Psoriasis - the agony and embarrassment!

This common recurring disease of the skin is truly an eyesore. It is inflammatory and is notable by round, reddish dry patches covered by whitish scales. Normally it appears on the scalp, elbows and shins, but on occasion it shows up on the feet. If it occurs on the feet, it may appear a lot like Athlete's Foot or if on the nails it may look like toenail fungus. A sample may be taken to determine if fungus or psoriasis. Sometimes small blisters appear filled with a clear or cloudy fluid.

Psoriasis can affect the joints of the lower legs and feet by causing painful arthritis. Anti-inflammatory medications are often chosen to treat Psoriasis. A flare-up of Psoriasis on the hands and feet should not go untreated because not only can it cause pain, but also embarrassment because of the appearance of the lesions. If you are unable to work because of the pain, you may suffer a financial loss as well. In some instances, Psoriasis can break out on the palms of your hands and the soles of your feet. Because these areas of your body are in constant use, this can become very difficult to deal with.

7.5 million Americans affected
Genetically predisposition affects about 10 per cent of the population, but fewer actually get the disease. People who suffer from hands and feet Psoriasis can trigger their own symptoms.

Known triggers: stress and injury
Since injury is a known trigger to the unpleasant outbreak of Psoriasis, people whose hands and feet are affected need to be especially kind to their feet and hands since dry cracking skin is a symptom. These openings can easily become infected. This type of Psoriasis affects more women than men and is generally only found in the adult population.

There are a number of home treatment tips that can help the Psoriasis sufferer:

• Cease smoking as it’s a trigger.

• Avoid stressful situations when possible.

• Protect yourself from foot and hand injury.

• Soak hands and feet twice daily in warm water, then moisturize with a lotion recommended by your dermatologist or podiatrist.

• Wear comfortable shoes and socks made from natural fibers, also wear gloves if needed.

Medical treatment usually involves topical ointments that contain steroids. An ultraviolet light therapy may work to stunt skin cell growth. This is more effective when combined with topical medication. Injectable medications that block the immune system may be used if other medications are not effective.

If you have a skin condition on your feet that you think may be Psoriasis or something else, call Dr. Bowman at (713) 467-8886. His evaluation and treatment plan represents the next step in healthy foot care.

References:

http://www.webmd.com/skin-problems-and-treatments/psoriasis-treatment-11/hands-feet
http://www.houstonfootspecialists.com/library/1921/Psoriasis.html
http://www.everydayhealth.com/psoriasis/when-psoriasis-affects-your-feet.aspx

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Plantar Fibromatosis: I’ve got you under my skin!

It’s almost painful just to learn about all of the conditions that afflict your feet as you move into middle age and beyond. When does it all end?

Fibromatosis is a condition where excess collagen (fibroma), or fibrotic tissue, causes the development of small, hard nodules beneath the skin on the bottom of the foot. They may grow and increase in density over a period of time, but eventually this ceases. The good news is that it’s generally non-cancerous. The bad news is it can make walking or standing a nightmare. However, there is a big disparity among men and women. Fibromatosis happens to men approximately ten times more than women.

The most recognizable plantar fibromatosis symptoms are hard nodules under the skin and pain. Although there are circumstances that can “open the door” to the development of plantar fibromatosis, there is no known definitive cause. Trauma, genetics and certain medications or supplements all may play a role in the development of this condition.

Possible causes include:

• Injury
• Genetics
• Medicines, vitamins and dietary supplements

Other contributing factors are chronic liver disease, diabetes, and seizure disorders. These conditions may not contribute, but rather the medications used to heal or treat them are the primary culprits. As the surges in numbers of people suffering these conditions increases, so will the number of cases of fibromatosis continue to rise.

There are many treatment options for plantar fibromatosis, which include invasive or non-invasive.

