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Posts for category: Foot Conditions

Plantar Fasciitis Consists of Different FactorsAccording to UN Oriental Medical Clinic practitioner Lee Sung-hun, plantar fasciitis comes from a variety of factors, including age and level of activity. Sung-hun states that plantar fasciitis is very common; about ten percent of people suffering from the painful condition.

Some common causes of the illness include extra weight due to pregnancy, hormonal changes during middle age and intense sports. In Oriental medicine, acupuncture, bee venom, and and moxibustion are used as treatments for plantar fasciitis. Sung-hun additionally says that the condition can go away on its own if given enough time.

Plantar fasciitis is an uncomfortable condition. If you have pain in your heels, call podiatrist Dr. Nicholas Crismali, DPM of Crismali Foot and Ankle. Dr. Crismali can treat your foot and ankle conditions.

What is Plantar Fasciitis?

Plantar fasciitis refers to heel and arch pain caused by an inflammation of the connective tissues on the bottom of the foot.

What Causes Plantar Fasciitis?

  • Ill-fitting shoes
  • Weight change
  • Excessive running
  • Non-supportive shoes
  • Overpronation

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices. 
  • Shockwave therapy – sends sound waves to the areas where pain is experience.  Requires multiple sessions.  This is used for very persistent cases of plantar fasciitis. 
  • Ultrasound-guided technique with steroid injections into the plantar fascia.  This is from a relatively new and small study, but was shown to be effective in most cases treated.

New Studies on Treatment

According to groundbreaking treatment option studies, Luca M. Sconfienza, M.D. says that ultrasound with steroid injections was effective in over 95% of cases that involve plantar fasciitis. This process involves anesthesia and is a single process, out-patient treatment that was discovered to be highly effective. Luca M. Sconfienza M.D. presented her study at an annual meeting for the Radiological Society of North America (RSNA). Be sure to speak with your podiatrist about different methods that can be used, as well as finding out what treatment options they offer.

If you have any questions, please feel free to contact our office in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

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ingrown toenailWhen White Sox player Avisail Garcia had an ingrown toenail surgically removed recently, the team’s manager, Robin Ventura, had thought that he would need a day off to rest. But they don’t call Garcia a “monster” for nothing. The shortstop was back to play the very next day, and performed all of his duties without any major problems throughout the game.

Garcia’s batting average was .304 last season, and he also racked up 21 RBIs. “I want to be consistent and get better,’’ Garcia said. “Put up better numbers and help my teammates.”

For most people, ingrown toenails are a painful nuisance. If you need assistance with this or similar conditions, consult podiatrist Dr. Nicholas Crismali, DPM of Crismali Foot and Ankle. Dr. Crismali will explain the different types of care that are available for ingrown toenails and help you decide on the right one for you.

Ingrown Toenails Causes

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

There are a number of risk factors for ingrown toenails. Some include cutting your nails too short, participating in strenuous sports, diabetes, obesity, and fungal infection. Some are genetically predisposed to ingrown nails, although wearing ill-fitting or damp shoes can exacerbate the problem.


There are a number of steps you can take to treat ingrown nails:

-Let your toenails grow out
-Soak the toes in hot water with antibiotic soap or Epsom salts
-Placing a piece of cotton under the affected nail may allow the toe to grow up instead of into the nail bed
-Rest with your feet up

If however, your pain is severe, or you see red streaks running up your leg, you should see a podiatrist. Your podiatrist may make a small incision and remove part of the toe nail to relieve the pressure. A local anesthetic may be used to lessen the discomfort of the operation.  Topical medication may also be prescribed to prevent the regrowth of the problem nail. You will probably have to stay off your feet for a day or so, but should be able to carry on normal activities quickly.

If you have any questions, please feel free to contact our office in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

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Scientists at the University of Nottingham have gathered more evidence that a person’s likelihood of getting gout is strongly affected by genetics. Their studies have identified people with first-degree relatives like parents, siblings, or children with gout as more likely to contract it themselves.

In addition, the researchers reported online in Annals of the Rheumatic Diseases that a person is also more likely to get it if a second-degree relative, like an aunt or uncle or grandparent, has it, although this effect is less dramatic than the effect first-degree relatives have.

