Peripheral artery disorders occur when circulation to the legs and feet becomes restricted because the arteries have narrowed or hardened. As blood flow decreases, the muscles and skin do not receive enough oxygen, leading to cramping during activity, fatigue in the calves, or a heavy feeling that improves with rest. Some people notice their feet feel cooler than usual or see wounds taking much longer to heal. These circulation problems often develop gradually and are influenced by aging, smoking, diabetes, high cholesterol, and high blood pressure. Recognizing the early signs matters because untreated poor circulation can lead to infections or chronic ulcers. With proper diagnosis, treatment options can improve comfort and help protect long-term mobility. If you notice persistent foot discomfort, numbness, or slow-healing sores, it is suggested that you see a podiatrist for an evaluation and appropriate care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Cory Brown, DPM from Cory Brown, DPM. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot drop syndrome occurs when a person cannot lift the front of the foot, causing the toes to drag while walking. This can make walking difficult and lead to a high-stepping motion, called a steppage gait. Foot drop can affect one or both feet. It often results from nerve injury, muscle weakness, or brain disorders that affect muscle control. Sometimes, pressure on the peroneal nerve near the knee or trauma to the leg can cause foot drop. A podiatrist can help by checking muscle strength, testing nerve function, and studying foot movement to find the cause. They can order imaging or nerve tests and fit ankle-foot braces or orthotic inserts to improve walking. Surgical remedies can be discussed if nerve or muscle damage is deemed permanent. If you are experiencing symptoms of foot drop when you walk, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

If you have any concerns about your feet, contact Cory Brown, DPM from Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe numbness is also known as obdormition, which means when  a part of the body "goes to sleep.” Numbness can be a concerning symptom that affects daily comfort and balance. It may result from peripheral neuropathy, diabetic neuropathy, lower levels of vitamin B12, cardiovascular disease, or certain medications that interfere with nerve function. Numbness can appear as tingling, reduced sensation, or a feeling that the toes are asleep. A podiatrist can identify the underlying cause through a detailed examination, provide treatments to improve nerve health, and recommend lifestyle changes or supportive footwear to enhance circulation and comfort. Early evaluation is important to prevent the condition from progressing. If you are experiencing toe numbness, it is suggested that you consult a podiatrist who can offer effective relief solutions to restore proper sensation. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Cory Brown, DPM of Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus, also known as onychomycosis, is a common infection that develops in stages. In the early stage, the nail may appear dull or discolored with white or yellow spots. As the infection progresses, the nail thickens, becomes brittle, and may start to lift from the nail bed. In the advanced stage, the nail can become dark, crumbly, and emit an unpleasant odor, often causing discomfort or pain while walking. Toenail fungus is caused by fungi that thrive in warm, moist environments, such as locker rooms and inside shoes. It can spread easily from one nail to another or to other people through shared surfaces. A podiatrist can diagnose the condition through examination and laboratory testing, then provide treatments including antifungal medications or debridement to remove infected nail tissue. Early treatment offers the best results. If you are dealing with toenail fungus, it is suggested that you make an appointment with a podiatrist to restore healthy, clear nails. 

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Cory Brown, DPM of Cory Brown, DPM. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.