My Blog

By Dr. Cohen
February 24, 2020
Category: Foot Conditions
Tags: Wound  

Keep your blood glucose under control and know how to properly care for your feet with diabetes.

When it comes to caring for patients with diabetes, the main goals of our Philadelphia podiatrists Dr. Robert Cohen and Dr. Ushma Sheth is to prevent foot problems from occurring in the first place while also providing comprehensive wound care to reduce the risk for complications.

Take Diabetic Wounds Seriously

Anyone with diabetes should know that cuts, blisters, open wounds, and other issues require immediate medical care to prevent complications. Even the smallest problems such as an ingrown toenail can lead to infection. Here are some of the reasons why people with diabetes experience delayed wound healing.

High Blood Glucose Levels

Diabetes occurs when the body does not know how to properly manage glucose, or blood sugar. If high blood glucose levels aren’t treated through lifestyle changes and medication this can cause the blood vessels to narrow, resulting in diabetic neuropathy or nerve damage, which greatly impacts wound healing in diabetic patients.

Neuropathy

Neuropathy or nerve damage is extremely common in diabetics. As many as 50 percent of people with diabetes have peripheral neuropathy, and more than 30 percent have autonomic neuropathy. High blood glucose damages nerves, which cause a loss of sensation in the feet and hands, making it difficult for patients to recognize open wounds, sores or ulcers when they develop. This is why it’s so important for all of our diabetic patients to perform daily self-exams of their feet to look for problems such as:

  • Blisters
  • Corns and calluses
  • Cuts, scrapes and sores
  • Redness or tenderness
  • Bunions
  • Ingrown toenails
  • Athlete’s foot or fungal infections

Even the smallest changes in the health of your feet could lead to more serious complications, so it’s important that you turn to our Philadelphia podiatrists for professional wound care at the first sign of a problem.

Circulation Issues

Since the blood vessels have narrowed due to high blood glucose levels this also decreases circulation within the feet. As a result, less oxygen and nutrients can get to the tissue within the feet to help heal and repair damaged tissue. With the decrease in circulation also comes a decrease in white blood cells, which are needed to help fight any infection that is present.

With offices in Paoli and Philadelphia, PA, Paoli and Center City FootCare Centers is your premiere practice for handling your foot and ankle problems. If you are dealing with diabetic foot problems our team can provide you with the immediate wound care you need. Call (610) 647-0400 for our Paoli office or (215) 545-0388 for our office in Philadelphia.

By Dr. Cohen
December 04, 2019
Category: Foot Conditions
Tags: Podiatrist  

Prevent foot and ankle problems or treat them if they do develop. At Paoli and Center City FootCare Centers in Paoli and Philadelphia, PA, Footyour podiatrists keep your feet healthy with precise diagnostics and comfortable treatments for a wide range of podiatric issues. Both Dr. Robert Cohen and Dr. Ushma Sheth are experienced foot surgeons, helping patients achieve optimal mobility and well-being.

 

You need your feet

The American Podiatric Medical Association (APMA) says that by the time you are 50, your feet will have taken you at least 75,000 miles. Imagine trying to walk all that way with feet that hurt, are injured, have acquired or congenital abnormalities, or untreated diabetes!

It's your Philadelphia, PA, podiatrists' business to ensure your feet are an active part of your lifestyle and a well-functioning part of your overall health. The APMA recommends annual podiatric foot examinations starting at age 40. If you are diabetic, you likely will see Dr. Cohen or Dr. Sheth two to three times a year or whenever your condition warrants.

During a podiatric examination, your foot doctor visually inspects your feet, their structure, skin, nails and circulation. He or she also will watch you walk and talk about any symptoms you may have such as pain, rashes, thick nails, numbness, odor, cysts and more. MRIs, CAT scans, and X-rays help confirm diagnoses as needed.

Together, you'll work on a care plan to address any problems. The team at Paoli and Center City FootCare Centers takes the most conservative and common sense approaches possible. Surgery is always a last resort, and if needed, aims to preserve overall health, restore function and eliminate pain.

