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By contactus@allcarefootandankle.com
January 30, 2017
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UGGs Hurt MY Feet? Read This for Relief from Monmouth County Female Podiatrist!

Temperature has hit a low for the season at the Jersey Shore, and by now you have rushed to bring out your UGGs—those slouchy, comfy, cozy pillows for your feet that we all love to wear when it is freezing cold here in Monmouth County.

For women and kids, especially, the chance to switch from flip flops to a socially-acceptable winter version is exciting for most except Monmouth County female podiatrist.

Don’t kill the messenger but UGGs aren’t all that good for your feet, even though they feel amazingly warm to slip into on a cold windy day at the Jersey Shore.

Here are a few reasons why UGGs are bad for your feet. 

 

#1 Problem: UGGs are Too Flat

The completely flat base offers no arch support.  Patients we see at our Oakhurst office this is an issue because it leads to heel pain in kids who are between 9-12.  For our adult patient, the lack of arch support aggravates their bone spur or plantar fasciitis.  Part of the “style” that makes them so easy is no laces, no straps and no real shape, which means your feet and toes have to clench and grab every time you take a step, just to keep from sliding around.

Solution: An OTC orthotic insert available at AllCare Foot & Ankle to slip into your boot, your shoes will fit better and your feet will get some added support, making the likelihood of discomfort in your favorite boots much, much lower.

#2 Problem: UGGs make my feet sweat

Yes, your UGGs are super cozy but, especially in typical wearers here in NJ we go from the cold outside to well heated schools, malls, etc. where warm lining can really make your feet sweat, leaving you vulnerable to foot fungi like Athlete’s Foot.

Solution: A moisture wicking sock!  Wear socks designed to soak up moisture so sweat doesn’t sit on your feet all day.   Alternatively, you could put some antiperspirant on the bottom of your feet.  Monmouth County Dr. Allison Cheney recommends your favorite brand you already have for your underarms just keep a new bottle just for your feet.  NEVER go barefoot in your UGGs and ALWAYS air your feet out, sock-free, after you’ve been wearing them for a while. 

 

Ultimately, we all have our favorite shoe for the season.  Even your supposedly comfiest best looking shoes can hurt your feet if you don’t know the right way to wear them. If you regularly experience foot pain, schedule an appointment with Dr. Allison Cheney so you can stop hurting and start loving your favorite shoes again.  Be sure  if you make an appointment to bring in a few of these shoes for Dr. Cheney to evaluate for wear patterns that could be causing your problems. 

 

By contactus@allcarefootandankle.com
January 23, 2017
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Diabetes can be dangerous to your feet – even a small cut can produce serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your shoe. As a result you could develop a blister or a sore. This could lead to an infection or a non-healing wound that could put you at risk for an amputation.

To avoid serious foot problems that could result in losing a toe, foot, or leg, follow these guidelines.

    1.     Inspect your feet daily. Check for cuts, blisters, redness, swelling, or nail problems. Use a magnifying hand mirror to look at the bottom of your feet. Call your doctor if you notice anything.

    2.    Wash your feet in lukewarm (not hot!) water. Keep your feet clean by washing them daily. Use only lukewarm water - the temperature you would use on a newborn baby.

    3.    Be gentle when bathing your feet. Wash them using a soft washcloth or sponge. Dry by blotting or patting, and carefully dry between the toes.

    4.    Moisturize your feet – but not between your toes. Use a moisturizer daily to keep dry skin from itching or cracking. But DON’T moisturize between the toes – that could encourage a fungal infection.

    5.    Cut nails carefully once a doctor approves you have good circulation and are okay to do this. Cut them straight across and file the edges. Don’t cut nails too short, as this could lead to ingrown toe nails. If you have concerns about your nails, consult Dr. Cheney at AllCare Foot & Ankle.

    6.    Never treat corns or calluses yourself. No “bathroom surgery” or medicated pads. Visit your doctor for appropriate treatment.

    7.    Wear clean, dry socks. Change them daily.

    8.    Avoid the wrong type of socks. Avoid tight elastic bands (they reduce circulation). Don’t wear thick or bulky socks (they can fit poorly and irritate the skin).

    9.    Wear socks to bed. If your feet get cold at night, wear socks. NEVER use a heating pad or hot water bottle.

    10.   Shake out your shoes and feel the inside before wearing. Remember, your feet may not be able to feel a pebble or other foreign objects, so always inspect your shoes before putting them on.

