By Dr. Tejas Pandya
June 08, 2017
Category: Uncategorized
Tags: flat feet  

It’s official – summer is here! It’s finally time to transition from pants to shorts, change from long sleeves to no sleeves, and shun those socks. However, if you’re less than excited because you have flat feet and are worried they will interfere with your summer fun, don’t be stressed! No arches are no problem for Capital District Podiatry to treat.

Stretches for flat feetWe can provide you with stretching exercises as well as fit you for custom orthotics. These devices fit inside your shoes and give your arches the support they need, easing pain and improving weight distribution and shock absorbency. Orthotics also correct poor biomechanics that often result from having flat feet. When there is no arch, your foot tends to roll too far inward when you step (overpronation), which can lead to a host of problems. An orthotic shoe insert -- custom made to address your unique needs -- can hold your foot in proper alignment so you step correctly, and sidestep painful issues. We will take a mold of your feet for exact measurements and make the modifications necessary to create orthotic inserts specifically for you.  

Of course, your choice of shoes matter as well. Be sure to opt for footwear that offers plenty of support and cushion -- and that goes for sandals, too! Steer clear of flat flip flops and other styles that are unsupportive.

Just because you have no arches, doesn’t mean you’ll have no fun this summer! Avoid painful flat foot problems with the right footwear, a few stretches, and custom orthotics in your shoes. Find out more or make an appointment at our Troy or Clifton Park, NY office by dialing (518) 273-0053.

Let the summer excitement begin!

By Dr. Pandya
June 02, 2017
Category: Deformities
Tags: foot arch  

You’ve likely heard of someone asking, “What’s your sign?” but “What’s your arch type?” – probably not! While neither would be considered “a good line,” the answer to the latter can offer far more valuable information than what the stars may provide.

Foot ArchYou see, the arch of your foot not only has the big job of providing you with support and shock absorbency every time you take a step, but it’s also a key factor in determining what shoes you should wear, what foot problems may be in your future, whether you could benefit from orthotics, and more! That’s why it’s important to know the type of foot arch you have, so you can choose the right footwear and stop problems before they start. Sure, you can just kind of eyeball it, but there’s a way that’s almost as easy, yet a lot more accurate! It’s called the Wet Test, and here’s how it’s done:

  1. Fill a basin with water
  2. Dip your foot in it
  3. Step on a piece of paper or dry concrete
  4. Look at the footprint you leave behind

If you see about half of the middle region filled from the outside in, congrats – you have what’s considered a normal arch.

If the entire middle section where your arch should be, is completely filled, you have low arches, a.k.a. flat feet. This means your foot likely rolls too far inward when you step (called overpronation), making you prone to injury and other issues.

If there is little or no imprint in the middle, and only the heel and forefoot are evident, you have high arches, making your foot less able to absorb shock, thus increasing your risk of injury.

While a normal arch type needs no special treatment, those with low or high arches should look for certain features in shoes, as well as invest in orthotics to slip inside them! Flat feet need footwear that provides stability and support, especially in the arch area. If you have high-arched feet on the other hand, look for shoes that are well-cushioned in the heel and ball of foot.

Custom orthotics can provide additional cushion and support where needed, as well as disperse weight and pressure more evenly, help to absorb shock, and correct pronation so that your foot is aligned properly when you step, making injury and pain less likely to occur.

So, do the wet test and determine your arch type, then give us a call to get the help you need. Dial (518) 273-0053 to reach either of our offices in Troy or Clifton Park, NY, and if someone does ever ask you, “What’s your arch type?” you can answer (right before you excuse yourself to leave)!

 

kids' sports

There are all sorts of summer sports camps in the Capital District area – from soccer and baseball to swimming and yoga, whatever your child is interested in, there’s likely a class or club for it! That’s great too, since besides keeping kids active (not to mention out of your hair!), youth sports also teach children teamwork, dedication, perseverance, and more. The only downside is the risk of injury. Not to worry, though. Before you sign your children up for their favorite activities, keep them off the sidelines and in the game with these kids’ sports injuries prevention tips:

Make sure kids have proper equipment. Find out exactly what is needed for protection in your child’s sport and be sure you check everything off the list, including shoes! Footwear needs to fit properly, offer ample cushion and support, and be appropriate for the activity.

Teach children the importance of preparation. Just like adults, children in sports need to warm up properly before activity. Have them incorporate stretches into their routine, and help them make as many practices as possible.

