Man Faces Foot Amputation with Humor and Grace

Man Faces Foot Amputation with HumorJoe Pleban chose humor over self-pity when deciding to amputate his left foot. He chronicled the time leading up to surgery with a photo series called “The Last Adventures of Joe’s Left Foot.” 

Your first thought may be, “Why in the world would someone decide to amputate their foot?” Good question!   In some rare cases, a deformity or condition leaves a leg that is not 100%.  In these rare conditions, technology is such that a properly fitted prosthetic leg can give a better quality of life and allow the patient to do much more in terms of activity, sports and even extreme activities.   Mt. Everest has been climbed by a man with two prosthetic legs!

Pleban was diagnosed with  pigmented villonodular synovitis (PVNS) after a wake-boarding accident six years ago.  This rare, painful joint disease is characterized by inflammation and overgrowth of the joint lining as well as hemosiderin (iron) build-up inside the joint. It usually affects the hip or knee, but can also occur in the shoulder, ankle, elbow, hand or foot. 

It is unknown what causes PVNS. It doesn’t appear to have a genetic component, or caused by certain jobs or activities. While surgery can be helpful, PVNS comes back about half the time.  

After initially trying to live with the pain, Pleban opted for amputation when the disease began to take away his active lifestyle and love of sports.

“After six years of watching every sport I loved being taken away from me because of my ankle, the idea of taking my ankle away and getting the ability to play all those sports again was almost a no-brainer. On paper it was the logical thing to do, it just took me a little bit to get past the emotional piece,” he wrote on the reddit forum.

Pleban’s foot was amputated June 25 at Georgetown University Hospital in D.C. He is home recovering and working with a physical therapist. He hopes to be fitted with his first custom prosthesis shortly.

We wish Pleban all the best as he starts this new pain-free chapter in his life; we’re confident his humor and grace will continue to serve him well.

Source: NBC Washington

Photo courtesy of imgur albums

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A Nonsurgical Treament for Ingrown Toenails

Ingrown toenails are a common problem. They are painful, and if left untreated, can become infected.

Ingrown toenails are often the result of trimming your toenails too short, particularly on the sides of your big toes. Wearing ill-fitting shoes can also promote ingrown toenails. It’s important to wear shoes that fit you well!

Treatment for Ingrown Toenails

Treatment for ingrown toenails can vary. Soaking your foot in warm, soapy water several times each day is a good place to start.  Sometimes surgery is needed to treat the ingrown toenail. This is known as partial nail plate avulsion, where I cut out the ingrown part of the toenail. However, there is also an approach for ingrown toenails which involves no scalpels, stitches, or skin incisions. This treatment includes numbing the toe with a local anesthetic,  then using a specialized blunt instrument to free up the nail from the surrounding skin, and then the nail lifts off, while the patient is numb.  The dressing is taken off the next day and a bandaid and an antibiotic ointment is all that is needed for several days until the toe is healed.

Preventing Ingrown Toenails

How to properly cut your toenailsHere are a few ways you can prevent ingrown toenails in the first place.

  • Be sure to trim your toenails straight across with no rounded corners.
  • Get rid of ill-fitting or too tight shoes or socks!
  • Keep your feet clean at all times.
  • Avoid “bathroom surgery.”  Bathroom surgery is a major archaeological excavation into the deep recesses of the nail.  Stop digging!  Get help.

If you suspect you have a toenail that’s ingrown (it’s not too hard to figure out), get it checked out sooner versus later. You’ll save yourself a lot of pain. Here’s to happy and healthy toenails this summer!

If you or a loved one are looking for a podiatrist in the Sarasota-Bradenton area or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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Over-sized Running Shoes: The Next Fad?

Over-sized running shoes

Say hello to the monster shoe!

Running continues to grow in popularity and so does the apparel to go with it!

Footwear, in particular, continues to transform for this popular sport. Shoes for runners come in many different shapes and sizes.

We’ve seen trends in minimalist running footwear, like Vibram Five Fingers, and some runners would argue shoes aren’t even needed!    I was never a fan of the Five Fingers type shoe, and for most of the people I see in the office, minimalist shoes are far too, well, minimal.

Now it appears the over-sized shoe has hit the market. Say hello to the super shoe!

The company, HOKA ONE ONE, has designed this new monster shoe with a “unique performance midsole geometry that features a higher volume, softer density, and greater rebounding foam than standard running shoes.” Basically, it has about 50% more cushioning than your average running shoe which purportedly provides excellent shock absorption and an inherently stable ride. (source: Hoka One One)

While I’m not specifically endorsing this shoe, and will remain skeptical until I can get my hands (or feet) on a pair, I am in favor of good shock absorption and stability for your feet. Running can do a number on your feet and legs if not done with care and caution and the right shoe.

I’m not sure how this current trend is going to end up, but you can’t say the shoes aren’t interesting to look at, and one definite bonus is you’ll be taller with soles like those!