Invasive treatment options include:

• Injections, which are put directly into the fibroma.
• Surgery, which can include the removal of the fibroma, or the removal of the complete plantar fascia. Surgery includes a long recovery time and may lead to other foot problems.

Non-invasive treatment options include:

• Topical application
• Stretching
• Orthotics
• Padding
• Physical therapy

There are several stretching exercises of the calf and arch that may be beneficial and help with the discomfort. These stretching exercises should first be done under the supervision of a physical therapist. This will ensure that the exercises are done correctly.

If you have symptoms that you think may indicate plantar fibromatosis, call Dr. Bowman at (713) 467-8886 and set up an appointment today. Dr. Bowman will conduct a comprehensive foot evaluation in order to determine your exact symptoms and then develop a treatment plan. He can diagnose and treat any foot condition. Step into his office for unparalleled foot care because you’ll step out feeling better!

References:

http://www.livestrong.com/article/319755-plantar-fibromatosis-exercises/
http://www.pdlabs.net/plantar_fibromatosis/whatisplantarfibromatosis.html

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The Drama of Enchondromas

Enchondromas are tiny non-cancerous tumors that grow inside the bones and are made up of cartilage. They begin to develop during childhood in people ranging from age 10 to 20. As a rule, they are not painful and do not require treatment. They often go undetected until a person has an imaging test, such as an X-ray, for a totally unrelated reason such as an injury or arthritis. These tumors are common and most often appear in the hands and feet, but they can occasionally be found in major long bones of the arm and leg.

The cause of enchondromas is not readily apparent; there does not seem to be any correlation between having the tumor(s) and exposure to chemicals, radiation, or certain activities. When the tumors appear in the hands and feet, they can cause bone deformities due to the small size of the bones.

The symptoms of enchondromas mimic other conditions, so check with Dr. Bowman; however, common symptoms of enchondromas include:

• Pain if the growth is large
• Enlarged fingers or toes
• Pathologic fractures
• Deformities

Once you discover the tumors, it is crucial to monitor them to make sure they are not aggressive or cancerous.

If specific treatment is necessary, it will be on a case-by-case basis. Dr. Bowman will take into consideration your age, overall health, and medical history, as well as the following:

• How far the tumors are progressing
• How well you tolerate medications and procedures
• Whether the tumors can become worse
• What you prefer

In some cases where the growth of the enchondromas has caused the bones to fracture, treatment may include surgery to graft healthy bone taken from elsewhere in the body to replace the fractured and diseased bone. If no indication of bone weakening exists, Dr. Bowman will set up a schedule that allows your condition to be closely monitored. Please contact Dr. Bowman at (713) 467-8886 for all your foot and ankle concerns. His vested interest is in the overall health of your feet in order to safeguard your quality of life.

References:

http://www.houstonfootspecialists.com/library/1806/Enchondroma.html
http://en.wikipedia.org/wiki/Enchondroma
http://orthoinfo.aaos.org/topic.cfm?topic=A00085

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Osteochondroma: A Kind Growth until It Becomes Painful

An osteochondroma is a non-cancerous growth that develops during childhood or teen years. The abnormality appears on the bone’s surface near the developing cartilage tissue of the bone ends. The growth is comprised of both bone and cartilage tissue. The tumor may continue to enlarge as the individual grows, but once the skeletal system is matured and the bones solidify, the tumor stops growing. Osteochondroma may grow as a solitary tumor or many tumors, which is called osteochondromatosis. However, solitary growths are more prevalent than multiples.

In many instances, no treatment is needed. But when osteochondroma occurs in the foot, they are apt to be painful due to the concentration of bones and supporting tissues. It can be painful especially when bumped or when in a location where shoes apply pressure to the growth.

Little is understood about the causes of osteochondroma. They are not injury related and seem to affect males and females in near equal numbers. Doctors have no way of preventing them at this time. Osteochondroma may grow out from the bone with a stem-like base, called pedunculated. If the tumor grows closer to the bone with a wider base it is referred to as sessile.

