Dr. Berg's Foot Facts

Posts for tag: Untagged

By Dr. Rion Berg
April 25, 2018
Category: foot conditions
Tags: Untagged

You may have recently discovered a lump or bump on your foot that wasn't there before. It may be painful or not. But you're still concerned.

Bumps and lumps on your feet can result from a variety of conditions. Some of them are fairly benign and can be dealt with in my office, but others can be quite serious and require surgery.

Because feet are often the last part of our bodies we pay attention to, certain cancers can progress more rapidly than if they were found on another part of the body.

Here are 5 lumps or bumps you may find on your feet and what to do about them.

Bunions
Bunions are extremely common particularly among women who wear high heels and also have flat feet. Flat feet are inherited. For that reason it's very likely if your mother had bunions and flat feet, you will too.

Part of bunion treatment is preventing them from getting worse. Anyone with flat feet should avoid wearing heels higher than one inch. Heels along with pointy toes can cause bunions to get worse when worn frequently.

Although bunions can be removed surgically, orthotics can help with foot alignment relieving the pain of bunions and preventing them from getting worse. Even children as young as four or five can benefit from orthotic treatment.

Ganglion Cyst
Ganglion cysts are soft, fluid-filled, benign (non-cancerous) lumps connected to tendons and joints. Often they are found near an ankle joint, top, and side of the foot. Most cysts cause mild pain as a result of the pressure created by wearing shoes. But when they enclose or press on a nerve, the pain can be sharp.

The best way to prevent cysts from forming is to wear well-fitted, comfortable shoes and avoid repeated foot injuries. Ganglion cysts can be drained or injected with steroids but often come back. Surgical removal is an option to prevent reoccurence.

Cancer
Sometimes a bump or lump is cancerous. In our office if we suspect cancer, a biopsy will be done and sent for testing. Although most tests will come back as benign or non-cancerous, certain types of cancer found on the feet progress more rapidly than cancer found elsewhere on the body.

Malignant melanoma is one of those cancers. It is estimated that approximately 30 percent of melanomas occur in the lower extremities, and that 3 percent occur in the feet. Although it makes up only one percent of skin cancers, malignant melanoma accounts for over 60 percent of skin cancer deaths. Rapid discovery and treatment of this cancer is essential.

Exposure to sun increases risk for skin cancer and so using sunscreen on your feet is essential for prevention.

Pump Bump (Haglund's deformity)
Haglund's deformity or "pump bump" most commonly affects women who wear rigid pump style shoes. In addition to wearing this specific shoe type, high arched feet, tight Achilles tendon, and faulty foot mechanics also puts people at greater risk for this condition.

Plantar fibromas
Plantar fibromas are benign tissue tumors or growths found under the arch of the foot. Unlike plantar warts, which grow on the skin, these grow deep inside the plantar fascia ligament. Often these lumps are painless, but when there is pain treatment can include orthotics to remove pressure on the arch, steroid injections, or surgical removal.

If you've discovered a lump or bump on your foot, 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.

Your free foot book "No More Foot Pain" is waiting to be sent to your home.

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

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+

 

Jordan Hasay made a stunning debut at the Boston Marathon last year with the fastest first marathon by an American woman. She came in 3rd overall.

What a disappointment this year when she found out that she couldn't run in the annual race due to a heel injury.

She tweeted: Unfortunately @JordanHasay has a stress reaction in the heel and will not be able to run. "Despite my team working to give me every chance to make it to the starting line, I won't be able to join you. I'll be cheering everyone on and hope you enjoy this historic race."

For most of her running career Hasay has been injury free. It was only a couple of years ago that she developed plantar fasciitis. After much preparation and training for this year's marathon, an MRI revealed that she should sit this one out as doctors labeled her injury a "stress reaction".

Although many people are speculating the stress reaction is related to her plantar fasciitis, a stress reaction can also be a stress fracture.

What's the difference?

If Jorday Hasay is suffering from the lingering effects of plantar fasciitis the cause and treatment would be vastly different from a stress fracture.

Although both would require she sit out the Marathon, that's where the similarity stops.

Stress Fractures

Stress fractures are tiny, hairline cracks in the bone. In the feet they most often affect the metatarsals of the foot (mid-foot) and can also affect the heel. They are common in athletes due to the repetitive nature of running, a rapid increase in training, and/or worn out shoes.  They are also more frequent in women who are too thin, lose their periods, and don't get proper nutrition.

Treatment for a stress fracture is very straightforward; keeping the foot immobile with a walking boot (sometimes non-weight bearing) and refraining from physical activities. Long term women should make sure they get proper nutrition including Calcium and Vitamin D, best through food but also through supplementation if recommended by their physician. Training should increase gradually and shoes should be replaced every 500 miles.

Plantar Fasciitis

Plantar fasciitis is an injury of the plantar fascia which is a large ligament that runs from the front of the foot along the bottom and inserts into the heel. When the fascia gets overstretched, micro-tears develop at the point where the fascia inserts into the heel causing inflammation and pain. It is very common in runners due to the pounding and repetitive nature of the sport. Treatment for plantar fasciitis also known as heel pain often takes a multi-pronged approach. The goal is to relieve the inflammation to start the healing process. First weight is removed from the fascia through taping and use of an air heel. Inflammation can also be reduced by use of ice, anti-inflammatory medication, and sometimes a cortisone injection.