    11.   Keep your feet warm and dry. Don’t let your feet get wet in snow or rain. Wear warm socks and shoes in winter.

    12.   Never walk barefoot. Not even at home! Always wear shoes or slippers. You could step on something and get a scratch or cut.

    13.   Take care of your diabetes. Keep your blood sugar levels under control.

    14.   Don’t smoke. Smoking restricts blood flow in your feet.

    15.   Dr. Cheney recommends periodic foot exams. If you have low risk factors, once every year. Moderate factors, once every 6 months. High risk factors, once every 3months. Seeing your foot and ankle surgeon on a regular basis can help prevent the foot complications of diabetes.

We are here to assist Diabetic Patients with an Emergency or a Routine Matter.  732-695-3668

 

By contactus@allcarefootandankle.com
January 19, 2017
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Feeling restless this winter and tired of keeping the kids indoors?  What can a family do for fun in the winter at the Jersey Shore?  A visit to the new ice rink to open this weekend in Asbury Park may become your new tradition.  Not only can you get a good workout, but you can also check out the new Asbury Hotel which made headlines this summer for its outdoor pool and mouthwatering food trucks, the casual indoor lounge area and its rooftop movie theater overlooking the ocean.  The new outdoor ice rink amenity is set to have a grand opening this Saturday, January 21, 2017 at 8pm.  Details can be found at http://www.app.com/story/entertainment/events/outdoors/2017/01/19/asbury-hotel-opens-outdoor-ice-rink-weekend/96769822/

 

If you make this your new tradition, take note of a few skating pitfalls that can ruin your day

at the Shore.  Skating is not enjoyable if you have foot pain every time you push off your

skate.  There are several ice skating injuries that can befall a weekend skater or someone regularly involved in the sport.  Lace bite can occur if you lace your skates too tightly.  

You don’t want them to be so tight that you pinch your feet and cut off circulation.  If your skates are too loose, you will have a tendency to clench your toes and your feet can cramp.  Friction can also happen if your heel slips around causing uncomfortable blisters.

To avoid these concerns, check to make sure that your skates fit well.  Don’t be shy about asking to try a couple of different sizes in order to find the right fit, and take time to adjust the laces as needed.  The ankles receive critical support from the skate, so do your part to avoid ankle sprains.

 

If foot pain is keeping you at home, we’d love to help you!  We can identify the exact reason for your pain, and provide the treatment you need to get back on your feet (and in your skates) without pain.  Contact AllCare Foot & Ankle 732-695-3668.  Dr. Cheney is located less than 5miles from The Asbury Hotel in Oakhurst, New Jersey.

 

By contactus@allcarefootandankle.com
January 09, 2017
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Ankle Sprain

By contactus@allcarefootandankle.com
January 06, 2017
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Don’t have a night of eczema like the HBO hit show The Night Of!

http://www.youtube.com/watch?v=qaU5Rl_dndA

 

Caring for Eczema in Winter

A chronic skin condition like eczema can be challenging during the cold winter months.  Eczema becomes worse during the winter months due to the extreme temperatures.  Typically eczema is seen as flaky patches of skin.  If you suffer don’t stress; it can be effectively calmed and reduced with the right types of skin care.

What is Eczema?

Eczema, sometimes referred to as dermatitis, is a cluster of skin conditions that have varying symptoms, the most common of which is dry skin. Normal skin produces oils that create a barrier to prevent water loss and stop irritants from penetrating the skin. If you have eczema, your skin does not do this as effectively.  Eczema, has a wider range of symptoms. It’s also a chronic skin condition and it often has redness, swelling, itching, dryness, rashes and more. While the cause is unknown, symptoms can be triggered by the use of certain skin care products and environmental conditions, especially the drying conditions frequently experienced during cold, windy winter months.

Here are the various types with their symptoms:

Atopic Eczema: Dryness, itchiness (pruritus), redness, inflammation. If infected, skin may crack and weep.

Allergic Contact Dermatitis: Dry, itchy skin; redness, inflammation, rash, or blistering.

Irritant Contact Dermatitis: Itchy, dry skin; rash—usually on hands but can be seen on feet due to irritation from sock or materials in shoes.

Varicose (Asteatotic) Eczema: Affects the lower legs. Appears on the skin around the shins and ankles. Skin is itchy, inflamed and speckled. Ulcers can occur.

