Dr. Zirna is announcing his retirement as of April 30, 2025

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Tuesday, 14 November 2023 00:00

Treatment Options for Plantar Fasciitis

Plantar fasciitis is a painful foot condition resulting from inflammation of the plantar fascia, a thick tissue band connecting the heel to the toes. This inflammation typically occurs due to excessive stress on the feet, which can be caused by activities such as running, prolonged standing, or wearing improperly fitted footwear. To alleviate the pain and prevent future flare-ups, begin by avoiding activities that make the condition worse. Daily stretching exercises prescribed by a podiatrist can help improve flexibility and strengthen the foot muscles. Choosing footwear with proper arch support and heel cushioning is essential, and in some cases, custom orthotic shoe inserts may be needed. When conservative treatments are ineffective, corticosteroid injections can help to reduce inflammation and pain. If plantar fasciitis pain is affecting your ability to carry out daily activities, it is suggested that you make an appointment with a podiatrist for an appropriate treatment plan.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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 Plantar Fasciitis
Tuesday, 07 November 2023 00:00

Types of Arthritis That Can Impact the Feet

Various forms of arthritis can have specific effects on the feet. Osteoarthritis, or OA, most often affects the first metatarsophalangeal joint, connecting the big toe to the foot. It can also be found in the midfoot and ankle. In contrast, rheumatoid arthritis, or RA, typically appears in both feet and affects the same joints symmetrically. Gout is known for frequently targeting the feet, particularly the big toe, and causing intense pain during flares ups. Psoriatic arthritis, or PsA, can impact the toes, leading to swollen, sausage-like digits known as dactylitis. Additionally, it often involves inflammation at the points where tendons and ligaments attach to bones. The feet can be affected, resulting in plantar fasciitis and painful bone spurs, among other conditions. Ankylosing spondylitis also brings about plantar fasciitis and discomfort at the Achilles tendon, affecting the feet. Each of these types of arthritis presents distinct challenges and symptoms in the foot region. If you have foot pain, it is suggested that you make an appointment with a podiatrist to discuss whether arthritis may be the cause. This type of doctor can determine what type of arthritis has developed and guide you toward the necessary treatments for relief. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best 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 How to Care for Your Arthritic Foot
Tuesday, 31 October 2023 00:00

Understanding the Ache in Your Ankles

Anterior ankle impingement, although not as widely recognized as some other foot and ankle conditions, is a common ailment that can cause discomfort and limit mobility. This condition primarily affects the front part of the ankle joint, where the bones come into contact and create friction during certain movements. It is characterized by ankle pain, tenderness, and swelling in the anterior, or front, of the ankle. While the exact cause can vary, it often stems from repetitive activities that involve excessive dorsiflexion, which is bending the ankle upwards. These activities, common in sports such as ballet or soccer, can lead to the gradual development of bony growths or bone spurs, which cause the impingement. Trauma or injuries to the ankle can also be a contributing factor. Understanding anterior ankle impingement is important for those experiencing persistent pain in the front of their ankles. Early recognition and proper care can help alleviate discomfort and prevent the condition from worsening. By comprehending this condition and seeking appropriate treatment, individuals can regain their comfort and mobility, allowing them to return to their daily activities without the constant ache in their ankles. If you have ankle pain, it is strongly suggested that you are under the care of a podiatrist who can properly diagnose and treat anterior ankle impingement.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 Ankle Pain
Tuesday, 24 October 2023 00:00

Diagnosis and Treatment of Arch Pain

Experiencing arch pain in your foot can be uncomfortable and potentially lead to complications if not addressed promptly. As the pain persists or worsens, seeking help from a podiatrist is essential. This medically trained foot doctor can employ various techniques to diagnose the underlying causes of your arch pain. During a physical examination, the doctor assesses the pain's location, evaluates ligaments, and checks for signs of infection or inflammation. Taking X-rays can provide a comprehensive view of the foot's structure, which aids in detecting structural problems or injuries that may be contributing to the pain. In more complex cases, advanced imaging techniques, like MRI and CT scans, offer detailed images of bones and tendons, enabling a more precise diagnosis. In certain situations, an ultrasound scan may be recommended for pinpoint accuracy. Rest is fundamental, involving a break from activities that stress the feet. Supportive shoes with arch supports and night splints for conditions like plantar fasciitis can also provide relief. For help in dealing with pain in the arch of your foot, it is suggested that you make an appointment with a podiatrist. 