Symptoms of solitary osteochondroma include:

• A bump that protrudes near a joint
• Pain with activity or pressure on the growth
• Numbness or tingling if the growth puts pressure on a nerve

If your tumor causes you pain or disability due to nerve pressure and you seek treatment, you will have to undergo imaging tests such as X-rays, CT scan, or MRI.  These tests will allow your doctor a complete view of the growth and a better understanding of how to treat your foot. Many times, no treatment is necessary unless the pain prevents normal activity, but the growth should be monitored for change. If you do require surgery, you should discuss with your doctor the possibility of recurrence. Osteochondromas are common and tend to recur with great frequency.

If you have a growth that appears on the top or side of your foot near a joint, contact Dr. Bowman at (713) 467-8886. He can conduct a thorough examination of your foot and order the necessary imaging to complete your diagnosis. He will discuss your options and get you started on a treatment plan to lessen your discomfort and speed you on your way to better foot health.

References:

http://orthoinfo.aaos.org/topic.cfm?topic=A00079
http://www.medhelp.org/posts/Orthopedics/Lump-on-foot--Osteochondroma-surgery/show/384378
http://www.houstonfootspecialists.com/library/1904/Osteochondromas.html

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Football and Soccer Cleats - What’s there to Question?

The summer is waning and kids will soon be back in school and participating in autumn sports if they aren't already. That means new shoes for individual sports that are designed to protect feet from injury and maximize playing potential. Most schools don’t provide the shoes, which leaves young athletes and parents wandering the aisle of the sporting goods store, trying to buy what’s right and getting the best deal for their money. So we're here to help with a couple of tips for buying cleats.

Shopping for Football Cleats

There are so many choices and things to consider it’s difficult to know where to begin. Let the position dictate the profile height of the shoe, and you will probably cut your choices by fifty percent.  Football shoes come in high-top, low-top and mid cut shoes. If you play on the line, you will probably want a high-top shoe that offers added protection to ankles in the instances of fast lateral movements. Mid-cut shoes are preferred by players who have to run, but may need a little extra support. You’ll most likely see mid-cut shoes on quarterbacks, running backs and wide receivers. Some will also wear low-top because of the weight of the shoe.

Considerations before purchasing football cleats:

• What fits your budget
• Leather or synthetic material
• Molded or detachable cleats
• Profile
• Breathability
• Cushioning and arch support

Shopping for Soccer Cleats

When it comes to buying soccer cleats, know what kind of surface you will be playing on. The field condition and material is important to shoe decision because the softer the ground, the longer the cleat should be in order to provide good traction. Also, ask your coach or someone in the league who can tell you if there are any restrictions. These two pieces of information are important and may help you from making a costly mistake. There is a likelihood that surfaces may vary so you may want to select shoes that have removable cleats and simply replacing them can accommodate a variety of playing surfaces or field conditions. Most natural surfaces are considered firm surfaces so it’s possible you would want to choose molded cleats. Cleats that are molded to the bottom of the shoe work fine for a variety of natural surfaces. Your game performance will only be maximized by a comfortable shoe, so make sure your shoes fit properly.

Before you plunk down your hard earned cash, consider the following options so you can purchase the shoe that best meets your needs:

• Full grain leather
• Kangaroo leather
• Removable cleats
• Molded cleats
• Internal cushioning and arch support
• Number and shape of cleats
• Color and style options

Your first consideration has to be foot safety no matter what your athletic endeavor. Occasionally, in the arena of competitive sports, accidents happen. In that case, call Dr. Bowman at (713) 467-8886. His goal is to get you back in play. He’s just the guy to have on your team.

