Foot Care In Connecticut

Pregnancy Without Foot Pain

2012-03-02T11:14:00.000-05:00

"Oh my aching feet" is a phrase you hear often from pregnant women. But, are sore feet a symptom they just deal with during pregnancy? According to the doctors at Connecticut Foot Care Centers, the answer is "no". There are many remedies available to help alleviate foot pain.
According to Dr. Craig M. Kaufman, DPM, 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. Kaufman says. The doctors at Connecticut Foot Care Centers recommend 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 occurs due to 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.
Foot Cramps- These painful cramps are caused by increased blood volume and high progesterone levels brought on by pregnancy. To prevent cramps, increase circulation by rotating ankles and elevating feet while sitting. If cramps persist, try a walk around the block and include daily stretching of the calf muscles.
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. Kaufman adds.
Pregnancy and pending motherhood should be a joy. If foot pain persists, a visit to a foot and ankle specialist can provide relief with conservative treatments such as physical therapy, foot orthotics, supportive shoes and minor toenail procedures.
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Dangers of High-Heel Boots

2012-02-28T10:32:00.000-05:00

Winter's fashionable high-heeled boots put women at risk for slips, falls, and injuries on ice and snow. These popular boots typically feature tall, spiked heels and narrow, pointed toes.

Falls from high-heeled winter boots can lead to a number of injuries, depending on how the woman loses her balance. If her ankles roll inward or outward, she can break her ankles. If her ankle twists, ligaments can be stretched or torn, causing an ankle sprain. Broken and sprained ankles can also be present at the same time.
"Wearing high-heels makes you more unstable when walking or standing on dry surfaces, let alone slippery ones like ice or snow," says Dr. Richard E. Ehle, DPM. "A stylish low-heeled winter boot is a lot more fashionable than a cast and crutches." Ehle also recommends women scuff-up the soles of new boots, or purchase adhesive rubber soles, to provide greater traction.
"This time of year I see a variety of broken bones occurring in patients who have slipped on the ice," says Ehle. "These include broken toes, metatarsals, heels, and ankles."
Ehle urges women hurt from slips and falls in high-heeled winter boots to see a foot and ankle surgeon for prompt evaluation and treatment. In the meantime, immediately use the "R.I.C.E." method- rest, ice, compression, and elevation to help reduce swelling, pain, and further injury.
"Delaying treatment can result in long-term complications such as chronic ankle instability and pain, arthritis, or deformity," says Ehle. "Even if you're able to walk on the injured foot, pain, swelling, or bruising indicates a serious injury."
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Walk This Way

2012-02-25T15:07:00.000-05:00

From Prevention Magazine's March 2012 Issue
By Natalie Gingerich Mackenzie

The shoes you wear can make you feel slim, sexy, and stylish- or they can leave you winching in pain. Ever wonder how much damage you are doing when you walk to work in sky-high heels or scuff through errands in flip-flops? We wanted to find out for sure, so we took three 40-something women to a high-tech motion-analysis laboratory to test out four different types of shoes: flip-flops, high heels, dress flats, and toning sneakers. (Results were compared with our gold standard of comfort- a simple pair of running shoes.) At the lab, the women were outfitted with sensors to measure muscle and joint activity so we could see precisely what types of stress their bodies were subjected to. Read on to learn the findings and (since we know shoe choice is not always based purely on practicalities) get expert advice on how to make even those stilettos as foot-healthy and pain free as possible.
Flipping Out
They may be your favorite things to slip on as soon as the weather gets warm, but flip-flops aren't as foot healthy as you might think. Here's why:

Scrunch time. Only a thin strap and your bunched toes keep flip-flops from coming off. That constant grip makes it impossible for your arch to flex normally, which in turn compromises the way your forefoot pushes off when you step forward. Deprived of a powerful push-off, our testers compensated by using their hips, forcing their knees and hips to absorb more impact. In addition, your butt and the backs of your legs are less engaged in your stride, weakening those muscles over time, says Katy Bowman, a biomechanical scientist and the author of Every Women's Guide to Foot Pain Relief.
Short steppin'. Wearing flip-flops shortens your gait, so you can't expect to get very far very fast in them. Eventually, your shortened stride may lead to lower-body fatigue, which in turn may make you more inclined to hop in a cab or get in your car rather than hoof it, says Philip J. Vasyli, a podiatrist and founder of the orthotic company Vasyli International.
Flip-Flop Fixes
Stretch it out. To help your toes recover from the stress of being clenched, stretch the muscles along the top of the foot, says Bowman. Stand with your feet hip-width apart, then place one foot behind you, turning the tops of your toes to the floor. Try to keep both knees straight, stand tall, and don't let your ankle roll out to the side as you stretch. Start by holding the stretch for a few seconds on each side (you foot might cramp initially because it's not used to stretching this way), and work up to 60 seconds on each side.
Shop Smarter
If you can't fathom going through a flip-flop-less summer, opt for a more structured pair. Look for a contoured arch that fits to the shape of your foot (brands to buy: Chaco, Reef, Orthoheel, and Dansko, all of which have the American Podiatric Medical Association's Seal of Acceptance) rather than the flimsy corner-drugstore ones that look like they're stamped out of a piece of rubber.
The Heel Deal
There's a reason most women willingly forgo comfort to squeeze their feet into stilettos: Adding inches makes you look slimmer, accentuates calf muscles, and even lifts your backside.
But you may be doing lasting damage if you live your life in heels. A 2011 Danish study found that walking in heels can increase the risk of osteoarthritis sixfold. Here's what else we found in testing:

Tighter quads. Imagine standing on the edge of a ski slope with your toes pointing downhill. To compensate for this tipped-forward position, it's natural to bend your knees slightly and arch your back. As a result, your quads are forced to work overtime, which makes them tight and prone to injury. Walking with your knees slightly bent also puts 200% more stress on your kneecaps, which can wear away at the cartilage and increase your risk of developing arthritis, says Howard Dananberg, DPM, a podiatrist in Bedford, NH.
Screaming shins. The added height of heels puts extra strain on the shin muscles, which control the forefoot. This repetitive strain can eventually lead to painful shin splints.
Knotty calves. Heels put your calf muscles in a shortened position. Over time, this can become permanent: One study in the Journal of Experimental Biology found regular heel wearers had calf muscles that were an average of 13% shorter than those non heel wearers, making it uncomfortable for them to walk without heels because their natural stride was thrown off.
Heels Help
Stretch it out. Give your calves a good daily stretch like this one from Bowman: Stand with your feet hip-width apart and place a rolled-up towel under the ball of your right foot. Lower your right heel to the floor. Once you're comfortable here, take a small step forward with your left foot, keeping your hips square. Hold for 20 to 30 seconds and work up to 60 seconds.
Massage your shins. Relieve shin pain with a gentle self-rubdown, applying long vertical finger strokes down the front of your lower leg. Then focus on kneading the muscles horizontally, says Bowman.
Embrace the commuter shoe. Switch to low-heeled options for getting places, and save those skyscrapers for when you're mostly sitting pretty.
Shop Smarter
Feet swell over the day, so if a shoe feels slightly tight at 7AM, it'll be a vise by nightfall. Only buy shoes that are roomy enough, and consider going lower. Research shows that 2 inch heels create impact forces 4% greater than flats, while 3 inch heels boost stress by 33%.
Flat Attack
Flats sound like the healthier alternative to heels, but the truth is that even a basic ballet flat or canvas casual can be just as problematic, says Megan Leahy, DPM, a podiatrist with the Illinois Bone & Joint Institute in Chicago.
Arch enemy.Many flats lack internal support (like the kind you find in a sneaker). Without it, ligaments and tendons along the bottom of your foot can overstretch and the arch can collapse, says Marlene Reid, DPM, a podiatric surgeon in Naperville, IL. This in turn can lead to the painful foot condition plantar fasciitis- a notoriously hard-to-treat burning or aching along the bottom of the foot. Poor internal support is especially problematic if you're naturally flat-footed.
Strained soles. Many casual flats have even less interior cushioning than heels or sandals. This lack of padding can trigger pain in the heel or ball of your foot when you're walking, especially if you have high arches, says Dr. Leahy.
Flat Fixes
Give your feet a workout. To wear shoes with no built-in support, you need to strengthen the tiny foot muscles that support your arches, says Bowman. Try doing toe lifts: Raise your big toe without moving the rest of the gang. It may seem impossible at first, but it's like riding a bike, says Bowman: You just have to master the coordination. Until you get the knack, wriggle your toes and rub your foot vigorously, which will stimulate your nerve endings and help wake up your feet. Do 20 toe lifts per foot.

