If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

Dr. Szpiro is a Participating Provider with the Beth Israel Lahey Physicians Organization

We are featured as one of the 5 Best Podiatrists in Boston, MA

We see pediatric patients!

Blog

Various Types of Wounds on the Feet

A diabetic foot ulcer is a common foot wound. Without prompt medical treatment, it can quickly become infected, possibly lead to gangrene, and amputation. There are different types of foot ulcers, and they fall into three categories. There are diabetic foot wounds that are considered to be neuropathic, and the patient generally loses sensation but there is no underlying arterial disease (ischemia). This comprises approximately 35% of foot wounds.  An ischemic wound occurs when the patient retains feeling in the foot but there is an indication of underlying arterial disease. The neuroischemic bracket represents 50% of all foot wounds, and both iscehemia and neuropathy can be present. Effective healing begins with having a healthy environment for the wound to heal, in addition to the patient having little or no health issues. Most wounds begin healing by accessing the cause of the wound, followed by removing any damaged tissue from it. It is beneficial to refrain from putting any weight on the foot, and this may help to accelerate the healing process. Treating a wound on the foot is often done by a podiatrist, and it is suggested that you contact this type of doctor who can effectively provide relief treatments.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care

Risk Factors for Sever’s Disease

Sever’s disease is a condition that every parent ought to be aware of because it affects a large number of children every year. The condition occurs when a child’s growth plate at the heel becomes inflamed. Certain children are more likely to develop this condition than others. For example, since this condition typically occurs during growth spurts, it can occur in boys between 5-13 years old and girls 7-15 years old. Children who are engaged in physical activities such as school sports are also more likely to experience Sever’s disease. Other risk factors can include having levels of vitamin D that are lower than normal or a tightened plantar fascia, the band of tissue running along the arch of the foot. If your child has any of these risk factors, contact a podiatrist today to learn more about Sever’s disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see the podiatrists from Boston Common Podiatry. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease

A Heel Spur May Be Misdiagnosed

As small as a heel spur is, it can bring severe pain and discomfort to the patient. It is a bony protrusion that may be pointed and is found underneath the heel. It is a calcium build-up, and can gradually come from wearing shoes that do not fit correctly. Many times a heel spur may be misdiagnosed as plantar fasciitis, which is another condition that affects the heel. A diagnosis consists of undergoing an examination that can determine how tender the heel is, in addition to possibly having an X-ray taken. There are patients who find mild relief when anti-inflammatory medications are taken, despite being a temporary fix. Another option that may be considered are custom-made orthotics, and these may help to diminish pressure on the Achilles tendon. If you have heel pain, it is strongly suggested that a podiatrist is consulted who can determine what the cause is, and offer correct treatment options. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact the podiatrists from Boston Common Podiatry. Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Boston, MA . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about How to Treat Heel Spurs

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Changes That Can Occur in Elderly Feet

The importance of taking care of our feet becomes crucial as we age. This may be difficult for elderly people to accomplish, and family members and friends may be of help in checking the bottom of their feet. Older people may lose the feeling in their feet that enables them to notice sensations, which can make it difficult to feel any cuts, scrapes, or bruises. Seniors may develop foot conditions that can be a result of poor circulation, wearing shoes that do not fit correctly, and taking certain types of medications. Additionally, there may be reduced mobility as the aging process occurs, and trimming the toenails may become difficult as the vision changes. One of the first steps in caring for elderly feet consists of washing and drying them thoroughly, followed by applying a good moisturizer. It is beneficial to wear cotton socks, and existing fluid retention may be reduced when the feet are frequently elevated. If you would like more information about how to care for elderly feet, please schedule an appointment with a podiatrist who can guide you toward giving their feet the proper attention.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Taking Care of Elderly Feet