References:

http://www.galttech.com/research/sports/best-football-cleats.php
http://worldsoccer.about.com/od/equipment/Equipment.htm

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Back to School and Right into Fall Sports

It’s time to think about packing the youngsters off to school. Many students also play team sports, so don’t forget to make special preparations for that also. Chances are last year’s cleats can’t be worn this year. The growth factor needs to be considered as well as the condition of the shoes from last season. While they might look great on the outside, the cushioning and support may be negligible. Now that you are resigned to purchasing new shoes, what sport are you outfitting for?

Soccer and football cleats may look a lot alike and their purpose is the same. These shoes provide the athlete with both stability and traction while on the playing field.  Although they may look alike, there are some differences, which mean one pair of cleats cannot be worn for the same sport.
Below are some key differences you should take into consideration:

• Design.  Football cleats come in three profiles, low-cut, mid-cut and high tops. High tops are preferred by the players who do a lot of lateral movement.  Low-cut or mid-cut shoes are worn by players who require increased maneuverability such as running backs and wide receivers. Soccer cleats are only made in low-cut style because not only are they lighter weight, but they also allow for greater speed and agility on the playing surface. 

• Product. Both soccer and football cleats are constructed from hard plastic and can be detachable. Soccer cleats have the option of an aluminum cap that allows for greater traction. Aluminum caps are not allowed on football cleats. Soccer also allows a metal spike in some instances, which is never allowed in football. One feature present in football cleats that is lacking in soccer cleats is the presence of a horizontal toe spike. The function is to help dig in and provide front driven support. Another horizontal mid-sole spike provides traction against fast starts.

(Photo credit: Wikipedia)

• Manufacturer.  Most major manufacturers of sports shoes make both football and soccer shoes. You should know the rules governing the shoes for your particular league. For instance, although one inch cleats are manufactured, not all levels of football allow them. Check with the team coach for added specific information governing shoes and take a features list with you when you go shopping.

Safety and foot protection should be your primary concern. Dr. Bowman can provide you with additional tips for foot and ankle safety considerations. You can call him to schedule an appointment at (713) 467-8886. Make sure that all foot and ankle concerns are addressed before your student athlete boards the bus and heads back into the competitive world of school sports.

References:

http://www.livestrong.com/article/111722-difference-between-soccer-football/

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Correcting Overlapping and Underlapping Toes

English: (Photo credit: Wikipedia)

Overlapping and underlapping toes are deformities seen when one or more of the toes lies on top of or underneath other toes. Other deformities such as bunions or hammertoes may be present at the same time, and bunions may actually cause toes to overlap. Pressure from the toe box often causes hard corns to develop. Also, soft corns and blisters are apt to develop where the toes rub on each other. The toes themselves generally do not hurt, but the corns and blisters can be very painful.

Overlapping toes usually affects the fifth toe and it can occur prior to birth. A process of stretching and taping can be done during infancy, but the deformity usually returns. There is a surgical procedure where the tendon at the base of the small toe is released allowing the toe to assume a more normal position. On occasion a pin may have to be placed to keep the toe in alignment.

Underlapping toes affect the fourth and fifth toe and are probably caused by unequal strength in muscles. If underlapping toes are present at birth it is called congenital curly toes. This deformity can be corrected surgically with a couple of different procedures depending on whether the toes remain flexible or are rigid. Your foot and ankle specialist can best determine the procedure necessary in your situation.

In order to provide comfort to the patient, the first step in treatment is to change to footwear that will allow room for the deformity. Dr. Bowman may recommend orthotics designed to straighten and space the toes correctly. If this conservative treatment is not successful, a surgical procedure to release the tendon will allow the toe to reposition.

A recap of some of the treatment options include:

• Wide deep shoes to avoid pressure on the deformity

• Corn and callus treatment

• Orthotics to space and align toes

• Surgical treatment

Children with flat feet and high arches distribute weight differently. The faulty biomechanics can cause the toes to assume an abnormal position. Adults can develop overlapping toes as a result of wearing shoes that are too tight and narrow in the toe area.

If you have a bunion watch for symptoms of overlapping toes and call Dr. Bowman at (713) 467-8886. His expert ability to rearrange toe positioning can make your feet pretty again.