Stretch it out. Just as the abductor/adductor machine at the gym strengthens your outer and inner thighs, you can work your toe abductors and adductors to make the muscles of your foot stronger and more supportive. Start by interlacing your fingers with your toes to help press them apart, then spread and relax them without assistance from your hands. Hold the stretch long enough to sing the alphabet. Do this once a day (or up to 3 times if you have bunions).
Bump it up. Help strengthen the small muscles in your feet and lower legs by striding barefoot across an uneven surface such as cobblestones. This also helps stimulate the nerves in your feet. Buy a premade cobblestone mat with smooth stones already glued to it ($60, amazon.com) or find (or make) a bumpy space to walk back and forth on it in your backyard.
Add OTC insoles. If you have flat feet (your wet footprint shows the entire foot), foam or rubber insoles can help prevent your arches from collapsing. If you have high arches (you see only the heel and ball of your foot in your footprint), look for an insole with more rigid arch support.
Shop Smarter
Look for flats with an insole that curves along the same lines as your foot and arch. Then try to fold the shoe in half- it should only bend at the ball (the same place your foot naturally bends as you walk). Also avoid pairs that fold right in the middle or roll up easily.
Rocker Shocker
Shoes with rounded or "rocker" soles that purportedly increase muscle activity and boost calorie burn are big business- after all, who doesn't want to get a workout without really working out? But despite their medical provenance (rocker-bottom shoes were originally engineered to help patients with pain in the balls of their feet, says Dr. Leahy), consider the following before you get a pair as a fitness tool.
Stress case. The rigid soles prevent arches from naturally flexing. Eventually, this can cause your arches to flatten and lead to over pronation (when the feet excessively roll in while walking). The result: Your feet absorb less shock, causing your knees and back to take on extra stress.
Teeter trouble. Testers were slightly less stable in the rocker-bottom shoes. The Consumer Product Safety Commission's web site is loaded with complaints about injuries from toning shoes (including tendinitis; foot, leg, and hip pain; and even broken bones resulting from falls) and Reebok recently agreed to hand over $25 million in consumer refunds for overstating the benefits of its toning shoes.
Rocker Relief
Be inspired (but don't skip your strength workout). If these shoes help you feel more conscious of the benefits of every step you take and make you want to walk more, go for it! But don't skip proven strengtheners. The best way to tone your lower body is with strength moves such as squats and lunges, not just walking around in toning shoes.
Work your wobble muscles. Because these shoes make you unstable, they can lead to ankle injury. To strengthen the muscles around the ankle, practice standing barefoot with one leg lifted, keeping your standing knee straight, and try to minimize wobbling. Start with 30 seconds and work up to 60 seconds at a time.

Take it slow. The convex soles force you to change your natural gait, so it can take your muscles a while to get used to the movement. "At first you should not wear these shoes all day, every day," says Dr. Leahy. Start with about an hour a day and build up gradually. And listen to your body: "If you start to develop pain in your back, hips, knees, feet, or ankles, switch shoes," she adds.
Shop Smarter
If you're determined to try the rocker technology, look for a pair that actually bends at the ball of the foot. This will allow your foot to flex more naturally despite the extra thickness of the sole.
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What Causes My Heel Pain?

2012-02-22T15:39:00.002-05:00

Excessive Inward Motion When Walking
When you walk with excessive pronation, or inward motion of your foot, you can create an abnormal amount of stretching and pulling on the ligaments and tendons that attach to the bottom of your heel bone.
Inflammation of Your Arch Ligament & Heel Spurs

Plantar fasciitis is an inflammation of your arch ligament (fascia) that runs along the bottom of your foot (plantar surface). When your plantar fascia is strained, it can overstretch or tear. This can lead to inflammation, pain, and the growth of a heel spur.
Inflammation of Your Achilles Tendon
Pain at the back of the heel can be associated with inflammation of the Achilles tendon as it runs behind the ankle and attaches to the back surface of the heel bone. The inflammation is called achilles tendonitis.
Other Heel Pain Triggers You Should Know About
Other conditions that can bring about heel pain include: rheumatoid arthritis, bursitis, and something commonly referred to as a pump bump. This is a painful bony enlargement of the back of the heel bone aggravated by wearing certain types of closed heel shoes. Heel pain can also be caused by a bone bruise or stress fracture.
If you have any amount of heel pain, we don't have to tell you how crippling it can become when left untreated.
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Don't Ignore an Ingrown Toenail!

2012-02-18T15:58:00.005-05:00

If the area around your nail hurts just by rubbing your foot against your bed sheets, there's a good chance you're starting to get an ingrown toenail or that an infection is brewing.
An ingrown toenail occurs when the nail corners or sides dig painfully into the skin. This digging in of the nail irritates the skin, often creating pain, redness, swelling, and warmth in the toe. This may seem harmless enough at first, but once an ingrown nail causes a break in your skin, bacteria can cause an infection.
With the presence of an infection, you may notice drainage from the area, as well as a foul odor.
You could have a full-blown infection and not even know it. That's where podiatrists come in.

Please call us if there's any possibility of infection, especially if you have a medical condition that puts your feet at high risk for losing a limb, such as diabetes, nerve damage in the foot, poor circulation, or peripheral neuropathy.
Repeated trimming can make your condition worse and no over the counter topical treatments will do the job. A simple office procedure will ease your pain and give us the chance to start treating your infection right away.
Ingrown toenails are usually caused by cutting your nails too short or by a change in the shape of your nail. The problem can often be prevented by trimming toenails straight across, selecting the proper shoe style and sizes- and by letting us treat you in a timely manner.
Remember, we're always here to help.
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Don't Suffer With Heel Pain Any Longer!

2012-02-16T15:08:00.002-05:00

Why suffer another day of agonizing heel pain when we can provide you more comfort without surgery?
Thanks to recent breakthroughs in modern Podiatric Medical care, 90% of heel pain can now be treated without surgery.
Foot pain may be common, but that does not mean that it's normal. Foot disorders are among the most widespread and neglected health problems in this country. If you can't get out of bed in the morning because your feet hurt so much, or you can't walk or stand at your job, that's a serious issue that cannot be pushed aside.
Based on a recent survey, 72% of Americans say that foot ailments impact their ability to walk, exercise, stand, travel, work, and play with their kids or grand kids. Yet only about 25% of those in pain take care of their feet all of the time.
When you come to see a podiatrist in one of our six locations, you'll be in a program of ongoing care. As soon as you enter our doors you'll leave behind limping and giving up your favorite activities. Living without heel pain is possible and we can do it for you!

The heel bone is the largest of the 26 bones in the human foot. You may be experiencing burning, a dull ache, or a sharp pain anywhere in your heel area. Your symptoms may come and go, but it doesn't mean the problem is gone.
Pain anywhere in your foot needs attention. However, heel pain is of the utmost importance because of the many afflictions that can contribute to heel pain.
Excessive stress can be placed on your heel when running or jumping, or from prolonged walking or standing on hard surfaces. You can also place stress on your heel bone by wearing shoes that are worn out or that don't fit well- or even by being overweight.
When your feet aren't happy, every day is miserable. Once you get a taste of living without heel pain and discover how amazing you feel, you'll wonder why it took so long to make an appointment.
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Tour of Our Bristol Office

2012-02-16T09:44:00.000-05:00

Our Bristol office is located at:

51 Burlington Ave.

860-582-0747

Dr. Richard Ehle, DPM practices at this location.

Welcome to Bristol!

Waiting Room

Exam Room

Surgery Room

On Site X-Rays

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Best New Walking Shoes

2012-02-15T10:08:00.000-05:00

The latest research shows that athletic shoes that overrestrict foot motion may contribute to injuries, and so can flimsy flats. We asked 33 walkers to test more than 100 pairs for the right balance of support and flexibility for any occasion. The result is this list—our picks for the best walking shoes of 2011! To keep your feet feeling good mile after mile, try a bunch on and go with the shoe that feels best on your feet.

We walked hundreds of miles in the newest walking shoes to rate them for fit, stability, and--yes--style. Here are Prevention magazine's top picks.

Best For: Fast Walking. New Balance 860 ($90). Also available in blue.

This shoe has a superflexible toe that makes it easy to push off and quicken your pace. But no matter how fast you go, the ankle padding will keep your heel snugly in place. "My foot didn't budge, even in thin socks," reports tester Jessica Branch, 45, of New York City. A mesh upper is lined to buffer cold and wind.

Best For: Running Intervals. Brooks Trance 10 ($140).

Walkers who want to add jogging bursts should opt for a running shoe. This one is designed for high impact but is still flexible enough for the rolling motion of walking. "These shoes were comfortable at any speed; I felt like they really sprang me forward," reports tester Molly Raisch, 23, of Allentown, PA.

Best For: Hiking. Ahnu Rockridge II ($100). Also available in green and brown.

These lightweight hikers perform as well as bulkier high-top versions. "They're much more flexible," reports tester Jess Lee, 30, of Brooklyn, NY. The rugged sole grips as you go up and down hills but is bendable enough that you can keep up a smooth, rolling stride on level terrain. And the reinforced toe area protects your feet from bumps against rocks and roots.

Best For: Running Errands. Saucony Bullet ($60). Available in nine colors.

These stylish sneakers are lightweight and have just enough arch support to keep your feet comfy when you're on the go. "I wore these for shopping and doing errands--they were just right for everyday," reports tester Eileen Kohn, 48, of Aurora, OH. The full coverage makes them a good choice for spring and fall.

Best For: Overweight Walkers. Reebok DMX Max ReeDirect ($70). Also available in white.

Air pockets in the rubber bottom of the shoe reduce impact for more comfort and less chance of injury. Even slim walkers enjoy the extra cushioning, especially for long walks: "No matter how far I went, my feet never got sore," reports tester Jennifer DeLuca, 41, of Brooklyn, NY. The mesh upper lets air circulate so feet stay dry and cool.

