Anthony R. Hoffman, DPM, FACFAS
Podiatrist - Oakland
400 30th Street
Suite 403
Oakland, California 94609

Phone: 510-832-4197
Fax: 510-832-7340

 

By Pill Hill Podiatry Group
August 14, 2017
Category: Foot Condition
Tags: Bunions   Bunion Surgery  

Bunion Pain

Characterized by a large, unsightly bump on the side of the big toe joint, bunions signal an underlying deformity in the structure of the foot. Left untreated, bunions may become progressively worse, causing severe discomfort, difficulty walking, redness and swelling.

Treatment options vary with the severity of each bunion. Identifying the deformity early in its development is important in avoiding surgery. Common conservative treatments include rest, ice, padding, orthotics and footwear modifications. Many times a combination of these simple lifestyle changes and non-surgical approaches are enough to relieve the pain and stop the progression of the bunion, although these treatments won’t reverse the actual deformity.

When non-surgical treatments fail to relieve your pain, or your bunion is interfering with normal, daily activities, our office may recommend a bunionectomy, which involves the surgical removal of a bunion to reduce pressure and repair the joint. There are a variety of surgical procedures available to treat bunions. The goal of surgery is to correct the deformity by realigning the toe. This is accomplished by removing the bony bump and restoring normal, pain-free function.  

When Should I Consider Bunion Surgery?

  • Nonsurgical, conservative treatment has failed to relieve your bunion pain
  • Walking or performing normal, everyday tasks is difficult and painful
  • The simple act of wearing shoes causes pain
  • Your big toe joint is constantly swollen

Your age and health may also determine your candidacy for bunion surgery. Your podiatrist will work with you to determine the best treatment for your individual needs. With the surgical removal of bunions, we can relieve your pain and help you return to the activities you enjoy!

By Pill Hill Podiatry Group
August 02, 2017
Tags: Foot Injuries  

An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.

Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.

Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process.  Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.

Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain. 

Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.

Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.

After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.

By Pill Hill Podiatry Group
July 18, 2017
Category: Foot Care
Tags: Practical Footwear  

Running Shoes

If you’re a runner, you know that your shoes are an integral piece of equipment when it comes to comfort, performance and injury prevention. Your foot type and function will determine which type of running shoe will be best for your unique needs and training regimen. A shoe must properly fit the shape and design of your foot before you can train in it comfortably.

There are several factors to consider when searching for a new running shoe. These may include:

  • Foot structure

  • Foot function

  • Body type

  • Existing foot problems

  • Biomechanical needs

  • Training regimen

  • Environmental factors

  • Previously worn running shoe

Failing to replace old, worn shoes is a major cause of running injuries, as old shoes gradually lose their stability and shock absorption capacity. The typical lifespan of a pair of running shoes is approximately 500 miles. It’s important to keep track of their mileage to avoid overuse.

Helpful tips for choosing your shoes include:

  • Go to a reputable shoe store that specializes in running footwear

  • Bring your old/current running shoes with you

  • Know your foot type, shape as well as any problems you’ve previously experienced

  • Have your feet measured

  • Wear the same socks you wear when training

  • Try on both shoes, and give them a test run

If you’re a beginning runner and just starting your training regimen, then it’s a good idea to visit our office for an evaluation. Your podiatrist will examine your feet, identify potential problems and discuss the best running shoes for your foot structure and type. Seasoned runners should also visit their podiatrist periodically to check for potential injuries.

Don’t allow poor shoes choices derail your training program and jeopardize your running goals. A proper-fitting running shoe is an invaluable training tool that allows you to perform your best without injury or pain. The correct footwear, in combination with a proper training routine and professional attention from a skilled podiatrist, is the key to minimizing faulty foot mechanics and maximizing your performance.

By Pill Hill Podiatry Group
July 05, 2017
Category: Foot Health

Running Foot Pain

Your feet are made up of 26 bones, 33 joints, 112 ligaments and a vast network of tendons, nerves and blood vessels. Each of these parts works in harmony, enabling you to walk, run and jump normally and without pain.  

But before jumping into a rigorous workout or fitness program that involves running, you may want to give your feet some extra attention, starting with a trip to your podiatrist. A professional podiatrist can properly examine your feet, detect potential problems, and provide tips for injury-free training and shoe selection.

Beginning runners are not the only ones who should see a podiatrist. Frequent runners should also pay their podiatrist a visit from time to time to check for any stress on the lower extremities brought on by repetitive force.

Common injuries experienced by runners include plantar fasciitis, heel spurs, Achilles tendonitis and stress fractures.

Helpful Tips for Preventing Injury

In addition to visiting our office, you can also prevent injuries that commonly occur during training and running by stretching properly, choosing appropriate footwear, and paying attention to pain or signs of an injury.

Stretch

To prevent injury to your lower extremities, it’s important to stretch carefully before beginning any workout regimen. When muscles are properly warmed up and stretched, the risk for injury is greatly reduced. Appropriate stretches include stretching of the hamstring and wall push-ups.

Choose Proper Footwear

The type of shoe you should wear also plays an important role in your ability to run without pain and with optimal performance. The shoe that your foot requires will depend on your foot structure and function, your body type, and the type of running or workout regimen you are interested in. Your podiatrist may also prescribe an orthotic, or shoe insert, to alleviate any foot pain or anomalies.

Be Mindful of Injuries

Even with proper footwear and stretching, not all foot problems can be prevented. Whenever you experience pain, stop whatever workout you are doing and rest. As pain subsides, gradually increase exercise with caution. When pain persists, visit our office for a proper evaluation.

New joggers and seasoned runners alike should take the necessary steps to avoid injury to the lower limbs. Consult with your podiatrist before starting any new workout, and always seek professional care when pain or injury occurs.

By Pill Hill Podiatry Group
June 19, 2017
Category: Foot Care
Tags: Turf Toe   Foot Pain  

Turf toe is a sprain of the joint just below the big toe, also known as the first metatarsophalangeal (MTP) joint. This foot injury is particularly common among athletes who play on artificial turf, hence the name “turf” toe. When athletes play sports on turf or other hard surfaces, the foot can stick to the ground, resulting in jamming of the big toe joint.

Typically the injury is sudden, but it can also occur after sustaining multiple injuries, such as pushing off repeatedly when running or jumping. Although it’s a condition most commonly associated with dancers, soccer players, wrestlers, gymnasts and football players, you don’t have to be an athlete to get it.

Symptoms of turf toe range from mild to severe, and may gradually worsen with continued movement. The most common symptoms of turf toe include:

  • Swelling and pain at the joint of the big toe

  • Pain and tenderness when bending the toe

  • Stiffness and limited movement of the big toe joint

If your symptoms are indicative of turf toe, then you may be able to relieve the pain and swelling with the following self-treatment, including:

  • Ice the injury

  • Apply a compression bandage

  • Rest and temporarily discontinue any physical activity

  • Wear a brace to protect the toe and to limit bending

For more severe cases of turf toe, visit our office for a proper diagnosis and treatment plan. A podiatrist can easily diagnose turf toe through an evaluation that includes a range of motion and joint stability tests.

Professional treatment may include exercises to strengthen the toe, modified footwear or splinting. With proper treatment, you can eliminate pain resulting from turf toe and return to your favorite sport or activity!





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