References:

http://www.houstonfootspecialists.com/library/1907/OverlappingorUnderlappingToes.html
http://www.prlog.org/10352809-overlapping-and-underlapping-toes.html

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Back to School Preparations for Student Athletes

(Photo credit: Wikipedia)

It barely started and is almost over - summer vacation! It just isn’t long enough and as parents look at making back to school preparations, some may tend to agree. Special consideration for the student athlete is the necessary equipment for the first day of practice. If your child participates in an indoor sport like volleyball, they will need a pair of shoes that meet the demands of the sport and provide the best protection for their feet. Their street sneakers probably lack the desired gum-rubber sole that allows for the unique demands placed on them.

There are an estimated thirty million participants in volleyball so shoe manufacturers have researched and spent lots of time in developing footwear that:

• Grips

• Supports

• Absorbs shock

These are key features to look for when making your decision. Normal running shoes just won’t get the job done. Volleyball players do quick and frequent directional changes, which require a sole sure to grip the smooth floor. Manufacturers use a gum-rubber material for the outer sole allowing the participant to start, stop and pivot quickly and a herringbone pattern is added to help avoid slip and fall accidents.

Since the volleyball player spends most of the time on the balls of their feet or toes, support at the midsole is a must. Gel, liquid, air and foam are options that provide support and offer good energy return and rapid recovery.  The best support comes from custom orthotics.

High top shoes are available and aid the player with weak ankles and at the same time help to prevent sprain injuries. For the student athlete who prefers low top shoes, an ankle brace may be an option to consider or Immobilization tapping.

As a volleyball player, the student athlete relies on a shoe that will keep him or her safe and maximize their performance. If the current shoes just aren’t cutting it, perhaps it’s time to retire them and select a shoe with the desired capabilities. A sports store that specializes in indoor court sports has sales staff available to guide you and make recommendations. They are also the best go to person for advice on fit. Purchase the athletic socks you will wear with the shoes and buy the shoes to accommodate both feet and socks. Shoes should not feel tight, if they do, move a half-size up.  Consult with Dr. Bowman about correct shoes for any sport.

If after all this your student athlete sustains a sports injury, call Dr. Bowman at (713) 467-8886. His expertise as a former athlete can minimize lost time and get you back on the court. Online appointments are available at www.houstonfootspecialists.com

References:

http://www.livestrong.com/article/395899-what-type-of-shoes-do-you-need-for-volleyball
http://www.livestrong.com/article/392402-qualities-to-look-for-in-a-volleyball-shoe/

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Problems with the Achilles tendon? Take time out and fix it now!

(Photo credit: Wikipedia)

The Achilles tendon connects the calf muscles at the back of the leg to the heel bone. It is the largest and strongest tendon in the body and also the most frequently injured. It can withstand tremendous force, but it can also be easily pushed beyond its limits. Sports activities frequently cause Achilles tendon injuries, and it doesn’t matter if you’re a professional athlete or a weekend sports enthusiast, an injury can happen to anyone. Achilles tendonitis occurs when the tendon becomes inflamed and is frequently a result of overuse from running or other activity that can strain the tendon.

Achilles tendonitis may be treated at home with a high rate of success, but there are instances when the tendon tears (ruptures) that need you will quick medical attention. Symptoms that you should watch out for include:

• Pain at the back of the leg and above the heel
• Creaking noise when you touch or move your Achilles tendon
• More severe pain in the morning that diminishes with light activity
• Swelling or bump on the tendon

Mild cases of tendonitis may be treated at home. To relieve painful symptoms try:

• Ice application to affected area
• Over-the-counter anti-inflammatory medication
• Change of routine to reduce stress to tendon

In order to avoid the onset of tendonitis do the following:

• Increase activity, intensity, and frequency gradually
• Always allow for appropriate warm up time
• Avoid hard and uneven surfaces when running
• Footwear should be changed out every 300 to 500 miles if you run
• Check footwear insoles for proper cushioning and support for all sport activities and make sure you are in the right shoe for that sport.
• Stretch before and after any type of activity

Sudden and intense pain may indicate a tear or rupture of the tendon. It’s important to seek immediate medical attention. Other symptoms that indicate a rupture include the inability to walk normally or bear weight and inability to flex and walk on toes of the affected extremity.

