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Posts for: March, 2014

March 28, 2014
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the most common problems that I see in my office during sandal and flip flop season are tired feet, arch cramps, muscle spasms, calluses on the heel and ball of the foot, blisters on the toes and lower leg pain such as shin splints.

Shopping all day or standing on your feet for hours wears you out and results in tired feet, arch cramps, muscle spasms and shin splints. This can be lumped into one cause, abnormal pronation where the arch excessively collapses during the normal gait cycle. This leads to the muscles in the arch of the foot and lower leg to fatigue and tire because of the increased stress resulting in an overuse phenomenon causing foot and lower leg pain. The trigger is wearing non supportive sandals or flips flops.

Biomechanically speaking the foot is unstable and slides around when walking in those types of shoe wear. Toes will curl downward and try to grab the ground because of the instability in the joints of the foot. The muscles in the front of the lower leg will fire continuously and eventually fatigue and become tight and sore.

Dr Comfort orthopaedic sandals.


The Foot and Ankle Center of Nebraska would like to welcome Dr. Nicholas Olari to the team.  On April 1, 2014, Midwest Foot Center is merging with the Foot and Ankle Center of Nebraska.  Dr. Olari has been practicing podiatry for over 20 years in the Omaha area.  Dr. Olari will continue to provide care at both the Grover and Papillion offices.


As this cold winter comes to an end, we have notice more patients with painful and discolored fingers and toes.  This condition can be due to a common disease called Raynaud's disease.  This condition is present in up to 5% of the U.S. and is more common in men than women.  There are forms of Raynaud's: primary and secondary.  Patients with primarydo not have an underlying disease causing the vasculitis.  Secondary Raynaud's has an underlying disease such as Scleroderma that causes the vascular changes.

Raynaud's phenomenon is excessively reduced blood flow in response to cold or emotional stress, causing discoloration of the fingers, toes, and occasionally other areas. This condition may also cause nails to become brittle with longitudinal ridges. Named after French physician Maurice Raynaud (1834–1881), the phenomenon is believed to be the result of vasospasms that decrease blood supply to the respective regions.  Raynaud's has also been called the "patriotic disease" due to the fact the affected area will generally have a red, white and then blue appearance. 



The disease can be a primary or secondary condition.  Primary condition means that no underlying disease is causing the symptoms.  While secondary Raynaud's is due to another disease process such as scleroderma or lupus.  This condition can be limb threatening if it is not treated correctly.  At times, nerve blocks are needed to end the vascular crisis.  Many times, these can be performed in an office setting with minimal pain.

Immediately following the sympathetic nerve block (notice the readness)

Post-injection (noticed the improved color compared to above)



If you have been suffering from symptoms that maybe due to Raynaud's, feel free to contact the physicians at the Foot and Ankle Center of Nebraska.  If you are suffering from an emergency vascular crisis, seek immediate medical assistance or call 911.




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Omaha, NE 68114

 
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5030 Grover Street
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La Vista, NE 68128

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