Peripheral artery disease, or PAD, can seriously affect the feet by limiting blood flow through narrowed arteries. This often causes pain while walking that eases with rest. As peripheral artery disease progresses, pain may continue even when not moving. Common symptoms in the feet include numbness, tingling, coldness, and skin discoloration. In some cases, one foot may feel significantly cooler than the other. PAD can also lead to slow-healing ulcers on the feet or toes, which may become infected and require prompt medical care. Skin on the feet may appear pale or take on a bluish tone, and toenail growth can slow or stop due to poor circulation. In advanced stages, tissue damage may occur, increasing the risk of limb loss, if left untreated. A podiatrist can help by identifying early signs of PAD and providing appropriate treatment to improve foot health. If you have symptoms of PAD that are affecting your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor 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 office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, often affecting the big toe. This common condition can be caused by trimming toenails too short, wearing tight shoes, injury, or a natural curve in the nail. Symptoms include redness, swelling, pain along the nail edge, and sometimes drainage or infection, if left untreated. The area may feel tender to the touch and become increasingly painful when walking or wearing shoes. A podiatrist can diagnose an ingrown toenail with a simple exam. Treatment may involve gently lifting the nail edge, removing a portion of the nail, or prescribing antibiotics if an infection is present. In recurring cases, a minor procedure can permanently remove part of the nail to prevent future problems. Proper nail care and footwear recommendations can also help prevent recurrence. If you have developed an ingrown toenail, it is suggested that you promptly schedule an appointment with a podiatrist who can effectively treat this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing high heels alters the natural alignment of the foot and affects overall biomechanics. The elevated heel shifts body weight forward, placing excessive pressure on the forefoot and toes. This can lead to conditions such as bunions, hammertoes, and metatarsalgia, or ball of the foot pain. The gait cycle is also affected, as the shortened heel contact phase reduces shock absorption and stability. Over time, muscles and tendons may become strained, and posture may shift to compensate for the imbalance. These changes can lead to discomfort in the feet, knees, hips, and lower back. A podiatrist can assess these issues, provide supportive footwear recommendations, custom orthotics, and strategies to minimize long-term damage caused by frequent high heel use. If you have developed foot pain from wearing high heels, it is suggested that you contact a podiatrist who can provide relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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