A rupture of the Achilles tendon may be partial or complete. It may be accompanied by a pop or a snap followed by intense pain and the inability to walk normally. Treatment may depend on your age, your level of activity, and the level of tear. Dr. Bowman has extensive training is this area and can evaluate your condition and discuss your best treatment options. There will be a period of rehabilitation for a ruptured tendon. A typical time frame is four to six months for return to prior activity level. 

If you suspect Achilles tendonitis, or possibly a rupture, do not delay treatment and call Dr. Bowman at (713) 467-8886. With his state of the art technology and expertise, Dr. Bowman will diagnose and prescribe a treatment plan developed specifically for you, and you will be speeding along on the road to recovery.  Online appointments available at www.houstonfootspecialist.com.

References:

http://www.mayoclinic.com/health/achilles-tendinitis/DS00737
http://www.mayoclinic.com/health/achilles-tendon-rupture/DS00160

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Hidden Dangers in the Pool

The swimming pool called Olympic (Georgia, Isani, Tbilisi) (Photo credit: Wikipedia)

With the temperatures in Houston consistently hitting the 90’s, nothing is more refreshing than a dip in the pool. But if you’re in a pool at a resort, gym, or in a community pool, you need to be wary. There are some dangers lurking around and beneath the water of which you should be aware and mindful.

When you head off to a public pool, the list of belongings in your gym bag needs to include pool shoes and shower thongs. These items are recommended for safety as well as health reasons. However, safety is a priority. The clear blue of the pool looks really inviting, but it’s nearly impossible to see glass on the bottom of the pool, and somehow it manages to find its way there. If a glass gets dropped on the deck and shatters, it’s easy for a shard to end up in the pool.  Wear pool shoes to keep your feet safe from stray glass and uneven tiles. The small tiles used to construct the pool’s bottom have very sharp edges and sometimes are not flush. The raised edge of a mislaid tile can cut your foot as quickly as glass. Pool shoes not only keep your feet safe while in the water, but can reduce the risk of slip and fall injuries while on deck.

The health of your feet is equally as important as keeping them safe from injury. If you don’t wear pool shoes or thongs while on the deck, in the shower, or in the locker room, you expose your feet to athlete’s foot and toenail fungus. Both athlete’s foot and toenail fungus is caused by a fungus that thrives in warm and moist areas. If you are diabetic you must safeguard your feet from health conditions that could result in harm to your feet. Wear your shower thongs or pool shoes, and leave them on your feet until you are ready to pat your feet dry and put on your clean socks and shoes. You may also want to use an anti-fungal spray. Why give fungus a chance. Spray your feet and your shoes and Dr. Bowman will be happy to recommend the proper spray. When you get home, allow your pool shoes time to dry in the sun and fresh air. These are two natural enemies of fungus, and the drying time will ensure they are fresh and ready for your next trip to the pool.

To recap, quickly:

• Watch for hazards
• Wear pool shoes or shower thongs when using public pools, locker rooms, or showers and while on deck
• Keep feet clean and dry
• Use anti-fungal spray on feet and in shoes
• Allow shoes to air-dry completely. The best policy is to not wear the same shoes two days in a row

If you have a foot or ankle injury or a health concern with your feet, call Dr. Bowman at (713) 467-8886 or online at www.houstonfootspecialists.com. His experience and state of the art technology work together to keep your feet healthy and you happy.

References:

http://www.footcaredirect.com/athletes_foot_fungus.html

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