Tuesday, May 7, 2013

Sweaty and Stinky Feet... We have a Solution!

With the warm days of summer quickly approaching, there are a number of people who suffer from hyperhidrosis (excessive perspiration) of their feet.  This condition can lead to foot odor, fungal skin infection, fungal nails and social anxiety.  We have an Awesome Solution... Onox Foot Spray!
 
You can pick up a bottle at any of our locations for only $10.00
 
 

  • Formula absorbs excess moisture and removes dead skin to impede the growth of athlete's foot.
  • Pump spray bottle makes application easy.
  • Formula toughens the skin and withholds water by osmosis.
  • Formulated with: zinc chloride, boric acid, inert salts. Active Ingredient: zinc chloride (5.5%).
  • Made in USA.
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    Monday, December 24, 2012

    Serious foot conditions leave NFL athletes on the sidelines...

     
     
     


    To my dismay, I am officially out of the fantasy football playoffs!  My season was filled with player injuries and underperformance.  Maurice Jones Drew (pictured above) was one of my top draft picks that has been in a walking boot and crutches for much of the season.
     
    Can foot injuries be prevented amongst athletes?
     
     Dr Michael Coughlin, a leading foot and ankle expert believes the answer is YES!  In preventing these types of injuries Dr Couglin reports that "It's really the cleat pattern and the stiffness of the shoe that we found makes the difference."
     
    The NFL has consulted with Dr Coughlin, who has since met with shoe companies to help them develope shoe gear that may help to prevent these injuries.
     
     

    Wednesday, November 7, 2012

    Many runners choose comfort and performance over style...

     

    Boost Compression Socks

     


     
    Total Vein Systems, a Houston-based medical supply company, recently introduced Boost, its new line of Athletic Compression Therapy. Boost socks are designed to increase blood circulation and enhance oxygen delivery to working and recovering muscles to acceler­ate recuperation and reduce muscle soreness. Each pair of Boost socks has reinforced calf and shin stitching, Achilles tendon protection, arch support, foot sole cushioning, and anti-slip toe and heel woven with antimicrobial silver coated fibers.
     
    Total Vein Systems
    888/868-8346
    www.totalvein.com
     
     
    Click Here for a runners perspective on using compression therapy

    Monday, October 29, 2012

    "What brand of shoe do you recommend for exercising?"

    Brooks!  Brooks are well know for making a very high quality, supportive shoe that I personally have worn for several years. 
     
    It is essential to make sure that you choose the right style of Brooks shoe for your foot structure.  The Brooks website www.brooksrunning.com has an excellent interactive tool that will help guide you in making this decision!

    CLICK HERE FOR THE SHOE RECOMMENDATION GUIDE

     

    Thursday, October 4, 2012

    Say "GOODBYE" to those funky toenails...

    You DON'T have to live with yellow toenails any longer!

    Do you have nails that are yellow, brittle and/or thickening?  If so, it is likely that you have a fungal nail infection.  Although there are other causes of nail discoloration and thickening (Psoriasis, Previous injury to the nail) the primary cause is fungus within the nail.  There are several treatment options for this condition including oral Lamisil, topical Jublia or topical ClearNails Pro.   Additionally we recommend taking the vitamin supplement Biotin and using a shoe sanitizing spray to prevent reoccurrence of the condition.  

    Call our office or send an appointment request through our website to have your nails evaluated!
    www.bluegrass-podiatry.com

    Thursday, September 27, 2012

    Peripheral neuropathy... New diagnostic procedure can help us treat you!

    Do you or your loved one suffer from burning, numbness or tingling sensations in your feet?  This condition is often associated with diabetes, thyroid conditions or vitamin deficiencies. 

    We can help! 

    There is a new diagnostic procedure, called an epidermal nerve fiber density biopsy, that can help us make a diagnosis of neuropathy.  This biopsy (which is done in the office) gives us insight as to the extent of the nerve damage and can help us make clinical decisions to help alleviate your symptoms.

    Call us today to schedule an appointment!

    Saturday, September 10, 2011

    Rashes & bumps... What to do when you're just not quite sure.

    As an APRN that specializes in foot and ankle conditions, I face a very similar clinical reality as my colleagues in primary care... Disorders of the skin.  The skin problems that I most often see are related to fungal infection and warts.   But every once in a while I am presented with a much more interesting and unique dermatological challenge.  In fact, I will present to you a patient case that just happened last week.

    A 10 year old caucasion female is referred to my by her pediatrician for "wart removal" of a solitary plantar wart on her plantar medial heel that has been evident for the past 3 months.  The lesion grew over a section of skin that her mother said previously had a birth mark.  The lesion measured 6mm in diameter and was raised.  It had a pink-brown pigmentation and the borders of the lesion were smooth.  It did not have a rough "warty" appearance.  After taking a medical history and evaluating the lesion, I recommended that we biopsy the lesion.  I choose to do a simple 2mm punch biopsy (after numbing under the lesion with a marcaine with epinepherine mixture).  I sent the specimen to my Dermatopathologist, BAKO Pathology and 2 days later had a diagnosis... Spitz Nevus.  I referred this patient to my partner, Dr Paul Krestik, for a complete excision of the lesion. 


    Spitz Nevus (Click for video information) 

    I believe that there are at least two major take home messages from the case above.  First, as APRN's we need to biopsy more lesions.  Why send our patients out to dermatology for biopsy when it can be simply and effeciently done in our own office?  Second, an excellent Dermatopathologist is a very important member of your clinical team.  After trying several different pathology companies in my practice, I have concluded that BAKO Pathology is the premiere. 

    If you are not comfortable doing simple punch and shave biopsies in your office, I would challenge you to find a continuing education course on the topic and gain some confidence and skill in this area.  I will do a brief educational primer on these techniques in the near future.