Best For: Bunions. Asics Gel-Tech Walker Neo 2 ($100).

An ultraroomy toe box and an expandable "bunion window" on the inside take the squeeze off swollen joints and toes. "I could walk longer than usual, because the shoe has a lot of give in the right place," says bunion sufferer Connie Esmond, 63, of Broken Arrow, OK.

Best For: Feeling Like You're Barefoot. Ecco BIOM Walk ($175). Also availabe in gray.

Barefoot walking is a growing trend, but these minimally padded shoes protect your feet from the perils of the pavement while giving you much of the flexibility and foot-strengthening benefits of going au naturel. "I liked the narrow sole—it didn't feel at all clunky, like some sports shoes do," says tester Carina Ready, 35, of Casper, WY.

To avoid overworking your foot muscles, start with short 15-to 20-minute walks, and increase your workouts by about 5 minutes a week. You'll walk more lightly (minimizing the shock caused by your steps), and the strength you may gain can help prevent conditions such as fallen arches.

Best For: Dressing Up. Hush Puppies Veracity. ($80). Also available in taupe and black.

These shoes have a hip look, thanks to the asymmetrical strap, yet they provide the comfort of sneakers with cushioned insoles and arch support. "I could walk for longer than I can in flats," says Jodi Standish, 32, of Bellevue, NE. "My heels and arches felt great." The leather upper molds to your foot after a few wears for a snug—but not tight—fit.

Best For: Walking Away Foot Aches. Merrell Mezamine Ballet Flats. ($95). Also available in gray and black.

Mini rubber nubs on the insoles massage your feet as you walk. If you tire of the effect, flip the insoles over—they're reversible and have a smooth bottom side. "This shoe felt as light as a flip-flop and was dressy enough to wear out to dinner," says tester Rachelle Powell, 45, of Mesquite, TX. The tapered heels stay put—no slipping!

Best For: All Day Wear. Scarpa Caipirinha ($130). Also available in pink and tan.

These casual sneakers are sturdier than they look, making them a comfy choice for activities such as sightseeing, when you're on your feet for hours. The sole—made of slip-resistant Vibram rubber—is firm in the back and flexible in the front. "I usually take off my shoes as soon as I get home, but I wore these late into the night without even noticing," says Kristina Donatelli, 39, of Bethlehem, PA.

Is It Time for New Shoes?

Athletic walking shoes should be replaced after they've logged 350 to 600 miles. If you walk 3 miles 5 days a week, that means every 6 to 10 months. To keep track, write the date you started using a pair in marker on the inside of the shoe's tongue.

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Going to the Podiatrist Saves You Money!

2012-02-12T14:36:00.006-05:00

We've know it for a long time, but your feet are in good hands!
Research proves that compared to other health professions, podiatric medicine is the best equipped to treat your lower-extremity complications from diabetes, reduce hospitalizations, and cut your overall health care costs. And who these days isn't looking to cut costs and prevent unnecessary expenses?

Diabetes is a complex condition that can become very costly to manage. However, even with just one podiatric evaluation, we can potentially save you thousands of dollars and increase your quality of life! Aren't you looking to lead the best life you can?
Researchers examined records of more than 32,000 patients with diabetes, aged 18 to 64, comparing the costs, risk factors, and quality of life issues for those who received podiatric care and those who did not. We'll sometimes hear from reluctant diabetic patients "Why do I need to see a podiatrist when I already see a primary care doctor or endocrinologist for my diabetes?" Well, you see a opthomologist for your eyes, a dentist for your teeth, a gynecologist for your women's health issues, so why wouldn't you go to a podiatrist for your diabetic foot care?
The Thomson Reuters Healthcare Study highlights the phenomenal value of today's podiatric medical care:

Researchers found that care by a podiatric physician (one preventative, pre-ulcer visit) reduced the risk of hospitalization and lower-limb amputation.
Among patients with commercial insurance, a savings of $19,686 per patient with diabetes can be realized over a three year period if there is at least one visit to a podiatrist in the year preceding a diabetic ulceration. Among patients with commercial insurance, each $1 invested in care by a podiatrist results in $17 to $51 in savings.
Among Medicare-eligible patients, a savings of $4,271 per patient with diabetes can be realized over a three year period if there is at least one visit to a podiatrist in the year preceding ulceration. Among Medicare-eligible patients, each $1 invested in care by a podiatrist results in $9 to $13 of savings.

A multidisciplinary team approach that includes regular podiatric visits is the most effective way to prevent diabetic foot complications.
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Diabetic Amputations- Doesn't Have To be Your Future!

2012-02-08T14:12:00.004-05:00

Somewhere in the world, a leg is lost to diabetes every 30 seconds. Worldwide, diabetes take a life every seven seconds. Yet, preventative podiatric visits can drastically reduce life-threatening diabetic foot complications!

Whether you're one of the 24 million Americans diagnosed with diabetes or you're one of the nearly seven million Americans who don't know they have diabetes, frequent podiatric visits are no longer an option.
Diabetes affects many parts of your body, but your feet are especially susceptible. Over time, elevated blood sugar levels can impair your immune response and blood flow, leaving your lower extremities extremely vulnerable to infection, ulcers, and wounds. Once down this road, it's difficult to hit reverse.
And, just because you have an infection on your feet doesn't mean that it's going to stay in your feet. You can't afford to risk the potentially devastating effects of a fast-spreading infection.
If you don't take care of your feet, you can end up with severe ulceration- the primary factor leading to lower-extremity amputations. Fortunately, going to a podiatrist for diabetic foot care regularly has been proven to reduce this tragic outcome by as much as 85 percent.
Contact us if you or a loved one notices any tingling, redness, skin discoloration, coldness, or swelling of the feet, or if you have a blister, sore, or cut that isn't healing.
The good news is that if caught early, we can prevent and successfully treat diabetic foot complications. Keeping your legs, ankles, and feet healthy will help you stay active and healthier all over. Remember that if you're having discomfort, pain, or another problem in your feet it is often an indication of your overall health and wellness.
Anyone with an immune deficiency, poor circulation, or a nerve disorder such as peripheral neuropathy (which diabetics often have) that diminishes the feeling in your feet, can develop a dangerous infection you may not even know about.
Diabetic foot amputations don't have to be part of your future- be smart and see a podiatrist!
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Frostbite and Your Feet

2012-02-04T16:44:00.000-05:00

Are you prepared? As we enter the cold weather season, many of us will be skiing, sledding, and shoveling snow. Many people will get cold feet as well as wet feet. Having “Jack Frost nipping at your nose” sounds great when Nat King Cole sings it, but it’s no fun when frostbite strikes your feet.

Extreme exposure of your feet to cold over a prolonged period can lead to a serious condition called frostbite. However, you do not necessarily need to be exposed to extremely cold temperatures to get frostbite. Even cool temperatures coupled with wet socks can induce frostbite.

Symptoms include pain and a burning sensation in the exposed areas, numbness in the toes or feet, and changes in skin color, from pale or red to bluish-gray or black. Children, the elderly, and people with diabetes are more prone to frostbite because of the size of their extremities or poor circulation. People who live or work outdoors also have higher likelihood of contracting frostbite because of their increased exposure to the cold.

There are various degrees of frostbite with frost nip (first degree) being the most commonly encountered by people who live in very cold climates or do a lot of outdoor activity in the winter. Skin may feel stiff to the touch, but the tissue underneath is still warm and soft.

Superficial frostbite (second degree) and deep frostbite (third degree) are serious medical conditions that must be treated by a trained medical professional. Skin will feel hard and frozen to the touch and blistering will happen. In some severe cases, doctors may have to amputate frostbitten limbs to prevent severe infection.

Start your treatment by getting out of the cold and moving to a warm environment. Keep the feet dry and

warm; warm the skin gradually by using warm compresses or immersing the feet in warm water (101° to 104° F) until sensation returns. Do not use direct heat such as heating pads or fire, and do not disturb any blisters.

Frostbite is very serious, and if you suspect that you have it, seek professional help from a podiatric physician for any foot and ankle-related concerns. Prompt diagnosis and proper treatment are essential; they can literally save your toes.

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February Shoe of the Month: Ballet Flats

2012-02-03T10:47:00.000-05:00

We're not fans of the ballet flat here at Connecticut Foot Care Centers in general, but there are always exceptions. The ultra-feminine ballet slipper may make you feel light on your feet, but in reality, its flat nature can be punishing on the arch and heel. Thin soles provide inadequate cushioning and support, and can result in heel and arch pain. Never choose a pair that can bend in half and don't wear for a long period of time. Consider a cushioned insert like the Power-Steps we sell here in the office for extra shock absorption. Pictured here are Clark's Poem Court in demin. Cute!

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Winter Sport Injuries

2012-02-01T16:38:00.000-05:00

For many athletes and weekend exercise warriors, winter is a time to enhance their cardiovascular health. Many partake in winter sports such as sledding, skiing, snowboarding, rough-and-tumble ice hockey, or casual ice skating. Winter sports offer a fast track for fun, but expose the body to injuries, especially foot and ankle injuries.