Address problems as soon as they arise. Trying to plow through pain is never a good idea! You risk the problem getting worse, and what may have been a short stint on the sidelines could end up an “out for the season” injury. At the first signs of a problem, come see us so we can determine the best course of action to get your child’s feet healthy and ready to play again.

Think about orthotics. These devices slip into shoes and help with distributing weight evenly, providing necessary support and cushion, and redirecting pressure away from problem areas. can help with bad biomechanics and faulty foot structures, too, which may be making your child prone to injury. Don’t wait for a problem to pop up – be proactive and see if orthotics would be appropriate for your child before hitting the field, court, or gym.

Practice good nutrition and hydration. A healthy diet and plenty of water helps young athletes have the fuel they need to perform their best and stay hydrated and healthy.

Follow these guidelines for a smooth season of summer sports fun! For more information on preventing sports injuries in kids, just give us a call and we’d be happy to help! You can reach our Troy or Clifton Park, NY locations by calling (518) 273-0053, or by using our online contact form.

Have a great and safe summer!

By Dr. Tejas R. Pandya
May 24, 2017
Category: Pediatrics

 

kids' toenailsEvery kid’s favorite time of year is almost here – summertime! Soon, school will be out and kids will be running rampant, unless of course, their toenails are troubling them. Then, it might be hard to join in on the summer’s fun activities. Not to worry, though -- if your kids’ little piggies are causing them to cry “wee, wee, wee” all the way home, we’re here to help!

The most common problem we see with children’s toenails is when they become ingrown. The nail’s edge digs into the surrounding skin, making toes red, swollen, and tender to the touch. Wearing shoes can be painful, and infection can add to the problem. You can try a warm foot soak and gently lifting the intruding edge, or you can have us tend to the toenail for you. If it is a recurrent issue, you may even want to have us remove part or all of the .

Toenail fungus is also a condition we see in kids since most love to run around barefoot, go to the pool, and share flip flops with their friends. It’s not uncommon for kids to have a stubbed toe or scratches on their feet, which offer fungi the perfect opportunity to jump in and wreak havoc with tiny toenails. Keeping feet clean and dry, always wearing sandals -- especially in public places -- and not sharing footwear will go a long way toward protecting little feet.

If children’s toenails turn black and blue instead of the signature yellow of a fungal infection, it’s typically the result of an injury that has caused blood to pool beneath the nail. Pressure can build and cause pain, but we can drain the blood if need be, and the nail will grow out or be replaced with a clear, healthy one.

School will be out soon and kids will be flocking home – we can’t stop that from happening! However, we can help your children’s feet stay healthy, and offer these tips to keep toenail troubles from showing up this summer:

  • Teach your kids to trim their nails straight across and not too short. An emery board can be used to smooth hang nails or rough edges.
  • Make sure fit properly and do not squish toes.
  • Discourage kids from going barefoot to avoid picking up a fungus or dropping something heavy on their toes.
  • Besides footwear, don’t let children share towels, socks, or nail clippers which can also transfer fungi.
  • Clean, dry feet are the best defense against many conditions. Sorry, kids, but bath time is a must!

If, despite your best efforts, your child does end up with an ingrown nail, toenail fungus, or other issue, please don’t hesitate to call us in Troy or Clifton Park, NY by dialing (518) 273-0053.

By Dr. Tejas Pandya
May 24, 2017
Category: Pediatrics
Tags: pigeon toes   pigeon toed   in-toeing  

An iconic scene often representing New York is someone feeding pigeons in the park. If you’ve ever done it, you likely noticed the birds’ signature walking style with feet pointed inward. That’s exactly why, when kids walk in a similar way, it’s referred to as being pigeon-toed.

Otherwise known as in-toeing, pigeon toes and you’ll be happy to know it’s typically no cause for concern. Thought to occur due to limited space in the womb, feet, and sometimes even leg or hip bones can become twisted, causing the abnormal gait. However, this twisting typically works itself out over time, and bones eventually settle in to their proper position. In other words, children simply outgrow the condition. In these cases, no treatment is necessary.

If the condition doesn’t seem to be going away on its own, or the inward angle is severe, causing tripping or difficulty participating in activities, there are conservative treatment options that can help, including physical therapy and stretches, night splints or braces that hold feet in correct alignment, and orthotic shoe inserts.

If you notice your child in-toeing, schedule a visit with us. We can diagnose the severity of the problem and determine whether treatment is necessary, and if so, which would best benefit your child.

Rest assured – addressing pigeon toes is like a walk in the park! Your child will be running and playing just like any other in no time. Call (518) 273-0053 to make an appointment or use our convenient online contact form. 





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