Posts for: December, 2018

By Foot First Podiatry Center
December 26, 2018
Category: skin conditions

Deep cracks in your heels called heel fissures can worsen to the extent that they become extremely hard and actually start bleeding. If you have large, painful heel fissures on your feet, you need to see your foot doctor to have them trimmed and treated to avoid possible infection and amputation.

Some of the causes of heel fissures include:

●      Standing and walking on hard surfaces regularly

●      Being severely overweight

●      Thyroid problems

●      Estrogen issues

●      Peripheral neuropathy 

●      Skin conditions like psoriasis and eczema

●      Wearing shoes with an open back

●      Vitamin and nutrient deficiencies

●      Circulation irregularities

●      It’s hereditary

For fissures that are not too advanced you can try to reduce the thickness of the skin in the heel area by using a pumice stone or file. Staying properly hydrated will help keep your skin more pliable and consuming omega 3 fatty acids may also help retain skin moisture.

Some treatments for heel fissures include the following:

  1. Determining the cause of the cracking with the help of your foot doctor
  2. Removing the hard skin while limiting cuts and bleeding
  3. Strapping adjacent cracks together for faster healing
  4. Using custom orthotic inserts and heel cups to contain the heel and keep it from expanding sideways
  5. Rehydrating the skin with moisturizing lotions and ointments

If you are experiencing complications with heel fissures, enlisting the services of a skilled podiatrist will help you find the best solution. Schedule an appointment with the Foot First Podiatry Center in New Albany,IN. Dr. Zahid Ladha, our podiatrist, is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

By Foot First Podiatry Center
December 18, 2018
Category: ankle conditions
Tags: ankle sprains  

Ankle sprains and strains are among the most common injuries treated by podiatrists, but many people underestimate the seriousness of an initial injury and fail to take the appropriate steps to ensure complete healing and to avoid future complications.

It is important to always treat ankle strains and sprains promptly to avoid the development of chronic ankle instability, which can occur when an ankle is repeatedly injured without healing properly in between injuries. Optimum healing of a severe ankle sprain can take months and requires initial immobilization, followed by slow and careful strengthening. This is done using physical therapy exercises.

Oftentimes an ankle sprain is accompanied by a hairline fracture, which is all the more reason to have a complete evaluation performed by your podiatrist to make sure you are getting the correct diagnosis and treatment.

Methods to treat and avoid ankle sprains include the following:

  • Start slowly with any new exercise program —Start a new exercise program gradually. Foot and ankle injuries tend to happen when you are too enthusiastic at the beginning before your muscles and joints have had time to adjust and strengthen.
  • Perform flexibility and strengthening exercises— A variety of strength and flexibility exercises can be performed to slowly increase ankle health with a much lower risk of future injury. See your foot doctor for help in creating a regimen that is right for you.

If your ankle sprain isn’t significantly improving after a few days of rest, ice, compression, and elevation, see your foot care professional. Schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly qualified podiatrist Dr. Zahid Ladha is dedicated to providing the best diagnostic care and medical treatment for you and your feet. Contact us at (812) 945-9221 and schedule an appointment today!

By Foot First Podiatry Center
December 18, 2018
Category: Foot Care
Tags: sprained ankle  

An ankle sprain occurs when the foot rolls or twists to the point where a ligament inside stretches beyond its normal capacity. Ankle sprains are extremely common, with an estimated 25,000 sprains happening in the United States every day. Athletes and people who work outdoors or on uneven surfaces are at a higher risk for spraining their ankle. Regular wear of high-heeled shoes is also a risk factor.

Sprained ankles are diagnosed by degree; that is, the severity of the sprain and the symptoms it produces. Grade 1 sprains are the mildest, with minimal swelling and tenderness due to a slight ligament tear. Usually, Grade 1 sprains still allow for weight to be put on the ankle. Grade 2 sprains have a more significant injury to the ligament and, while walking may still be possible, it is painful. Grade 3 sprains are diagnosed when the affected ligament has sustained a complete tear and the ankle cannot bear weight. Grade 3 sprains typically display obvious bruising and swelling around the ankle.

The grade of an ankle sprain will determine the treatment. The tried-and-true RICE method - rest, ice, compression, and elevation - is usually sufficient for Grade 1 sprains. Refraining from walking, keeping the ankle elevated for the first two days, stabilizing the ankle with a compression dressing, and applying ice to reduce swelling helps the sprain resolve within 2 to 4 weeks. Grade 2 sprains also respond well to RICE treatment, although healing typically takes longer and a firmer immobilization device, like a splint, is typically recommended. Grade 3 sprains often require similar treatment used for ankle fractures; a cast or brace may be needed and surgery may be considered for some patients.

To ensure proper healing, it is important to follow the recommendations of your podiatrist. Attempting to return to normal activity too soon could result in a repeat injury or permanent ankle instability.

By Foot First Podiatry Center
December 12, 2018
Category: fractures

Experiencing a broken bone in your foot or ankle is a very common experience. For example, coming down hard on your heel after a high jump playing basketball can result in a heel fracture.

Acute breaks often occur without warning, while stress fractures happen gradually over time from the repeated pressure of exercise, sporting activities, and work.

Some of the more obvious symptoms of a broken foot include the following:

●      Intense throbbing pain, swelling, and bruising

●      Cuts, bleeding, and possible protruding bones

●      Putting weight on your foot causes extreme pain

●      You may have difficulty removing your shoe due to the discomfort

Depending on what is broken and how bad the injury is, the symptoms of a fracture may not be extremely painful. For example, a broken toe may only exhibit minor pain while a broken heel bone can be excruciating.

If your pain and discomfort prevent you from putting weight on your foot, you should have the injury checked out by your foot doctor to determine the extent of the damage. X-rays or other imaging studies will be needed and surgery may be necessary.

Initial treatment for a broken foot includes:

  • Immobilizing the foot and keeping weight off of it by using crutches or a wheelchair.
  • Keeping the foot elevated and applying ice to reduce pain and swelling. Ibuprofen or Tylenol can help decrease pain.
  • Using compression bandages will also help prevent excess movement until you can see your foot doctor for a proper evaluation.

If you suspect that your foot may be broken, see your podiatrist immediately for the proper care. Schedule an appointment with the Foot First Podiatry Center in New Albany, IN. Our highly skilled podiatrist Dr. Zahid Ladha is committed to delivering the best foot and ankle care. Contact us at (812) 945-9221 and schedule an appointment today!

By Foot First Podiatry Center
December 07, 2018
Category: Foot Care
Tags: Sesamoiditis   Sesamoid  

What is Sesamoiditis?

Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.


Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.

Symptoms of Sesamoiditis

Symptoms of Sesamoiditis may include:

  • Pain under the big toe or ball of the foot
  • Swelling and/or bruising
  • Difficulty in bending and straightening the big toe

Treating Sesamoiditis

Treatments include:

  • Resting and stopping any activity that could be causing pain and inflammation
  • Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
  • Icing the sole of the foot
  • Wearing soft-soled and low-heeled shoes
  • Cushioning inserts in the shoes

If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!