Some common winter and snow sports injuries related to the foot and ankle include:

Frostbite – The symptoms of frostbite include skin-color changes, from blue to whitish, and a feeling of burning or numbness;
Blisters – Friction in winter sports footwear often causes blisters;
Neuromas – Enlarged benign growths of nerves between the toes are caused by friction in tight footwear and can result in pain, burning, tingling, or numbness. Neuromas require professional treatment, including an evaluation of skates and boots, from a podiatric physician;
Sprains and strains – The stress of skiing and skating can result in sprains and strains of the foot and ankle. They can be treated with rest, ice, compression, and elevation (RICE). If pain persists, seek medical attention from a podiatric physician; and
Subungual hematoma – Pressure in the toe box of a ski or skate can cause bleeding under the toenail known as a subungual hematoma. This condition should be treated by a podiatric physician to prevent the loss of a toenail.

Podiatric physicians recommend properly fitted shoes or boots to prevent winter and snow injuries. With adequate preparation and proper equipment, you can prevent most injuries common to winter and snow sports.

Maintain an adequate fitness level all year round. Being fit is the best way to avoid many sports-related injuries in winter.
Find a buddy who enjoys your sport. Never participate in winter sports alone.
Warm up thoroughly before activity. Cold muscles, tendons, and ligaments are vulnerable to injury. Make sure to cool down thoroughly afterwards, as well.
Wear several layers of light, loose, water and-wind-resistant clothing for warmth and protection.
Wear proper footwear that is in good condition and keeps feet warm and dry. Footwear should provide ample ankle support, as well.
Wear appropriate protective gear, including goggles, helmets, gloves, and padding.
Wear a blended sock that “wicks” sweat away from the skin. Consult your podiatric physician for recommendations.
Drink plenty of water before, during, and after your sports activity.
Move to a warm, dry environment if your feet get wet. The skin tissues of wet, cold feet are in danger of freezing (frostbite).

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Brr! Frozen Toes!

2012-01-28T15:59:00.000-05:00

Cold feet are certainly uncomfortable (read our post from earlier in the month on cold feet and Raynaud's disease)- whether they are your own or your mate's bumping your leg in the night. Brr! If you have ever allowed your feet to get really cold, you know that it can feel like they will never be warm again.
But what about if they feel cold even when the air temperature is a comfortable 74 degrees? Cold feet are not necessarily a concern, but they can be a sign of an underlying systemic disease. That is why persistently cold feet should be examined by a qualified podiatrist.

Often, cold feet are a sign of poor circulation. When circulation is adequate, the arterial blood supply to the feet keeps them warm and comfortable. However, when circulation is compromised, feet may feel colder. When this is the case, the feet should be kept warm using natural fiber socks and leather footwear that holds heat in. Because poor circulation, like diabetes, can interfere with healing properties, care should be taken to protect feet from cuts or hot spots that can lead to sores or infections.
Cold feet may also be a sign of peripheral neuropathy, which is characterized by loss of sensation in the feet, and is often a sign of diabetes. Another problem for which cold feet may be a problem is heart disease.
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Pondering Toning Shoes?

2012-01-24T14:56:00.000-05:00

Walk into any shoe store in the athletic area and you'll be bombarded with these odd looking rocker shoes. What are they? Do they really work? Should you spend all that money?

The claims made by athletic shoe companies (especially Sketchers and Reebok) include: Tone your legs! Strengthen your core! Improve your posture! Some of these claims may be right on the money, but before you put down the big bucks (at least $100 or more) for the newest fad in shoes, you may want to have more information.

There are actually several different types of shoes that may employ some instability or a rocking motion:

Toning shoes may look odd but utilize various designs to force the core muscles in your body to work harder to obtain balance.
Mild rocker shoes are not meant to improve posture or balance. They reduce strain on the heel and toes by allowing you to roll normally with each step.
Unstable rockers have an unstable heel designed to force you to change your center of gravity and posture and stand up straighter.
Stable and medical rockers are great for reducing certain motion in the toe joints or off-loading pressure from a particular area of the foot. These are mainly prescribed by podiatrists to treat arthritis or pain in the ball of the foot, diabetes, and plantar fasciitis. They also may be prescribed for use after surgical procedures.

The original rocker bottom shoes were designed by a Swiss engineer and were called MBT, for Masai Barefoot Technology. The shoes were designed to mimic the rolling motion from heel to toe that the Masai people typically have in their barefoot gait. Once MBT's caught on, other shoe companies followed with their own toning footwear. In fact, toning shoes are the fastest growing shoe category since the 1970's.

Rocker bottom and toning shoes can change your walking or standing posture. They can change how you walk, and the muscles of the body adjust and compensate. Because you will be using new muscles, your podiatrist might recommend that you wear these shoes for shorter walks or on alternating days for cross training. In some patients, rocker bottom shoes can cause injuries such as Achilles tendonitis or ankle sprains. But in others, the slight adjustment in gait can help tone and strengthen muscles. However, it is important to remember that anyone who already has an unstable gait should be very cautious about using these types of shoes.

Most doctors agree that if these shoes can get people motivated to walk, thereby improving their health and fitness, they are worth the money. However, make sure to check with your podiatrist, who can recommend the best shoe for you for any activity. Also, be sure to start wearing them in gradually, and stop immediately if any pain or discomfort develops.

A number of toning shoes, sandals, and boots have been granted the American Podiatric Medical Association's Seal of Acceptance. Brands that have gotten the Seal include:

AVIA
Ryka
FitFlop Limited
Keds
Reebok

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Mid-Year Foot Check-Up For Kids

2012-01-23T15:35:00.000-05:00

Children will be thrilled to know they've made it half-way through the school year. Their shoes have also made it through half the year, and it may be time for a new pair.

Children's feet can grow up to two sizes in six months. If you suspect your children's growth has made their shoes too tight, check for blisters on the back of the heels, corns and calluses on the toes, or ingrown toenails.

Check the shoes for wear and tear, too. Shoes lose their shock absorption over time. If it's time to buy new shoes, choose a pair that has a little, but not too much, room for growth. Shoot for about a finger's width of space between your child's big toe and the front of the shoe. Don't buy shoes too big, however. Oversized shoes cause the foot to slide forward, putting pressure on the toes.

Be sure the shoes have a toe box wide enough to accommodate your child's feet, adequate cushioning and shock absorption. Children with flat feet also need shoes that provide arch support. If your child is having trouble walking or running or is experiencing foot pain despite properly fitting shoes, call one of our offices for a check-up.

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Shoe Trends for Spring 2012

2012-01-19T15:27:00.000-05:00

I know it seems a tad bit early to be talking about shoes for the spring, but when it comes to trends, you want to be ahead not behind!
Seen first on the runways in New York underneath Oscar de la Renta gowns, then in Paris, we bring you... the Shootie! Or, in more specific terms, a "sheer bootie", seen in the picture above, middle.
Most of the shooties are made of mesh and have a body of a high heel. The claim is these shoes are perfect for steamy days (to ventilate the feet, of course), and lazy days (when nail polish isn't quite up to par). Also, keep a look out for floral motifs.
We'll see if it catches on.
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Meet Your Doctors! Dr. Ayman Latif, DPM

2012-01-19T10:33:00.000-05:00

Dr. Ayman M. Latif is our newest doctor in the practice, having joined Connecticut Foot Care Centers in 2008.
Dr. Latif was born and raised in Egypt and graduated from the Faculty of Veterinary Medicine at Cairo University. He came to the United States and decided to pursue his dream of becoming a podiatric physician. In 2005 Dr. Latif graduated from New York College of Podiatric Medicine.
Residency training took Dr. Latif to Hoboken, New Jersey, where he completed his required hours at Hoboken University Medical Center. He is board certified by the American Board of Podiatric Surgery in foot surgery and reconstructive rearfoot and ankle surgery.
Dr. Latif's hospital affiliations include Middlesex Hospital in Middletown, CT, Hartford Surgical Center (Surgical Care Affiliates) in Hartford, CT, and St. Francis/Mt.Sinai Hospital in Hartford, CT. He is a member of the American Podiatric Medical Association and the Connecticut Podiatric Medical Association.
Dr. Latif is married to Neveen and they have two children, Anthony and Justine. While not working towards bringing you your happiest feet, Dr. Latif likes to travel, fish, and swim.
Dr. Latif practices out of the Glastonbury and Middletown offices. For appointments, call 860-633-6749 (Glastonbury) and 860-346-5226 (Middletown).
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Does the Queen of Butter Have Type 2 Diabetes?

