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

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.

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.

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.

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.

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.

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.