My Blog
By The Foot and Ankle Group PC
May 12, 2020
Category: Foot Health
Tags: Diabetic Foot Care  

When someone has diabetes, risk for injury, infection, and amputation in the lower extremities escalates. Proper foot care avoids complications. The eight podiatrists at The Foot and Ankle Group in Philadelphia, PA partner with patients to supervise the changes diabetic neuropathy, impaired circulation, poor wound healing, and more. Together, we optimize podiatric health. 

The troublesome statistics

The American Diabetic Association urges diabetics practice daily foot care. Also, it maintains you should see your podiatrist in Philadelphia every two to three months if you have neuropathy (impaired nerve sensation) or poor circulation.

Why come to The Foot and Ankle Group so often? Simply put, the more you attend to your feet and ankles, the less likely you are to suffer a compromising diabetic wound or amputation. Regenstrief Institute for Health Care in Indianapolis says diabetics are almost 60 percent less likely to suffer foot ulcers if they faithfully care for their feet.

Best diabetic foot practices

Your daily care at home alerts you to dangers that could develop into life-and limb-threatening changes. Frankly, these foot care checks benefit everyone, even people who do not have diabetes. These practices include:

  • Inspect your feet every morning. Look for breaks in the skin, areas of friction, redness and nail problems.
  • Feel your feet to note changes in surface temperature.
  • Wash your feet with a mild soap and water every day. Dry them completely.
  • Wear clean, moisture-wicking socks. Change them every day or whenever they are sweaty.
  • Do not go barefoot, even in the house, to avoid injury and fungal infection.
  • Moisturize daily. Use a quality lotion or cream on the tops and bottoms of your feet. Do not place between the toes.
  • Cut your nails with clean clippers. Trim evenly with the end of the toe; do not round the corners to avoid ingrown toenails.
  • See your podiatrist for corn and callus removal.
  • Wear well-constructed shoes with good arch support and room in the toe box.
  • Exercise, but keep your feet warm and dry as you do so.
  • Elevate your feet when sitting for long periods of time.
  • Control your blood sugars.
  • Stop all tobacco usage.
  • Keep your routine foot exam appointments.

Stay in touch

If you are concerned about any aspect of you podiatric health, contact one of our professionals at The Foot and Ankle Group in Philadelphia. Neuropathy and limited circulation pose real danger, but vigilance pays off. For the Philadelphia location, phone (215) 332-5300. In Mount Laurel, NJ, call (856) 234-0195. For Bordentown, NJ, contact us at (609) 291-0960, and in Columbus, NJ, phone (609) 298-7000.

By The Foot and Ankle Group PC
March 26, 2020
Category: Foot Health

Peripheral neuropathy occurs when your peripheral nerves, which travel to the legs and arms, are damaged. When this happens, you'll experience abnormal or reduced sensation in the fingers and toes. In some cases, people may also find that they have difficulty moving these affected body parts.

Prompt diagnosis and treatment of this condition are vital since the peripheral nerves don’t regenerate quickly, and treatment is crucial to stopping the progression of neuropathy. Here at the Foot and Ankle Group, we can diagnose and treat neuropathy either in our Bordentown, Mount Laurel, or Columbus, NJ, offices or our Philadelphia, PA, office. Drs. Robert Filoramo and Mike Miller are two of the best podiatrists at our practice.

Peripheral Neuropathy Symptoms

Symptoms include stabbing or shooting pain, burning, tingling, and/or numbness in the fingers and toes. Keep in mind that any abnormal sensations in these areas indicate peripheral neuropathy, and might be an early warning sign of another serious health problem like diabetes.

Home Care for Peripheral Neuropathy

Since reduced sensation develops over time, it is very easy to overlook an infection or injury. You need to examine your feet regularly and thoroughly and seek proper treatment for any issues you find right away. Otherwise, a seemingly minor scrape could develop into an infection. You should likewise wear proper footwear even inside the house to avoid injuries.

If you’re a diabetic, you also need to keep your blood sugar levels in check since uncontrolled blood sugar causes increased nerve damage. So take your medications and insulin as instructed and make sure to eat a healthy diet to keep neuropathy at bay. You should likewise go in for regular checkups with one of our podiatrists in our Philadelphia, PA, office or Bordentown, Mount Laurel, or Columbus, NJ, offices. Drs. Robert Filoramo and Mike Miller are here to address any of your concerns.