If you or a loved one are looking for a podiatrist in the Sarasota-Bradenton area or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

Picture courtesy of Zappos

 

 

 

 

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West Coast Podiatry Center: Leading the Area in Wound Care

Did you know there are over 20,000,000 people with diabetes in this country? Yes, you read that number correctly: 20 million! Individuals with diabetes face a variety of challenges when it comes to their health, one of which is wound care. A simple sunset walk on one of our gorgeous beaches is often not an option for a diabetic because stepping on a shell and cutting their foot could cause serious problems.

The West Coast Podiatry Center specializes in state-of-the-art wound care for diabetics. We are  the only podiatric group in the area that has privileges at all of the local hospital wound care centers.

Part of our philosophy includes incorporating a multi-disciplinary approach to wound healing. Many local vascular surgeons and infectious disease doctors rely on our expertise in critical limb salvage cases.

Watch this video by Dr. Lasday to learn more about how diabetes affects your feet.

If you or a loved one are suffering from diabetic foot issues, please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627. 

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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Concussion Crisis Coming to FIFA?

Concussion Crisis in FIFA

Uruguayan midfielder Alvaro Pereira taking a knee to his head!

Soccer may be the original “foot”ball, but foot injuries aren’t my only concern in this popular sport.

Let’s recap first. The world—including the United States—is currently mesmerized by the FIFA World Cup. FIFA stands for Fédération Internationale de Football Association, in case you were wondering!

The United States team was close to advancing into the “knockout stages” of the World Cup last week; however, that advancement was almost halted when Portugal scored a late game goal and the game ended in a draw. And their “loss” against Germany today actually allows them to advance to the knockout round, because they didn’t lose by enough to get eliminated. Soccer’s rules are somewhat confusing, to say the least…

And there’s one rule that is particularly troublesome: FIFA’s antiquated substitution rule. What’s the big deal? It does not allow enough time to properly evaluate players for concussions.

Let’s face it… untreated concussions are a problem. It doesn’t matter how great your feet are if your brain is damaged.

Case in point: in an incident during the second half of Uruguay’s win over England at the World Cup, Uruguayan midfielder Alvaro Pereira was momentarily out of it when his head collided with the knee of an English player. And then he continued to play in the game. Why? Because of the substitution rule.

The team manager has to make a decision right on the spot. His choices are: 

  1. He can insert a substitute and lose one of his best players for the rest of the match since once a player is replaced by a substitute, he cannot re-enter the game.
  2. He can take the time and have the player evaluated for a concussion. But this forces a team to play with only 10 players until the evaluation is complete. According to NFL guidelines, a proper concussion evaluation takes at least 8  minutes.
  3. He can just trust his player and put him back in the game at the next opportunity.  Most players want to stay in a game just like Pereira did, particularly a world cup game!

The Uruguayan manager reinserted Pereira without a proper concussion evaluation. Once you spot a player possibly losing consciousness, maybe an evaluation is the only option?

The World Cup is exciting, but I hope this substitution rule gets changed to allow time for proper concussion evaluations. Let’s put the players first.

For more on FIFA’s substitution rule: Businessinsider.com Photo: ESPN

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Harrison Ford Breaks Ankle on Set of Star Wars!

Harrison Ford Breaks Ankle

A broken ankle can’t keep Harrison Ford down!

Uh-oh! Evidently, the “force” was too strong around Harrison Ford’s ankle last week; it was broken on the set of Star Wars: Episode VII! Yes, there is going to be another Star Wars…you didn’t know that?

Ford, who’s reprising his role as Han Solo, was evidently injured by the door of, of all things, the Millennium Falcon!  You know…”the fastest hunk of junk in the galaxy” (Lando Calrissian) or a “bucket of bolts” (Princess Leia)? Anyway, Variety reported that a hydraulic door fell down and hit Ford during filming at England’s Pinewood studios…ouch!

It looks to keep him out of filming for about 8 weeks! It is believed, though, that Episode VII directed by J.J. Abrams is still expected to make its Dec. 18, 2015 release date. Whew! That is a huge relief…and all the Star Wars fans said “Amen!”

We wish Harrison Ford the best of luck and a speedy recovery…we need Han Solo!

 If you have an ankle injury that is not improving or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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Tony Parker Temporarily Knocked Out of Game 2

Last week, San Antonio Spurs superstar Tony Parker was facing the possibility of sitting out the first game of the NBA Finals against the Miami Heat due to his injured ankle. His ankle has an extensive medical history this season, unfortunately. Parker sprained the ankle in Game 4 and aggravated it in Game 5 in the NBA Conference Finals. And then he sprained his already injured ankle in Game 6…ouch!

Well, it looks like his ankle held up fairly well in Game 1 and the first half of Game 2. Unfortunately, he did end up leaving Game 2 for a few minutes, but it was NOT because of his ankle. It was because of this foul…check out this “errant elbow”:

Yeah…that was pretty flagrant. Well, at least it wasn’t his ankle.

Tony Parker went to the line and missed both shots (another ouch!). He shared: “(Pain from the blow) definitely affected me but I’m a little frustrated, should have made them.”

Spurs lost. The finals are tied up 1-1. Stay tuned…

If you or a loved one are looking for a podiatrist in the Sarasota-Bradenton area or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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Tony Parker Dealing With Ankle Injury

Tony Parker Injury

Parker played for two years in the French basketball league before entering the 2001 NBA Draft.