Foot Conditions May Occur From Standing All Day

There are various professions that require standing for the majority of the day. These include retail workers, medical field personnel, and restaurant employees. Research has indicated that many people who endure standing have chronic foot pain. The feet carry the weight of the body, and it is not surprising that foot pain exists. A common foot condition that can be caused by standing all day is plantar fasciitis. This affects the heel and the arch of the foot, and it can cause difficulty in walking. This condition often requires attention sooner than later, relief may be relieved by wearing custom-made orthotics. The feet distribute the weight of the body unequally, as most people alternate their weight between their feet. This can cause overall muscle fatigue, and general discomfort. Additionally, this can negatively affect an employee's performance, as the days are spent in pain. It is beneficial to stand on a stress mat that may help to balance the body’s weight, in addition to wearing comfortable shoes. If you have questions about how to protect your feet while standing all day, please consult with a podiatrist who can address any concerns you may have.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Working on Your Feet

Differences Between Running and Walking Shoes

Running shoes and walking shoes have different purposes and, therefore, are built differently. Running shoes are lighter in weight in order to facilitate speed and feel light on the feet. They also have a stiffer sole, a thicker heel for support and cushioning, and motion control features built in to reduce pronation and unbridled foot motions. Walking shoes provide arch support. They are generally heavier and offer more cushioning, however, heels should not be as thick as running shoes and soles should be more flexible and bendable. A podiatrist can offer additional advice on specific features you should look for in either a running or walking shoe, based on your individual feet, your gait or running stride, and to help address any biomechanical, structural, or alignment issues you may have. 

For more information about walking shoes versus running shoes, consult with the podiatrists from Boston Common Podiatry. Our doctors can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Differences between Walking and Running Shoes

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Effective Fall Prevention Methods

Research has indicated that approximately one in three Americans who are 65 or older will fall, which is a leading cause of hospitalization for adults in New York City. Many people develop a fear of falling, and this can be detrimental to completing daily chores and experiencing new activities. When people fall, their feet are often negatively affected. Ankles or toes may be broken, and this can cause severe pain and discomfort. There are simple prevention techniques that can be implemented to help prevent painful falling episodes. These can include incorporating gentle exercise and stretching routines into the daily regime, clearing clutter in the household, and improving lighting in the living area. Additionally, it is beneficial to have regular physical examinations performed, as this is helpful in monitoring existing medications. Glasses can be updated when the eyes are checked, and it is beneficial to have this done annually. Wearing shoes that fit correctly can be helpful in possibly preventing falls, and maintaining proper foot care is essential in having the feet feel good. Some people find it useful to have grab bars installed in the bath and toilet area, in addition to using a bathmat. If you would like to know about how to protect the feet and how to reduce the number of falls, please ask a podiatrist who can answer any questions you may have.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Falls Prevention

Running Shoes for Specific Arches

Running shoes are worn for various reasons that can range from training for a marathon to getting in shape. The right shoes will fit correctly from the beginning and will not need a break-in period. It helps to wear shoes that have approximately a half inch of space between the top of the shoe and the top of the toe. This can help to improve comfort as running can negatively impact the feet. A shoe that fits slightly tighter is the running preference for speed. This type of shoe may provide a heel that is form-fitting and can hold the foot in place easily. It is important to be aware of the kind of arch the foot has and there are different types of running shoes that can be accommodating. Neutral running shoes will benefit those people who have medium arches and offer added shock absorption. People who have low or flat arches may want to choose stability running shoes as they may be helpful in minimizing overpronation. Motion control shoes can help runners who have excessive pronation since these shoes can help to stabilize the foot. A podiatrist is qualified in determining what type of running shoes are best for you, and it is suggested that you speak with this type of doctor who can provide you with correct information.

If you are a runner, wearing the right running shoe is essential. For more information, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoe for Your Foot Type
Connect with us
Boston Common Podiatry on Facebook Boston Common Podiatry on Twitter Boston Common Podiatry on Pinterest Boston Common Podiatry on LinkedInSuffolk County Podiatry Blog

Boston Common Podiatry Articles