Depending on the person's foot structure inserts or orthotics may be needed for long term pain relief. People with tight calf muscles will also need to begin and maintain a stretching program. Tight calf muscles are often a large part of the cause. Supportive shoes designed for the runner and running distance are also a very important preventive measure.  

Additional Resources:


Preventing Painful Foot Pain Conditions in Women Runners

6 Ways For Running Moms to Prevent Foot Pain

How New Runners Can Prevent Foot and Ankle Problems

If you're a runner and experiencing heel pain,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".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

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+

 

 

 

When I opened my laptop this morning I was greeted by an article about a surgeon that shortens people toes so they can fit into their favorite shoes. Yikes! Apparently Hollywood stars are taking the plunge. I can't say I'm that surprised.

Then I scrolled to the bottom of the page and caught the reaction of one podiatrist whose handle is Marty Pod and I loved what he said. "Make the shoe fit the foot not the other way around." I couldn't agree more.

Just like so called Cinderella surgery, I would never do this kind of surgery to my patients. And yes it would be doing it to them, not for them. Everything I do is for the health of my patients, not some special look they're trying to achieve. Of course I'll do surgery to get a hammertoe back to its proper position and bunion surgery if it's necessary, but I never take any surgery lightly.

Before talking to my patients about surgery I'll exhaust every other option. For hammertoes and bunions that could be fitting them with a pair of orthotics to correct their foot mechanics and relieve their pain.

Educating people about the types of shoes to wear with these conditions is also top on my list. Shoes with a wide and deeper toe box can be of tremendous help since symptoms are caused by the foot protrusions rubbing against the shoes. I often recommend patients go to Sole Perfection or online to Barking Dog Shoes for a solid recommendation for their bunions or hammertoes.

If you're experiencing pain from a bunion, hammertoe, or any other foot pain, 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.

Your free foot book "No More Foot Pain" is waiting to be sent to your home.

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

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+

It seems everywhere you turn there are yoga classes being offered in Seattle. While many of these classes are for young people or those who have remained active into their later years, many studios are offering gentle yoga classes geared for beginners, older adults or those with disabilities.

Many people have written about the benefits of yoga for maintaining balance. A new study emphasizes the important of exercise like yoga in keeping older adults from falling. The journal "Complementary Therapies in Medicine" reported that older adults participating in a study in Wisconsin decreased their number of falls after an 8-week course.

An increase in strength and balance seem to be the reliable indicator in fall prevention. This study was no exception. The average score on one test, the Dynamic Gait Index, increased from 20 to 22 which shows a low risk for falls.

Although this was a small sample of people it's good to know that yoga can be of benefit in preventing falls which can lead to broken hips and long stays in the hospital.

Equal improvement was found among those participants who did yoga at home. Check out the gentle yoga video tested by my marketing director and taught by a physical therapist. In addition, there are wonderful studios in the Seattle area that offer gentle yoga classes.

Two Dog Yoga - Lake City
8 Limbs Yoga - Seattle locations
Seattle Yoga Arts

If you're a senior or you have a loved one having trouble with balance, come in for a fall assessment. 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.

Your free foot book "No More Foot Pain" is waiting to be sent to your home.

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

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
February 02, 2018
Category: diabetes
Tags: Untagged

Whether you're rooting for the underdogs, the Philadelphia Eagles, or the New England Patriots this Super Bowl Sunday you're going to have to eat. Here's a fabulous recipe sure to fill you up in a delicious, healthy way. It features sweet potatoes, chicken, and spinach. If you're dairy-free, substitute the white cheddar cheese with Daiya Mozzarella dairy free cheese.

Healthy Chipotle Chicken Sweet Potato Skins

  • 3 medium sweet potatoes
  • 3/4 pound boneless skinless chicken breast about 2 small
  • 1/4 cups olive oil
  • 2 tablespoon fresh lime juice
  • 2 cloves garlic minced or grated
  • 3 whole chipotle pepper minced
  • 1 teaspoon dried oregano
  • 1 teaspoon cumin
  • 2 teaspoons chili powder
  • salt and pepper
  • 2 cups spinach half a 10oz bag
  • 5 ounces sharp white cheddar cheese grated
  • chopped cilantro for garnish

Preheat your oven to 350 degrees. Wash your sweet potatoes and prick all over with a fork. Place in the oven and bake for 50-60 minutes or until fork tender. Place your chicken in a baking dish and rub with a tablespoon of olive oil, salt and pepper. Place in the oven with the potatoes and bake for 25 minutes. Allow to cool and shred the chicken with a fork or your hands. When the sweet potatoes are done cut in half and allow to cool for 5-10 minutes.

In a medium size bowl combine the olive oil, lime juice, garlic, chipotle peppers, oregano, cumin, chili powder, salt and pepper. Set aside.

Heat a small skillet over medium heat and wilt the spinach (this can also be done in the microwave). Toss the spinach and shredded chicken together, set aside and keep warm.

Turn the oven up to 400 degrees. Scrape the sweet potato out of the peel, leaving a medium size layer of flesh inside with the peel so that it can stand up on its own (I reserved the remaining flesh, for another use) and place in a baking dish. Brush the skins with with a little of the chipotle sauce and bake for 5-10 muntes until nice and crisp. While the skins bake mix the spinach, chicken and chipotle sauce together. Remove skins from the oven and stuff with the chicken mixture, top with shredded cheese and bake for 10 minutes or until the cheese has melted and the skins are hot and crisp.

Source: Half-Baked Harvest