Why Working With a Podiatrist Is Crucial

Patients with peripheral neuropathy symptoms should work with a podiatrist with experience managing the condition. There is no cure for neuropathy. Likewise, effective diagnosis and treatment will depend significantly on what’s causing the nerve damage. Fortunately, early and proper treatment can slow down the disease’s progression, reduce pain, maintain foot health, and improve your overall quality of life.

Depending on the symptoms, your podiatrist may prescribe medications, walking aids, physical therapy, specific exercises, lifestyle modifications, surgery, and other treatments to address your specific concerns. You’ll also be given specific instructions on how to care for your feet to avoid complications.

Concerned About Peripheral Neuropathy?

Reach out to us here at The Foot and Ankle Group to schedule your consultation. You can call our Philadelphia, PA, office at (215) 332-5300, our Mount Laurel, NJ, office at (856) 234-0195, our Bordentown, NJ, office at (609) 291-0960, and our Columbus, NJ, office at (609) 298-7000. Drs. Robert Filoramo and Mike Miller, along with our other qualified podiatrists, are here for you.

By The Foot and Ankle Group PC
February 20, 2020
Category: Podiatry
Tags: Foot Pain  

Ignoring foot pain is never a good idea. If you try to carry on with your usual activities, your symptoms are likely to worsen, making walking and standing even more difficult. Fortunately, here at The Foot & Ankle Group in Philadelphia, PA, Mount Laurel, Bordentown, and Columbus, NJ, your podiatrists can diagnose the source of your pain and offer effective treatments that will get your back on your feet once again.

What causes foot pain?

Foot pain can have many causes. Did the pain start after you went for a run, took an exercise class or played your favorite sport? You may have a stress fracture, tendonitis, bursitis, or a torn tendon. These conditions are more likely to occur if you work out too hard or too long, increase the intensity of your workout suddenly, or don't wear supportive shoes.

Falls and accidents may cause fractures, strains, and sprains in your feet and ankles. These injuries are often accompanied by bruising and swelling. If the bones in your foot or ankle look deformed or if you have severe pain after an accident, call your podiatrist or go to the emergency room.

Other possible causes of foot pain include:

  • Nerve damage
  • Ingrown toenails
  • Gout
  • Stone bruise
  • Infections
  • Plantar warts
  • Lacerations
  • Arthritis
  • Plantar fasciitis
  • Bone spurs
  • Infected sores or ulcers

What can I do about sudden foot pain?

In many cases, foot pain will improve if you stay off your feet as much as possible and use ice and over-the-counter pain medication to control pain and inflammation.

If your symptoms don't improve in a week or two, it's a good idea to make an appointment with your podiatrist. Don't wait to call the foot doctor if you have diabetes. Even minor foot injuries can quickly become infected whether you have Type 1 or 2 diabetes.

Call right away if you notice signs of infection (pus on your wound, red streaks on the skin, or fever), a change in the normal color of your skin, severe pain/numbness, or if you can't put any weight on your foot.

Need relief? Give us a call

Do you suffer from foot pain? A visit to your podiatrist in Mount Laurel, Bordentown or Columbus, NJ, or Philadelphia, PA, can help ease your aches and pains. Schedule an appointment with the foot doctors at The Foot & Ankle Group by calling (215) 332-5300 for the Philadelphia office, (856) 234-0195 for the Mount Laurel office, (609) 291-0960 for the Bordentown office or (609) 298-7000 for the Columbus office.

December 19, 2019
Category: Podiatry
Tags: Hammertoes  

Have hammertoes? Hammertoes are toes that are bent because of weakened muscles. In the early stages, hammertoes are flexible and the symptoms can be managed with non-surgical treatments. If left untreated, a hammertoe can become rigid and will not respond to noninvasive treatments. The Foot and Ankle Group with offices in Mount Laurel, Philadelphia, Bordentown, and Columbus can help you if you are dealing with hammertoes.

About Hammertoes

A hammertoe is a foot condition that causes your toe to curl or bend downward instead of pointing forward. This condition can affect any toe on your foot. Because of the progressive nature of the deformity, it should receive early attention. Hammertoes will not get better without treatment.

