Dr. Zirna is announcing his retirement as of April 30, 2025
Super User
Wednesday, 21 February 2024 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 20 February 2024 00:00

Joint Pain From Gout

If you are concerned about gout, be aware of specific symptoms indicating a potential flare-up. Elevated uric acid or purine levels in routine blood tests may signal its presence. Gout typically manifests as intense joint pain, often at night, with a common target being the big toe joint. Inflammation accompanies the pain, leading to swelling, tenderness, warmth, and redness in the affected area. The initial hours of a flare-up can be excruciating, making it difficult to walk or touch the foot. Although flares typically last approximately 12 hours, joint discomfort can persist for days to weeks afterward. If you experience symptoms like big toe pain, consulting a podiatrist is suggested for diagnosis and treatment. This foot doctor can assess any potential joint damage from gout and provide appropriate care to manage symptoms effectively.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Tuesday, 20 February 2024 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Working in construction or outdoor settings demands footwear that prioritizes safety, durability, and comfort. Choose work boots specifically designed for these environments, featuring steel toe caps to protect against heavy objects and impact. Look for boots with sturdy outsoles that offer traction on uneven terrain, reducing the risk of slips and falls. Waterproof or water-resistant materials are essential to keep feet dry and comfortable, especially when working in wet or muddy conditions. Additionally, choose boots with ample ankle support to prevent strains and injuries while navigating uneven ground or climbing ladders. Breathable linings and moisture-wicking properties help regulate temperature and reduce sweat buildup, enhancing overall comfort during long hours of work. Consider factors such as insulation for cold weather conditions or ventilation for hot climates to ensure year-round suitability. Investing in high-quality, well-fitted work boots is not only critical for safety but also for maintaining productivity and minimizing the risk of foot-related injuries in demanding work environments. If you have questions about what type of shoes to wear during your workday, it is suggested that you confer with a podiatrist who can guide you toward making the correct choices.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 13 February 2024 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Tuesday, 06 February 2024 00:00

A Closer Look at How CRPS Can Affect the Feet

Complex regional pain syndrome, or CRPS, a perplexing and debilitating condition, manifests as chronic pain, swelling, and changes in skin color and temperature, often affecting the extremities. When CRPS strikes the feet, it introduces a unique set of challenges for individuals grappling with this complex disorder. The condition arises typically after an injury or trauma, triggering an abnormal response in the nervous system. In the feet, CRPS can lead to severe, constant pain, sensitivity to touch, and difficulty bearing weight. The affected foot may change skin texture, temperature, and color, presenting a mosaic of symptoms that defy conventional explanations. Understanding how CRPS impacts the feet is essential for accurate diagnosis and tailored treatment plans. If you have foot pain that encompasses the above symptoms, it is strongly suggested that you seek the counsel of a podiatrist who can accurately diagnose and treat CRPS.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain
Tuesday, 06 February 2024 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Tuesday, 30 January 2024 00:00

Diagnosis of Stress Fractures

A foot stress fracture is a microscopic crack in the bone, often caused by repetitive stress or overuse. This common injury can affect various bones in the foot, such as the metatarsals, and typically emerges gradually due to activities such as running or jumping. Recognizing the symptoms is vital, as persistent pain, swelling, and tenderness are common indicators. To diagnose a foot stress fracture, podiatrists employ a combination of clinical evaluation and imaging studies. X-rays may not immediately reveal the fracture, but MRI imaging or bone scans may offer more detailed insights. Medical history, physical examination, and a thorough discussion of the individual's activities contribute to an accurate diagnosis. Early detection is essential for effective management, often involving rest, modified activity, and sometimes bracing or casting. If you have foot pain, and believe it may be a stress fracture, it is suggested that you visit a podiatrist who can accurately diagnose and treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

Read more about Dealing with Stress Fractures of the Foot and Ankle

Stress fractures are small breaks in the bone that are caused by repetitive stress. They typically occur due to overuse, forcing the bones of the foot or ankle to continually absorb the full impact of each step taken. Stress fractures can also be caused by abnormal foot structure, osteoporosis, bone deformities, or wearing improper footwear during exercise.

Stress fractures are common for individuals whose daily activities cause high levels of impact on their feet and ankles. Those who run, play tennis or basketball, or practice gymnastics tend to experience these fractures more frequently. Anyone is susceptible to this problem, though. Individuals who are normally sedentary and suddenly begin an intense, high impact workout may sustain stress fractures. This is because their muscles are not yet strong enough to handle and cushion the intensity of their activity. Osteoporosis may also cause someone to get stress fractures, because the disease weakens an afflicted person's bones and makes it easier for them to break down.

Pain from stress fractures typically occurs in the general area of the fracture. Pain can also manifest as “pinpoint pain” or pain that is felt when the site of the injury is touched, and can be accompanied by swelling. It may occur during or after activity, and it may disappear while resting and return when standing or moving. Engaging in any kind of activity, high impact or otherwise, will aggravate the pain. If the intensity of the activity increases before the stress fracture has properly healed, it can cause a full fracture.

Treatment can vary depending on the individual and the degree of injury. The primary way to treat a stress fracture is to rest the hurt foot. Some fractures will heal quickly with only a little bit of rest, while others may require a long rest period and the use of crutches, immobilization, or physical therapy. Under certain circumstances, surgery may be required to install support pins around the fracture to assist in healing.

If you are undergoing a new exercise regimen in running or some other kind of high impact activity, set incremental goals on a weekly basis so you can build up muscle strength. Make sure to wear supportive shoes to better protect you feet.

If you begin to experience any symptoms of stress fractures, you should stop exercising and rest. If the symptoms persist, consult with your podiatrist. Remembering these tips can help you prevent stress fractures to your foot and ankle, and allow you to continue living normally.

Tuesday, 23 January 2024 00:00

Causes of Blackened Toenails

Blackened toenails are caused by repetitive pressure and friction, often occurring when the toe is forced against the front edge of a shoe's toe box. While sometimes referred to as tennis toe, blackened toenails can also affect athletes in soccer, football, squash, racquetball, basketball, running, and skiing. Symptoms include throbbing pain and a reddish-blue or black discoloration of the nail plate due to a subungual hematoma, which is caused by blood under the nail. The big toe is more commonly affected in blackened toenails, but the second toe may also be affected. Wearing ill-fitting shoes plays a pivotal role, causing friction that leads to bleeding under the toenail. In severe cases with significant bleeding, swelling, or infection, visiting a podiatrist is suggested. This foot doctor may relieve pressure on the subungual hematoma by making a small hole in the nail or, in extreme cases, recommend partial or complete nail removal. Prevention involves wearing well-fitted shoes and recognizing early symptoms. Whether you are an avid athlete or enjoy an active lifestyle, if you notice discoloration in the toenails, it is suggested that you schedule an appointment with a podiatrist for treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna 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 feel free to contact our offices located in Lockport, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Page 1 of 119

Connect With Us

scroll to top