2012-01-16T21:49:00.001-05:00

Paula Deen, queen of rich and fatty Southern foods drenched in butter, revealed today that she has the version of Type 2 diabetes which is linked to obesity. This secret may cause fans of the Food Network star to think twice before making one of her recipes, which are notorious for their high fat content. Deen may be looking for a podiatrist in the near future...
Type 2 diabetes is when the body resists insulin production. Insulin delivers all glucose, or sugar, to our cells. When you are overweight, the body is less sensitive to the insulin that is released from the pancreas. Medical evidence suggests that fat cells are more resistant to insulin than muscle cells. When you have more fat cells than muscle cells, insulin is less effective overall, and the glucose circulates in the blood instead of being carried to the cells to be used for energy.
Losing just 7 to 10 pounds can drastically reduce the progression of the disease, as well as cutting back on foods high in fat content and cholesterol (Deen will have to change her cooking strategy!).
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Get Active With Winter Sports

2012-01-16T15:00:00.001-05:00

Skiing at a resort or gliding across an indoor ice rink make for great winter recreation. Use caution in winter sports though so you can finish the day with hot cocoa instead of a cast and crutches. Beginning ice skaters experience a lot of falls. When that happens, tendons can sprain or tear. Even experienced skaters can fracture an ankle.
Downhill skiers, cross-country skiers, and snowboarders also risk injuries to their feet and ankles, including sprains, fractures, and dislocations.
If you do get injured, let our office check it out. It may be a sprain or a fracture, and it's important to get medical treatment promptly for both conditions. An ankle sprain could lead to chronic ankle instability if left untreated. If it's a fracture, you don't want the bones to start healing if they aren't aligned properly.
If an x-ray shows you don't have a fracture, you may still have stretched a tendon or injured a joint. These may worsen without proper treatment and could cause arthritis, tissue damage, and problems with foot alignment. We can help you head off these complications.
Follow these tips to prevent injuries:

Make sure skates, ski boots, or snowboard boots fit properly. Lace up ice skates tightly enough to give your ankles proper support.
If you haven't engaged in a sport since last winter, start two weeks ahead of time doing specific exercises to condition the muscles used in that sport. You can find conditioning and warm-up exercises by doing an internet search.

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Meet Your Doctors! Dr. Craig Kaufman, DPM

2012-01-12T10:27:00.000-05:00

Dr. Craig M. Kaufman grew up in Brooklyn, NY (sometimes you'll hear the accent!) and graduated from Midwood High School. He attended Binghamton University in Binghamton, NY and graduated with a Bachelor's of Arts in Economics in 1994. While at BU, he was on the Dean's List and involved with Tau Epsilon Phi Fraternity.
Dr. Kaufman's heart, however, lay with medicine, and he attended Temple University School of Podiatric Medicine in Philadelphia, graduating with his Doctor of Podiatric Medicine in 1998. He was a member of Pi Delta National Honor Society from 1996-1998 and the Stirling Harford Honorary Anatomical Society from 1995-1998, serving as the organization's secretary from 1995-1996.
Residency took Dr. Kaufman to the Kentucky Podiatric Residency Program, where he was a resident at the University of Louisville Hospital PSR 36 in Louisville, KY from 1998-2001. He served as the Chief Resident from 1999-2001. Dr. Kaufman was board certified by the American Board of Podiatric Surgery in 2006. His special interest in the field of podiatry is sports medicine.
Dr. Kaufman is a member of the American Podiatric Medical Association and the Connecticut Podiatric Medical Association. His hospital affiliations are Middlesex Hospital in Middletown, CT, Hartford Surgical Center (Surgical Care Affiliates) in Hartford, CT, The Hospital of Central Connecticut at New Britain General in New Britain, CT, and St. Francis Hospital in Hartford, CT.
Dr. Kaufman has been married 13 years and has two children, Drew, 7, and Hannah, 4. His wife Allison is an occupational therapist. While not treating his patients, Dr. Kaufman likes to play basketball, volleyball (of which he plays on leagues), skiing, camping, hiking, and travelling.
Dr. Kaufman practices out of the Newington, Kensington, and Middletown locations. For appointments, please call 860-665-9276 (Newington), 860-828-9455 (Kensington), and 860-346-5226 (Middletown).
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Wintertime Foot Blues

2012-01-11T11:58:00.011-05:00

You've bid farewell to those colorful sandals and comfortable flip-flops until next summer. But just because your feet won't be on display does not mean it's time to forget about foot care.
Taking care of your feet is especially important in the winter. "During the winter, our feet are cooped up in heavy socks and shoes and may be extra dry due to the lack of moisture in the air," said Dr. Jeffrey S. Kahn, one of the doctors at Connecticut Foot Care Centers.
What's the remedy for dry feet in the winter? Follow this at-home treatment, recommended by the foot experts at the American Podiatric Medical Association and your feet will be winter fabulous.
1. Prepare to pamper.
Remove old nail polish and stimulate foot circulation by propping one foot at a time on your lap, slowly moving your thumbs from the top of your toes to the bottom of your heel and back. Then, cut toenails straight across with a nail clipper and smooth rough edges with an emery board.
2. Soothe your soles
Soak feet for at least five minutes in a container filled with warm water. Use a pumice stone or foot file to gently smooth the skin around your heels, and the balls and sides of your feet. Pat your feet dry, making sure to dry between each toe and loosen your joints by rotating your foot slowly at the ankle a few times in each direction. Apply emollient-enriched lotion all over your feet to hydrate the skin and increase circulation. Then, gently push back the cuticles with a cuticle pusher or manicure stick.
3. Add the finishing touches.
Using soap and water, remove the moisturizer from your toenails and in-between your toes. Next, if your nails are healthy, feel free to splash on some color with the nail polish of your choice. Before you go to bed, wrap cellophane around your feet. The cellophane will act as a sauna while locking in the moisture. By morning, your feet will be smooth, soft, and ready to go.
4. Consider getting laser nail treatment.
If you have fungal toenails and no topical or oral medication has worked for you, consider getting laser nail treatment. Convenient and quick, the procedure takes less than 20 minutes. By the time sandal season comes along, you should have clear, fungal-free toenails!
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Halle Berry's Foot Problem Back

2012-01-10T15:55:00.000-05:00

After being seen in sandals for several months after a broken foot, Halle Berry was seen wearing a walking cast dropping her daughter Nahla off at school.
Berry broke her foot while filming Cloud Atlas in Mallorca, Spain in September. The injury was thought to have completely healed, but Berry heard a crack after taking a bad step while out walking.
Broken or fractured feet are not something to take lightly. Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.

There are two types of foot fractures: stress fractures and general bone fractures. Stress fractures usually occur in the bones of the forefoot extending from the toes to the middle of the foot. Stress fractures are like tiny cracks in the bone surface. They can happen with sudden increases in exercise (such as running or walking for longer distances or times), improper training techniques, or a change in surfaces.
Most other types of fractures extend through the bone, and are called bone fractures. They may be stable, in which there is no shift in bone alignment, or displaced, in which the bone ends no longer line up properly. Bone fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. If the fracture does break through the skin, it is called an open fracture.
Because of the complex structures in the foot, there are some other, more specific types of fractures that can occur. For example, the fifth metatarsal, known as the little or pinky toe, is susceptible to a variety of different fractures. The relationship between the ankle and the foot can be compromised by an ankle-twisting injury, which may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is known as a Jones fracture, which occurs near the base of the bone and disrupts its blood supply. This injury may take longer to heal or require surgery.
Common symptoms for any type of foot fracture includes pain, swelling, and sometimes bruising. Be sure to seek medical attention for any suspected foot fracture.
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Stay Trim and Comfortable in the New Year

2012-01-09T14:54:00.000-05:00

You're raring to exercise, lose weight, and stick to your New Year's resolutions. When you hit the gym for a good workout though a sharp pain shoots through your heel, or your feet become tender, numb, or painful.
How can you exercise when your feet are aching? We see many exercisers with foot pain after every round of New Year's resolutions. Here are some tips for avoiding it:

If you feel a sharp, stabbing pain when you get out of bed or stand up, you likely have plantar fasciitis. That's an inflammation of a band of tissue on the bottom of the feet. To prevent it, wear athletic shoes that support the arch and cushion the heel, or try orthotics. Your shoes should be designed for the sport.
If you feel pain in the ball of your foot or tingling in the third and fourth toes, you may have a neuroma, which is a pinched nerve. They're generally caused by wearing shoes that are too tight. Get your feet measured and wear the proper size in both athletic and everyday footwear.
If the backs of your feet feel tender and painful, your burst of exercise may have strained the Achilles tendon. Be sure to warm up for your workout and start new exercise routines gradually. Sports trainers recommend increasing your exercise intensity by only 10 percent a week. If you do develop Achilles tendonitis, use rest, ice, compression, and elevation (R.I.C.E.).

If pain from any of these conditions continues for more than five days, call our offices for an appointment. We can evaluate your condition, take steps to avoid future complications, and offer pain relief.
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Feet Focus in Spa Trends for 2012

2012-01-05T15:17:00.001-05:00

Feet are at the top of the list for trends for 2012, according to SpaFinder's list of Spa Trends for the new year.

Spas and wellness centers are now putting a big focus on feet: from “foot fitness” classes to new 100-percent foot-focused med-spas to podiatrist-overseen “medi-pedis” to treatments specifically targeting high-heel pain. And while the ancient Chinese practice of reflexology revolves around using foot acupressure to impact the organs of the body, the fact that reflexology centers are becoming as common as nail salons may have more to do with people simply seeking pain relief via foot massages, rather than some sudden conversion to Traditional Chinese Medicine.

So what do we encase our body’s precious shock absorbers in these days? The fashion gods have women wearing the sky-highest heels in history, and women worldwide are bombarded with images of Lady Gaga or Victoria Beckham teetering around in insane six inch-plus “killer heels.” Two in five American women now wear high heels every day, and 43 percent claim they won’t give them up, despite the misery. Other foot-bruising fashions: fashionable and unsupportive ballet flats and flip-flops, and the running world’s mania for the new, nearly barefoot “foot gloves.” Also significantly adding to the world’s collective foot trauma is the global obesity and diabetes pandemic, and a global population aging at unprecedented rates.