Discoid (Nummular) Eczema: Coin-shaped, reddened area. Normally appears suddenly on lower legs or trunk. Can be itchy and weep fluid.

What Causes This?

In atopic eczema, the most common form of eczema, the exact cause is unknown, but it is generally thought that people inherit a tendency toward the disorder. People with atopic eczema are generally sensitive to allergens in the environment that others find harmless. It is also closely linked with asthma and hay fever. The symptoms can be set off by a number of triggers.

In Allergic Contact Dermatitis, the immune system responds to a substance that comes in contact with the skin. Common allergens include poison ivy and oak, nickel and other metals, perfume, sunscreens, rubber.

In Irritant Contact Dermatitis, the cause is contact with everyday substances, such as bleaches, caustic detergents, chemicals, soap. Exposure to tar or certain plant juices, including celery, lime, and parsley, in conjunction with light can cause phototoxic reaction.

Varicose (Asteatotic) Eczema can be the result of poor venous circulation.

Discoid (Nummular) Eczema has no known cause and is associated with dry skin that worsens in dry weather.

How Winter Months affects Eczema?

Eczema is often experienced only in the fall and winter. This is due to the drying effects of the season. Cold winds on exposed skin can aggravate the condition. Strong heat in buildings and at home can cause dryness of the skin.

Best Product Ingredients for Winter Months

For those who prone to eczema flare ups, especially during the winter, it is important to use products that will not only moisturize and heal the skin, but also contains ingredients that will be less likely to trigger a negative reaction or flare up.

Chamomile can reduce symptoms of eczema, promote healing, and moisturize the skin. It is also good for anyone with sensitive skin.

Witch hazel is both antiseptic and moisturizing and is beneficial after cleaning and before moisturizing to minimize the risk of infection. Witch hazel can be soothing to skin that is itchy or irritated. Try using a moisturizer with witch hazel to soothe skin daily.

By using the right products and being aware of the best ingredients to use, those with eczema can easily minimize the effects that winter has on these conditions.  Listen to Your Body

Healing Alternatives

As with dry skin, the first line of treatment against eczema is emollient therapy. When emollients are used correctly, mild to moderate symptoms of eczema can be controlled without having to resort to stronger measures, such as steroids.

Many doctors recommend steroids to control severe symptoms. While steroids can dramatically improve the condition, there can also be a rebound inflammatory response when they are discontinued. Hydrocortisone cream is a topical steroid that is available over the counter without a prescription. It is one of the weaker steroid creams. You may want to try this before resorting to prescription-strength steroids. I do not recommend steroid use for long periods of time.

Antihistamines can also help relieve itching and may help you get some sleep, but again, I do not recommend ongoing reliance on these. Some eczema sufferers have also successfully used light therapy. Ask your doctor if either of these are good short-term therapies for your eczema; caution should be exercised with exposure to light, as some dermatitis conditions are photosensitive.

The following are standard treatments for the various types of eczema:

Atopic Eczema: Emollients, topical steroids, behavior modification.

Allergic Contact Dermatitis: Prevent contact with allergen. Use topical ointments or steroid creams.

Irritant Contact Dermatitis: Avoid irritants, keep skin moisturized.

Adult Seborrheic Eczema: Anti-fungal shampoos and creams.

Varicose (Asteatotic) Eczema: Emollients, steroid creams.

Discoid (Nummular) Eczema: Emollients, steroid creams.

Here are some steps you can take to make the condition less aggravating:

Keep a positive attitude: Negative emotions start a hormonal cascade that can trigger or worsen your symptoms.

Wear natural fabrics: Cotton and other soft, natural fabrics can limit irritation. Avoid wool and synthetic fabrics.

Do not scratch: Scratching can lead to infection.

Reduce household irritants: Try to get rid of dust, dust mites, fur and dander from pets by vacuuming often, using air filters and keeping your house clean. You may also want to use anti-allergenic bedding.

Use gentle washing powders: Avoid harsh detergents and scented cleansers.

Try relaxation therapy: Relaxation therapy and massage therapy modalities can help by reducing muscle tension. This can lead to less aggravation and other detrimental psychological factors that contribute to flare ups.

Keep your bedroom cool: Overheating aggravates itching. So does dry air. You may want to use a humidifier or keep a saucer of water in each room to keep moisture in the air. If you heat with a woodstove, place a kettle of water on top to release steam and check it often.