Health scientists today are still debating whether gout is more affected by heredity or by externalities like diet, weight, and high blood pressure. "Currently, the balance between genetic and environmental contributions is still unclear," said Chang-Fu Kuo, one of the study’s researchers.

Gout is a systematic disease of the foot that can usually be avoided with proper care. If you are suffering from gout, consider seeing a podiatrist like Dr. Nicholas Crismali of Crismali Foot & Ankle. Dr. Crismali can determine if you have gout or another systemic disease and provide you with care to help restore your feet to good health.

What is gout?

Diseases of the feet can affect the whole body, and symptoms usually arise within the feet. A condition like gout can make a patient’s ability to walk unbearable.  The pain caused by this disease is often so agonizing that it requires elevation of the feet and some time off of them to recover.

Known in the past as “the disease of kings”, Gout is caused by an excess of uric acid in the body.  This buildup of acid is typically seen on the big toe of the foot and can cause inflammation, redness and swelling. Although these are common symptoms of the diseases others include joint pain, extreme fatigue and a high fever.  Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

To learn more about Gout, follow the link below.

If you have any questions, please contact our offices in Hesperia, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout.

Athlete's footA scientist at James Mason University is developing a medicine that combats athlete’s foot based off probiotics.

The medicine, which uses “good bacteria” to fight fungal infections, was originally made to cure diseases in frogs. The scientist, biologist Harry Reid, asserts that there are no complete satisfactory athlete’s foot treatments available now, but that a probiotic solution would handle fungus better than conventional drugs. He and his colleagues plan on testing samples of the medicine in hopes of finding a formula that works.

Fungal infections are unpleasant and have the potential to cause major discomfort. If you have athlete’s feet, contact a podiatrist like Dr. Nicholas Crismali of Crismali Foot and Ankle. Dr. Crismali will determine the severity of your athlete’s foot and use the appropriate treatment to mitigate the fungal infection.

Athlete’s Foot: The Sole Story

If you suffer from itching, burning, dry, and flaking feet, this may be a sign of athlete's foot. Athlete's foot, also known as tinea pedis, can be extremely contagious, and it often infects shower floors, gyms, socks and shoes, and anywhere else feet may come in contact with. It is commonly found in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools. This condition can also be prevalent in "commons" areas in prisons and residential care facilities.

Solutions to Combat Athlete’s Foot

- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal product
- Examine feet and visit your doctor if any suspicious blisters or cuts are present.

What is Tinea?

- Athlete’s foot is often caused by the same fungus that causes ringworm (tinea).
- Tinea can invade other parts of the body as well, if the proper thriving conditions for it are met.
- Tinea thrives in mostly dark, warm and moist environments.
- Although many people never experience athlete’s foot, around 70% of the population may suffer from tinea at some point.

People with a history of tinea or other skin infections are more likely to suffer from recurrent, or even additional, unrelated infections.

For more information on Athlete’s Foot, follow the link below.

If you have any questions, contact our office in Hesperia, CA. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Athlete’s Foot.

Diabetic Foot CareScientists at the University of Colorado have conducted a study that shows that patients with peripheral arterial disease (PAD) can reduce their risk of heart attacks by taking drugs that lower their blood pressure.

The study involved a total of 53 people with PAD, who normally have a higher chance of getting heart attacks than others due to poor circulation. A control group of 31 PAD patients weren’t given any medicine, while the other 22 were asked to take drugs to lower their blood pressure. Of the control group, 12 participants had heart attacks during the time of the study, while in the other group only 3 did. This could indicate new directions in treatment for heart disease patients.

If you’re having problems with circulation in your feet, contact a podiatrist like Dr. Nicholas Crismali of Crismali Foot and Ankle. Dr. Crismali can analyze your condition and provide you with the best care possible.

What is Poor Circulation in the Feet?

Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.


Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.

It can also cause:

-muscle pain   
-numbness in legs
-skin discoloration
-slower nail & hair growth
-erectile dysfunction

Those who have diabetes and or smoke are at greatest risk for poor circulation, or who are over 50.

If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintain a healthy lifestyle will dramatically improve conditions

As always see a doctor as they will help try and fit a regime that suits you.

To learn more about Poor Circulation in the Feet, follow the link below.

If you have any questions, feel free to contact our office in Hesperia, CA. We offer the latest in diagnostic and treatment technologies to meet your needs.

Read more about Poor Circulation in the Feet.