WHAT YOU NEED TO KNOW ABOUT YOUR FEET DURING PREGNANCY

  • By Ruth Ann Cooper
  • 21 Feb, 2017

Pregnancy is a joyous time in a woman's life and her body will go through many changes, including changes to her feet. That is why a pregnant woman must take care of her foot health a bit differently. 

It’s amazing how a body changes during pregnancy. For instance, did you know that a pregnant woman’s feet become wider and longer because her ligaments become easily stretched to prepare for childbirth? The American Podiatric Medical Association (APMA) shares common pregnancy symptoms along with tips and tricks to keep feet healthy until you finally meet your little one.

 EDEMA

Edema, or swelling, can be caused by the excess blood and fluid your body produces for pregnancy and from the baby compressing the blood vessels. Edema in the feet and ankles can make it uncomfortable to perform simple tasks such as walking and standing. How can you limit swelling and keep your feet feeling good throughout your pregnancy?

  • Wear supportive shoes, orthotics and compression stockings. Comfortable footwear and the right orthotics offer much-needed arch support and help distribute weight more evenly, while compression stockings can help with the swelling.
  • Exercise. The more active you are, the more your blood flows out of your feet and ankles and into the rest of your body. Is painful swelling already making exercise difficult? Try exercises that don’t put as much stress on your feet, like elliptical training.
  • Reduce your intake of salt and drink more water. Small changes in your diet can make significant improvements. Salt can cause your body to retain excess fluids, while drinking more water can flush out excess fluids.
  •  Elevate your feet. Pregnancy can be tiring and you’ve earned some rest and relaxation. When you’re taking a break, try elevating your feet, as well. This can help reduce swelling.
  •  Know your limits. No one knows your body better than you know your body. Trust your instincts and when you feel you might be over extending yourself, stop and take it easy.

 OVER PRONATION

Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern. Over pronation, common in pregnancy, occurs when the increased weight of carrying your baby stresses the feet and flattens the arches, causing the feet to roll in. Over pronation can stretch the tissues lining the bottom of your feet, also known as the plantar fascia. When the plantar fascia is stretched, it can cause painful inflammation called plantar fasciitis. Over pronation and plantar fasciitis result in pain in the foot and heel. How can you reduce the pain?

Dr. Ruth Ann Cooper

By Ruth Ann Cooper 20 Oct, 2017

Is the surgery painful? The level of pain experienced after bunion surgery is different with every patient. Most patients will experience discomfort for three to five days. However, if you closely follow the postoperative care instructions, you can help minimize pain and swelling after your bunion surgery. As part of my protocol, I utilize a MLS robotic laser both prior and subsequent to the procedure to reduce pain and inflammation and promote self healing.

What type of anesthesia is used? Most bunion surgeries involve local anesthesia with intravenous sedation. This means your foot will be numb and you will receive medications to relax you during the procedure.

How soon can I walk after surgery? You may be asked to avoid driving for three to six weeks depending upon the procedure selected for you, which foot you use to drive, how quickly you heal and other factors.

Can the bunion return? Yes, some cases have a risk of bunion recurrence. You can help prevent recurrence by following any instructions to wear arch supports or orthotics in your shoes.

If screws or plates are implanted in my foot to correct my bunion, will they activate metal detectors? Not usually. It depends upon the device chosen for your procedure as well as the sensitivity of the metal detector.

To learn more about what to expect during bunion surgery, consult with a foot and ankle surgeon by calling my office to schedule a consultation with me.

By Ruth Ann Cooper 18 Sep, 2017

Follow these six tips to help protect your children from serious foot and ankle injuries this fall:

1.       Treat foot and ankle injuries immediately. What seems like a sprain is not always a sprain. In addition to cartilage injuries, your child might have injured other bones in the foot without knowing it. Schedule an appointment with my office if you suspect your child has a foot or ankle injury. The sooner treatment begins, the sooner long-term instability or arthritis can be prevented and the sooner your child can safely get back into the game.

2.       Have a foot and ankle surgeon check old sprains before the season begins. A checkup at my office can reveal whether your child’s previously injured foot or ankle might be vulnerable to sprains and could possibly benefit from wearing a supportive brace during competition.

3.       Buy the right shoe for the sport. Different sports require different shoe gear. Players should never substitute baseball cleats for football shoes.

4.       Child athletes should begin the season with new shoe gear. Old shoes can wear down and become uneven on the bottom, causing the ankle to tilt because the foot cannot lie flat.

5.       Check playing fields for dips, divots and holes. Most sports related foot and ankle sprains are caused by jumping and running on uneven surfaces. This is why some surgeons recommend parents walk the field, especially when children compete in nonprofessional settings like public parks, for spots that could catch a player’s foot. Alert coaching officials to any irregularities.

6.       Encourage stretching and warmup exercises. Calf stretches and light jogging prior to competition, help warm up ligaments and blood vessels, reducing risk for foot and ankle injuries.

If you would like a foot and ankle surgeon to evaluate your child’s feet, ankles or athletic shoes, contact my office for an appointment.

By Ruth Ann Cooper 10 Aug, 2017

This thickening and enlargement of the tissue surrounding the nerve in the ball of the foot is the result of irritation and compression caused by repeated pressure. Symptoms of Morton’s neuroma usually begin gradually and may disappear temporarily by massaging your foot or by avoiding shoes or activities that irritate it. Symptoms will become progressively worse over time as the neuroma enlarges and the temporary changes in the nerve become permanent.

If you suspect you have a Morton’s neuroma, make an appointment with my office as soon as symptoms develop. Early treatment with padding, orthotics or medication can help you avoid the need for more invasive therapies.

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