How a Podiatrist Diagnoses Peripheral Artery Disease

Changes in the feet sometimes provide the first clues to peripheral artery disease, or PAD. This condition develops when narrowed arteries restrict blood flow to the legs and feet. A podiatrist begins the evaluation by asking about symptoms and reviewing medical history. Questions focus on leg pain while walking, foot discomfort at rest, and wounds that heal slowly. The podiatrist also reviews risk factors like smoking, diabetes, and high cholesterol. Some patients have few noticeable symptoms, making a careful examination especially valuable. Finding circulation problems early helps guide treatment before reduced blood flow causes potentially serious tissue damage.

During the examination, the podiatrist checks pulses in the feet and ankles. Skin temperature, color changes, and slow-healing sores provide additional clues. However, these findings alone do not confirm PAD. The next step frequently involves an ankle-brachial index, or ABI, which compares blood pressure at the ankle with blood pressure in the arm. Blood pressure cuffs and a handheld ultrasound device measure both pressures. A lower ankle pressure suggests reduced circulation. An ABI of 0.90 or below supports a PAD diagnosis. The podiatrist performs this test or arranges testing at a vascular laboratory, then reviews the results alongside the examination findings.

Additional testing helps when the initial results do not explain the symptoms. Diabetes and kidney disease sometimes cause stiff arteries that make ankle pressure readings misleadingly high. In these cases, a toe-brachial index compares blood pressure in the toe with pressure in the arm. Testing after treadmill walking also helps identify circulation problems that resting measurements miss. A more detailed ultrasound examines blood flow and locates narrowed arteries. If you have symptoms of peripheral artery disease that affects the feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Omega Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reasons for Foot and Ankle Swelling

Swollen feet can make shoes feel tight and movement uncomfortable. This swelling, called edema, happens when extra fluid collects in tissues. It can affect the feet, ankles, or lower legs. Some people notice puffiness after sitting for long periods, especially while traveling. Others experience swelling that lasts longer. The skin may feel stretched or tight, and the legs can feel heavy. Swelling is not always caused by a foot injury. It can signal that fluid is having difficulty moving back through the body. Recognizing changes in foot size and comfort helps patients seek timely care.

Poor circulation in the veins is one possible cause of swollen feet. Veins contain small valves that help blood travel toward the heart. When these valves weaken, fluid can collect around the ankles. Another cause is lymphedema, which develops when the body's fluid drainage system cannot work properly. This system normally carries excess fluid away from tissues. Limited movement and excess body weight can increase the risk of persistent swelling. Swelling lasting longer than three months is considered chronic. Without proper treatment, ongoing swelling can lead to thickened skin and a greater risk of infection.

A podiatrist can examine swollen feet and assess changes in the skin, circulation, and foot shape. The evaluation helps identify possible causes and determine appropriate care. Depending on the findings, treatment may involve professionally fitted compression garments to help control fluid buildup. Compression is not appropriate for every patient, so circulation must be checked first.  A podiatrist can also recommend suitable shoes and assess how swelling affects walking. Sudden swelling in one leg, especially with pain or redness, requires urgent evaluation. Swelling accompanied by breathing difficulty requires emergency attention. If you have symptoms of swelling of the feet, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Omega Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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How Orthotics Support Foot Health

Orthotics are medical devices designed to support the feet and improve how they function during movement. They may help align the foot, correct certain deformities, or prevent existing problems from worsening. Foot orthotics can also reduce pressure on painful areas and support a natural walking pattern. These devices are used for several foot and ankle problems, including plantar fasciitis, arthritis, and flat feet. Orthotics may also be useful for certain tendon problems or sports injuries. By changing how forces are distributed across the foot, an orthotic device can reduce abnormal pressure during weight-bearing activities.

 

Different types of orthotics are available depending on a person’s foot structure and medical needs. Prefabricated orthotics are standardized devices that can be prescribed for several foot problems. Custom foot orthotics are individually made and may be appropriate when specific support is required. Some custom devices provide cushioning and absorb shock, while others are more rigid to help control unwanted foot movement. Orthotic treatment may improve mobility and reduce discomfort. For example, arch support can help redistribute pressure in people with flat feet. Certain orthotic devices can also reduce stress on damaged tendons or help control movement in arthritic joints.

 

A podiatrist can evaluate foot mechanics and determine whether orthotics may be appropriate for a particular condition. This evaluation can include examining the foot’s structure and identifying areas experiencing excessive pressure. A podiatrist can then recommend an orthotic based on the specific problem rather than using a one-size-fits-all approach. The goal may be to improve alignment, reduce pain, or protect sensitive areas of the foot. Orthotics can be part of a broader treatment plan for both short-term and long-term foot conditions. The appropriate device depends on the diagnosis and amount of support required. If foot or ankle pain continues to interfere with comfortable movement, it is suggested that you make an appointment with a podiatrist.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Omega Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Dealing With Chronic Instability in the Ankles

Chronic ankle instability causes the ankle to repeatedly feel weak, wobbly, or ready to give way. The problem usually affects the outer side of the ankle and can occur while walking, exercising, or simply standing. It frequently begins after one or more ankle sprains. A sprain stretches or tears the ligaments, which are strong bands of tissue that support the joint. When an injury does not heal fully, the ankle can remain loose and poorly controlled. Symptoms include ongoing discomfort, swelling, and tenderness. The ankle may keep turning on uneven ground or while playing sports.

Each new sprain can further weaken or stretch the injured ligaments. This creates a cycle of repeated injury and increasing instability. Damage can also affect balance and the ankle muscles that help control movement. This can limit exercise, work duties, and other daily activities. Without proper care, chronic instability can contribute to cartilage damage and ankle arthritis. A podiatrist will ask about earlier injuries and when the ankle gives way. The examination includes checking swelling, tender areas, and joint movement. The podiatrist may also assess strength and balance. X-rays can reveal bone injuries or arthritis, while other imaging tests can show ligament or cartilage damage.

Treatment depends on the degree of instability, test results, and the patient’s activity level. A podiatrist can provide an ankle brace to support the joint and help prevent another sprain. A guided exercise plan can improve strength, balance, and control. Custom orthotics may improve foot alignment and help the ankle move more steadily. Early evaluation can protect the joint from repeated injuries and support a safer return to activity. If you frequently experience the feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Omega Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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