 

What we treat

The conditions treated are numerous. They include, but are not limited to:

  • Fungal nails
  • Athlete's foot
  • Bunions
  • Diabetic neuropathy and wounds
  • Hammertoes
  • Neuromas
  • Sports injuries
  • Ingrown toenails
  • Flat feet
  • Plantar fasciitis
  • Overpronation
  • Achilles tendinitis
  • Ankle fractures, sprains, and instability
  • Corns
  • Calluses
  • Warts
  • Gout
  • Arthritis
  • Peripheral circulation problems

Additionally, we deliver innovative services such as

  • Laser therapy
  • Cryosurgery
  • Customized orthotics (shoe inserts)
  • Physical therapy

 

Come see us

You really should. Foot health is so important. We have two locations to serve you. Call us for an appointment with your podiatrist. For the Paoli office, phone (610) 647-0400. For Philadelphia, PA, phone (215) 545-0388.

By Paoli and Center City FootCare Centers
June 21, 2019
Category: Foot Care
Tags: Bunions  

Don’t let bunion pain dictate how you live your life. Find out how to get your symptoms under control.

Are you noticing swelling or pain at the base of your big toe? Is there a hard, bony mass present? If you said “yes,” then you could very well be dealing with a bunion. Although many people will develop bunions over time and not necessarily suffer from any negative effects, if you are experiencing pain or other symptoms from this deformity, it’s a good time to visit one of our offices in either Philadelphia or Paoli, BunionPA, to find out what’s going on.

You have a bunion. Now what?

If you already know that you have a bunion, you are probably wondering what’s the next step to reduce any pain and swelling. Fortunately, most people are relieved to find out that they can easily prevent their bunion from getting worse or from becoming aggravated with some simple at-home strategies, such as:

  • Wearing appropriate footwear that supports the feet and doesn’t put pressure on the bunion
  • Applying a pad to the bunion prior to wearing shoes in order to reduce friction and pressure
  • Taking pain relievers and anti-inflammatory medications to reduce pain and swelling
  • Applying ice or heat to the bunion several times a day to ease achiness and pain
  • Losing excess weight and maintaining a healthy lifestyle

When these conservative treatment options fail it’s time to turn to our foot specialists in either Philadelphia or Paoli, PA, to find out what other options are out there for managing your symptoms. In this case, we can show you certain stretching and strengthening exercises that can alleviate pressure.

We may also recommend:

  • Custom orthotics (shoe inserts), which can provide additional support and cushioning when standing or moving
  • Night splints, which will straighten the deformed joint while you sleep in order to reduce morning pain and stiffness.
  • Taking a prescription pain reliever in the cases of extreme discomfort

If we have exhausted all nonsurgical treatment options and you still aren’t experiencing relief, then we may recommend bunion surgery to repair the joint. While surgery is the only way to truly get rid of a bunion, surgery is rarely necessary unless pain is severe, persistent, and cannot be eased through other treatment options.

Need relief? Give us a call

Wondering if a bunion is causing your foot pain? Having trouble managing your pain effectively with at-home care? If so, call Paoli and Center City FootCare Centers in Philadelphia and Paoli, PA, today to schedule and appointment with either Dr. Robert Cohen or Dr. Ushma Sheth. Dial (610) 647-0400 for Paoli, and (215) 545-0388 for Philadelphia.

By Paoli and Center City FootCare Centers
May 21, 2019
Category: Foot Conditions
Tags: Heel Pain  

Do your heels often feel sore or like acute pain is shooting through them? Is this worse in the morning, or maybe after a long walk or run? /Heel-PainAt Paoli and Center City FootCare Centers in Philadelphia, PA, Dr. Robert Cohen and Dr. Ushma Sheth investigate and treat heel pain, and when they see patients with these symptoms, they often find out that the condition at fault is plantar fasciitis. Read on to learn more!

 

What is plantar fasciitis?