The upshot of all this sexy footwear and anti-foot behavior? An epidemic of not-so-sexy conditions like plantar fasciitis, bunions, hammertoes, corns, metatarsalgia, flat feet, Achilles tendonitis, neuromas, Hagland’s deformity, or “pump bump,” and arthritis, etc. Medical experts argue that high heels share the blame for the fact that four in five American women now suffer foot problems— and also for the arthritis pandemic underway in the UK, with 60 percent of cases now occurring in feet. The pain can be so agonizing that some women are actually having Botox, silicone and Restylane injected into the bottoms of their feet, to counteract the damage their high heels have done!

Examples: Consider the new, extremely comprehensive “Healthy Feet” program at Canyon Ranch SpaClub in Las Vegas (U.S.), overseen by a well-known doctor of podiatry. The program’s tagline: “If it will make feet feel better, it’s available here…” The dedicated “Healthy Feet” facility offers computerized gait analysis and orthotics assessment, along with a whole slate of foot-focused treatments performed in zero-gravity chairs, with names like “Foot Rescue!” and “Healthy in Heels.”

One striking example of the new “foot fitness” bootcamps is New York City’s Yamuna (U.S.), with classes that assess people’s walk, improve their posture and offer a host of therapies designed to “get people’s shoes out of their feet.” (Yamuna also offers “Foot Waker” kits, including special exercise balls to prevent and combat high-heel trauma.)

Podiatrist-overseen “medi-pedi” examples are numerous, from celebrity foot doc Margaret Dabbs' London locations (UK), including her Sole Spa at the Liberty store, to Hand and Foot Spas’ three London locations (UK) to New York City’s Ajune Spa (U.S.) to Kachina Natura Spa (Ireland). Famed French foot doctor Bastien Gonzalez’ signature “Le Soin de Pieds” pedicures are served up to well-heeled clients in London, Dubai, etc., and are now incorporated as the “Pedi:Mani:Cure” treatments at One&Only spa resorts, from Reethi Rah (Maldives) to Palmilla (Mexico).

New “100-percent-feet-only” med-spas include Stride Wellbeing in northern California (U.S.), which integrates full podiatric medical services and surgeries with a rich menu of foot-relief spa treatments. (Stride’s program revolves around its STRIDE Annual Foot Exam, or SAFE.)

Multi-treatment, foot-focused spa packages specifically zeroing in on high-heel agony (i.e., special feet/calf massages, stretching, etc.) include New York’s Mohonk Mountain House’s (U.S.) “High Heeler” treatment. Spa Montage locations in California and Utah (U.S.) offer special high-heel pedicures using special oils and gels to reduce stiletto swelling.

Unique specialty pedicures, treatments and foot spas are also on the rise, from Mandarin Oriental, Las Vegas’s (U.S.) 1930s- and Shanghai-themed “Chinese foot spa” to Dragonfly spas’ (20-plus Chinese locations) four-hand foot massages to “medi-pedis” specifically for men at the Mandarin Barber in Hong Kong, performed by a third-generation Shanghai medi-pedi master, Samuel So, using ten razor-sharp metal blades.

Look for: almost every spa skincare line to include specialty foot products, and for companies that specialize in pain-relief, like Biofreeze, or foot-care specialists like the more than 100-year-old powerhouse Gehwol of Germany to continue to make big strides into the new feet-focused spa arena. (Gehwol products are used in hundreds of global spas, including Canyon Ranch’s new “Healthy Feet” program.)

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Meet Your Doctors! Dr. Jeffrey S. Kahn, DPM

2012-01-05T10:14:00.000-05:00

Dr. Jeffrey S. Kahn, DPM was born in New Jersey and upon graduation from high school, attended Ohio State University to pursue a Bachelor's in Zoology. While there Dr. Kahn was involved with KTE Fraternity. After graduation from OSU in 1973, he decided to switch from studying animals to people! Dr. Kahn graduated from Ohio College of Podiatric Medicine in 1977.
Dr. Kahn received his board certifications from the National Board of Podiatry Examiners in 1978 and the American Board of Podiatric Surgery in 1987. He belongs to the American Podiatric Practice Administration, the American Podiatric Medical Association, and the Connecticut Podiatric Medical Association.

Dr. Kahn has been heavily involved with podiatry in the state of Connecticut, serving as the President of Connecticut Foot Care Independent Practice Association from 1991-1999. As well, he was the President of Connecticut Podiatric Medical Association from 1989-1991 and also served as past vice president, treasurer, secretary, and board member. Locally, he served in the Hartford County Podiatric Medical Society as Past President, Vice President, Treasurer and Board Member. Dr. Kahn also served as the President and Chief Executive Office of Sovereign Management Services from 1998-2005.
Dr. Kahn was named Podiatrist of the Year in 1991 by the Connecticut Podiatric Medical Association and was listed in the "Who's Who in the East" in 1983-1984, 1985-1986, and 1986-1987.
Dr. Kahn's hospital affiliations are Middlesex Hospital in Middletown, CT, Hartford Surgical Center (Surgical Care Affiliates) in Hartford, CT, and St. Francis Hospital in Hartford, CT. His specialities within the office are general practice, diabetic foot care, and heel pain.
Dr. Kahn has been married for 39 years and has four children and five grandchildren. For the last 8 years, Dr. Kahn likes to spend his spare time racing R/C cars and trucks. He is also a target shooter and marksman.
Dr. Kahn practices out of the Rocky Hill and Middletown locations. For appointments with Dr. Kahn, call 860-563-1200 (Rocky Hill) or 860-346-5226 (Middletown).
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Cold Feet- Could It Be Raynaud's Phenomenon?

2012-01-04T11:52:00.001-05:00

If you suffer from chronically cold hands and feet, the winter weather may not your only concern. Raynaud's phenomenon (RP) is a common, benign vascular disorder characterized by episodes of constriction of very small arteries in the toes and fingers, usually in response to cold temperatures or stress. Symptoms in the fingers and toes include unusual paleness and/or a red or bluish color to the skin. Occasionally other parts of the body are affected including the nose, ears, and/or tongue. RP does not usually occur in association with any other underlying disorder and may also be referred to as primary Raynaud's disease.
RP most frequently affects women, especially in their 20s, 30s, and 40s. The causes of RP are unknown. Commonly, RP manifests itself when you see your fingers and toes go through a three-phase color sequence. Initially, the digit(s) involved turn white due to a diminished blood supply. They then turn blue because of prolonged lack of oxygen, and finally, the blood vessels reopen, causing a local "flushing" phenomenon, which turns the fingers and toes red. This sequence (white to blue to red), most often occurring due to exposure to cold temperatures, is characterized of RP.
A secondary form of the disorder, known as Raynaud's disease, affects a small number of individuals and is usually found in association with another underlying systemic disorder. The symptoms are similar to RP, however, they tend to form an ulcer. Your podiatrist is an excellent source for diagnosis and treatment.
People with Raynaud's phenomenon or Raynaud's disease should take extra precautions to protect themselves from cold exposure.
For more information on Raynaud's phenomenon, visit our website: http://www.ctfootcare.com/raynauds-disease.html.
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January Shoe of the Month: Pumps

2012-01-03T14:26:00.000-05:00

The perfect pump is always classy and never goes out of style. Ageless and refined, it comes in many styles, including the ever-fierce stiletto. Be aware if pumps are too pointy, the pressure placed on toes over time

can contribute to unsightly bony prominences called hammertoes or bumps at the base of the big toe called bunions. Search for deep toe boxes, which give more wiggle room. And, of course, see a podiatrist if pain exists to determine necessary treatment options.
Great shoes do not have to be ugly or something you think your grandmother would wear!
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'Tis the Season- Handle Bunions With care

2011-12-25T12:59:00.000-05:00

The holidays are all about spending time with friends and family, but if your feet hurt, you certainly can't be the life of the party. With a bunion to worry about, you may not be able to enjoy all the pleasure that the holidays can bring- and the dancing too. However, there are ways to "beat the blues" when dealing with bunions, and taking some of these steps can bring you relief- at least from your foot pain.

A bunion is an enlargement of the joint at the base of the big toe- the metatarsophalangeal (MTP) joint- that forms when the bone or tissue moves out of place. This forces the toe to bend toward the others, causing an often painful lump of bone on the foot. Since this joint carries much of the weight while walking, bunions can cause extreme pain if left untreated.

The MTP joint itself may become stiff and sore, making wearing shoes sometimes difficult or impossible.

Bunions are a symptom of faulty foot development and are usually caused by the way we walk, our inherited foot type, our shoes, or other reasons. Although bunions tend to run in families, it is the foot type that is passed down- not the bunion. Other causes of bunions are foot injuries, neuromuscular disorders, or congenital deformities. People who suffer from flat feet or low arches are also prone to developing these problems, as are arthritic patients and those with inflammatory joint disease.

