Dr. Berg's Foot Facts
By Dr. Rion Berg
March 15, 2017
Category: Heel pain
Tags: Untagged

Botox seems to be a wonder drug for women and men who want to eliminate deep wrinkles, migraines, muscular disorders, and several other conditions. But does it work for foot pain?  Some preliminary research has demonstrated that Botox may have a positive effect for those seeking relief for certain painful foot conditions.

How does it work?

Botox works by disrupting the signaling processes that allow neurons to communicate effectively. Because it works for other painful conditions researchers have been doing small studies to find out how well it works in reducing foot pain.

Two foot conditions have been the subject of research in recent years: plantar fasciitis and Morton's neuroma.

Plantar Fasciitis
If you're a heel pain sufferer you know how debilitating this condition can be. At the Foot and Ankle Center of Lake City we use a variety of modalities to relieve your pain including injection of steroids if warranted. A small study in Mexico compared patients who received injections of Botox vs those who received an injection of steroids concluding that those in the Botox group were the clear winners when it came to recovery.

Morton's Neuroma
A pilot study in Spain studied how well Botox would work in Morton's neuroma. They treated 17 patients who had not responded to steroid injections or other measures with Botox. Seventy percent of the patients found improvement in their pain. In our office we use steroids on occasion but more frequently we use alcohol injections to shrink the neuroma which has a high recovery rate.

Keeping in mind both studies were small and the cost of Botox is high, more research with positive outcomes needs to be done and the price would need to come down before I'd consider using it with my patients.

If you do have plantar fasciitis (heel pain) or a Morton's Neuroma we do have very effective treatments for both of these conditions.

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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By Dr. Rion Berg
March 13, 2017
Category: Heel pain
Tags: blisters   wrong shoe size  

Did you know that many foot problems start with your shoes? It's not surprising when you consider that our feet have to bear all of our weight and our shoes have to fit just right to support us.

Here are 5 clues to help you determine whether you need to give your shoes the boot:

Toenail Bruising
Certainly wearing shoes that are too short can cause this problem, but it's also possible that your shoes don't fit well in other ways. For example, if you purchased a pair of hiking boots and you notice bruises on your big toes after a long hike.

Very likely these bruises occurred as you were hiking down and your toes hit the top of your shoes. Size is not the only thing to look for in a boot; correct width in the heel and other places has to be just right or your feet will slide forward.

Pain Across the Top Of Your Foot
You've tried clogs several times but they kill the top of your feet. Very likely you have a high arched foot that won't accommodate your shoe choice. Choose shoes with a flexible midsole and avoid shoes that have straps that hit in the wrong place or won't span the top of your foot. Look for shoes that cover your foot lower down toward your toes. For suggestions see Barking Dog Shoes.

Blisters
Blisters occur due to a combination of poor fit, friction, and moisture. Often shoes that do not keep your heel in place but rise up will put you at risk for blisters. Often this occurs in people who have a narrow heel who have a hard time finding a shoe that will stay in place. It's important to go to a store such as Nordstrom that specialize in fitting all types of feet. If you're active, wearing socks that can wick away moisture will also help in preventing blisters.

Toe Pain
Your toes should never hit the top of your shoes. Now you probably bought your shoes when they fit just fine. You tried them on, walked around in them, and then had the sales person press down on the front to make sure you had plenty of room.

But since then perhaps you had a baby or you've gained weight. It's not uncommon to have your shoe size go up as a result of these changes. Getting rid of that toe pain can be as simple as buying a pair of shoes that fit correctly.

Heel pain
Heel pain and other types of foot pain can occur when you're not getting proper support from your shoes, particularly if you're a runner. The rule is to buy a new pair of running shoes every 500 miles. For the average person that's one a year. But if you run 30 miles a week you're going to need to replace them more often to keep them working for you.

For more information visit my blog "7 Shoe Shopping Tips For Women". And guys, most of these tips are good for your too!