Causes of Hammertoes

Hammertoes are often caused by wearing too-narrow, ill-fitting footwear with little to no arch support. In some people, hammertoes are inherited. Sometimes, hammertoe is the result of an earlier trauma to the toe. In addition, neuromuscular diseases can contribute to the development of hammertoes. Diabetics can be at increased risk for complications from a hammertoe.

Symptoms of Hammertoes

Hammertoes may cause pain or irritation of the toe when wearing shoes. The toe joint may swell and takes on a red color. The ball of the foot under the bent toe may be painful. It may be hard to move the toe joint -- and it may hurt when you try. Corns may form on the top of the toe joint.

Treatments for Hammertoes

Drugs that reduce inflammation can ease the swelling and pain. Sometimes, a podiatric doctor will use steroid shots to relieve pain. Padding the areas around the bony point of the toe may help to reduce pain. Splinting the toe may help in the early stages. Your podiatrist may also give you custom-made shoe inserts to treat your hammertoes. Your doctor may recommend surgery if you have severe hammertoes.

You don't have to hurt anymore. If you need a qualified Philadelphia podiatrist, call one of the Foot and Ankle Group's offices- Mount Laurel- (856) 234-0195; Philadelphia- (215) 332-5300; Bordentown- (609) 291-0960; Columbus- (609) 298-7000. We offer many non-surgical, highly effective solutions for hammertoes.

By Robert Filoramo DPM Mike Miller DPM
October 01, 2019
Category: Foot Health
Tags: neuropathy  

Neuropathy is a condition that occurs due to nerve damage within the peripheral nervous system. The condition can result in a variety of foot-doctorsymptoms, including tingling, numbness, and paralysis. Neuropathy can affect different areas of the body. When it affects the feet and legs, treatment is best sought through a podiatrist. The doctors at The Foot & Ankle Group are your podiatrists for the treatment of neuropathy in Philadelphia.


What is neuropathy?

Neuropathy is a condition that develops when a person has sustained nerve damage. The condition typically affects the feet and legs, but can also affect the hands and arms. In some cases, neuropathy can even affect the face. In Philadelphia, neuropathy that affects the feet and legs can be treated by a podiatrist at The Foot & Ankle Group.


What are the symptoms of neuropathy?

Neuropathy can produce many different symptoms. Common symptoms include:

  • Tingling
  • Numbness
  • Burning sensation
  • Heavy feeling in the legs
  • Sharp, stabbing pains
  • Paralysis


What causes neuropathy?

There are several possible causes of neuropathy. Suffering nerve damage following trauma or an injury is one cause of neuropathy. Having diabetes can also increase a person’s risk for developing neuropathy. Other causes of neuropathy include having high blood pressure, being overweight, exposure to toxins, or having an autoimmune disease.


Can neuropathy be treated?

Neuropathy can be treated, and there are several options available from our Philadelphia practice, including medications, therapy, and surgery. Anti-Inflammatory medications, whether over-the-counter or prescription, can minimize the pain and discomfort associated with neuropathy. Other types of medications that can be used to alleviate neuropathy pain include immunosuppressants and anti-seizure medications.

Transcutaneous electrical nerve stimulation (TENS) is a therapeutic treatment that involves the placement of electrodes on the skin. Electric current from the electrodes blocks pain signals from traveling to the brain, which helps alleviate pain and discomfort. Another option for treating neuropathy is nerve decompression surgery. Affected nerves are given more space, thus reducing pressure on those nerves and alleviating pain.


What can happen if neuropathy is left untreated?

If left untreated, neuropathy can cause balance problems, the development of skin ulcers, and put an individual at the risk of infection. For individuals with diabetes, severe cases of neuropathy that go untreated, and lead to amputation of the foot or leg.


Contact us

You do not have to struggle with the pain and discomfort of neuropathy. Help is available. For the neuropathy treatment in Philadelphia, PA, schedule an appointment with one of the podiatrists at The Foot & Ankle Group by calling (215) 332-5300. New Jersey office locations include Mount Laurel at (856) 234-0195, Bordentown at (609) 291-0960, or Columbus at (609) 298-7000.

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