Treatment options vary with the type and severity of each bunion, although identifying the deformity early in its development is important in avoiding surgery. Podiatric medical attention should be sought at the first indication of pain or discomfort because, left untreated, bunions tend to get larger and more painful, making nonsurgical treatment less of an option. The primary goal of most treatment options is to relieve pressure on the bunion and halt the progression of the joint deformity.

A podiatric physician may recommend one or more of the following treatments: padding and taping to minimize pain, medication to ease the pain and inflammation, physical therapy (such as ultrasound), and orthotics (shoe inserts) to control foot function and reduce symptoms.

When conservative treatments fail or the bunion progresses past the threshold for such options, podiatric surgery may become necessary to relieve pressure and repair the toe joint. Several surgical procedures are available to the podiatric physician. the surgery will remove the bony enlargement, restore a more appropriate alignment of the toe joint, and relieve pain.

A simple bunionectomy, in which only the bony prominence is removed, may be used for the less severe deformity. Severe bunions may require a more involved procedure, which includes cutting the bone and realigning the joint.

Recuperation takes time, and swelling and some discomfort are common for several weeks following surgery. Pain, however, is easily managed with medications prescribed by your podiatric physician.

For more information on bunions, visit our website: http://www.ctfootcare.com/bunions.html

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Got Gout? Holiday Season Triggers Painful Toes

2011-12-24T12:37:00.000-05:00

Got gout? If so, doctors with the American College of Foot and Ankle Surgeons have a recommendation for surviving the holidays: Watch what you eat and drink.

Changes in diet, including overindulging in certain food and beverages, can cause gout attacks this time of year.
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, because the toe is the coolest part of the body and uric acid is sensitive to temperature changes.
Foot and ankle surgeons say that foods that are high in purines contribute to uric acid build-up. They recommend that people prone to gout attacks avoid purine-rich items such as shellfish (shrimp, crabs, etc), organ meats (liver, kidney, etc), red meat, red wine, and beer.
Gout can be treated with medications, diet changes, increasing the 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, check out the gout page on our website: http://www.ctfootcare.com/gout.html
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Tour of Glastonbury Office

2011-12-19T17:01:00.000-05:00

Our Glastonbury office is located at:
300 Hebron Avenue Ste. 105
860-633-6749
Dr. Ayman Latif practices at this location.

Reception Area

Waiting Room

Exam Room

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Podiatrists in Glastonbury, CT

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Tour of Newington Office

2011-12-15T18:07:00.000-05:00

Our Newington office is located at:
505 Willard Ave. Bldg 2, Ste. D
860-666-2078.
Dr. Kaufman practices at this location.

Exam Room

X-Rays on Site

Surgery and Procedure Room

Reception Area

Welcome!

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Podiatrist in Newington, CT

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Tour of Middletown Office

2011-12-14T17:28:00.000-05:00

Our Middletown office is located at:

535 Saybrook Road

860-346-5226

Dr.s Kahn, Kaufman, and Latif practice out of the Middletown location.

Surgery and Procedure Room

X-Rays on Site

Exam Room

Surgical Consultation Room

Waiting Room

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Podiatrists in Middletown, CT

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Avoid Holiday Foot Mishaps

2011-12-13T16:37:00.000-05:00

Lots of holiday shopping usually means lots of walking, sometimes running and it can all add up to painful feet! A survey by the American Podiatric Medical Association (APMA) shows the number one way women

soothe their soles during the holiday madness is by moisturizing their feet. Stretching and massaging the feet are also on the list of favorite foot fixes. APMA offers a few more ways to keep your feet merry this holiday season:

* Point Your Toes – Avoid toe cramping by raising, pointing, and curling your toes for five seconds each and repeat 10 times. You won’t even break a sweat!

* Massage Your Feet – Women like it because it works! Release tension, increase circulation, and rejuvenate the skin after a long day on your feet. Get out the lotion and rub those toes!

* Elevate Your Legs – Reduce swelling by lying down and lifting legs above your heart.

* Rotate Your Ankles – Relax your feet by rotating your ankles, cupping your heel, and turning each ankle slowly five times. This loosens the ankle joints.

* Wear Smart Shoes – No high heels! If you know you will be on your feet all day, wear comfortable shoes with arch support and a padded sole.

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Looking For the Perfect Boots?

2011-12-12T16:30:00.000-05:00

Boots are not only a practical choice for winter weather, but today's boots can also be a fashion statement. For us in Connecticut, boots in the winter are almost a way of life! Even those who do not necessarily need to wear boots in the winter chose to wear them. If you follow some specific "podiatrist-approved" advice, you will be comfortable wearing your boots regardless of where you live and what types of temperatures you have to endure. Remember- not all boots are made equal!
* Have your feet measured before trying on boots. The size of your feet can change throughout your life. Keep in mind that your boot size may not be the same in all styles and brands of boots. Try to fit boots in the afternoon, when your feet are at their largest. And buy your boots for your larger foot- did you know that most feet are not exactly the same size?
*Boots should feel comfortable when you try them on in the store. Don't think that you can "break them in" because more than likely if they aren't comfortable in the store, they won't be comfortable in three more weeks. Boots constructed of natural materials, like leather, will keep your feet dry and comfortable during the winter months. Stay away from synthetics and plastics which will cause your feet to sweat, trapping in heat and moisture and causing odor.
*Bring your prescribed insoles or orthotics when boot shopping. The rigid shape of some boots limits natural foot movement and provides no arch support. A good insole inside the boot will cushion your foot and provide that much needed support.
*While you are in the store, think about how you will be using your boot. If you opt for furry snow boots, you will want to look for rubber soles with deep grooves to give you the best traction. Obviously, those narrow high heels and spikes look fashionable, but they won't help you out on a snowy, icy day! Choose a lower heel or stacked heel for additional support.
*When choosing boots for specific sports such as skiing or snowboarding, you should always work with a knowledgeable sales person. With good advice, along with your orthotics or insoles, you can not only be comfortable, but you can also improve your performance on the ice and snow.
When in doubt about any type of boot, ask your podiatrist for recommendations. Often the doctor can help you make the best choice for your foot type and even for a specific sport. Even Santa has a good podiatrist you know. ;) Check out the boots I recently bought- a pair of Aetrex's Berries boots (seen left, middle) and love them! Waterproof and fashionable, I almost can't wait until it snows to wear them.
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Ugly Toenails? Considered Laser Treatment?

2011-12-07T14:05:00.000-05:00

If you're like many people, when you look at your toenails, you may shrink back in horror. Having ugly, discolored, misshapen toenails is not uncommon. People of all ages can have fungal toenails or "ugly nail syndrome". Fungal toenails can be caused by heavy foot perspiration, poor shoe/sock ventilation, or walking barefoot in damp areas such as a gym or locker room. Fungi love dark, damp places!

What happens when you do not want to take an oral medication, apply a topical, or have the nail surgically removed? Another option is laser treatment. Connecticut Foot Care Centers is one of the few podiatry practices in the state that offers laser treatments for fungal toenails. Clearly Beautiful Nails is a mobile laser which travels to our six locations. Using laser treatments is the latest in clearing up those ugly toenails. CBN uses the Light Age Q-Clear laser treatment, which can effectively rid your toenails of unsightliness in as little as one or two treatments, depending on the severity of the condition. The mid-infrared laser wavelength penetrates the nail, eliminating the destructive infection that causes the infection and revitalizing your nail as it grows out.
When you come in for your procedure, your toenails will be cleaned and filed prior to treatment. as each toe is treated with the laser you will feel a mild, warming sensation. The laser treatment will take take less than 10 minutes to treat both feet and there is usually no discomfort after the treatment. The physician will discuss post treatment care to avoid fungal reinfection.
Results will show in 2-4 months, depending on how quickly your toenails grow. Be patient! Some people's toenails grow extremely slow. New clear growth begins to appear at the bottom portion of your nail as the diseased portion of the nail grows out. You may return to your normal daily routine immediately after your toenail treatment, including painting your nails or pedicure treatments.
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Tour of Kensington Office

2011-12-06T16:29:00.000-05:00

Our Kensington office is located at:
949 Farmington Avenue
Phone: 860-828-9455
Dr. Craig Kaufman, DPM is the only doctor who sees patients in this office, on Tuesdays 9-5 and Thursdays 1:30-5.

Welcome!

Waiting Room

X-Rays on site

"There are millions of toes in the world, but only ten you can count on."

Exam Room

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Podiatrist in Kensington/Berlin, CT

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APMA's "15 Days of Foot Festivities"

2011-12-05T17:16:00.000-05:00

Let APMA’s Ernie the Elf “treat your feet” this holiday season with some fabulous foot-friendly gifts during the "15 Days of Foot Festivities" Giveaway! How can you win? Simply follow APMA on Twitter @APMAtweets and become a fan on Facebook for a chance to win once a day.
The contest runs from December 5-23, and giveaways will include APMA Seal products from companies like Reebok, AmLactin, ASICS, and more. Make sure to use Ernie's official giveaway hashtag on Twitter (#footfestivus) to increase your chances to win!
Check out APMA’s Twitter and Facebook pages for more information. Good luck!