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about heel pain in runners download our eBook, "The Complete Guide to Stopping Heel Pain in Runners".

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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By Dr. Rion Berg
March 10, 2017
Category: Bunions
Tags: bunion surgery  

Star wide receiver Julio Jones of the Atlanta Falcons had bunion surgery this week claiming it was a success on social media. He'll still need 4-5 months to recover but it looks very good for him to start practicing at training camp in July.

Of course football stars are under tremendous pressure to perform. We can't know how bad his bunion was but if it was hampering his ability to do his job it makes sense that he got it done.

Bunions just don't appear out of nowhere. They usually develop slowly over time and can progress to the point where surgery might just be the right decision for you. However, I've done surgery in patients as young as 20 where their bunions were already so bad they were hampering their life to such a degree that more conservative treatments just weren't going to cut it.

But for most people early treatment and preventive efforts can slow bunion progression. At the Foot and Ankle Center of Lake City Dr. Rion Berg will often recommend custom orthotics to correct the biomechanics of your foot to decrease the pain you feel well before surgery is discussed.

Why do I have bunions?

Bunions aren't inherited but the foot types that put you at risk for bunions are. For example, many of my patients have flat feet and the constant overpronation (feet rolling in) can cause the big toe to move toward the smaller toes creating a bunion.

Although you can't do anything about your foot type, in addition to getting orthotics you can help stop the progression of your bunions by staying away from high heels and by wearing shoes that give you plenty of room in the toe box.

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+

Do you work at a start-up or an intense high tech environment that leaves you little time to get in a work out? Over the past few years there has been a lot of information about high-intensity interval training (HIIT) as a way to get through a workout quickly but with the benefits of a longer workout. Some new evidence out of Norway makes this claim appear more plausible.

Just this week, Dr. Trine Moholdt who heads up a group at the Norwegian University of Science and Technology presented at a conference giving positive evidence for this model.  For those of you with little time this 30 minute workout has the added benefit of protecting you from developing cardiovascular disease and developing Type II Diabetes.

What makes this training so different than your usual workout?

High intensity interval training is a lot shorter than most workouts. According to Dr. Moholdt the best HIIT model is one that consists of four minutes of high-intensity exercise broken up with three minutes of moderate exercise for 30 minutes 3 times a week combined with other physical activity.

This model may not be for everyone and so asking your physician for guidance is always recommended.

There have also been studies that show using this type of exercise for patients who already have Type II diabetes can be very beneficial in glucose control.

Previous studies say that HIIT is not a magic bullet. For example, it may not have much effect on weight loss. But it does appear that for those most interested in maintaining their health and have little time on their hands it does seem to be an effective way to go.

If you work out regularly and have pain in your feet, call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about heel pain in runners download our eBook, "The Complete Guide to Stopping Heel Pain in Runners".

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+

By Dr. Rion Berg
March 01, 2017
Category: diabetes
Tags: obesity  

A week ago Mayor Ed Murray announced he would be putting a new tax on sugary drinks such as soda, Gatorade, bottled Frappuccinos and others to stem the obesity epidemic and fund education programs. Other cities have already put a tax on sugary drinks and most have reported a drop in sales. Although these results are encouraging it's tough to say whether a decrease in drinking sugary drinks alone will be enough to decrease the rate of obesity and diabetes in Seattle and other cities.

According to the CDC website, there is no single or simple solution to the obesity epidemic. It's a complex problem needing a multifaceted approach. And certainly diabetes has other risk factors such as inactivity, where fat is stored in the body (i.e. it's worse if stored in the belly rather than the hips), family history, and race.

For those who already have diabetes it's very important to be seen by a podiatrist on an annual basis to receive a Comprehensive Diabetic Foot Exam. Diabetes can cause decreased feeling in the feet, poor circulation and a reduced capacity to heal. All of these factors can lead to limb and life threatening ulcers if these ulcers are not caught quickly and treated appropriately.

If you have diabetes, call us today at 206-368-7000 for an appointment. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+

 





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