Plantar fasciitis involves stress on and inflammation of the broad ligament located on the arch of the foot. This plantar fascia connects the toes and heel bone, and when overused, it becomes sore, red, and inflamed.

Also, gait imbalance leads to heel pain. If a person turns his or her foot inward while walking, it overstretches the plantar fascia, causing pain. Some people refer to this problem as overpronation or flat feet.

 

Treating heel pain

In their Philadelphia and Paoli offices, Dr. Sheth and Dr. Cohen inspect the feet of patients who complain of heel pain. They may do X-rays or an MRI, looking for heel spurs or problems with the Achilles tendon which runs from the calf to the back of the heel. Gait analysis is a common diagnostic tool, too.

Whatever the underlying cause, your podiatrist will show you ways to counter the stresses placed on your feet and to reduce, or even eliminate, your discomfort. Surgery, including plantar fascia release and bone spur removal, is an option, but typically used only in the severest of cases which do not respond to treatment.

Your treatment plan may recommend the following:

  • Foot flexion and ankle roll exercises performed upon waking in the morning (also advised by the Arthritis Foundation)
  • Wearing well-constructed shoes and sneakers which have adequate arch support
  • Customized shoe inserts, such as heel cups
  • Analgesics such as acetaminophen or anti-inflammatories such as ibuprofen or cortisone injections
  • Rest
  • Ice packs to the affected areas
  • Losing weight

In addition, Paoli and Center City FootCare Centers offer something called Extracorporeal Shock Wave Therapy, a non-surgical, in-office treatment that sends small sound waves into the tissues of the foot. This process breaks up scar tissue, boosts blood flow, and facilitates healing.

 

Sore heels?

Get back to normal with expert help from Paoli and Center City FootCare Centers. To schedule an appointment, please call one of our offices—for Philadelphia, phone (215) 545-0388, and for Paoli, dial (610) 647-0400.

By Dr. Cohen
March 11, 2019
Category: Foot Conditions
Tags: Toenail Fungus  

Are you suffering from toenail fungus?

Toenail fungus is when toenail, fingernail, or even skin under a nail, is infected. Dr. Robert Cohen and Dr. Ushma Sheth at Paoli and fungus Center City FootCare Centers in Paoli, PA, and Philadelphia, PA, can help you deal with toenail fungus with laser treatment.

What is toenail fungus?

Fungi, yeasts, or molds may result in toenail infection. Fungi thrive in warm, moist places, so try taking the following precautions:

  • Avoid using public showers and pools, which are great places for fungi to thrive
  • Avoid using nail clippers used by someone who has a toenail fungus
  • Take better care of your nail injury, so fungus doesn't infect the toe

What is laser treatment?

You will need to see your Paoli and Philadelphia, PA, podiatrist if you need treatment, especially since toenail fungus is hard to treat and can reoccur. The recurrence and severity needs longer lasting and more intense treatment, such as laser technology.

Laser treatment is FDA-approved laser beams over the infected nail. The pigmentation present in the fungi absorbs the laser's light which creates heat that kills organisms in the toenail.

There aren't any studies that indicate negative side effects to laser treatment; it doesn’t harm soft, healthy tissue near the infected nail bed.

There are other treatment options, as mentioned above, which include anti-fungal oral treatments.

Fungal treatment shouldn't be difficult, especially if you have a reliable doctor. Also, the laser treatment isn't painful and takes approximately 45 minutes. The toenail takes 6 to 9 months to show results, and you'll be able to walk with ease.

What are some other toenail fungus treatments?

Untreated toenail fungus can spread and result in more severe issues. Be sure to look out for the darkened, yellow, or white toenail, thick or brittle nail, and nails split from the nail bed.

Depending on how bad the infection, there are at-home and prescribed treatments including: topical and oral anti-fungal treatments that can suppress infection and symptoms.

Do you need a consultation?

For more information or to schedule an appointment for laser treatment at Paoli and Center City FootCare Centers in Paoli, PA, call Dr. Cohen and Dr. Sheth at (610) 647-0400 or call their Philadelphia, PA, location at (215) 545-0388 today!





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