can be subtle, and sometimes children can’t explain what’s wrong. But it’s important to protect growing feet and have problems checked out early.

Dr. Thomas Carr, a member of the American College of Foot and Ankle Surgeons, offers five warning signs parents should watch for.

1. Your Kids Can’t Keep Up with Their Peers
If children lag behind in sports or backyard play, it may be because their feet or legs are tired. Fatigue is common when children have flat feet. The muscles in the feet and legs tire easily because the feet are not functioning as well as they should.

2. Children Voluntarily Withdraw from Activities they Usually Enjoy
If they are reluctant to participate, it may be due to heel pain - a problem often seen in children between the ages of 8 and 14. Repetitive stress from sports may cause muscle strain and inflammation of the growth plate, a weak area at the back of a child’s heel.

3. They Don’t Want to Show You Their Feet
Children may feel pain or notice a change in the appearance of their feet or nails but don’t tell their parents because they fear a trip to the doctor’s office. Dr. Carr encourages parents to make a habit of inspecting their child’s feet starting at a young age. Look for any changes such as calluses, growths, skin discoloration, or redness and swelling around the toenails.

4. Your Child Often Trips and Falls
Repeated clumsiness may be a sign of in-toeing, balance problems or neuromuscular conditions.

5. The Child Complains of Pain
It is never normal for a child to have foot pain. Injuries may seem minor, but if pain or swelling last more than a few days, have your child’s foot examined.

If you've noticed any of these signs in your children, call Dr. Carr's office for an assessment or conveniently schedule your appointment online at www.chicagopodiatry.com.

Wednesday, February 9, 2011

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 conveniently schedule your appointment online at www.chicagopodiatry.com.

Wednesday, February 2, 2011

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 conveniently schedule your appointment online at www.chicagopodiatry.com.

Monday, January 17, 2011

Five Tips for Healthy Holiday Feet

Don’t let sore, achy feet ruin your holiday season. Chicago foot and ankle surgeon Dr. Thomas Carr, offers five tips to healthy holiday feet.
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, or conveniently schedule your appointment online at www.chicagopodiatry.com.

Monday, January 10, 2011

Keep Your Feet Safe at the Gym in the New Year

Don’t let foot injuries keep you from your fitness resolutions

In the New Year, don’t forget to keep your feet in tip-top shape while following through with your resolutions to get fit. Chicago foot and ankle surgeon Dr. Thomas Carr, DPM, offers tips for foot safety while at the gym.

Start new workouts gradually— Increase your stamina and the length of your workouts gradually to avoid overuse injuries such as stress fractures or tendon strains and sprains. Stretching your muscles before and after workouts also helps prevent these types of injuries. “If you do feel you’ve sprained your ankle, be sure to seek treatment right away,” Dr. Carr, a member of the American College of Foot and Ankle Surgeons explains. “Untreated or repeated ankle sprains may lead to chronic ankle instability, a condition that causes persistent pain and a ‘giving way’ of the ankle.”

Wear the right shoe and sock—Wear well-fitting athletic shoes designed for the exercise or sport. According to Dr. Carr, shoes that don’t support the arch of the foot and provide cushion for the heel can cause heel pain (plantar fasciitis). Shoes that are too small can also cause a neuroma, or a thickening of the nerve tissue, in the foot and may require injections, medication or physical therapy. Wearing cotton or non-slip socks are also key to help avoid painful blisters, which can become infected and cause more serious issues.

Use good technique— Improper exercise techniques can result in injury to the tendons or ligaments in your feet and ankles. “Incorrect posture or misuse of exercise equipment can cause decreased stabilization in the foot and ankle, leading to joint sprains and muscle strains,” Dr. Carr says.

Gym Safety

Protect yourself from bacteria—Sweaty shoes, public showers, exercise equipment and the pool deck at the gym are breeding grounds for fungus, viruses and bacteria, including drug-resistant strains like MRSA (methicillin-resistant Staphylococcus aureus) which has become increasingly more common. Never go barefoot while in public areas; water shoes can provide a great barrier between your feet and the wet surfaces. “It’s also best to cover cuts and cracks in the skin or ingrown toenails since these minor tears in the skin’s surface can act as entry points for bacteria. If you have a cut or scrape that becomes red or swollen and is not healing in a timely manner, don’t hesitate to see a foot and ankle surgeon for an examination,” Dr. Carr says.

Above all, it’s important to listen to your body. If you experience an injury or pain, call Dr. Carr’s office at 312-337-9900 for an evaluation, or conveniently schedule your appointment online at www.chicagopodiatry.com.