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Posts for: July, 2013

Steroid injections can be very effective in treating many inflammatory foot conditions.  Many diagnoses will end with the letters -itis.  That refers to inflammation of.   For example, tendinitis is inflammation of the tendon.  Inflammation results in pain and limiting the effective use of a structure.  Calming the inflammation will reduce symptoms and allow the patient to walk in a more natural fashion.  Too much inflammation may inhibit healing.  It is important to understand that not reducing pain often leads to other injuries due to the patient compensating and putting excess stress on another body part.  Inflammation may be reduced by icing and nonsteroidal anti-inflammatory medicines like Advil.  However, often a steroid injection is most effective because the medicine is being administered directly to the area of the chief complaint.  It also happens to be a medicine that works well due to it's chemical composition.  A fear of steroid injections is side effects.  Steroids have a long list of potential side effects.  Most side effects are seen in long term use of steroids. Fortunately, in podiatry we use very mild steroids and limit the frequency of administering them to lower the risk.  A steroid injection will only be administered if the reward potential is much greater than the risk potential.  Common conditions where we may inject a steroid mixed with local anesthesia include tendinits, capsulitis, plantar fasciitis and gout.  At East Avenue Podiatry, steroid injections are just one tool of many in treating your foot conditions.  Feel free to browse the website, norwalkpodiatrist.com, for more information on the individual conditions which steroid injections may be helpful.


Running or jogging are wonderful exercises for the heart and lungs.  Increasing the heart rate for 25 to 30 min. on an almost daily basis is sure to lower blood pressure and pulse rates.  Before starting any exercise program, it is always crucial to get clearance from your medical doctor.  These exerciseshave the potential to cause joint pain and damage.  There is a large jolt that occurs on impact while running.  Many People who have been running for years may report joint pain, very often in the knees.  The joints in the feet, as well as joints through the spine can defintely be affected.  I like to recommend to my patients alternating their exercise routine.  This allows the joints to have adequate rest between workouts.  It is also a good idea to take some days off periodically.  I also believe every 6 months to a year, it is wise to have one week of total rest from regimented workouts.  This allows all minor injuries a chance to heal.  Probably, the best exercise available to protect your joints is swimming.  Swimming can result in a great aerobic workout.  It does a very good job of toning the muscles.  All this while offering low stress to our joints.  If the pool is not assessable or you are simply not a swimmer, there are alternatives.  A brisk walk is much easier on the joints than running or jogging.  If you keep up a brisk pace for a longer amount of time, you can get very similar results to running.  Biking and machines at the gym, such as elliptical or step machines, are good alternatives.  Finally, I would advise you to listen to your body.  Pain is often a good indicator that you may be overdoing the stress on your body's joints.  Unfortunately, sometimes it is only years later that we realize our mistakes.  I would urge you to visit us at East Avenue Podiatry if you're experiencing any sort of foot pain.  We can analyze and treat the condition and make recommendations to help prevent reoccurrence in the future.  The phone number is 203 – 853 – 6570.  I wish you great health and happy exercising.


Podiatrists us a variety of modalities to help our patients.   These include hands on treatments such as tapings and mechanical debridements of corns, calluses, warts and ulcerations.  Biomechanical corrections are made with shoe modifications and the use of inserts.  We also utilize surgery and medications.  The medications used may be prescribed and picked up at the pharmacy or may be dispensed directly from the office.  Some medications are administered via injections.   Specifically, we treat inflammatory conditions often with nonsteroidal anti-inflamatory medications, such as ibuprofen and naproxen.  Bacterial infections are treated with antibiotics and  fungal infections are treated with, you guessed it, antifungals.  Many acute inflammatory conditions are treated with steroid injections.  These injections are often very effective because the medicine is being administered directly to the area of chief complaint.  The dosages we use are small and the steroids relatively mild.  This results in a low risk of side effects.  The medicines we prescribe are generally not for long term use and this results in a decreased risk of complications as well.  At East Avenue Podiatry, I practice as conservatively as possible.  We are always weighing the benefits vs. the risks.  Fortunately, after 20 years in my own practice, I have seen a high rate of successful results.


Webster defines podiatry as, " the medical care and treatment of the human foot."  A podiatrist would be a doctor that performs this care and treatment.  The field of podiatry has evolved tremendously over the years.  Podiatrists now go to 4 years of graduate school and then participate in 3 years of residency.  They truly are the experts when it comes to feet.  It would surprise many to know that the scope of practice is determined on a state by state basis.  One state may allow soft tissue care up to the knee and ankle surgery, while another may only allow care below the ankle.  When it comes to evaluation and treatments of the foot, podiatrists have almost unlimited restrictions.  Podiatrists can perform surgery, prescribe medicine and dispense durable medical equipment.  All kinds of diagnostic tools can be used including x-rays, diagnostic ultrasound, MRI, CAT scans, as well as software and machines to test circulation and nerve function.  At East Avenue Podiatry, myself, Dr. Lonnie Resnick, strive to provide care in as conservative manner as possible.  I believe that surgery is a last resort.  Having stated that, there are certain conditions that can only be cured by surgery.  I truly believe all those seeking surgical management of a foot problem would be wise to seek out a surgically trained podiatrist.  Who is better to treat a foot surgically or conservatively than a doctor that sees feet all day long.  Podiatrists are serving an important function by treating the foot needs of the population.  Often foot conditions and imbalances will lead to issues in other body parts such as knees, hips or backs.  I urge everyone to call East Avenue Podiatry at 203-853-6570 and get a foot exam today.  So much of what we do is preventative and you will not regret making that appointment.   


What would you guess causes the most foot injuries that people present with at East Avenue Podiatry?  Do you think it comes from people kicking something by accident or stepping off a curb poorly?  Maybe dropping something on their foot?  The fact is most injuries we see are a result of an overuse syndrome.  The patient is putting too much stress into a certain area of his or her foot and eventually the structures break down.  People usually have an underlying imbalance that creates excess stress into certain structures, such as bones, ligaments, tendons and joints.  Our bodies are fairly adaptable when given the opportunity.  I would urge you to gradually increase the intensity of any new activity.  Give all these structures time to adapt and strengthen.  If you want to take up running, begin by walking at a nice pace.   Then work in some jogging and finally after building up to it, begin running.   This should be done over many days or weeks.  I would suggest alternating activities so as not to do one stressful exercise, such as running, multiple days in a row.  By gradually increasing your activity, you will avoid injury and allow yourself more success in reaching your goals.   This is Dr. Lonnie Resnick reminding you to walk before you run and please feel free to call us at 203-853-6570 for and evaluation before any new activities.