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
Sunday, 22 October 2023 00:00

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 17 October 2023 00:00

Footwear and Healthy Feet

Proper footwear is paramount for maintaining healthy feet. Ill-fitting shoes can lead to any number of foot problems and even increase the risk of injury. To safeguard your foot health, it's important to select shoes that not only fit well but also provide adequate support. When making your choice, consider the nature of your activity, the type of surface you'll be on, and the need for proper support. For instance, people who spend substantial time on hard surfaces may be more susceptible to heel and forefoot pain, as well as calluses and corns. Supportive shoes with softer soles and arch supports may help. High heels, which force the feet into unnatural positions, can result in long-term postural changes and increase the chances of toe deformities, such as bunions. For active people, the right footwear can ensure proper shock absorption and stability. Seek sports shoes that offer flexibility at the ball of the foot and ample heel support. If foot problems develop or persist, it is suggested that you make an appointment with a podiatrist. 

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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 How to Get a Proper Shoe Fit
Tuesday, 10 October 2023 00:00

Managing a Broken Toe That Will Not Heal

A broken toe is a common injury, and can cause difficulty if it does not heal. Several factors can contribute to a broken toe that doesn’t mend as expected. Misdiagnosis can sometimes occur, where a toe injury may be more severe than initially believed. This may lead to a delayed diagnosis or inadequate treatment. Additionally, tiny hairline fractures, known as stress fractures, can be challenging to detect, and may not heal properly if not identified. Poor immobilization, with inadequately fitted splints or casts, can hinder the healing process. Medical conditions, such as diabetes or vascular disease, can slow down the healing process. Also, continuous stress on the broken toe, such as excessive walking or standing, can impede proper healing. Lastly, untreated or undetected infections in or around the broken toe can further obstruct the healing process. If you are dealing with a broken toe that does not seem to be healing, it is strongly suggested that you consult a podiatrist promptly. This medically trained foot doctor can identify the underlying cause and recommend a treatment plan appropriate to the cause.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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 What to Know About a Broken Toe
Tuesday, 03 October 2023 00:00

Plantar Fibromatosis

The plantar fascia is a thick fibrous tissue in the foot that helps maintain the arch. Plantar fibromas typically affect the medial and central bands of the plantar fascia. This condition, also known as Ledderhose disease, is rare and is characterized by the formation of nodules on the plantar fascia of the foot. It is more common in middle-aged men and can be associated with other fibrous tissue disorders. These nodules can cause pain and even disability. Diagnosis is primarily clinical, but imaging tests such as an MRI and ultrasound can be helpful. Treatment options include conservative measures and surgical intervention. Symptoms include slow growing nodules on the arch of the foot, which can become painful and affect walking. Physical examination is essential for diagnosis, and imaging can confirm the condition. Conservative treatments include steroid injections, oral medications, radiation therapy, and extracorporeal shock wave therapy. These aim to reduce pain and nodule size. Surgical options may be considered for pain relief, but recurrence is possible. If you are suffering from any sort of foot pain, it is suggested that you make an appointment with a podiatrist for a proper evaluation and individualized treatment.

A plantar fibroma may 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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 Plantar Fibroma
Tuesday, 26 September 2023 00:00

Negative Effects of Wearing High Heels

Wearing high heels can have serious consequences for your feet and overall well-being. While they may not be the most comfortable footwear, they are occasionally a desired shoe choice. Beyond the immediate discomfort, high heels can lead to several issues including foot and ankle injuries, arthritis, and aggravation of existing foot problems. These can include bunions, hammertoes, and an altered gait. To mitigate these issues, it is important to wear high heels in moderation, stretch regularly, and consider various foot therapy practices, such as reflexology and foot soaks. Choosing more supportive footwear is the ultimate cure for high-heel troubles. If you have foot or ankle pain associated with wearing high heels, it is suggested that you make an appointment with a podiatrist, the health care expert of the feet and ankles.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Effect of High Heels on the Feet
Friday, 22 September 2023 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

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