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The Foot First Way

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As you sit in the doctor's office, you may notice pamphlets on all sorts of different complications and treatments. You may also come across information on diagnostic testing such as Magnetic Resonance Imaging, Computed Tomography, and Ultrasound. What do these words mean? Do you really need to have these tests done?



When seeing a podiatric physician for the first time, they almost always take x-rays. Weather you have toe pain or ankle pain, an x-ray can give the doctor valuable information. Since doctors are human, they cannot see what is happening inside of your body. X-rays are a rather inexpensive way to take a glance underneath the skin and screen for any issues. Often, x-rays tell the doctor enough to confirm a diagnosis and treatment plan but sometime the x-ray cannot provide a clear diagnosis.

The doctor must then order some more advanced studies. Computed Tomography (CT scan) is a more advanced form of traditional x-ray. A CT scan takes digital technology and combines it with x-ray to create cross sectional images of the body or foot. Imagine cutting your foot with an egg slicer and being able to visualize the bones and soft tissue layer by layer. This is exactly what is done with a CT scan. This allows the physician to more precisely examine the size and location of the issue or complication.

With a better understanding of the issue, the doctor can then better treat the issue. Magnetic Resonance Imaging (MRI) is a very popular diagnostic test. Rather than using x-rays, MRI uses a magnetic field and radiofrequencies to produce images of the body. Unlike x-rays or CT scans, MRIs do not emit any radiation. A MRI is often used to evaluate soft tissue injuries or suspected problems. Since the MRI functions via a magnet there are some limitations for patients with pacemakers, artificial valves or other foreign artifacts in the body.

Ultrasound is a very popular diagnostic test because it is real time imaging. This means that the test can be performed in the office and the results are seen immediately. The device looks much like the ultrasound used on pregnant women but they are not quite the same. Ultrasound used on the foot is done at a different frequency to better capture the structures in the foot rather than the uterus. In general the ultrasound sends out sound waves that, depending on the tissue, get absorbed or bounced back to the probe. The information collected from the hand held probe is transformed into an image on the computer.

Though there are many other tests available, these are the three most popular advanced imaging test utilized by podiatric physicians. Remember that your foot is attached to your body. There are many different pathologies that can arise. Everything from a tumor to a neuroma can appear in the foot. It is important that a podiatrist fully evaluates every condition to rule out some very serious conditions. These tests also help to evaluate the severity of common conditions which leads to more appropriate treatment.
The Foot First Way
Unfortunately, there are more than 100 different kinds of arthritis that can affect the human body. The most common form, however, is known as osteoarthritis. This form develops as we all get older and is known as the wear and tear style of arthritis. What happens essentially is that the cartilage that covers the end of the bones wears out. The result is some of the worst pain you can experience, as well as swelling and inflammation in the joint. The tough thing about arthritis, it can develop in a joint that was injured, even if the injury happened years, or even decades before. This is known as traumatic arthritis and has the same symptoms as osteoarthritis.

Since there are so many bones and joints in the foot, it is a prime spot for the development of arthritis. If it does develop in the foot, it can alter the way you walk, therefore putting strain and pressure on parts of the foot where there was none before and that can bring on a whole host of other problems. The parts of the foot that are most commonly affected by arthritis are the ankle joint, the heel, the arch and the big toe. The big toe is also a prime spot for the development of painful bunions.

The symptoms of arthritis in the foot is pretty straight forward. If you're experiencing stiffness, nagging, throbbing pain, tenderness, swelling and reduced motion, you might have arthritis. Also, not being able to walk for long distances is another sign of possible arthritic problems.

Getting your arthritis diagnosed isn't a difficult process, but you can help your doctor out a bunch by keeping a pain journal. Once the pain becomes chronic and its apparent that it's not going away by it's self, sit down and write everything you remember about the pain: when did it start, how long does it hurt for, does it hurt during exercise or after, does it hurt at night when you sleep, does it get worse when you walk or run and does it migrate to different parts of the foot and ankle?

When you get to the doctors office, you can expect to give the doctor your medical history and the contents of your pain diary. He or she will then give you a physical exam to try to detect the cause of the pain you're feeling. The doctor may also do what is called a gait analysis. This is a test so that the doctor can see how you walk and see how your leg and foot line up. If the doctor isn't able to make a proper diagnosis based on the information so far, he may request a series of x-rays to be done to see if the bones have degraded at all in the foot. Other tests, such as a CT scan or an MRI might be used as well.

Treating your arthritis is difficult. There is no cure and often the damage suffered isn't reversible. Treatment is geared towards relieving pain more than anything. A doctor will usually prescribe the use of over-the-counter pain killers, such as Tylenol or Advil to kill pain. Supports in the shoes are another common treatment that can cut down on pain. Using a brace or a cane might be necessary as the arthritis gets worse. For severe cases, surgery is common.

Overall, arthritis isn't a fun process. It can be debilitating and extremely painful. But if you take care of your feet over time, watch your weight and wear properly fitted shoes, you should be able to avoid it.
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About Author
Both Peter Wishnie & Dave Wilson are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Peter Wishnie has sinced written about articles on various topics from Fitness, Fitness and Anger Control. Dr. Peter Wishnie is a podiatrist who specializes in foot and ankle surgery. His office is in Piscataway/Hillsborough,NJ. His goals are to educate the public on the care of their feet and ankles and to get them functioning as quickly as possible. For more. Peter Wishnie's top article generates over 4400 views. to your Favourites.

Dave Wilson has sinced written about articles on various topics from Health, Other Conditions and Other Conditions. Dave Wilson has an interest in Foot Pain. For further information on Foot Pain please visit or. Dave Wilson's top article generates over 3600 views. to your Favourites.
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