Tuesday, 03 June 2025 00:00

All About Ankle Ligament Surgery

Ankle ligament surgery may be needed when ligaments in the ankle have been torn or overstretched due to injury. The ankle is made up of three joints, and its stability depends on ligaments that connect bone to bone. When these ligaments are severely damaged, surgery may be the only way to restore support. Anatomic reconstruction is an option that involves tightening or repairing the original ligament using tissue from the same area or from a donor. Another method, called peroneal substitution, uses a nearby tendon to replace the damaged ligament, though this may affect long-term function. Other risks of ankle ligament surgery include infection, nerve injury, bleeding, and delayed healing. Recovery can take up to six months and usually includes a period of limited mobility, followed by gradual return to weight-bearing activities. If you have torn or ruptured an ankle ligament, it is suggested that you schedule an immediate appointment with a podiatrist for an exam and prognosis on the type and level of surgery that may be involved, if needed.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Thomas E. Silver of Westwood Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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Tuesday, 03 June 2025 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Sunday, 01 June 2025 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 27 May 2025 00:00

Diabetes and Your Feet

Living with diabetes means paying close attention to your feet. This condition can reduce blood flow and damage nerves, making it harder to notice injuries or infections. Small issues like a blister or cut can quickly become serious if left untreated. Many people with diabetes experience numbness, tingling, or burning in their feet, which can lead to missed signs of trouble. Dry skin, changes in foot shape, and foot ulcers are also common. Daily foot checks, wearing clean socks, and well-fitting shoes are essential for protection. A podiatrist can help monitor your foot health and catch problems early before they become dangerous. If you live with diabetes and have noticed any changes in how your feet look or feel, or if you have not had a foot check recently, it is suggested that you see a podiatrist for an evaluation and personalized care plan.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Thomas E. Silver from Westwood Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

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Tuesday, 27 May 2025 00:00

Diabetic Foot Care

Diabetes can cause two problems that can potentially affect the feet: Diabetic neuropathy and Peripheral Vascular Disease. Diabetic neuropathy occurs when nerves in your legs and feet become damaged, which prevents you from feeling heat, cold, or pain. The problem with diabetic neuropathy is that a cut or sore on the foot may go unnoticed and the cut may eventually become infected. This condition is also a main cause of foot ulcers. Additionally, Peripheral vascular disease also affects blood flow in the body. Poor blood flow will cause sores and cuts to take longer to heal. Infections that don’t heal do to poor blood flow can potentially cause ulcers or gangrene.

There are certain foot problems that are more commonly found in people with diabetes such as Athlete’s foot, calluses, corns, blisters, bunions, foot ulcers, ingrown toenails, and plantar warts. These conditions can lead to infection and serious complications such as amputation. Fortunately, proper foot care can help prevent these foot problems before they progress into more serious complications.       

Each day you should wash your feet in warm water with a mild soap. When you finish washing your feet, dry them carefully especially between your toes. You should also perform daily foot inspections to ensure you don’t have any redness, blisters, or calluses. Furthermore, if you are diabetic, you should always wear closed-toed shoes or slippers to protect your feet. Practicing these tips will help ensure that your feet are kept healthy and away from infection.

If you have diabetes, contact your podiatrist if you have any of the following symptoms on your feet: changes in skin color, corns or calluses, open sores that are slow to heal, unusual and persistent odor, or changes in skin temperature. Your podiatrist will do a thorough examination of your feet to help treat these problematic conditions.

Tuesday, 20 May 2025 00:00

Caring for a Diabetic Foot Ulcer

A diabetic foot ulcer is an open wound or sore that develops most often on the bottom of the foot due to complications from diabetes. High blood sugar levels can damage nerves and reduce blood flow, making it difficult for wounds to heal and increasing the risk of infection. These ulcers can begin as small cuts or blisters that may go unnoticed because of decreased sensation in the feet. If left untreated, they can worsen and lead to serious complications. Proper care involves keeping the wound clean and covered, avoiding pressure on the affected area, and managing blood sugar levels carefully. Regular visits to a podiatrist are essential. If you have diabetes, it is strongly suggested that you are under the care of this type of doctor who can treat diabetic foot ulcers and help you to manage this serious condition. 

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 Dr. Thomas E. Silver from Westwood Foot Clinic. Our doctor 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 Golden Valley, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 20 May 2025 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Tuesday, 13 May 2025 00:00

Have Painful Gout?

Gout is a painful form of arthritis that commonly affects the big toe, although it can impact the ankles and other joints as well. It occurs when uric acid builds up in the blood, forming sharp crystals that deposit in the joints. Common causes include a diet high in purines found in red meat, seafood, and alcohol, obesity, dehydration, and certain medications. Symptoms of gout include sudden, intense pain, swelling, and redness, often making the affected joint feel hot and tender. The pain can be excruciating, often starting at night and making movement or even the touch of a blanket unbearable. A podiatrist can help by diagnosing the condition, managing flare-ups with medications, and offering strategies for long-term relief. Treatment options include medication to lower uric acid levels, anti-inflammatory drugs, and lifestyle changes, such as a diet low in purines, staying hydrated, and maintaining a healthy weight. Custom orthotics may also relieve pressure during flare-ups. If you have this painful condition, it is suggested that you are under the care of a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Thomas E. Silver from Westwood Foot Clinic. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Everything You Need to Know About Gout
Tuesday, 13 May 2025 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 06 May 2025 00:00

Signs of Foot Stress Fractures

Stress fractures in the feet are hairline cracks in the bone caused by repetitive stress or overuse, often affecting the long bones of the foot. Stress fractures typically develop gradually, with early signs like localized pain that worsens with activity and improves during rest. Swelling, bruising, and tenderness when pressing on a specific area of the foot may also occur. Runners or other athletes who increase exercise intensity too quickly, wear worn-out shoes, or regularly train on hard surfaces are more likely to develop stress fractures. Women with low bone density may face added risk. A podiatrist can diagnose stress fractures using a clinical exam and imaging tests, such as MRI or bone scans, when X-rays do not reveal the injury. Depending on the severity of the fractures, treatment may involve wearing protective footwear, modified activity, or using crutches to reduce pressure on the affected area. In some cases, surgery may be needed to ensure proper healing. If you have symptoms of stress fractures in the feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Thomas E. Silver from Westwood Foot Clinic. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

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