It looks like it’s going to be the clash of the titans again in the NBA Finals between the San Antonio Spurs and the Miami Heat starting in San Antonio on Thursday night!

Unfortunately, San Antonio Spurs prized player Tony Parker is limping his way into the finals with a banged-up ankle. It’s unclear whether or not he will be playing this week, although some are speculating that he will be ready to play.

Tony has had a rough season. He aggravated his already injured ankle in Game 6 against the Oklahoma City Thunder Conference Finals. Parker sprained the ankle in Game 4 and aggravated it in Game 5.  Annnnd—he strained his left hamstring in Game 5 of the Western Conference Semifinals against Portland! Sounds like somebody needs a rest, but that’s not always the popular thing to do in professionals sports.  

I guess we’ll just have to wait and see what happens on Thursday. I hope he is feeling better, but my concern is that he will not have enough rest and recovery time to adequately help his ankle. And you can rest assured the Miami Heat is going to try to put as much “heat” on Parker as possible…

Stay tuned!

If you or a loved one are looking for a podiatrist in the Sarasota-Bradenton area or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

Photo Source: Christopher Johnson

 

 

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5 Great Foods for Your Bones!

5 Great Food for Bone Health!

Certain foods will make your skeleton happy!

As May draws to a close, so does National Osteoporosis Awareness and Prevention Month, but this doesn’t mean you can forget about your bone health until next May! Keeping your bones healthy and strong should be a year-round goal.

One of the ways to keep your bones healthy is through proper diet. Here are 5 great foods to stock up on to keep that skeleton strong!

Milk has two of the most important ingredients for strong bones: calcium and vitamin D. And these two ingredients work together. Calcium can’t be absorbed without help from vitamin D. So go ahead and drink that milk that is left in your cereal bowl; it’s good for you!

Kale is a superfood! And stop wrinkling your nose; it’s not that bad! This dark green  veggie is full of vitamins C and K. Steam it or turn it into tasty kale chips. However you eat it, just make sure you do! Note: Kale contains naturally occurring substances that interfere with calcium’s absorption called oxalates. So try to avoid eating dairy at the same time as kale to prevent any absorption issues!

Green Tea is amazing! It contains the flavonoid epigallo-3-catechin gallate (EGCG). This flavonoid is known for having the ability to slightly rev your metabolism, as well as help mineralize your bones. And, EGCG is a potent antioxidant that will help to protect the bones from free radical damage. I told you this stuff was amazing…drink up!

Herring is rich in both calcium (thanks to the fish’s edible bones) and vitamin D. Three ounces of raw herring contains 74 mg of calcium and 1,628 IUs of vitamin D…go buy some herring now!

Flax Seed Oil  has numerous benefits! According to a report in the International Journal of Food Safety, Nutrition and Public Health, flaxseed oil benefits bone mineral density and reduces the risk of osteoporosis in post-menopausal women, as well as in women with diabetes. Boom! Now that’s a superfood!

O.K. who’s ready to go grocery shopping and stock up on these? I’ll see you in Publix. ;)

If you or a loved one are looking for a podiatrist in the Sarasota-Bradenton area or are experiencing heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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May is National Osteoporosis Health Month

df2613ac50369521d06c895257edf727Let’s talk about bones today! Why? It’s  National Osteoporosis Health Month!

Your bone health is vital to your overall health. When your bones become weak, you become weak.

      Bone is an actual living tissue that breaks down and rebuilds throughout our lives.

During childhood and your young adult years, you form new bone faster than you lose old bone. Peak bone mass is between the ages of 18 and 25! 

Bone is made up of calcium that makes it dense. Low bone density is when your bone density is lower than the normal range. This does not mean you have osteoporosis, however. If you have low bone density, you are more likely to break a bone, and are at a greater risk for osteoporosis if you start losing more bone. 

What is Osteoporosis?

Osteoporosis is when the bones become brittle and fragile from loss of tissue. This can come from hormonal changes, or deficiency of calcium or vitamin D.

One in two women and up to one in four men will break a bone in their lifetime due to osteoporosis. And breaking bones becomes more dangerous for us  as we age!

Unfortunately, there is no cure for osteoporosis, but there are things you can do to improve your bone health! Diet, exercise and a healthy lifestyle are CRITICAL to preventing and managing the disease.

Here are a few tips:

1. Get the calcium and vitamin D you need every day.
2. Do regular weight-bearing and muscle-strengthening exercises.
3. Don’t smoke and don’t drink too much alcohol.
4. Get a bone density test.
5. Take an osteoporosis medication when it’s right for you.

Bottom line: Take care of that skeleton! :)

If you or a loved one are experiencing heel pain or heel problems, Sarasota or Bradenton is the place to be! Please schedule an appointment with Dr. Lasday, Dr. Zdancewicz, or Dr. Goecker for a thorough and professional evaluation, either in our Bradenton Podiatry office at (941) 753-9599 or our Sarasota Podiatry office at (941) 366-2627.

Oh, and one more thing…if you haven’t already, please like us on Facebook where we share foot tips, great pictures, and fun facts!

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