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Heel Pain in Children

2011-12-05T17:10:00.000-05:00

Pain in your feet is never normal, but children who play sports who experiencing pain in their heels should be seen by a podiatrist right away. "Playing through the pain" should never be an option. Untreated heel pain in children can lead to complications walking and complicated therapy.
The highest number of heel pain cases in children spikes in the fall and winter, mostly due to sports. The growing epidemic of childhood obesity is another cause of heel pain in adolescents. Fortunately for children, they are good healers and treatment can be simple if the problem is caught early.
Children undergoing growth spurts, for girls from age 8 to 13 and for boys from age 8 to 15, are most susceptible to heel pain. A strip of soft tissue where new bone is forming to fit adolescent's new feet is called the growth plate of the heel bone. As well, other sources may be overuse, repeated pounding, or excessive force on the Achilles tendon can cause the inflammation and pain.
For teenagers whose growth plates have already finished forming, causes of heel pain may be plantar fasciitis, tendonitis, bursitis, or bone bruises or fractures.
R.I.C.E. (Rest, Ice, Compression, and Elevation) may the the most simple remedy to a child's heel pain, but when the pain continues, an evaluation is necessary. A doctor may prescribe an anti-inflammatory, physical therapy, or other treatments, like orthotics.
If your child is experiencing heel pain, there is no need to bring them to the emergency room. A podiatrist is the only doctor who specializes in the foot and ankle for people of all ages.
As a parent, you should consider switching your child's shoes. Those fashionable Ugg boots, ballet flats, Converse sneakers, and flip-flops may be what your child wants, but they are not right for a growing foot (or most any foot for that matter!). Some guidelines for shoes are:
*Consider an insert to raise the heel, especially in flat-soled cleats.
*Toss shoes that cause pain.
*Wear shoes that are specific to each sport. Each sport has specific needs, skills, and strains on your feet.
Children should not skimp on warm-up or cool-down exercises when participating in sports. Stretching is one of the best ways to rid a patient of heel pain.
If your child is limping, complaining, walking on toes, and experiencing pain on the morning after a game, you should make an appointment to see a podiatrist.
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Diabetes Quiz

2011-11-15T18:38:00.000-05:00

Think you know a lot about diabetes? Take this fun quiz created by the American Podiatric Medical Association (APMA).
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What Is A Podiatrist and Why Should I Go To One?

2011-11-15T18:29:00.000-05:00

A Doctor of Podiatric Medicine (DPM) practices the medical, surgical, and biomechanical treatment of the human foot, ankle, and associated structures. Although we specialize in the prevention, diagnosis and treatment of problems affecting the foot and ankle, Doctors of Podiatric Medicine are also highly trained health care providers. We see people of all ages and are often the first medical specialists to diagnose systemic problems that affect the feet and ankles such as diabetes, gout, hypertension, immunodeficiencies, and arthritis. Four years of podiatric medical school is typically followed by 2 or 3 years of residency that certifies these doctors to function as partners in the larger medical community. Podiatric physicians (podiatrists) are medical professionals who exclusively specialize in treating the foot and ankle.
What does a podiatric physician do?

Diagnoses lower extremity pathology such as tumors, ulcers, fractures, skin and nail diseases, and congenital and acquired deformities.
Makes independent judgments, prescribes medications, utilizes x-rays, MRI, ultrasound and other laboratory tests for diagnostic purposes, and orders physical therapy.
Treats conditions such as: corns, calluses, bunions, heel spurs, plantar fasciitis, ingrown nails, cysts, bone disorders, and infections of the foot.
Fits corrective inserts called orthotics that address walking patterns to improve the overall ability of effective and efficient ambulation.
Provides consultations for the patient and for referring physicians regarding prevention of podiatric problems and possible treatments.
Performs surgical correction of the foot including: hammertoes, clawtoes, bunions, fractures, infections, ruptured ligaments and tendons, and neuro-vascular abnormalities of the foot.

Podiatrists are the ONLY doctors who are specially trained to treat the foot and ankle. If you have a question as to what kind of doctor you should see and there is a problem with your foot or ankle, you should visit a podiatrist. Our staff is fully trained in all aspects, injuries, conditions, and ailments of your lowest extremity.

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Diabetes By The Numbers

2011-11-11T18:30:00.000-05:00

Diabetes: Overall Impact

Total: 25.8 million people have diabetes--more than 8 percent of the US population.
Diagnosed: 18.8 million people
Undiagnosed: 7 million people
Prediabetes: 79 million people
New Cases: 1.9 million new cases of diabetes were diagnosed in people aged 20 years and older in 2010.
Health-care and Related Costs: $174 billion is spent annually on the treatment of diabetes.

Diabetes Among People 20 Years or Older

Total: 25.6 million people, or more than 11 percent of all people in this age group, have diabetes.
Men: 13 million, or nearly 12 percent of all men in this age group, have diabetes.
Women: 12.6 million, or more than 10 percent of all women in this age group, have diabetes.

Diabetes in the Hispanic/Latino Community

Total: Nearly 12 percent of Hispanic/Latino Americans aged 20 years or older have diabetes. Among Hispanics, rates were:
Cubans: 7.6 percent
Mexican-Americans: 13.3 percent
Puerto Ricans: 13.8 percent
Increased Risk: Hispanics/Latinos are 66 percent more likely to be diagnosed with diabetes compared to non-Hispanic whites.

Complications of Diabetes: Amputations

About 60 to 70 percent of people with diabetes have mild to severe forms of diabetic nerve damage (which often includes impaired sensation or pain in the feet or hands, slowed digestion of food in the stomach, etc.). Severe forms of diabetic nerve damage can lead to lower-extremity amputations.
More than 60 percent of non-traumatic lower-limb amputations in the US occur among people with diabetes.
After an amputation, the chance of another amputation within 3 to 5 years is as high as 50 percent.
The rate of amputation for people with diabetes is 10 times higher than for people without the disease.

Preventing Diabetes Complications

According to a Thomson Reuters Healthcare study, the US health-care system could save $3.5 billion annually if every American at risk for developing a diabetic foot ulcer visited a podiatrist once, before complications set in.
Comprehensive foot care programs can reduce amputation rates by 45 to 85 percent.
Today’s podiatrists are qualified by their education, training, and experience to diagnose and treat conditions affecting the foot, ankle, and related structures of the leg, and play an integral role in a diabetes management team.
Diabetes can affect many parts of the body and can lead to serious complications such as blindness, kidney damage, and lower-limb amputations. Working together as a team, those with diabetes and their health-care providers can reduce the occurrence of many diabetes complications.

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Diabetic Foot Care FAQ's

2011-11-08T18:27:00.000-05:00

Why should I “knock my socks off” and see a podiatrist?
The feet are said to be mirrors of our general health and can reveal diabetes warning signs such as numbness, redness, swelling, or non-healing wounds. Making at least two appointments a year with today's podiatrist, the foot and ankle expert, to have your feet examined is a critical step in avoiding diabetic foot complications and amputation.

I have been diagnosed with diabetes. What foot complications could I experience?

A loss of feeling in your feet
Foot ulcers or sores that do not heal
Amputation

Should I talk about diabetes with my community, family, and friends?
Yes! It is encouraged for those with diabetes, as well as those who are at risk, to openly discuss the disease with family members. According to the International Diabetes Federation, as many as 438 million will have diabetes by 2030. Diabetes is often passed down from generation to generation, especially in the Hispanic community. Don't be embarrassed to talk about it with those closest to you because diabetes is best managed as a team.

What are diabetic ulcers and how can I prevent them?
Diabetic ulcerations are often one of the first signs of complications from diabetes in the lower leg. These ulcers can stem from a small wound or cut on the foot that is slow to heal. If left untreated, ulcers can become harder to treat and could lead to amputation. If discovered early and treated by a podiatrist, ulcers may not lead to amputation.

Can I still see a podiatrist if I don't have medical insurance?
Podiatrists work in health clinics, in addition to private practices, treating patients. Work directly with your podiatrist to create alternative options such as payment plans. Don't let a lack of insurance keep you from receiving proper foot care.
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Tour of Rocky Hill Office

2011-11-03T13:21:00.000-04:00

Our Rocky Hill office is located at:
506 Cromwell Avenue Ste. 204
860-563-1200
Dr. Jeffrey S. Kahn, DPM practices at this location.

X-Ray Room

Exam Room

Products Sold In Our Office

Waiting Room

Reception Area

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Podiatrist in Rocky Hill, CT

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Diabetes Awareness Month

2011-11-03T12:28:00.000-04:00

Diabetics have many health concerns. Among them is the need to pay greater attention to their feet. Because feet are a distance from the heart. poor blood circulation and nerve impairment often caused diabetic feet to be at risk. A regular program of hygiene, common sense, and periodic foot examinations by a podiatric physician can help keep diabetics on their feet and walking. Feet with poor circulation have a harder time fighting infection and healing injuries. Complications from even minor bruises can result in serious ulcerations or even amputations. Numbness, tingling, cold feet, or a bluish discoloration are symptoms of circulatory problems. When nerves are impaired, injuries can occur without one's knowledge, such as a burn from bath water that is too hot. A program of daily foot hygiene and regular inspection are essential to good foot health. Avoidance of activities which restrict circulation such as crossing one's legs, wearing tight stockings or garters or exposing one's feet to cold temperatures is important. Smoking tobacco must be avoided at all costs. Remember to take care of your feet as one pair must last a lifetime.
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